Information Effective As of 01/09/2023 "FacilityCode","FacilityName","PayerName","Term Group Name","Standard Patient Type","Term Type","Reimbursement Method","Chargemaster Fields_Gross Charge (IPFee)","Chargemaster Fields_ChargeItemCode","Chargemaster Fields_Description","Chargemaster Fields_Default CPT Code","Fee Schedule Fields_Code","Fee Schedule Fields_Rate","Fee Schedule Fields_Name","Fee Schedule Fields_Method","Fee Schedule Fields_Rate Multiplier","Fee Schedule Fields_Non-Facility Total Amt","Fee Schedule Fields_Blended Rate","LTACH PPS Fields_LTACH PPS Reimbursement","LTACH PPS Fields_LTACH PPS Reimbursement %","Term Criteria (Includes Advanced)","% of Charge Reimbursement","Per Case Rate Reimbursement","Per Diem Reimbursement","Tiered Per Diem Fields_Tiered Per Diem Start Day","Tiered Per Diem Fields_Tiered Per Diem End Day","Tiered Per Diem Fields_Method","Tiered Per Diem Fields_Rate","Level of Care Fields_LOC Service","Level of Care Fields_LOC Rate","Per Day of Service Fields_Tier","Per Day of Service Fields_Rate","Per Day of Service Fields_Method","Per Day of Service Fields_Start Day","Per Day of Service Fields_End Day","Per Day of Service Fields_By Service Date","Per Day of Service Fields_By Unit Within Service Date","Per Day of Service Fields_Apply Maximum Stop Cap","Per Day of Service Fields_Maximum Stop Cap","Medicare Inpatient Fields_DRG Labor Portion","Medicare Inpatient Fields_DRG Non-Labor Portion","Medicare Inpatient Fields_Blended Rate","Medicare Inpatient Fields_Area Wage Index","Medicare Inpatient Fields_Geographical Adjustment Factor","Medicare Inpatient Rehab Fields_CMG Labor Portion","Medicare Inpatient Rehab Fields_CMG Non-Labor Portion","Medicare Inpatient Rehab Fields_Facility Standard Rate","Medicare Inpatient Rehab Fields_Wage Index Factor","Professional Percent of Charge Fields_Percent","Medicare Inpatient Psych Fields_Rate Multiplier","Medicare Inpatient SNF Fields_AIDS Adjustment Factor","Advance Criteria Calculation FIELDS_Formula","Discounted Cash Price" "4602","Kindred Hospital - South Florida - Coral Gables","AARP","HD Med Sup","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"[Billed Amount] <= '0'","0",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AARP","HD Med Sup","I","Standard Term","Combo-PercentOfChargeRM",,,,,,,,,,,,,," AND AND Accumulated Daily Charges > 0","70",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Aetna Health Inc Florida","HD","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"[Billed Amount] <= '0'","0",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Aetna Health Inc Florida","HD","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"AND Calculated Reimbursement > Claim Billed Amount","100",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Aetna Health Inc Florida","HD","I","Carve Out Term","CPTRM",,,,,"0001A","40.00","ADM SARSCOV2 30MCG-0.3ML 1ST--Pfizer-Biontech Covid-19 Vaccine Administration û First Dose","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Aetna Health Inc Florida","HD","I","Carve Out Term","CPTRM",,,,,"0002A","40.00","ADM SARSCOV2 30MCG-0.3ML 2ND--Pfizer-Biontech Covid-19 Vaccine Administration û Second Dose","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Aetna Health Inc Florida","HD","I","Carve Out Term","CPTRM",,,,,"0003A","40.00","ADM SARSCOV2 30MCG-0.3ML 3RD--Pfizer-Biontech Covid-19 Vaccine Administration û Third Dose","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Aetna Health Inc Florida","HD","I","Carve Out Term","CPTRM",,,,,"0004A","40.00","ADM SARSCOV2 30MCG-0.3ML BST--Pfizer-Biontech Covid-19 Vaccine Administration û Booster","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Aetna Health Inc Florida","HD","I","Carve Out Term","CPTRM",,,,,"0011A","40.00","ADM SARSCOV2 100MCG-0.5ML1ST--Moderna Covid-19 Vaccine Administration û First Dose","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Aetna Health Inc Florida","HD","I","Carve Out Term","CPTRM",,,,,"0012A","40.00","ADM SARSCOV2 100MCG-0.5ML2ND--Moderna Covid-19 Vaccine Administration û Second Dose","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Aetna Health Inc Florida","HD","I","Carve Out Term","CPTRM",,,,,"0013A","40.00","ADM SARSCOV2 100MCG-0.5ML3RD--Moderna Covid-19 Vaccine Administration û Third Dose","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Aetna Health Inc Florida","HD","I","Carve Out Term","CPTRM",,,,,"0021A","40.00","ADM SARSCOV2 5X10^10VP-.5ML 1--AstraZeneca Covid-19 Vaccine Administration û First Dose","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Aetna Health Inc Florida","HD","I","Carve Out Term","CPTRM",,,,,"0022A","40.00","ADM SARSCOV2 5X10^10VP-.5ML 2--AstraZeneca Covid-19 Vaccine Administration û Second Dose","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Aetna Health Inc Florida","HD","I","Carve Out Term","CPTRM",,,,,"0031A","40.00","ADM SARSCOV2 VAC AD26 .5ML--Janssen Covid-19 Vaccine Administration","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Aetna Health Inc Florida","HD","I","Carve Out Term","CPTRM",,,,,"0034A","40.00","ADM SARSCOV2 VAC AD26 .5ML B--Janssen Covid-19 Vaccine Administration -á Booster","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Aetna Health Inc Florida","HD","I","Carve Out Term","CPTRM",,,,,"0041A","40.00","ADM SARSCOV2 5MCG-0.5ML 1ST--Novavax Covid-19 Vaccine Administration û First Dose","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Aetna Health Inc Florida","HD","I","Carve Out Term","CPTRM",,,,,"0042A","40.00","ADM SARSCOV2 5MCG-0.5ML 2ND--Novavax Covid-19 Vaccine Administration û Second Dose","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Aetna Health Inc Florida","HD","I","Carve Out Term","CPTRM",,,,,"0064A","40.00","ADM SARSCOV2 50MCG-0.25MLBST--Moderna Covid-19 Vaccine (Low Dose) Administration - Booster","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Aetna Health Inc Florida","HD","I","Carve Out Term","CPTRM",,,,,"0071A","40.00","ADM SARSCV2 10MCG TRS-SUCR 1--Pfizer-BioNTech Covid-19 Pediatric Vaccine - Administration - First dose","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Aetna Health Inc Florida","HD","I","Carve Out Term","CPTRM",,,,,"0072A","40.00","ADM SARSCV2 10MCG TRS-SUCR 2--Pfizer-BioNTech Covid-19 Pediatric Vaccine - Administration - Second dose","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Aetna Health Inc Florida","HD","I","Carve Out Term","UB92RM",,,,,"0800","383.00","RENAL DIALYSIS","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Aetna Health Inc Florida","HD","I","Carve Out Term","UB92RM",,,,,"0801","383.00","DIALY/INPT","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Aetna Health Inc Florida","HD","I","Carve Out Term","UB92RM",,,,,"0802","383.00","DIALY/INPT/PER","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Aetna Health Inc Florida","HD","I","Carve Out Term","UB92RM",,,,,"0803","383.00","DIALY/INPT/CAPD","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Aetna Health Inc Florida","HD","I","Carve Out Term","UB92RM",,,,,"0804","383.00","DIALY/INPT/CCPD","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Aetna Health Inc Florida","HD","I","Carve Out Term","UB92RM",,,,,"0809","383.00","DIALY/INPT/OTHER","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Aetna Health Inc Florida","HD","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"ICU CCU Per Diem","2513.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Aetna Health Inc Florida","HD","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Intermediate ICU CCU Per Diem","2295.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Aetna Health Inc Florida","HD","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Med Surg Per Diem","2022.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Aetna Health Inc Florida","HD","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Override1 Per Diem","550.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Aetna Health Inc Florida","HD","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Override2 Per Diem","600.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Aetna Health Inc Florida","HD","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Override3 Per Diem","650.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Aetna Health Inc Florida","HD","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Rehabilitation Per Diem","1639.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Aetna Health Inc Florida","HD","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Subacute Per Diem","475.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Aetna Health Inc Florida","HD","Outpatient","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"[Billed Amount] <= '0'","0",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Aetna Health Inc Florida","HD","Outpatient","Standard Term","PercentOfChargeRM",,,,,,,,,,,,,,"","44.5",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Aetna Health Inc Florida","Workers Comp","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"[Billed Amount] <= '0'","0",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Aetna Health Inc Florida","Workers Comp","I","Standard Term","PercentOfChargeRM",,,,,,,,,,,,,,"","95",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Aetna Health Inc Florida","Workers Comp","Outpatient","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"[Billed Amount] <= '0'","0",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Aetna Health Inc Florida","Workers Comp","Outpatient","Standard Term","PercentOfChargeRM",,,,,,,,,,,,,,"","95",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Americas Choice Provider Network LLC","Commercial","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"[Billed Amount] <= '0'","0",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Americas Choice Provider Network LLC","Commercial","I","Standard Term","PercentOfChargeRM",,,,,,,,,,,,,,"","80",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Americas Choice Provider Network LLC","Workers Comp","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"[Billed Amount] <= '0'","0",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Americas Choice Provider Network LLC","Workers Comp","I","Standard Term","PercentOfChargeRM",,,,,,,,,,,,,,"","90",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"[Billed Amount] <= '0'","0",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0100","800.00","All Inclusive Rate - Room & Board & Ancillary","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0100","900.00","ALL/INCL/R&B/ANC","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent__2177')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0101","800.00","All Inclusive Rate - Room & Board","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0101","900.00","ALL/INCL/R&B","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent__2177')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0110","800.00","Room and Board Private (one bed) - General","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0110","900.00","ROOM-BOARD/PVT","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent__2177')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0111","800.00","Room and Board Private (one bed) - Medical/Surgical/GYN","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0111","900.00","MED-SUR-GY/PVT","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent__2177')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0112","800.00","Room and Board Private (one bed) - OB","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0112","900.00","OB/PVT","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent__2177')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0113","800.00","Room and Board Private (one bed) - Pediatric","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0113","900.00","PEDS/PVT","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent__2177')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0114","800.00","Room and Board Private (one bed) - Psychiatric","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0114","900.00","PSYCH/PVT","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent__2177')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0115","800.00","Room and Board Private (one bed) - Hospice","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0115","900.00","HOSPICE/PVT","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent__2177')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0116","800.00","Room and Board Private (one bed) - Detoxification","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0116","900.00","DETOX/PVT","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent__2177')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0117","800.00","Room and Board Private (one bed) - Oncology","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0117","900.00","ONCOLOGY/PVT","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent__2177')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0118","800.00","Room and Board Private (one bed) - Rehabilitation","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0118","900.00","REHAB/PVT","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent__2177')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0119","800.00","Room and Board Private (one bed) - Other","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0119","900.00","OTHER/PVT","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent__2177')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0120","800.00","Room and Board Semiprivate (two beds) - General","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0120","900.00","ROOM-BOARD/SEMI","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent__2177')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0121","800.00","Room and Board Semiprivate (two beds) - Medical/Surgical/GYN","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0121","900.00","MED-SUR-GY/2BED","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent__2177')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0122","800.00","Room and Board Semiprivate (two beds) - OB","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0122","900.00","OB/2BED","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent__2177')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0123","800.00","Room and Board Semiprivate (two beds) - Pediatric","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0123","900.00","PEDS/2BED","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent__2177')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0124","800.00","Room and Board Semiprivate (two beds) - Psychiatric","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0124","900.00","PSYCH/2BED","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent__2177')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0125","800.00","Room and Board Semiprivate (two beds) - Hospice","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0125","900.00","HOSPICE/2BED","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent__2177')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0126","800.00","Room and Board Semiprivate (two beds) - Detoxification","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0126","900.00","DETOX/2BED","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent__2177')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0127","800.00","Room and Board Semiprivate (two beds) - Oncology","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0127","900.00","ONCOLOGY/2BED","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent__2177')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0128","800.00","Room and Board Semiprivate (two beds) - Rehabilitation","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0128","900.00","REHAB/2BED","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent__2177')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0129","800.00","Room and Board Semiprivate (two beds) - Other","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0129","900.00","OTHER/2BED","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent__2177')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0130","800.00","Room and Board (3 and 4 beds) - General","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0130","900.00","ROOM-BOARD/3&4BED","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent__2177')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0131","800.00","Room and Board (3 and 4 beds) - Medical/Surgical/GYN","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0131","900.00","MED-SUR-GY/3&4BED","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent__2177')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0132","800.00","Room and Board (3 and 4 beds) - OB","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0132","900.00","OB/3&4BED","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent__2177')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0133","800.00","Room and Board (3 and 4 beds) - Pediatric","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0133","900.00","PEDS/3&4BED","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent__2177')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0134","800.00","Room and Board (3 and 4 beds) - Psychiatric","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0134","900.00","PSYCH/3&4BED","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent__2177')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0135","800.00","Room and Board (3 and 4 beds) - Hospice","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0135","900.00","HOSPICE/3&4BED","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent__2177')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0136","800.00","Room and Board (3 and 4 beds) - Detoxification","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0136","900.00","DETOX/3&4BED","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent__2177')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0137","800.00","Room and Board (3 and 4 beds) - Oncology","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0137","900.00","ONCOLOGY/3&4BED","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent__2177')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0138","800.00","Room and Board (3 and 4 beds) - Rehabilitation","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0138","900.00","REHAB/3&4BED","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent__2177')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0139","800.00","Room and Board (3 and 4 beds) - Other","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0139","900.00","OTHER/3&4BED","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent__2177')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0140","800.00","Room and Board Deluxe Private - General","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0140","900.00","ROOM-BOARD/PVT/DLX","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent__2177')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0141","800.00","Room and Board Deluxe Private - Medical/Surgical/GYN","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0141","900.00","MED-SUR-GY/DLX","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent__2177')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0142","800.00","Room and Board Deluxe Private - OB","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0142","900.00","OB/DLX","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent__2177')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0143","800.00","Room and Board Deluxe Private - Pediatric","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0143","900.00","PEDS/DLX","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent__2177')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0144","800.00","Room and Board Deluxe Private - Psychiatric","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0144","900.00","PSYCH/DLX","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent__2177')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0145","800.00","Room and Board Deluxe Private - Hospice","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0145","900.00","HOSPICE/DLX","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent__2177')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0146","800.00","Room and Board Deluxe Private - Detoxification","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0146","900.00","DETOX/DLX","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent__2177')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0147","800.00","Room and Board Deluxe Private - Oncology","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0147","900.00","ONCOLOGY/DLX","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent__2177')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0148","800.00","Room and Board Deluxe Private - Rehabilitation","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0148","900.00","REHAB/DLX","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent__2177')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0149","800.00","Room and Board Deluxe Private - Other","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0149","900.00","OTHER/DLX","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent__2177')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0150","800.00","Room and Board Ward - General","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0150","900.00","ROOM-BOARD/WARD","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent__2177')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0151","800.00","Room and Board Ward - Medical/Surgical/GYN","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0151","900.00","MED-SUR-GY/WARD","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent__2177')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0152","800.00","Room and Board Ward - OB","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0152","900.00","OB/WARD","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent__2177')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0153","800.00","Room and Board Ward - Pediatric","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0153","900.00","PEDS/WARD","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent__2177')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0154","800.00","Room and Board Ward - Psychiatric","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0154","900.00","PSYCH/WARD","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent__2177')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0155","800.00","Room and Board Ward - Hospice","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0155","900.00","HOSPICE/WARD","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent__2177')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0156","800.00","Room and Board Ward - Detoxification","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0156","900.00","DETOX/WARD","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent__2177')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0157","800.00","Room and Board Ward - Oncology","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0157","900.00","ONCOLOGY/WARD","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent__2177')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0158","800.00","Room and Board Ward - Rehabilitation","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0158","900.00","REHAB/WARD","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent__2177')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0159","800.00","Room and Board Ward - Other","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0159","900.00","OTHER/WARD","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent__2177')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0160","800.00","Other Room and Board - General","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0160","900.00","R&B","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent__2177')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0164","800.00","Other Room and Board - Sterile","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0164","900.00","R&B/STERILE","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent__2177')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0167","800.00","Other Room and Board - Self Care","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0167","900.00","R&B/SELF","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent__2177')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0169","800.00","Other Room and Board - Other","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0169","900.00","R&B/OTHER","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent__2177')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0170","800.00","Nursery - General","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0171","800.00","Nursery - Newborn Level I","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0172","800.00","Nursery - Newborn Level II","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0173","800.00","Nursery - Newborn Level III","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0174","800.00","Nursery - Newborn Level IV","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0179","800.00","Nursery - Other","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0180","800.00","Leave of Absence - General","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0182","800.00","Leave of Absence - Patient Convience Charges Billable","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0183","800.00","Leave of Absence - Therapeutic Leave","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0185","800.00","Leave of Absence - Nursing Home (for Hospitalization)","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0189","800.00","Leave of Absence - Other","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0190","800.00","Subacute - General","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0191","800.00","Subacute - Level I/Skilled Care","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0192","800.00","Subacute - Level II/Comprehensive Care","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0193","800.00","Subacute - Level III/Complex Care","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0194","800.00","Subacute - Level IV/Intensive Care","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0199","800.00","Subacute - Other","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0200","1000.00","Intensive Care Unit - General","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0200","1100.00","INTENSIVE CARE OR (ICU)","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0319') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD ICU with vent__2180')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0200","1400.00","INTENSIVE CARE OR (ICU)","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419' '0800' '0801' '0802' '0803' '0804' '0809') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD ICU with vent dialysis__2183')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0201","1000.00","Intensive Care Unit - Surgical","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0201","1100.00","ICU/SURGICAL","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0319') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD ICU with vent__2180')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0201","1400.00","ICU/SURGICAL","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419' '0800' '0801' '0802' '0803' '0804' '0809') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD ICU with vent dialysis__2183')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0202","1000.00","Intensive Care Unit - Medical ","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0202","1100.00","ICU/MEDICAL","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0319') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD ICU with vent__2180')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0202","1400.00","ICU/MEDICAL","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419' '0800' '0801' '0802' '0803' '0804' '0809') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD ICU with vent dialysis__2183')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0203","1000.00","Intensive Care Unit - Pediatric","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0203","1100.00","ICU/PEDS","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0319') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD ICU with vent__2180')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0203","1400.00","ICU/PEDS","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419' '0800' '0801' '0802' '0803' '0804' '0809') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD ICU with vent dialysis__2183')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0204","1000.00","Intensive Care Unit - Psychiatric","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0204","1100.00","ICU/PSYCH","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0319') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD ICU with vent__2180')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0204","1400.00","ICU/PSYCH","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419' '0800' '0801' '0802' '0803' '0804' '0809') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD ICU with vent dialysis__2183')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0206","1000.00","Intensive Care Unit - Intermediate ICU","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0206","1100.00","ICU/INTERMEDIATE","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0319') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD ICU with vent__2180')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0206","1400.00","ICU/INTERMEDIATE","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419' '0800' '0801' '0802' '0803' '0804' '0809') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD ICU with vent dialysis__2183')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0207","1000.00","Intensive Care Unit - Burn care","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0207","1100.00","ICU/BURN CARE","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0319') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD ICU with vent__2180')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0207","1400.00","ICU/BURN CARE","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419' '0800' '0801' '0802' '0803' '0804' '0809') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD ICU with vent dialysis__2183')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0208","1000.00","Intensive Care Unit - Trauma","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0208","1100.00","ICU/TRAUMA","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0319') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD ICU with vent__2180')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0208","1400.00","ICU/TRAUMA","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419' '0800' '0801' '0802' '0803' '0804' '0809') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD ICU with vent dialysis__2183')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0209","1000.00","Intensive Care Unit - Other","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0209","1100.00","ICU/OTHER","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0319') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD ICU with vent__2180')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0209","1400.00","ICU/OTHER","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419' '0800' '0801' '0802' '0803' '0804' '0809') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD ICU with vent dialysis__2183')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0210","1000.00","Coronary Care Unit - General","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0210","1100.00","CORONARY CARE or (CCU)","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0319') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD ICU with vent__2180')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0210","1400.00","CORONARY CARE or (CCU)","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419' '0800' '0801' '0802' '0803' '0804' '0809') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD ICU with vent dialysis__2183')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0211","1000.00","Coronary Care Unit - Myocardial Infarction","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0211","1100.00","CCU/MYO INFARC","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0319') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD ICU with vent__2180')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0211","1400.00","CCU/MYO INFARC","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419' '0800' '0801' '0802' '0803' '0804' '0809') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD ICU with vent dialysis__2183')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0212","1000.00","Coronary Care Unit - Pulmonary Care","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0212","1100.00","CCU/PULMONARY","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0319') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD ICU with vent__2180')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0212","1400.00","CCU/PULMONARY","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419' '0800' '0801' '0802' '0803' '0804' '0809') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD ICU with vent dialysis__2183')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0213","1000.00","Coronary Care Unit - Heart Transplant","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0213","1100.00","CCU/TRANSPLANT","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0319') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD ICU with vent__2180')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0213","1400.00","CCU/TRANSPLANT","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419' '0800' '0801' '0802' '0803' '0804' '0809') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD ICU with vent dialysis__2183')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0214","1000.00","Coronary Care Unit - Intermediate CCU","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0214","1100.00","CCU/INTERMEDIATE","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0319') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD ICU with vent__2180')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0214","1400.00","CCU/INTERMEDIATE","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419' '0800' '0801' '0802' '0803' '0804' '0809') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD ICU with vent dialysis__2183')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0219","1000.00","Coronary Care Unit - Other","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0219","1100.00","CCU/OTHER","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0319') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD ICU with vent__2180')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","Combo-UB92RM",,,,,"0219","1400.00","CCU/OTHER","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419' '0800' '0801' '0802' '0803' '0804' '0809') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD ICU with vent dialysis__2183')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","TieredPerDiemRM",,,,,,,,,,,,,,"[Final DRG] IN ('619' '620' '621')",,,,"1","4","Per Case Rate","15000.00",,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","I","Standard Term","TieredPerDiemRM",,,,,,,,,,,,,,"[Final DRG] IN ('619' '620' '621')",,,,"5","999","Per Diem","650.00",,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","Outpatient","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"[Billed Amount] <= '0'","0",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","Outpatient","Standard Term","Combo-PercentOfChargeRM",,,,,,,,,,,,,," AND ","45",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicaid","Outpatient","Standard Term","Combo-PercentOfChargeRM",,,,,,,,,,,,,,"[UBRev Code] = '0360' AND ","45",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"[Billed Amount] <= '0'","0",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-PercentOfChargeRM",,,,,,,,,,,,,," AND AND Accumulated Daily Charges >= 100000","50",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0100","800.00","All Inclusive Rate - Room & Board & Ancillary","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0100","900.00","ALL/INCL/R&B/ANC","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0101","800.00","All Inclusive Rate - Room & Board","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0101","900.00","ALL/INCL/R&B","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0110","800.00","Room and Board Private (one bed) - General","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0110","900.00","ROOM-BOARD/PVT","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0111","800.00","Room and Board Private (one bed) - Medical/Surgical/GYN","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0111","900.00","MED-SUR-GY/PVT","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0112","800.00","Room and Board Private (one bed) - OB","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0112","900.00","OB/PVT","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0113","800.00","Room and Board Private (one bed) - Pediatric","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0113","900.00","PEDS/PVT","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0114","800.00","Room and Board Private (one bed) - Psychiatric","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0114","900.00","PSYCH/PVT","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0115","800.00","Room and Board Private (one bed) - Hospice","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0115","900.00","HOSPICE/PVT","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0116","800.00","Room and Board Private (one bed) - Detoxification","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0116","900.00","DETOX/PVT","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0117","800.00","Room and Board Private (one bed) - Oncology","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0117","900.00","ONCOLOGY/PVT","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0118","800.00","Room and Board Private (one bed) - Rehabilitation","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0118","900.00","REHAB/PVT","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0119","800.00","Room and Board Private (one bed) - Other","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0119","900.00","OTHER/PVT","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0120","800.00","Room and Board Semiprivate (two beds) - General","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0120","900.00","ROOM-BOARD/SEMI","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0121","800.00","Room and Board Semiprivate (two beds) - Medical/Surgical/GYN","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0121","900.00","MED-SUR-GY/2BED","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0122","800.00","Room and Board Semiprivate (two beds) - OB","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0122","900.00","OB/2BED","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0123","800.00","Room and Board Semiprivate (two beds) - Pediatric","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0123","900.00","PEDS/2BED","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0124","800.00","Room and Board Semiprivate (two beds) - Psychiatric","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0124","900.00","PSYCH/2BED","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0125","800.00","Room and Board Semiprivate (two beds) - Hospice","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0125","900.00","HOSPICE/2BED","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0126","800.00","Room and Board Semiprivate (two beds) - Detoxification","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0126","900.00","DETOX/2BED","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0127","800.00","Room and Board Semiprivate (two beds) - Oncology","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0127","900.00","ONCOLOGY/2BED","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0128","800.00","Room and Board Semiprivate (two beds) - Rehabilitation","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0128","900.00","REHAB/2BED","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0129","800.00","Room and Board Semiprivate (two beds) - Other","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0129","900.00","OTHER/2BED","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0130","800.00","Room and Board (3 and 4 beds) - General","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0130","900.00","ROOM-BOARD/3&4BED","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0131","800.00","Room and Board (3 and 4 beds) - Medical/Surgical/GYN","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0131","900.00","MED-SUR-GY/3&4BED","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0132","800.00","Room and Board (3 and 4 beds) - OB","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0132","900.00","OB/3&4BED","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0133","800.00","Room and Board (3 and 4 beds) - Pediatric","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0133","900.00","PEDS/3&4BED","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0134","800.00","Room and Board (3 and 4 beds) - Psychiatric","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0134","900.00","PSYCH/3&4BED","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0135","800.00","Room and Board (3 and 4 beds) - Hospice","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0135","900.00","HOSPICE/3&4BED","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0136","800.00","Room and Board (3 and 4 beds) - Detoxification","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0136","900.00","DETOX/3&4BED","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0137","800.00","Room and Board (3 and 4 beds) - Oncology","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0137","900.00","ONCOLOGY/3&4BED","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0138","800.00","Room and Board (3 and 4 beds) - Rehabilitation","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0138","900.00","REHAB/3&4BED","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0139","800.00","Room and Board (3 and 4 beds) - Other","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0139","900.00","OTHER/3&4BED","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0140","800.00","Room and Board Deluxe Private - General","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0140","900.00","ROOM-BOARD/PVT/DLX","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0141","800.00","Room and Board Deluxe Private - Medical/Surgical/GYN","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0141","900.00","MED-SUR-GY/DLX","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0142","800.00","Room and Board Deluxe Private - OB","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0142","900.00","OB/DLX","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0143","800.00","Room and Board Deluxe Private - Pediatric","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0143","900.00","PEDS/DLX","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0144","800.00","Room and Board Deluxe Private - Psychiatric","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0144","900.00","PSYCH/DLX","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0145","800.00","Room and Board Deluxe Private - Hospice","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0145","900.00","HOSPICE/DLX","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0146","800.00","Room and Board Deluxe Private - Detoxification","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0146","900.00","DETOX/DLX","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0147","800.00","Room and Board Deluxe Private - Oncology","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0147","900.00","ONCOLOGY/DLX","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0148","800.00","Room and Board Deluxe Private - Rehabilitation","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0148","900.00","REHAB/DLX","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0149","800.00","Room and Board Deluxe Private - Other","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0149","900.00","OTHER/DLX","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0150","800.00","Room and Board Ward - General","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0150","900.00","ROOM-BOARD/WARD","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0151","800.00","Room and Board Ward - Medical/Surgical/GYN","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0151","900.00","MED-SUR-GY/WARD","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0152","800.00","Room and Board Ward - OB","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0152","900.00","OB/WARD","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0153","800.00","Room and Board Ward - Pediatric","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0153","900.00","PEDS/WARD","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0154","800.00","Room and Board Ward - Psychiatric","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0154","900.00","PSYCH/WARD","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0155","800.00","Room and Board Ward - Hospice","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0155","900.00","HOSPICE/WARD","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0156","800.00","Room and Board Ward - Detoxification","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0156","900.00","DETOX/WARD","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0157","800.00","Room and Board Ward - Oncology","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0157","900.00","ONCOLOGY/WARD","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0158","800.00","Room and Board Ward - Rehabilitation","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0158","900.00","REHAB/WARD","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0159","800.00","Room and Board Ward - Other","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0159","900.00","OTHER/WARD","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0160","800.00","Other Room and Board - General","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0160","900.00","R&B","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0164","800.00","Other Room and Board - Sterile","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0164","900.00","R&B/STERILE","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0167","800.00","Other Room and Board - Self Care","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0167","900.00","R&B/SELF","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0169","800.00","Other Room and Board - Other","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0169","900.00","R&B/OTHER","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0360' '0410' '0412' '0413' '0419') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD with vent')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0170","800.00","Nursery - General","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0171","800.00","Nursery - Newborn Level I","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0172","800.00","Nursery - Newborn Level II","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0173","800.00","Nursery - Newborn Level III","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0174","800.00","Nursery - Newborn Level IV","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0179","800.00","Nursery - Other","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0180","800.00","Leave of Absence - General","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0182","800.00","Leave of Absence - Patient Convience Charges Billable","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0183","800.00","Leave of Absence - Therapeutic Leave","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0185","800.00","Leave of Absence - Nursing Home (for Hospitalization)","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0189","800.00","Leave of Absence - Other","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0190","800.00","Subacute - General","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0191","800.00","Subacute - Level I/Skilled Care","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0192","800.00","Subacute - Level II/Comprehensive Care","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0193","800.00","Subacute - Level III/Complex Care","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0194","800.00","Subacute - Level IV/Intensive Care","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0199","800.00","Subacute - Other","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0200","1000.00","Intensive Care Unit - General","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0200","1100.00","INTENSIVE CARE OR (ICU)","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0319') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD ICU with vent')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0200","1400.00","INTENSIVE CARE OR (ICU)","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419' '0800' '0801' '0802' '0803' '0804' '0809') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD ICU with vent dialysis')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0201","1000.00","Intensive Care Unit - Surgical","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0201","1100.00","ICU/SURGICAL","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0319') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD ICU with vent')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0201","1400.00","ICU/SURGICAL","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419' '0800' '0801' '0802' '0803' '0804' '0809') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD ICU with vent dialysis')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0202","1000.00","Intensive Care Unit - Medical ","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0202","1100.00","ICU/MEDICAL","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0319') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD ICU with vent')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0202","1400.00","ICU/MEDICAL","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419' '0800' '0801' '0802' '0803' '0804' '0809') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD ICU with vent dialysis')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0203","1000.00","Intensive Care Unit - Pediatric","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0203","1100.00","ICU/PEDS","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0319') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD ICU with vent')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0203","1400.00","ICU/PEDS","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419' '0800' '0801' '0802' '0803' '0804' '0809') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD ICU with vent dialysis')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0204","1000.00","Intensive Care Unit - Psychiatric","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0204","1100.00","ICU/PSYCH","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0319') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD ICU with vent')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0204","1400.00","ICU/PSYCH","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419' '0800' '0801' '0802' '0803' '0804' '0809') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD ICU with vent dialysis')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0206","1000.00","Intensive Care Unit - Intermediate ICU","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0206","1100.00","ICU/INTERMEDIATE","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0319') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD ICU with vent')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0206","1400.00","ICU/INTERMEDIATE","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419' '0800' '0801' '0802' '0803' '0804' '0809') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD ICU with vent dialysis')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0207","1000.00","Intensive Care Unit - Burn care","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0207","1100.00","ICU/BURN CARE","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0319') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD ICU with vent')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0207","1400.00","ICU/BURN CARE","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419' '0800' '0801' '0802' '0803' '0804' '0809') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD ICU with vent dialysis')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0208","1000.00","Intensive Care Unit - Trauma","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0208","1100.00","ICU/TRAUMA","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0319') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD ICU with vent')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0208","1400.00","ICU/TRAUMA","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419' '0800' '0801' '0802' '0803' '0804' '0809') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD ICU with vent dialysis')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0209","1000.00","Intensive Care Unit - Other","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0209","1100.00","ICU/OTHER","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0319') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD ICU with vent')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0209","1400.00","ICU/OTHER","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419' '0800' '0801' '0802' '0803' '0804' '0809') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD ICU with vent dialysis')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0210","1000.00","Coronary Care Unit - General","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0210","1100.00","CORONARY CARE or (CCU)","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0319') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD ICU with vent')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0210","1400.00","CORONARY CARE or (CCU)","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419' '0800' '0801' '0802' '0803' '0804' '0809') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD ICU with vent dialysis')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0211","1000.00","Coronary Care Unit - Myocardial Infarction","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0211","1100.00","CCU/MYO INFARC","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0319') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD ICU with vent')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0211","1400.00","CCU/MYO INFARC","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419' '0800' '0801' '0802' '0803' '0804' '0809') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD ICU with vent dialysis')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0212","1000.00","Coronary Care Unit - Pulmonary Care","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0212","1100.00","CCU/PULMONARY","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0319') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD ICU with vent')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0212","1400.00","CCU/PULMONARY","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419' '0800' '0801' '0802' '0803' '0804' '0809') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD ICU with vent dialysis')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0213","1000.00","Coronary Care Unit - Heart Transplant","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0213","1100.00","CCU/TRANSPLANT","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0319') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD ICU with vent')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0213","1400.00","CCU/TRANSPLANT","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419' '0800' '0801' '0802' '0803' '0804' '0809') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD ICU with vent dialysis')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0214","1000.00","Coronary Care Unit - Intermediate CCU","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0214","1100.00","CCU/INTERMEDIATE","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0319') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD ICU with vent')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0214","1400.00","CCU/INTERMEDIATE","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419' '0800' '0801' '0802' '0803' '0804' '0809') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD ICU with vent dialysis')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0219","1000.00","Coronary Care Unit - Other","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0219","1100.00","CCU/OTHER","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0319') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD ICU with vent')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","Combo-UB92RM",,,,,"0219","1400.00","CCU/OTHER","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419' '0800' '0801' '0802' '0803' '0804' '0809') AND [UBRev Code] IN UBREV-FS ('Amerigroup FL MA MCD ICU with vent dialysis')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","TieredPerDiemRM",,,,,,,,,,,,,,"[Final DRG] IN ('619' '620' '621')",,,,"1","4","Per Case Rate","15000.00",,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","I","Standard Term","TieredPerDiemRM",,,,,,,,,,,,,,"[Final DRG] IN ('619' '620' '621')",,,,"5","999","Per Diem","650.00",,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","Outpatient","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"[Billed Amount] <= '0'","0",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","Outpatient","Standard Term","Combo-PercentOfChargeRM",,,,,,,,,,,,,," AND ","45",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AMERIGROUP Community Care Florida","HD Medicare","Outpatient","Standard Term","Combo-PercentOfChargeRM",,,,,,,,,,,,,,"[UBRev Code] = '0360' AND ","45",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Armor Correctional Health Services Inc","HD","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"[Billed Amount] <= '0'","0",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Armor Correctional Health Services Inc","HD","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"AND Calculated Reimbursement > Claim Billed Amount","100",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Armor Correctional Health Services Inc","HD","I","Carve Out Term","UB92RM",,,,,"0259","50.00",,"Percent of Charges","100",,,,,"AND Sum of FS Line-Item Charges >= 200",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Armor Correctional Health Services Inc","HD","I","Carve Out Term","UB92RM",,,,,"0360","50.00",,"Percent of Charges","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Armor Correctional Health Services Inc","HD","I","Carve Out Term","UB92RM",,,,,"0636","50.00",,"Percent of Charges","100",,,,,"AND Sum of FS Line-Item Charges >= 200",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Armor Correctional Health Services Inc","HD","I","Carve Out Term","UB92RM",,,,,"0800","300.00","RENAL DIALYSIS","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Armor Correctional Health Services Inc","HD","I","Carve Out Term","UB92RM",,,,,"0801","300.00","DIALY/INPT","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Armor Correctional Health Services Inc","HD","I","Carve Out Term","UB92RM",,,,,"0802","300.00","DIALY/INPT/PER","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Armor Correctional Health Services Inc","HD","I","Carve Out Term","UB92RM",,,,,"0803","300.00","DIALY/INPT/CAPD","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Armor Correctional Health Services Inc","HD","I","Carve Out Term","UB92RM",,,,,"0804","300.00","DIALY/INPT/CCPD","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Armor Correctional Health Services Inc","HD","I","Carve Out Term","UB92RM",,,,,"0809","300.00","DIALY/INPT/OTHER","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Armor Correctional Health Services Inc","HD","I","Standard Term","UB92RM",,,,,"0100","1600.00","ALL/INCL/R&B/ANC","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Armor Correctional Health Services Inc","HD","I","Standard Term","UB92RM",,,,,"0101","1600.00","ALL/INCL/R&B","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Armor Correctional Health Services Inc","HD","I","Standard Term","UB92RM",,,,,"0110","1600.00","ROOM-BOARD/PVT","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Armor Correctional Health Services Inc","HD","I","Standard Term","UB92RM",,,,,"0111","1600.00","MED-SUR-GY/PVT","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Armor Correctional Health Services Inc","HD","I","Standard Term","UB92RM",,,,,"0112","1600.00","OB/PVT","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Armor Correctional Health Services Inc","HD","I","Standard Term","UB92RM",,,,,"0113","1600.00","PEDS/PVT","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Armor Correctional Health Services Inc","HD","I","Standard Term","UB92RM",,,,,"0114","1600.00","PSYCH/PVT","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Armor Correctional Health Services Inc","HD","I","Standard Term","UB92RM",,,,,"0115","1600.00","HOSPICE/PVT","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Armor Correctional Health Services Inc","HD","I","Standard Term","UB92RM",,,,,"0116","1600.00","DETOX/PVT","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Armor Correctional Health Services Inc","HD","I","Standard Term","UB92RM",,,,,"0117","1600.00","ONCOLOGY/PVT","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Armor Correctional Health Services Inc","HD","I","Standard Term","UB92RM",,,,,"0118","1600.00","REHAB/PVT","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Armor Correctional Health Services Inc","HD","I","Standard Term","UB92RM",,,,,"0119","1600.00","OTHER/PVT","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Armor Correctional Health Services Inc","HD","I","Standard Term","UB92RM",,,,,"0120","1600.00","ROOM-BOARD/SEMI","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Armor Correctional Health Services Inc","HD","I","Standard Term","UB92RM",,,,,"0121","1600.00","MED-SUR-GY/2BED","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Armor Correctional Health Services Inc","HD","I","Standard Term","UB92RM",,,,,"0122","1600.00","OB/2BED","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Armor Correctional Health Services Inc","HD","I","Standard Term","UB92RM",,,,,"0123","1600.00","PEDS/2BED","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Armor Correctional Health Services Inc","HD","I","Standard Term","UB92RM",,,,,"0124","1600.00","PSYCH/2BED","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Armor Correctional Health Services Inc","HD","I","Standard Term","UB92RM",,,,,"0125","1600.00","HOSPICE/2BED","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Armor Correctional Health Services Inc","HD","I","Standard Term","UB92RM",,,,,"0126","1600.00","DETOX/2BED","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Armor Correctional Health Services Inc","HD","I","Standard Term","UB92RM",,,,,"0127","1600.00","ONCOLOGY/2BED","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Armor Correctional Health Services Inc","HD","I","Standard Term","UB92RM",,,,,"0128","1600.00","REHAB/2BED","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Armor Correctional Health Services Inc","HD","I","Standard Term","UB92RM",,,,,"0129","1600.00","OTHER/2BED","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Armor Correctional Health Services Inc","HD","I","Standard Term","UB92RM",,,,,"0130","1600.00","ROOM-BOARD/3&4BED","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Armor Correctional Health Services Inc","HD","I","Standard Term","UB92RM",,,,,"0131","1600.00","MED-SUR-GY/3&4BED","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Armor Correctional Health Services Inc","HD","I","Standard Term","UB92RM",,,,,"0132","1600.00","OB/3&4BED","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Armor Correctional Health Services Inc","HD","I","Standard Term","UB92RM",,,,,"0133","1600.00","PEDS/3&4BED","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Armor Correctional Health Services Inc","HD","I","Standard Term","UB92RM",,,,,"0134","1600.00","PSYCH/3&4BED","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Armor Correctional Health Services Inc","HD","I","Standard Term","UB92RM",,,,,"0135","1600.00","HOSPICE/3&4BED","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Armor Correctional Health Services Inc","HD","I","Standard Term","UB92RM",,,,,"0136","1600.00","DETOX/3&4BED","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Armor Correctional Health Services Inc","HD","I","Standard Term","UB92RM",,,,,"0137","1600.00","ONCOLOGY/3&4BED","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Armor Correctional Health Services Inc","HD","I","Standard Term","UB92RM",,,,,"0138","1600.00","REHAB/3&4BED","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Armor Correctional Health Services Inc","HD","I","Standard Term","UB92RM",,,,,"0139","1600.00","OTHER/3&4BED","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Armor Correctional Health Services Inc","HD","I","Standard Term","UB92RM",,,,,"0140","1600.00","ROOM-BOARD/PVT/DLX","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Armor Correctional Health Services Inc","HD","I","Standard Term","UB92RM",,,,,"0141","1600.00","MED-SUR-GY/DLX","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Armor Correctional Health Services Inc","HD","I","Standard Term","UB92RM",,,,,"0142","1600.00","OB/DLX","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Armor Correctional Health Services Inc","HD","I","Standard Term","UB92RM",,,,,"0143","1600.00","PEDS/DLX","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Armor Correctional Health Services Inc","HD","I","Standard Term","UB92RM",,,,,"0144","1600.00","PSYCH/DLX","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Armor Correctional Health Services Inc","HD","I","Standard Term","UB92RM",,,,,"0145","1600.00","HOSPICE/DLX","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Armor Correctional Health Services Inc","HD","I","Standard Term","UB92RM",,,,,"0146","1600.00","DETOX/DLX","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Armor Correctional Health Services Inc","HD","I","Standard Term","UB92RM",,,,,"0147","1600.00","ONCOLOGY/DLX","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Armor Correctional Health Services Inc","HD","I","Standard Term","UB92RM",,,,,"0148","1600.00","REHAB/DLX","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Armor Correctional Health Services Inc","HD","I","Standard Term","UB92RM",,,,,"0149","1600.00","OTHER/DLX","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Armor Correctional Health Services Inc","HD","I","Standard Term","UB92RM",,,,,"0150","1600.00","ROOM-BOARD/WARD","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Armor Correctional Health Services Inc","HD","I","Standard Term","UB92RM",,,,,"0151","1600.00","MED-SUR-GY/WARD","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Armor Correctional Health Services Inc","HD","I","Standard Term","UB92RM",,,,,"0152","1600.00","OB/WARD","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Armor Correctional Health Services Inc","HD","I","Standard Term","UB92RM",,,,,"0153","1600.00","PEDS/WARD","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Armor Correctional Health Services Inc","HD","I","Standard Term","UB92RM",,,,,"0154","1600.00","PSYCH/WARD","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Armor Correctional Health Services Inc","HD","I","Standard Term","UB92RM",,,,,"0155","1600.00","HOSPICE/WARD","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Armor Correctional Health Services Inc","HD","I","Standard Term","UB92RM",,,,,"0156","1600.00","DETOX/WARD","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Armor Correctional Health Services Inc","HD","I","Standard Term","UB92RM",,,,,"0157","1600.00","ONCOLOGY/WARD","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Armor Correctional Health Services Inc","HD","I","Standard Term","UB92RM",,,,,"0158","1600.00","REHAB/WARD","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Armor Correctional Health Services Inc","HD","I","Standard Term","UB92RM",,,,,"0159","1600.00","OTHER/WARD","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Armor Correctional Health Services Inc","HD","I","Standard Term","UB92RM",,,,,"0160","1600.00","R&B","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Armor Correctional Health Services Inc","HD","I","Standard Term","UB92RM",,,,,"0164","1600.00","R&B/STERILE","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Armor Correctional Health Services Inc","HD","I","Standard Term","UB92RM",,,,,"0167","1600.00","R&B/SELF","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Armor Correctional Health Services Inc","HD","I","Standard Term","UB92RM",,,,,"0169","1600.00","R&B/OTHER","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Armor Correctional Health Services Inc","HD","I","Standard Term","UB92RM",,,,,"0170","1600.00","NURSERY","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Armor Correctional Health Services Inc","HD","I","Standard Term","UB92RM",,,,,"0171","1600.00","NURSERY/LEVELI","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Armor Correctional Health Services Inc","HD","I","Standard Term","UB92RM",,,,,"0172","1600.00","NURSERY/LEVELII","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Armor Correctional Health Services Inc","HD","I","Standard Term","UB92RM",,,,,"0173","1600.00","NURSERY/LEVELIII","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Armor Correctional Health Services Inc","HD","I","Standard Term","UB92RM",,,,,"0174","1600.00","NURSERY/LEVELIV","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Armor Correctional Health Services Inc","HD","I","Standard Term","UB92RM",,,,,"0179","1600.00","NURSERY/OTHER","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Armor Correctional Health Services Inc","HD","I","Standard Term","UB92RM",,,,,"0180","1600.00","LEAVE-OF-ABSENCE OR LOA","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Armor Correctional Health Services Inc","HD","I","Standard Term","UB92RM",,,,,"0181","1600.00","RESERVED","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Armor Correctional Health Services Inc","HD","I","Standard Term","UB92RM",,,,,"0182","1600.00","LOA/PT CONV","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Armor Correctional Health Services Inc","HD","I","Standard Term","UB92RM",,,,,"0183","1600.00","LOA/THERAPEUTIC","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Armor Correctional Health Services Inc","HD","I","Standard Term","UB92RM",,,,,"0184","1600.00","LOA/ICF/MR","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Armor Correctional Health Services Inc","HD","I","Standard Term","UB92RM",,,,,"0185","1600.00","LOA/NURS HOME","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Armor Correctional Health Services Inc","HD","I","Standard Term","UB92RM",,,,,"0189","1600.00","LOA/OTHER","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Armor Correctional Health Services Inc","HD","I","Standard Term","UB92RM",,,,,"0190","1600.00","SUBACUTE","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Armor Correctional Health Services Inc","HD","I","Standard Term","UB92RM",,,,,"0191","1600.00","SUBACUTE/LEVELI","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Armor Correctional Health Services Inc","HD","I","Standard Term","UB92RM",,,,,"0192","1600.00","SUBACUTE/LEVELII","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Armor Correctional Health Services Inc","HD","I","Standard Term","UB92RM",,,,,"0193","1600.00","SUBACUTE/LEVELIII","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Armor Correctional Health Services Inc","HD","I","Standard Term","UB92RM",,,,,"0194","1600.00","SUBACUTE/LEVELIV","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Armor Correctional Health Services Inc","HD","I","Standard Term","UB92RM",,,,,"0199","1600.00","SUBACUTE/LEVELI","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Armor Correctional Health Services Inc","HD","I","Standard Term","UB92RM",,,,,"0200","1825.00","INTENSIVE CARE OR (ICU)","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Armor Correctional Health Services Inc","HD","I","Standard Term","UB92RM",,,,,"0201","1825.00","ICU/SURGICAL","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Armor Correctional Health Services Inc","HD","I","Standard Term","UB92RM",,,,,"0202","1825.00","ICU/MEDICAL","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Armor Correctional Health Services Inc","HD","I","Standard Term","UB92RM",,,,,"0203","1825.00","ICU/PEDS","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Armor Correctional Health Services Inc","HD","I","Standard Term","UB92RM",,,,,"0204","1825.00","ICU/PSYCH","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Armor Correctional Health Services Inc","HD","I","Standard Term","UB92RM",,,,,"0206","1700.00","ICU/INTERMEDIATE","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Armor Correctional Health Services Inc","HD","I","Standard Term","UB92RM",,,,,"0207","1825.00","ICU/BURN CARE","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Armor Correctional Health Services Inc","HD","I","Standard Term","UB92RM",,,,,"0208","1825.00","ICU/TRAUMA","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Armor Correctional Health Services Inc","HD","I","Standard Term","UB92RM",,,,,"0209","1825.00","ICU/OTHER","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Armor Correctional Health Services Inc","HD","I","Standard Term","UB92RM",,,,,"0210","1825.00","CORONARY CARE or (CCU)","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Armor Correctional Health Services Inc","HD","I","Standard Term","UB92RM",,,,,"0211","1825.00","CCU/MYO INFARC","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Armor Correctional Health Services Inc","HD","I","Standard Term","UB92RM",,,,,"0212","1825.00","CCU/PULMONARY","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Armor Correctional Health Services Inc","HD","I","Standard Term","UB92RM",,,,,"0213","1825.00","CCU/TRANSPLANT","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Armor Correctional Health Services Inc","HD","I","Standard Term","UB92RM",,,,,"0214","1700.00","CCU/INTERMEDIATE","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Armor Correctional Health Services Inc","HD","I","Standard Term","UB92RM",,,,,"0219","1825.00","CCU/OTHER","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"[Billed Amount] <= '0'","0",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"AND Calculated Reimbursement > Claim Billed Amount","100",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0350","19.80","CT Scan - General","Percent of Charges","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0351","19.80","CT Scan - Head","Percent of Charges","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0352","19.80","CT Scan - Body","Percent of Charges","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0359","19.80","CT Scan - Other","Percent of Charges","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0360","19.80","Operating Room Services - General","Percent of Charges","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0390","19.80","Blood and Blood Products Admin-Processing-Storage - General","Percent of Charges","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0391","19.80","Blood and Blood Products - Administration (e.g. Transfusion)","Percent of Charges","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0392","19.80","Blood and Blood Products - Processing and Storage ","Percent of Charges","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0399","19.80","Blood and Blood Products Admin-Processing-Storage - Other","Percent of Charges","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/90371","131.86","Hep b ig im--1 ML","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/90375","297.80","Rabies ig im-sc--150 IU","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/90376","309.10","Rabies ig heat treated--150 IU","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/90586","142.51","Bcg vaccine intravesical--1 EACH","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/90632","62.91","Hepa vaccine adult im--1 ML","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/90653","59.53","Iiv adjuvant vaccine im--0.5 ml","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/90662","60.98","Iiv no prsv increased ag im--0.5 ML","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/90670","241.38","Pcv13 vaccine im--0.5 ML","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/90672","26.88","Laiv4 vaccine intranasal--0.2 ML","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/90674","29.23","Cciiv4 vac no prsv 0.5 ml im--0.5 ML","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/90675","326.61","Rabies vaccine im--1 ML","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/90682","60.98","Riv4 vacc recombinant dna im--0.5 ML","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/90685","21.13","Iiv4 vacc no prsv 0.25 ml im--0.25 mL","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/90686","19.58","Iiv4 vacc no prsv 0.5 ml im--0.5 ml","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/90687","9.58","Iiv4 vaccine splt 0.25 ml im--0.25 ML","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/90688","19.17","Iiv4 vaccine splt 0.5 ml im--0.5 ML","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/90694","61.00","Vacc AIIV4 no prsrv 0.5ML IM--0.5 ML","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/90714","27.74","Td vacc no presv 7 yrs+ im--0.5 ML","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/90715","35.65","Tdap vaccine 7 yrs-> im--0.5 ML","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/90732","125.92","Ppsv23 vacc 2 yrs+ subq-im--0.5 ML","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/90739","144.21","Hepb vacc 2 dose adult im--1 dose","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/90740","140.76","Hepb vacc 3 dose immunsup im--40 MCG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/90744","28.22","Hepb vacc 3 dose ped-adol im--1 DOSE","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/90746","69.65","Hepb vaccine 3 dose adult im--20 MCG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/90747","140.76","Hepb vacc 4 dose immunsup im--40 MCG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/90756","27.70","Cciiv4 vacc abx free im--0.5 ML","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/A9575","0.16","Inj gadoterate meglumi 0.1ml--0.1 ML","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/A9576","1.47","Inj prohance multipack--1 ML","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/A9577","1.88","Inj multihance--1 ML","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/A9578","1.90","Inj multihance multipack--1 ML","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/A9579","1.60","Gad-base mr contrast nos1ml--1 ML","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/A9581","14.70","Gadoxetate disodium inj--1 ML","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/A9585","0.35","Gadobutrol injection--0.1 ML","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/A9589","1205.08","Insti hexaminolevulinate hcl--100 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/A9606","169.09","Radium ra223 dichloride ther--1 microCurie","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J0121","3.29","Inj. omadacycline 1 mg--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J0122","1.02","Inj. eravacycline 1 mg--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J0129","45.32","Abatacept injection--10 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J0132","0.81","Acetylcysteine injection--100 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J0133","0.04","Acyclovir injection--5 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J0153","0.60","Adenosine inj 1mg--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J0171","0.80","Adrenalin epinephrine inject--0.1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J0178","916.41","Aflibercept injection--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J0179","310.79","Inj brolucizumab-dbll 1 mg--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J0180","196.22","Agalsidase beta injection--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J0185","1.61","Inj. aprepitant 1 mg--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J0202","2052.48","Injection alemtuzumab--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J0221","176.95","Lumizyme injection--10 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J0222","97.59","Inj. patisiran 0.1 mg--0.1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J0223","106.76","Inj givosiran 0.5 mg--0.5 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J0256","4.56","Alpha 1 proteinase inhibitor--10 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J0257","4.97","Glassia injection--10 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J0278","1.20","Amikacin sulfate injection--100 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J0280","6.11","Aminophyllin 250 mg inj--250 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J0285","39.92","Amphotericin b--50 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J0287","9.42","Amphotericin b lipid complex--10 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J0289","28.33","Amphotericin b liposome inj--10 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J0290","0.84","Ampicillin 500 mg inj--500 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J0291","3.05","Inj. plazomicin 5 mg--5 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J0295","2.79","Ampicillin sulbactam 1.5 gm--1.5 GM","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J0348","0.58","Anidulafungin injection--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J0360","5.69","Hydralazine hcl injection--20 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J0401","5.92","Inj aripiprazole ext rel 1mg--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J0456","3.88","Azithromycin--500 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J0461","0.10","Atropine sulfate injection--0.01 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J0475","179.42","Baclofen 10 mg injection--10 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J0476","58.45","Baclofen intrathecal trial--50 MCG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J0480","4029.23","Basiliximab--20 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J0485","3.80","Belatacept injection--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J0490","47.58","Belimumab injection--10 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J0500","29.12","Dicyclomine injection--20 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J0515","17.33","Inj benztropine mesylate--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J0517","172.61","Inj. benralizumab 1 mg--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J0558","12.04","Peng benzathine-procaine inj--100000 UNITS","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J0561","15.19","Penicillin g benzathine inj--100000 UNITS","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J0565","39.75","Inj bezlotoxumab 10 mg--10 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J0570","1311.75","Buprenorphine implant 74.2mg--74.2 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J0583","0.34","Bivalirudin--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J0584","369.03","Injection burosumab-twza 1m--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J0585","6.08","Injectiononabotulinumtoxina--1 UNIT","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J0586","8.20","Abobotulinumtoxina--5 Unit","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J0587","11.57","Inj rimabotulinumtoxinb--100 UNITS","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J0588","5.04","Incobotulinumtoxin a--1 UNIT","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J0592","4.30","Buprenorphine hydrochloride--0.1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J0594","1.95","Busulfan injection--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J0595","3.02","Butorphanol tartrate 1 mg--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J0596","30.32","Injection ruconest--10 UNITS","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J0597","57.49","C-1 esterase berinert--10 UNITS","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J0598","58.21","C-1 esterase cinryze--10 UNITS","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J0600","5708.59","Edetate calcium disodium inj--1000 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J0610","4.34","Calcium gluconate injection--10 ML","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J0630","3036.61","Calcitonin salmon injection--400 UNITS","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J0636","0.72","Inj calcitriol per 0.1 mcg--0.1 MCG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J0637","6.99","Caspofungin acetate--5 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J0638","115.42","Canakinumab injection--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J0640","3.63","Leucovorin calcium injection--50 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J0641","0.08","Inj levoleucovorin nos 0.5mg--0.5 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J0642","1.70","Injection khapzory 0.5 mg--0.5 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J0670","2.79","Inj mepivacaine hcl-10 ml--10 ML","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J0690","0.80","Cefazolin sodium injection--500 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J0691","0.72","Inj lefamulin 1 mg--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J0692","1.89","Cefepime hcl for injection--500 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J0694","5.18","Cefoxitin sodium injection--1 GM","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J0695","6.64","Inj ceftolozane tazobactam--75mg (50mg cft-25mg taz)","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J0696","0.56","Ceftriaxone sodium injection--250 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J0697","2.02","Sterile cefuroxime injection--750 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J0698","2.78","Cefotaxime sodium injection--1 GM","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J0702","6.63","Betamethasone acet&sod phosp--3 MG & 3 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J0712","3.54","Ceftaroline fosamil inj--10 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J0713","1.90","Inj ceftazidime per 500 mg--500 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J0714","92.46","Ceftazidime and avibactam--.625 GM","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J0717","6.52","Certolizumab pegol inj 1mg--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J0720","36.05","Chloramphenicol sodium injec--1 GM","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J0725","24.65","Chorionic gonadotropin-1000u--1000 UNITS","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J0735","30.12","Clonidine hydrochloride--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J0740","589.78","Cidofovir injection--375 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J0742","2.30","Inj imip 4 cilas 4 releb 2mg--4 MG-4 MG-2 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J0743","7.64","Cilastatin sodium injection--250 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J0744","0.97","Ciprofloxacin iv--200 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J0770","16.14","Colistimethate sodium inj--150 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J0775","54.40","Collagenase clost hist inj--0.01 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J0780","5.18","Prochlorperazine injection--10 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J0791","123.28","Inj crizanlizumab-tmca 5mg--5 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J0795","9.67","Corticorelin ovine triflutal--1 MCG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J0800","3859.01","Corticotropin injection--40 UNITS","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J0834","26.30","Inj. cosyntropin 0.25 mg--0.25 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J0840","2866.13","Crotalidae poly immune fab--UP TO 1 GM","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J0841","1265.47","Inj crotalidae im f(ab)2 eq--120 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J0850","1520.65","Cytomegalovirus imm iv -vial--PER VIAL","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J0875","15.80","Injection dalbavancin--5 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J0878","0.08","Daptomycin injection--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J0881","3.20","Darbepoetin alfa non-esrd--1 MCG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J0882","3.20","Darbepoetin alfa esrd use--1 MCG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J0885","8.22","Epoetin alfa non-esrd--1000 UNITS","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J0887","1.53","Epoetin beta esrd use--1 MCG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J0888","1.53","Epoetin beta non esrd--1 MCG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J0894","4.17","Decitabine injection--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J0895","8.60","Deferoxamine mesylate inj--500 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J0896","36.83","Inj luspatercept-aamt 0.25mg--0.25 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J0897","20.97","Denosumab injection--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J1000","24.15","Depo-estradiol cypionate inj--5 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J1020","3.03","Methylprednisolone 20 mg inj--20 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J1030","5.55","Methylprednisolone 40 mg inj--40 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J1040","10.41","Methylprednisolone 80 mg inj--80 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J1050","0.57","Medroxyprogesterone acetate--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J1071","0.03","Inj testosterone cypionate--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J1100","0.17","Dexamethasone sodium phos--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J1110","43.47","Inj dihydroergotamine mesylt--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J1120","31.21","Acetazolamid sodium injectio--500 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J1160","5.65","Digoxin injection--0.5 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J1162","4128.19","Digoxin immune fab (ovine)--PER VIAL","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J1165","0.46","Phenytoin sodium injection--50 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J1170","2.68","Hydromorphone injection--4 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J1190","194.98","Dexrazoxane hcl injection--250 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J1200","0.95","Diphenhydramine hcl injectio--50 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J1205","67.34","Chlorothiazide sodium inj--500 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J1212","637.13","Dimethyl sulfoxide 50% 50 ml--50 ML","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J1230","17.60","Methadone injection--10 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J1240","7.49","Dimenhydrinate injection--50 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J1245","3.44","Dipyridamole injection--10 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J1250","6.96","Inj dobutamine hcl-250 mg--250 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J1265","0.72","Dopamine injection--40 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J1270","0.46","Injection doxercalciferol--1 MCG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J1290","499.51","Ecallantide injection--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J1300","229.77","Eculizumab injection--10 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J1301","20.17","Injection edaravone 1 mg--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J1303","225.56","Inj. ravulizumab-cwvz 10 mg--10 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J1322","250.12","Elosulfase alfa injection--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J1325","16.22","Epoprostenol injection--0.5 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J1335","28.13","Ertapenem injection--500 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J1364","78.74","Erythro lactobionate -500 mg--500 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J1380","10.95","Estradiol valerate 10 mg inj--10 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J1410","341.77","Inj estrogen conjugate 25 mg--25 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J1430","444.10","Ethanolamine oleate 100 mg--100 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J1437","25.82","Inj. fe derisomaltose 10 mg--10 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J1439","1.13","Inj ferric carboxymaltos 1mg--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J1442","0.96","Inj filgrastim excl biosimil--1 MCG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J1447","0.47","Inj tbo filgrastim 1 microg--1 MCG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J1450","3.96","Fluconazole--200 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J1453","0.33","Fosaprepitant injection--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J1454","594.20","Inj fosnetupitant palonoset--0.25 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J1458","411.54","Galsulfase injection--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J1459","43.18","Inj ivig privigen 500 mg--500 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J1460","43.38","Gamma globulin 1 cc inj--1 CC","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J1554","481.77","Inj. asceniv--500 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J1555","14.21","Inj cuvitru 100 mg--100 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J1556","70.49","Inj imm glob bivigam 500mg--500 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J1557","49.81","Gammaplex injection--500 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J1558","13.39","Inj. xembify 100 mg--100 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J1559","11.23","Hizentra injection--100 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J1560","433.79","Gamma globulin > 10 cc inj--10 CC","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J1561","47.77","Gamunex-c-gammaked--500 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J1566","65.89","Immune globulin powder--500 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J1568","41.60","Octagam injection--500 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J1569","47.71","Gammagard liquid injection--500 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J1570","49.04","Ganciclovir sodium injection--500 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J1571","70.05","Hepagam b im injection--0.5 ML","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J1572","34.71","Flebogamma injection--500 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J1575","14.83","Hyqvia 100mg immuneglobulin--100 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J1580","1.89","Garamycin gentamicin inj--80 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J1602","16.96","Golimumab for iv use 1mg--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J1610","177.45","Glucagon hydrochloride-1 mg--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J1626","0.27","Granisetron hcl injection--100 MCG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J1627","7.05","Inj granisetron xr 0.1 mg--0.1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J1630","1.81","Haloperidol injection--5 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J1631","11.54","Haloperidol decanoate inj--50 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J1640","26.44","Hemin 1 mg--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J1642","0.02","Inj heparin sodium per 10 u--10 UNITS","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J1644","0.30","Inj heparin sodium per 1000u--1000 UNITS","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J1645","8.63","Dalteparin sodium--2500 IU","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J1650","0.76","Inj enoxaparin sodium--10 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J1652","1.64","Fondaparinux sodium--0.5 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J1670","483.91","Tetanus immune globulin inj--250 UNITS","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J1720","14.77","Hydrocortisone sodium succ i--100 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J1740","37.06","Ibandronate sodium injection--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J1742","226.10","Ibutilide fumarate injection--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J1743","542.92","Idursulfase injection--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J1745","41.32","Infliximab not biosimil 10mg--10 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J1746","64.37","Inj. ibalizumab-uiyk 10 mg--10 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J1750","15.79","Inj iron dextran--50 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J1756","0.22","Iron sucrose injection--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J1786","43.96","Imuglucerase injection--10 UNITS","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J1800","3.32","Propranolol injection--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J1815","0.87","Insulin injection--5 UNITS","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J1817","10.75","Insulin for insulin pump use--50 UNITS","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J1885","0.40","Ketorolac tromethamine inj--15 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J1930","68.50","Lanreotide injection--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J1931","34.43","Laronidase injection--0.1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J1940","0.55","Furosemide injection--20 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J1943","2.93","Inj. aristada initio 1 mg--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J1944","2.90","Aripirazole lauroxil 1 mg--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J1950","1307.48","Leuprolide acetate -3.75 mg--3.75 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J1951","127.75","Inj fensolvi 0.25 mg--0.25 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J1953","0.09","Levetiracetam injection--10 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J1955","20.99","Inj levocarnitine per 1 gm--1 GM","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J1956","0.67","Levofloxacin injection--250 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J1980","30.46","Hyoscyamine sulfate inj--0.25 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J2001","0.03","Lidocaine injection--10 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J2010","11.47","Lincomycin injection--300 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J2020","7.39","Linezolid injection--200 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J2060","0.76","Lorazepam injection--2 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J2150","2.07","Mannitol injection--50 ML","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J2175","6.45","Meperidine hydrochl -100 mg--100 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J2182","28.74","Injection mepolizumab 1mg--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J2185","0.82","Meropenem--100 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J2210","19.27","Methylergonovin maleate inj--0.2 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J2248","1.11","Micafungin sodium injection--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J2250","0.12","Inj midazolam hydrochloride--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J2260","2.01","Inj milrinone lactate - 5 mg--5 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J2270","2.79","Morphine sulfate injection--10 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J2274","8.72","Inj morphine pf epid ithc--10 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J2278","8.66","Ziconotide injection--1 MCG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J2280","9.52","Inj moxifloxacin 100 mg--100 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J2300","3.26","Inj nalbuphine hydrochloride--10 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J2310","12.77","Inj naloxone hydrochloride--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J2315","3.44","Naltrexone depot form--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J2323","23.25","Natalizumab injection--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J2350","58.58","Injection ocrelizumab 1 mg--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J2353","205.11","Octreotide injection depot--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J2354","1.04","Octreotide inj non-depot--25 MCG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J2357","37.89","Omalizumab injection--5 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J2358","2.92","Olanzapine long-acting inj--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J2360","5.73","Orphenadrine injection--60 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J2400","39.54","Chloroprocaine hcl injection--30 ML","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J2405","0.09","Ondansetron hcl injection--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J2407","23.79","Injection oritavancin--10 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J2425","23.93","Palifermin injection--50 MCG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J2426","12.55","Paliperidone palmitate inj--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J2430","8.31","Pamidronate disodium -30 mg--30 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J2469","1.90","Palonosetron hcl--25 MCG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J2501","0.56","Paricalcitol--1 MCG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J2503","785.50","Pegaptanib sodium injection--0.3 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J2505","2469.36","Injection pegfilgrastim 6mg--6 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J2507","2900.42","Pegloticase injection--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J2510","31.10","Penicillin g procaine inj--600000 UNITS","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J2515","27.62","Pentobarbital sodium inj--50 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J2540","0.94","Penicillin g potassium inj--600000 UNITS","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J2543","1.42","Piperacillin-tazobactam--1.125 GM","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J2545","120.45","Pentamidine non-comp unit--300 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J2550","2.27","Promethazine hcl injection--50 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J2560","44.95","Phenobarbital sodium inj--120 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J2562","382.64","Plerixafor injection--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J2597","9.86","Inj desmopressin acetate--1 MCG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J2675","1.47","Inj progesterone per 50 mg--50 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J2680","11.59","Fluphenazine decanoate 25 mg--25 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J2690","76.85","Procainamide hcl injection--1 GM","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J2700","1.27","Oxacillin sodium injeciton--250 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J2704","0.14","Inj propofol 10 mg--10 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J2720","1.33","Inj protamine sulfate-10 mg--10 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J2724","15.15","Protein c concentrate--10 UNITS","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J2760","409.55","Phentolaine mesylate inj--5 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J2765","1.12","Metoclopramide hcl injection--10 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J2770","456.88","Quinupristin-dalfopristin--500 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J2778","306.93","Ranibizumab injection--0.1 mg","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J2783","316.06","Rasburicase--0.5 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J2785","59.55","Regadenoson injection--0.1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J2786","9.96","Injection reslizumab 1mg--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J2788","22.20","Rho d immune globulin 50 mcg--50 MCG (250 IU)","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J2790","77.53","Rho d immune globulin inj--300 MCG (1500 IU)","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J2791","4.70","Rhophylac injection--100 IU","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J2792","30.03","Rho(d) immune globulin h sd--100 IU","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J2794","10.96","Inj risperdal consta 0.5 mg--0.5 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J2795","0.08","Ropivacaine hcl injection--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J2796","82.30","Romiplostim injection--10 MCG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J2798","10.71","Inj. perseris 0.5 mg--0.5 mg","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J2800","7.81","Methocarbamol injection--10 ML","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J2805","117.89","Sincalide injection--5 MCG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J2820","49.51","Sargramostim injection--50 MCG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J2860","121.92","Injection siltuximab--10 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J2916","2.16","Na ferric gluconate complex--12.5 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J2920","4.03","Methylprednisolone injection--40 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J2930","5.45","Methylprednisolone injection--125 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J2997","87.41","Alteplase recombinant--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J3000","32.96","Streptomycin injection--1 GM","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J3010","0.62","Fentanyl citrate injection--0.1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J3032","15.60","Inj. eptinezumab-jjmr 1 mg--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J3060","41.38","Inj taliglucerase alfa 10 u--10 UNITS","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J3090","1.58","Inj tedizolid phosphate--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J3095","6.66","Telavancin injection--10 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J3101","134.81","Tenecteplase injection--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J3105","1.37","Terbutaline sulfate inj--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J3111","9.31","Inj. romosozumab-aqqg 1 mg--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J3121","0.05","Inj testostero enanthate 1mg--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J3145","1.57","Testosterone undecanoate 1mg--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J3230","34.72","Chlorpromazine hcl injection--50 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J3240","1841.18","Thyrotropin injection--0.9 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J3241","315.88","Inj. teprotumumab-trbw 10 mg--10 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J3243","1.00","Tigecycline injection--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J3245","135.37","Inj. tildrakizumab 1 mg--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J3250","40.71","Trimethobenzamide hcl inj--200 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J3260","5.15","Tobramycin sulfate injection--80 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J3262","5.53","Tocilizumab injection--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J3285","60.38","Treprostinil injection--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J3300","3.89","Triamcinolone a inj prs-free--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J3301","1.23","Triamcinolone acet inj nos--10 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J3304","18.00","Inj triamcinolone ace xr 1mg--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J3315","428.22","Triptorelin pamoate--3.75 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J3357","172.47","Ustekinumab sub cu inj 1 mg--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J3358","11.75","Ustekinumab iv inject 1 mg--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J3360","6.74","Diazepam injection--5 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J3370","2.54","Vancomycin hcl injection--500 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J3380","21.02","Injection vedolizumab--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J3385","357.59","Velaglucerase alfa--100 UNITS","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J3396","11.19","Verteporfin injection--0.1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J3410","9.68","Hydroxyzine hcl injection--25 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J3411","3.35","Thiamine hcl 100 mg--100 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J3415","9.94","Pyridoxine hcl 100 mg--100 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J3420","1.98","Vitamin b12 injection--1000 MCG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J3430","3.68","Vitamin k phytonadione inj--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J3465","1.57","Injection voriconazole--10 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J3471","0.47","Ovine up to 999 usp units--1 UNIT","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J3473","0.36","Hyaluronidase recombinant--1 USP UNIT","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J3475","0.86","Inj magnesium sulfate--500 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J3480","0.16","Inj potassium chloride--2 MEQ","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J3485","1.51","Zidovudine--10 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J3486","16.43","Ziprasidone mesylate--10 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J3489","12.14","Zoledronic acid 1mg--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J7030","2.89","Normal saline solution infus--1000 ML","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J7040","1.45","Normal saline solution infus--500 ML","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J7042","1.11","5% dextrose-normal saline--500 ML","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J7050","0.72","Normal saline solution infus--250 ML","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J7060","1.87","5% dextrose-water--500 ML","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J7070","3.66","D5w infusion--1000 CC","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J7120","2.38","Ringers lactate infusion--1000 CC","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J7170","48.76","Inj. emicizumab-kxwh 0.5 mg--0.5 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J7175","8.20","Inj factor x (human) 1iu--1 IU","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J7177","1.40","Inj. fibryga 1 mg--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J7178","1.30","Inj human fibrinogen con nos--1 IU","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J7179","1.79","Vonvendi inj 1 iu vwf:rco--1 IU","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J7180","9.13","Factor xiii anti-hem factor--1 IU","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J7181","15.74","Factor xiii recomb a-subunit--1 IU","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J7182","1.33","Factor viii recomb novoeight--1 IU","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J7183","1.14","Wilate injection--1 I.U. VWF:RCO","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J7185","1.33","Xyntha inj--1 IU","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J7186","1.12","Antihemophilic viii-vwf comp--PER FACTOR VIII IU","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J7187","1.26","Humate-p inj--1 IU","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J7188","3.20","Factor viii recomb obizur--1 IU","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J7189","2.31","Factor viia recomb novoseven--1 MCG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J7190","1.12","Factor viii--1 IU","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J7192","1.41","Factor viii recombinant nos--1 IU","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J7193","1.13","Factor ix non-recombinant--1 IU","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J7194","1.49","Factor ix complex--1 IU","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J7195","1.59","Factor ix recombinant nos--1 IU","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J7197","3.31","Antithrombin iii injection--1 IU","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J7198","2.15","Anti-inhibitor--1 IU","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J7200","1.47","Factor ix recombinan rixubis--1 IU","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J7201","3.26","Factor ix alprolix recomb--1 IU","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J7202","4.61","Factor ix idelvion inj--1 IU","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J7203","4.09","Factor ix recomb gly rebinyn--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J7204","2.22","Inj recombin esperoct per iu--1 i.u.","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J7205","2.12","Factor viii fc fusion recomb--1 IU","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J7207","1.92","Factor viii pegylated recomb--1 IU","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J7208","2.10","Inj. jivi 1 iu--1 IU","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J7209","1.23","Factor viii nuwiq recomb 1iu--1 IU","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J7210","1.37","Inj afstyla 1 i.u.--1 IU","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J7211","1.27","Inj kovaltry 1 i.u.--1 IU","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J7212","2.19","Factor viia recomb sevenfact--1 MCG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J7308","382.13","Aminolevulinic acid hcl top--354 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J7311","340.22","Inj. retisert 0.01 mg--0.01 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J7312","200.07","Dexamethasone intra implant--0.1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J7313","490.95","Inj. iluvien 0.01 mg--0.01 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J7314","507.07","Inj. yutiq 0.01 mg--0.01 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J7321","73.04","Hyalgan or supartz inj dose--per dose","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J7323","129.16","Euflexxa inj per dose--per dose","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J7324","134.95","Orthovisc inj per dose--PER DOSE","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J7325","10.89","Synvisc or synvisc-one--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J7327","790.58","Monovisc inj per dose--PER DOSE","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J7336","3.25","Capsaicin 8% patch--1 SQ CM","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J7340","211.61","Carbidopa levodopa ent 100ml--100 ML","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J7342","29.98","Ciprofloxacin otic susp 6 mg--6 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J7345","1.61","Aminolevulinic acid 10% gel--10 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J7351","206.26","Inj bimatoprost itc imp1mcg--1 MCG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J7402","10.56","Mometasone sinus sinuva--10 MCG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J7500","3.71","Azathioprine oral 50mg--50 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J7502","2.13","Cyclosporine oral 100 mg--100 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J7503","1.47","Tacrol envarsus ex rel oral--0.25 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J7504","2362.27","Lymphocyte immune globulin--250 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J7507","0.52","Tacrolimus imme rel oral 1mg--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J7508","0.49","Tacrol astagraf ex rel oral--0.1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J7509","0.27","Methylprednisolone oral--4 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J7510","0.12","Prednisolone oral per 5 mg--5 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J7511","845.55","Antithymocyte globuln rabbit--25 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J7512","0.01","Prednisone ir or dr oral 1mg--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J7515","0.58","Cyclosporine oral 25 mg--25 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J7516","62.64","Cyclosporin parenteral 250mg--250 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J7517","0.37","Mycophenolate mofetil oral--250 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J7518","1.47","Mycophenolic acid--180 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J7520","5.57","Sirolimus oral--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J7525","215.74","Tacrolimus injection--5 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J7527","5.93","Oral everolimus--0.25 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J7605","11.28","Arformoterol non-comp unit--15 mcg","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J7606","11.61","Formoterol fumarate inh--20 MCG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J7608","5.78","Acetylcysteine non-comp unit--1 GM","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J7611","0.26","Albuterol non-comp con--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J7612","0.29","Levalbuterol non-comp con--0.5 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J7613","0.04","Albuterol non-comp unit--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J7614","0.06","Levalbuterol non-comp unit--0.5 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J7620","0.12","Albuterol ipratrop non-comp--2.5 MG-0.5 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J7626","1.34","Budesonide non-comp unit--0.5 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J7631","2.58","Cromolyn sodium noncomp unit--10 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J7639","47.79","Dornase alfa non-comp unit--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J7644","0.20","Ipratropium bromide non-comp--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J7674","0.81","Methacholine chloride neb--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J7677","0.19","Revefenacin inh non-com 1mcg--1 MCG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J7682","34.74","Tobramycin non-comp unit--300 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J7686","670.90","Treprostinil non-comp unit-- 1.74 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J8501","4.19","Oral aprepitant--5 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J8520","0.89","Capecitabine oral 150 mg--150 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J8521","2.73","Capecitabine oral 500 mg--500 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J8530","1.14","Cyclophosphamide oral 25 mg--25 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J8540","0.05","Oral dexamethasone--0.25 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J8560","75.73","Etoposide oral 50 mg--50 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J8610","0.37","Methotrexate oral 2.5 mg--2.5 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J8655","316.42","Oral netupitant palonosetro--0.5 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J8670","1.75","Rolapitant oral 1mg--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J8700","0.45","Temozolomide--5 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J8705","104.24","Topotecan oral--0.25 mg","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9000","2.57","Doxorubicin hcl injection--10 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9017","18.43","Arsenic trioxide injection--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9019","427.27","Erwinaze injection--1000 IU","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9022","79.79","Inj atezolizumab10 mg--10 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9023","86.00","Injection avelumab 10 mg--10 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9025","1.21","Azacitidine injection--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9027","64.94","Clofarabine injection--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9030","2.85","Bcg live intravesical 1mg--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9032","42.23","Injection belinostat 10mg--10 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9033","23.80","Inj. treanda 1 mg--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9034","19.65","Inj. bendeka 1 mg--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9035","70.60","Bevacizumab injection--10 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9036","21.26","Inj. belrapzo-bendamustine--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9037","42.91","Inj belantamab mafodont blmf--0.5 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9039","122.27","Injection blinatumomab--1 MCG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9040","29.47","Bleomycin sulfate injection--15 UNITS","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9041","44.69","Inj. velcade 0.1 mg--0.1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9042","189.16","Brentuximab vedotin inj--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9043","190.22","Cabazitaxel injection--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9044","19.30","Inj bortezomib nos 0.1 mg--0.1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9045","2.48","Carboplatin injection--50 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9047","40.48","Injection carfilzomib 1 mg--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9050","1722.02","Carmustine injection--100 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9055","66.31","Cetuximab injection--10 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9060","1.84","Cisplatin 10 mg injection--10 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9065","18.68","Inj cladribine per 1 mg--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9070","31.00","Cyclophosphamide 100 mg inj--100 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9100","0.69","Cytarabine hcl 100 mg inj--100 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9119","27.58","Inj. cemiplimab-rwlc 1 mg--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9120","924.06","Dactinomycin injection--0.5 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9130","4.30","Dacarbazine 100 mg inj--100 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9144","45.14","Daratumumab hyaluronidase--10 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9145","57.64","Injection daratumumab 10 mg--10 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9150","45.24","Daunorubicin injection--10 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9153","202.81","Inj daunorubicin cytarabine--1 MG-2.27 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9155","3.98","Degarelix injection--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9171","0.54","Docetaxel injection--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9173","76.76","Inj. durvalumab 10 mg--10 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9176","6.77","Injection elotuzumab 1mg--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9177","29.06","Inj enfort vedo-ejfv 0.25mg--0.25 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9178","1.67","Inj epirubicin hcl 2 mg--2 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9179","121.29","Eribulin mesylate injection--0.1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9181","0.71","Etoposide injection--10 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9185","94.50","Fludarabine phosphate inj--50 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9190","1.56","Fluorouracil injection--500 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9198","34.16","Inj. infugem 100 mg--100 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9200","59.11","Floxuridine injection--500 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9201","3.98","In gemcitabine hcl nos 200mg--200 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9202","531.63","Goserelin acetate implant--3.6 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9203","207.99","Gemtuzumab ozogamicin 0.1 mg--0.1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9204","210.05","Inj mogamulizumab-kpkc 1 mg--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9205","56.61","Inj irinotecan liposome 1 mg--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9206","2.49","Irinotecan injection--20 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9207","112.09","Ixabepilone injection--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9208","24.54","Ifosfamide injection--1 GM","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9209","1.89","Mesna injection--200 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9210","389.89","Inj. emapalumab-lzsg 1 mg--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9211","38.60","Idarubicin hcl injection--5 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9214","33.76","Interferon alfa-2b inj--1 MIL UNITS","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9217","144.46","Leuprolide acetate suspnsion--7.5 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9218","17.26","Leuprolide acetate injeciton--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9223","174.20","Inj. lurbinectedin 0.1 mg--0.1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9225","5166.29","Vantas implant--50 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9226","41645.55","Supprelin la implant--50 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9227","67.70","Inj. isatuximab-irfc 10 mg--10 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9228","158.84","Ipilimumab injection--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9229","2371.62","Inj inotuzumab ozogam 0.1 mg--0.1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9245","224.40","Inj melpha hydroch nos 50 mg--50 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9250","0.22","Methotrexate sodium inj--5 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9260","2.23","Methotrexate sodium inj--50 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9261","152.44","Nelarabine injection--50 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9262","3.31","Inj omacetaxine mep 0.01mg--0.01 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9263","0.11","Oxaliplatin--0.5 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9264","14.10","Paclitaxel protein bound--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9266","21544.13","Pegaspargase injection--1 EA","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9267","0.13","Paclitaxel injection--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9268","1971.00","Pentostatin injection--10 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9269","284.01","Inj. tagraxofusp-erzs 10 mcg--10 MCG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9271","51.35","Inj pembrolizumab--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9280","44.38","Mitomycin injection--5 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9281","282.12","Mitomycin instillation--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9293","29.19","Mitoxantrone hydrochl - 5 mg--5 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9295","5.74","Injection necitumumab 1 mg--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9299","28.90","Injection nivolumab--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9301","64.42","Obinutuzumab inj--10 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9302","63.96","Ofatumumab injection--10 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9303","128.58","Panitumumab injection--10 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9305","74.20","Inj. pemetrexed nos 10mg--10 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9306","13.53","Injection pertuzumab 1 mg--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9307","310.19","Pralatrexate injection--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9308","62.38","Injection ramucirumab--5 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9309","113.57","Inj polatuzumab vedotin 1mg--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9311","38.27","Inj rituximab hyaluronidase--10 mg","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9312","87.78","Inj. rituximab 10 mg--10 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9313","23.39","Inj. lumoxiti 0.01 mg--0.01 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9315","336.84","Romidepsin injection--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9316","72.63","Pertuzu trastuzu 10 mg--10 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9317","30.37","Sacituzumab govitecan-hziy--2.5 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9320","344.94","Streptozocin injection--1 GM","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9325","56.51","Inj talimogene laherparepvec--1 millionáPFU","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9328","10.39","Temozolomide injection--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9330","37.63","Temsirolimus injection--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9340","453.46","Thiotepa injection--15 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9349","12.64","Inj. tafasitamab-cxix--2 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9351","1.09","Topotecan injection--0.1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9352","324.21","Injection trabectedin 0.1mg--0.1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9354","34.16","Inj ado-trastuzumab emt 1mg--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9355","90.98","Inj trastuzumab excl biosimi--10 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9356","72.24","Inj. herceptin hylecta 10mg--10 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9357","1382.42","Valrubicin injection--200 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9358","24.29","Inj fam-trastu deru-nxki 1mg--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9360","4.07","Vinblastine sulfate inj--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9370","4.94","Vincristine sulfate 1 mg inj--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9371","3320.42","Inj vincristine sul lip 1mg--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9390","9.81","Vinorelbine tartrate inj--10 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9395","27.59","Injection fulvestrant--25 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/J9400","8.27","Inj ziv-aflibercept 1mg--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/P9041","10.49","Albumin (human)5% 50ml--50 ML","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/P9045","52.45","Albumin (human) 5% 250 ml--250 ML","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/P9046","20.98","Albumin (human) 25% 20 ml--20 ML","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/P9047","52.45","Albumin (human) 25% 50ml--50 ML","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/Q0138","0.95","Ferumoxytol non-esrd--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/Q0139","0.95","Ferumoxytol esrd use--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/Q0162","0.02","Ondansetron oral--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/Q0164","0.26","Prochlorperazine maleate 5mg--5 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/Q0166","1.46","Granisetron hcl 1 mg oral--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/Q0167","0.51","Dronabinol 2.5mg oral--2.5 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/Q2043","51712.98","Sipuleucel-t auto cd54+--Per infusion (minimum 50 million cells)","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/Q2050","257.09","Doxorubicin inj 10mg--10 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/Q3027","55.52","Inj beta interferon im 1 mcg--1 MCG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/Q4074","140.37","Iloprost non-comp unit dose--UP TO 20 MCG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/Q4081","0.82","Epoetin alfa 100 units esrd--100 UNITS","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/Q4101","30.43","Apligraf--1 SQ CM","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/Q4102","10.04","Oasis wound matrix--1 SQ CM","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/Q4106","31.97","Dermagraft--1 SQ CM","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/Q4110","41.35","Primatrix--1 SQ CM","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/Q4111","6.96","Gammagraft--1 SQ CM","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/Q4121","43.44","Theraskin--1 SQ CM","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/Q4133","136.46","Grafix stravix prime pl sqcm--1 SQ CM","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/Q4137","87.75","Amnioexcel biodexcel 1sq cm--1 SQ CM","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/Q4145","18.62","Epifix inj 1mg--1 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/Q4151","127.13","Amnioband guardian 1 sq cm--1 SQ CM","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/Q4154","109.07","Biovance 1 square cm--1 SQ CM","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/Q4159","583.67","Affinity1 square cm--1 SQ CM","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/Q4160","92.76","Nushield 1 square cm--1 SQ CM","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/Q4163","103.86","Woundex bioskin per sq cm--1 SQ CM","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/Q4186","154.57","Epifix 1 sq cm--1 SQ CM","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/Q4187","226.35","Epicord 1 sq cm--1 SQ CM","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/Q4195","91.85","Puraply 1 sq cm--1 SQ CM","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/Q4196","108.30","Puraply am 1 sq cm--1 SQ CM","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/Q5101","0.35","Injection zarxio--1 MCG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/Q5103","40.05","Injection inflectra--10 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/Q5104","39.56","Injection renflexis--10 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/Q5105","0.86","Inj retacrit esrd on dialysi--100 UNITS","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/Q5106","8.63","Inj retacrit non-esrd use--1000 UNITS","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/Q5107","48.78","Inj mvasi 10 mg--10 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/Q5108","222.26","Injection fulphila--0.5 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/Q5110","0.39","Nivestym--1 MCG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/Q5111","251.74","Injection udenyca 0.5 mg--0.5 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/Q5112","72.08","Inj ontruzant 10 mg--10 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/Q5113","66.76","Inj herzuma 10 mg--10 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/Q5114","63.40","Inj ogivri 10 mg--10 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/Q5115","60.84","Inj truxima 10 mg--10 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/Q5116","64.79","Inj. trazimera 10 mg--10 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/Q5117","59.34","Inj. kanjinti 10 mg--10 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/Q5118","55.19","Inj. zirabev 10 mg--10 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/Q5119","62.48","Inj ruxience 10 mg--10 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/Q5120","270.56","Inj pegfilgrastim-bmez 0.5mg--0.5 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/Q5121","49.15","Inj. avsola 10 mg--10 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/Q5122","442.34","Inj nyvepria--0.5 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/Q5123","73.83","Inj. riabni 10 mg--10 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/Q9950","18.78","Inj sulf hexa lipid microsph--1 ML","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/Q9956","31.22","Inj octafluoropropane micml--1 ML","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/Q9957","46.83","Inj perflutren lip microsml--1 ML","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/Q9958","0.08","Hocm <=149 mg-ml iodine 1ml--1 ML","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/Q9961","0.25","Hocm 250-299mg-ml iodine1ml--1 ML","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/Q9963","0.19","Hocm 350-399mg-ml iodine1ml--1 ML","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/Q9965","0.55","Locm 100-199mg-ml iodine1ml--1 ML","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/Q9966","0.32","Locm 200-299mg-ml iodine1ml--1 ML","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/Q9967","0.12","Locm 300-399mg-ml iodine1ml--1 ML","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/Q9991","1816.65","Buprenorph xr 100 mg or less--Less than or equal to 100 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0636/Q9992","1816.65","Buprenorphine xr over 100 mg--Greater than 100 MG","Per Unit Rate","100",,,,,"[Discharge Date] >= '07/01/2021' AND [Discharge Date] <= '12/31/9999'AND FS Line-Item Unit Charge >= 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0761/36514","19.80","THERAPEUTIC APHERESIS PLASMA PHERESIS","Percent of Charges","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0800","350.00","RENAL DIALYSIS","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0801","350.00","DIALY/INPT","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0802","350.00","DIALY/INPT/PER","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0803","350.00","DIALY/INPT/CAPD","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0804","350.00","DIALY/INPT/CCPD","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Carve Out Term","UB92RM",,,,,"0809","350.00","DIALY/INPT/OTHER","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"ICU CCU Per Diem","2026.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Intermediate ICU CCU Per Diem","1980.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Med Surg Per Diem","1713.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Rehabilitation Per Diem","1278.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"[UBRev Code] = '0419'Ignore",,,,,,,,"ICU CCU Per Diem","2026.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"[UBRev Code] = '0419'Ignore",,,,,,,,"Intermediate ICU CCU Per Diem","1980.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"[UBRev Code] = '0419'Ignore",,,,,,,,"Med Surg Per Diem","1980.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"[UBRev Code] = '0419'Ignore",,,,,,,,"Rehabilitation Per Diem","1278.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","Outpatient","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"[Billed Amount] <= '0'","0",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","Outpatient","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"AND Calculated Reimbursement > Claim Billed Amount","100",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","Outpatient","Carve Out Term","UB92RM",,,,,"0420","75.00","Physical Therapy - General","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","Outpatient","Carve Out Term","UB92RM",,,,,"0421","75.00","Physical Therapy - Visit Charge","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","Outpatient","Carve Out Term","UB92RM",,,,,"0422","75.00","Physical Therapy - Hourly Charge","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","Outpatient","Carve Out Term","UB92RM",,,,,"0423","75.00","Physical Therapy - Group Rate","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","Outpatient","Carve Out Term","UB92RM",,,,,"0424","75.00","Physical Therapy - Evaluation/Reevaluation","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","Outpatient","Carve Out Term","UB92RM",,,,,"0429","75.00","Physical Therapy - Other","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","Outpatient","Carve Out Term","UB92RM",,,,,"0430","75.00","Occupational Therapy - General","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","Outpatient","Carve Out Term","UB92RM",,,,,"0431","75.00","Occupational Therapy - Visit Charge","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","Outpatient","Carve Out Term","UB92RM",,,,,"0432","75.00","Occupational Therapy - Hourly Charge","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","Outpatient","Carve Out Term","UB92RM",,,,,"0433","75.00","Occupational Therapy - Group Rate","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","Outpatient","Carve Out Term","UB92RM",,,,,"0434","75.00","Occupational Therapy - Evaluation/Reevaluation","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","Outpatient","Carve Out Term","UB92RM",,,,,"0439","75.00","Occupational Therapy - Other","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","Outpatient","Carve Out Term","UB92RM",,,,,"0440","75.00","Speech Therapy Language Pathology - General","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","Outpatient","Carve Out Term","UB92RM",,,,,"0441","75.00","Speech Therapy Language Pathology - Visit Charge","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","Outpatient","Carve Out Term","UB92RM",,,,,"0442","75.00","Speech Therapy Language Pathology - Hourly Charge","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","Outpatient","Carve Out Term","UB92RM",,,,,"0443","75.00","Speech Therapy Language Pathology - Group Rate","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","Outpatient","Carve Out Term","UB92RM",,,,,"0444","75.00","Speech Therapy Language Pathology - Evaluation/Reevaluation","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","Outpatient","Carve Out Term","UB92RM",,,,,"0449","75.00","Speech Therapy Language Pathology - Other","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","Outpatient","Carve Out Term","UB92RM",,,,,"0460","19.80","Pulmonary Function - General","Percent of Charges","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","Outpatient","Carve Out Term","UB92RM",,,,,"0469","19.80","Pulmonary Function - Other","Percent of Charges","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","Outpatient","Carve Out Term","UB92RM",,,,,"0510","19.80","Clinic - General","Percent of Charges","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","AvMed Health Plans","Coral Gables Ft. Lauderdale Hollywood","Outpatient","Standard Term","PercentOfChargeRM",,,,,,,,,,,,,,"","0",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of FL Health Options Inc HOI All Florida","HD COMM HMO","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"[Billed Amount] <= '0'","0",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of FL Health Options Inc HOI All Florida","HD COMM HMO","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"AND Calculated Reimbursement > Claim Billed Amount","100",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of FL Health Options Inc HOI All Florida","HD COMM HMO","I","Carve Out Term","UB92RM",,,,,"0275","38.00","Medical/Surgical Supplies and Devices - Pacemaker","Percent of Charges","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of FL Health Options Inc HOI All Florida","HD COMM HMO","I","Carve Out Term","UB92RM",,,,,"0276","38.00","Medical/Surgical Supplies and Devices - Intraocular Lens","Percent of Charges","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of FL Health Options Inc HOI All Florida","HD COMM HMO","I","Carve Out Term","UB92RM",,,,,"0278","38.00","Medical/Surgical Supplies and Devices - Other Implants","Percent of Charges","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of FL Health Options Inc HOI All Florida","HD COMM HMO","I","Carve Out Term","UB92RM",,,,,"0800","350.00","Inpatient Renal Dialysis - General","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of FL Health Options Inc HOI All Florida","HD COMM HMO","I","Carve Out Term","UB92RM",,,,,"0801","350.00","Inpatient Renal Dialysis - Inpatient Hemodialysis","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of FL Health Options Inc HOI All Florida","HD COMM HMO","I","Carve Out Term","UB92RM",,,,,"0802","350.00","Inpatient Renal Dialysis - Inpatient Peritoneal Dialysis (Non CAPD)","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of FL Health Options Inc HOI All Florida","HD COMM HMO","I","Carve Out Term","UB92RM",,,,,"0803","350.00","Inpatient Renal Dialysis - Inpatient Continuous Ambulatory Peritoneal Dialysis (CAPD)","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of FL Health Options Inc HOI All Florida","HD COMM HMO","I","Carve Out Term","UB92RM",,,,,"0804","350.00","Inpatient Renal Dialysis - Inpatient Continuous Cycling Peritoneal Dialysis (CCPD)","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of FL Health Options Inc HOI All Florida","HD COMM HMO","I","Carve Out Term","UB92RM",,,,,"0809","350.00","Inpatient Renal Dialysis - Other","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of FL Health Options Inc HOI All Florida","HD COMM HMO","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Detoxification Per Diem","0.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of FL Health Options Inc HOI All Florida","HD COMM HMO","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Dialysis Rate","350.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of FL Health Options Inc HOI All Florida","HD COMM HMO","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Hospice Per Diem","1395.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of FL Health Options Inc HOI All Florida","HD COMM HMO","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"ICU CCU Per Diem","1548.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of FL Health Options Inc HOI All Florida","HD COMM HMO","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Intermediate ICU CCU Per Diem","1430.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of FL Health Options Inc HOI All Florida","HD COMM HMO","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Med Surg Per Diem","1395.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of FL Health Options Inc HOI All Florida","HD COMM HMO","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Nursery ICU Per Diem","0.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of FL Health Options Inc HOI All Florida","HD COMM HMO","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Nursery Per Diem","0.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of FL Health Options Inc HOI All Florida","HD COMM HMO","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Psychiatric Per Diem","0.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of FL Health Options Inc HOI All Florida","HD COMM HMO","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Rehabilitation Per Diem","1300.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of FL Health Options Inc HOI All Florida","HD COMM HMO","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Subacute Per Diem","0.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of FL Health Options Inc HOI All Florida","HD COMM HMO","Outpatient","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"[Billed Amount] <= '0'","0",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of FL Health Options Inc HOI All Florida","HD COMM HMO","Outpatient","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"AND Calculated Reimbursement > Claim Billed Amount","100",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of FL Health Options Inc HOI All Florida","HD COMM HMO","Outpatient","Standard Term","Combo-PercentOfChargeRM",,,,,,,,,,,,,," AND ","26",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of FL Health Options Inc HOI All Florida","HD COMM MBN","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"[Billed Amount] <= '0'","0",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of FL Health Options Inc HOI All Florida","HD COMM MBN","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"AND Calculated Reimbursement > Claim Billed Amount","100",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of FL Health Options Inc HOI All Florida","HD COMM MBN","I","Carve Out Term","UB92RM",,,,,"0275","38.00","Medical/Surgical Supplies and Devices - Pacemaker","Percent of Charges","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of FL Health Options Inc HOI All Florida","HD COMM MBN","I","Carve Out Term","UB92RM",,,,,"0276","38.00","Medical/Surgical Supplies and Devices - Intraocular Lens","Percent of Charges","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of FL Health Options Inc HOI All Florida","HD COMM MBN","I","Carve Out Term","UB92RM",,,,,"0278","38.00","Medical/Surgical Supplies and Devices - Other Implants","Percent of Charges","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of FL Health Options Inc HOI All Florida","HD COMM MBN","I","Carve Out Term","UB92RM",,,,,"0800","350.00","Inpatient Renal Dialysis - General","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of FL Health Options Inc HOI All Florida","HD COMM MBN","I","Carve Out Term","UB92RM",,,,,"0801","350.00","Inpatient Renal Dialysis - Inpatient Hemodialysis","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of FL Health Options Inc HOI All Florida","HD COMM MBN","I","Carve Out Term","UB92RM",,,,,"0802","350.00","Inpatient Renal Dialysis - Inpatient Peritoneal Dialysis (Non CAPD)","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of FL Health Options Inc HOI All Florida","HD COMM MBN","I","Carve Out Term","UB92RM",,,,,"0803","350.00","Inpatient Renal Dialysis - Inpatient Continuous Ambulatory Peritoneal Dialysis (CAPD)","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of FL Health Options Inc HOI All Florida","HD COMM MBN","I","Carve Out Term","UB92RM",,,,,"0804","350.00","Inpatient Renal Dialysis - Inpatient Continuous Cycling Peritoneal Dialysis (CCPD)","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of FL Health Options Inc HOI All Florida","HD COMM MBN","I","Carve Out Term","UB92RM",,,,,"0809","350.00","Inpatient Renal Dialysis - Other","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of FL Health Options Inc HOI All Florida","HD COMM MBN","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Detoxification Per Diem","0.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of FL Health Options Inc HOI All Florida","HD COMM MBN","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Dialysis Rate","350.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of FL Health Options Inc HOI All Florida","HD COMM MBN","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Hospice Per Diem","1368.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of FL Health Options Inc HOI All Florida","HD COMM MBN","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"ICU CCU Per Diem","1548.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of FL Health Options Inc HOI All Florida","HD COMM MBN","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Intermediate ICU CCU Per Diem","1430.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of FL Health Options Inc HOI All Florida","HD COMM MBN","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Med Surg Per Diem","1368.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of FL Health Options Inc HOI All Florida","HD COMM MBN","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Nursery ICU Per Diem","0.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of FL Health Options Inc HOI All Florida","HD COMM MBN","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Nursery Per Diem","0.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of FL Health Options Inc HOI All Florida","HD COMM MBN","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Psychiatric Per Diem","0.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of FL Health Options Inc HOI All Florida","HD COMM MBN","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Rehabilitation Per Diem","1100.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of FL Health Options Inc HOI All Florida","HD COMM MBN","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Subacute Per Diem","0.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of FL Health Options Inc HOI All Florida","HD COMM MBN","Outpatient","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"[Billed Amount] <= '0'","0",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of FL Health Options Inc HOI All Florida","HD COMM MBN","Outpatient","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"AND Calculated Reimbursement > Claim Billed Amount","100",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of FL Health Options Inc HOI All Florida","HD COMM MBN","Outpatient","Standard Term","Combo-PercentOfChargeRM",,,,,,,,,,,,,," AND ","26",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of FL Health Options Inc HOI All Florida","HD MA","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"[Billed Amount] <= '0'","0",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of FL Health Options Inc HOI All Florida","HD MA","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"AND Calculated Reimbursement > Claim Billed Amount","100",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of FL Health Options Inc HOI All Florida","HD MA","I","Standard Term","MedicareInpatientLTCRM",,,,,,,,,,,,"LTCH PPS/Site Neutral","100","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of FL Health Options Inc HOI All Florida","HD MA","Outpatient","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"[Billed Amount] <= '0'","0",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of FL Health Options Inc HOI All Florida","HD MA","Outpatient","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"AND Calculated Reimbursement > Claim Billed Amount","100",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of FL Health Options Inc HOI All Florida","HD MA","Outpatient","Standard Term","Combo-PercentOfChargeRM",,,,,,,,,,,,,," AND ","26",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of FL Preferred Patient Care PPC PPO All Florida","HD ALL","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"[Billed Amount] <= '0'","0",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of FL Preferred Patient Care PPC PPO All Florida","HD ALL","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"AND Calculated Reimbursement > Claim Billed Amount","100",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of FL Preferred Patient Care PPC PPO All Florida","HD ALL","I","Carve Out Term","UB92RM",,,,,"0275","38.00","Medical/Surgical Supplies and Devices - Pacemaker","Percent of Charges","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of FL Preferred Patient Care PPC PPO All Florida","HD ALL","I","Carve Out Term","UB92RM",,,,,"0276","38.00","Medical/Surgical Supplies and Devices - Intraocular Lens","Percent of Charges","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of FL Preferred Patient Care PPC PPO All Florida","HD ALL","I","Carve Out Term","UB92RM",,,,,"0278","38.00","Medical/Surgical Supplies and Devices - Other Implants","Percent of Charges","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of FL Preferred Patient Care PPC PPO All Florida","HD ALL","I","Carve Out Term","UB92RM",,,,,"0800","350.00","Inpatient Renal Dialysis - General","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of FL Preferred Patient Care PPC PPO All Florida","HD ALL","I","Carve Out Term","UB92RM",,,,,"0801","350.00","Inpatient Renal Dialysis - Inpatient Hemodialysis","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of FL Preferred Patient Care PPC PPO All Florida","HD ALL","I","Carve Out Term","UB92RM",,,,,"0802","350.00","Inpatient Renal Dialysis - Inpatient Peritoneal Dialysis (Non CAPD)","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of FL Preferred Patient Care PPC PPO All Florida","HD ALL","I","Carve Out Term","UB92RM",,,,,"0803","350.00","Inpatient Renal Dialysis - Inpatient Continuous Ambulatory Peritoneal Dialysis (CAPD)","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of FL Preferred Patient Care PPC PPO All Florida","HD ALL","I","Carve Out Term","UB92RM",,,,,"0804","350.00","Inpatient Renal Dialysis - Inpatient Continuous Cycling Peritoneal Dialysis (CCPD)","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of FL Preferred Patient Care PPC PPO All Florida","HD ALL","I","Carve Out Term","UB92RM",,,,,"0809","350.00","Inpatient Renal Dialysis - Other","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of FL Preferred Patient Care PPC PPO All Florida","HD ALL","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Detoxification Per Diem","0.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of FL Preferred Patient Care PPC PPO All Florida","HD ALL","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Hospice Per Diem","1512.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of FL Preferred Patient Care PPC PPO All Florida","HD ALL","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"ICU CCU Per Diem","1804.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of FL Preferred Patient Care PPC PPO All Florida","HD ALL","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Intermediate ICU CCU Per Diem","1591.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of FL Preferred Patient Care PPC PPO All Florida","HD ALL","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Med Surg Per Diem","1512.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of FL Preferred Patient Care PPC PPO All Florida","HD ALL","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Nursery ICU Per Diem","0.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of FL Preferred Patient Care PPC PPO All Florida","HD ALL","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Nursery Per Diem","0.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of FL Preferred Patient Care PPC PPO All Florida","HD ALL","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Psychiatric Per Diem","0.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of FL Preferred Patient Care PPC PPO All Florida","HD ALL","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Rehabilitation Per Diem","1500.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of FL Preferred Patient Care PPC PPO All Florida","HD ALL","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Subacute Per Diem","0.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of FL Preferred Patient Care PPC PPO All Florida","HD ALL","Outpatient","Standard Term","Combo-PercentOfChargeRM",,,,,,,,,,,,,," AND ","26",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of Florida NETWORKBLUE NWB PPO amp NWB MA PPO All Florida","HD Blue Select","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"[Billed Amount] <= '0'","0",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of Florida NETWORKBLUE NWB PPO amp NWB MA PPO All Florida","HD Blue Select","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"AND Calculated Reimbursement > Claim Billed Amount","100",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of Florida NETWORKBLUE NWB PPO amp NWB MA PPO All Florida","HD Blue Select","I","Carve Out Term","UB92RM",,,,,"0275","38.00","Medical/Surgical Supplies and Devices - Pacemaker","Percent of Charges","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of Florida NETWORKBLUE NWB PPO amp NWB MA PPO All Florida","HD Blue Select","I","Carve Out Term","UB92RM",,,,,"0276","38.00","Medical/Surgical Supplies and Devices - Intraocular Lens","Percent of Charges","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of Florida NETWORKBLUE NWB PPO amp NWB MA PPO All Florida","HD Blue Select","I","Carve Out Term","UB92RM",,,,,"0278","38.00","Medical/Surgical Supplies and Devices - Other Implants","Percent of Charges","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of Florida NETWORKBLUE NWB PPO amp NWB MA PPO All Florida","HD Blue Select","I","Carve Out Term","UB92RM",,,,,"0800","350.00","Inpatient Renal Dialysis - General","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of Florida NETWORKBLUE NWB PPO amp NWB MA PPO All Florida","HD Blue Select","I","Carve Out Term","UB92RM",,,,,"0801","350.00","Inpatient Renal Dialysis - Inpatient Hemodialysis","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of Florida NETWORKBLUE NWB PPO amp NWB MA PPO All Florida","HD Blue Select","I","Carve Out Term","UB92RM",,,,,"0802","350.00","Inpatient Renal Dialysis - Inpatient Peritoneal Dialysis (Non CAPD)","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of Florida NETWORKBLUE NWB PPO amp NWB MA PPO All Florida","HD Blue Select","I","Carve Out Term","UB92RM",,,,,"0803","350.00","Inpatient Renal Dialysis - Inpatient Continuous Ambulatory Peritoneal Dialysis (CAPD)","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of Florida NETWORKBLUE NWB PPO amp NWB MA PPO All Florida","HD Blue Select","I","Carve Out Term","UB92RM",,,,,"0804","350.00","Inpatient Renal Dialysis - Inpatient Continuous Cycling Peritoneal Dialysis (CCPD)","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of Florida NETWORKBLUE NWB PPO amp NWB MA PPO All Florida","HD Blue Select","I","Carve Out Term","UB92RM",,,,,"0809","350.00","Inpatient Renal Dialysis - Other","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of Florida NETWORKBLUE NWB PPO amp NWB MA PPO All Florida","HD Blue Select","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Detoxification Per Diem","0.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of Florida NETWORKBLUE NWB PPO amp NWB MA PPO All Florida","HD Blue Select","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Dialysis Rate","350.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of Florida NETWORKBLUE NWB PPO amp NWB MA PPO All Florida","HD Blue Select","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Hospice Per Diem","1368.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of Florida NETWORKBLUE NWB PPO amp NWB MA PPO All Florida","HD Blue Select","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"ICU CCU Per Diem","1548.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of Florida NETWORKBLUE NWB PPO amp NWB MA PPO All Florida","HD Blue Select","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Intermediate ICU CCU Per Diem","1430.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of Florida NETWORKBLUE NWB PPO amp NWB MA PPO All Florida","HD Blue Select","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Med Surg Per Diem","1368.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of Florida NETWORKBLUE NWB PPO amp NWB MA PPO All Florida","HD Blue Select","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Nursery ICU Per Diem","0.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of Florida NETWORKBLUE NWB PPO amp NWB MA PPO All Florida","HD Blue Select","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Nursery Per Diem","0.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of Florida NETWORKBLUE NWB PPO amp NWB MA PPO All Florida","HD Blue Select","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Psychiatric Per Diem","0.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of Florida NETWORKBLUE NWB PPO amp NWB MA PPO All Florida","HD Blue Select","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Rehabilitation Per Diem","1100.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of Florida NETWORKBLUE NWB PPO amp NWB MA PPO All Florida","HD Blue Select","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Subacute Per Diem","0.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of Florida NETWORKBLUE NWB PPO amp NWB MA PPO All Florida","HD Blue Select","Outpatient","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"[Billed Amount] <= '0'","0",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of Florida NETWORKBLUE NWB PPO amp NWB MA PPO All Florida","HD Blue Select","Outpatient","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"AND Calculated Reimbursement > Claim Billed Amount","100",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of Florida NETWORKBLUE NWB PPO amp NWB MA PPO All Florida","HD Blue Select","Outpatient","Standard Term","Combo-PercentOfChargeRM",,,,,,,,,,,,,," AND ","26",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of Florida NETWORKBLUE NWB PPO amp NWB MA PPO All Florida","HD MA","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"[Billed Amount] <= '0'","0",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of Florida NETWORKBLUE NWB PPO amp NWB MA PPO All Florida","HD MA","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"AND Calculated Reimbursement > Claim Billed Amount","100",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of Florida NETWORKBLUE NWB PPO amp NWB MA PPO All Florida","HD MA","I","Standard Term","MedicareInpatientLTCRM",,,,,,,,,,,,"LTCH PPS/Site Neutral","100","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of Florida NETWORKBLUE NWB PPO amp NWB MA PPO All Florida","HD Network Blue","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"[Billed Amount] <= '0'","0",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of Florida NETWORKBLUE NWB PPO amp NWB MA PPO All Florida","HD Network Blue","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"AND Calculated Reimbursement > Claim Billed Amount","100",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of Florida NETWORKBLUE NWB PPO amp NWB MA PPO All Florida","HD Network Blue","I","Carve Out Term","UB92RM",,,,,"0275","38.00","Medical/Surgical Supplies and Devices - Pacemaker","Percent of Charges","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of Florida NETWORKBLUE NWB PPO amp NWB MA PPO All Florida","HD Network Blue","I","Carve Out Term","UB92RM",,,,,"0276","38.00","Medical/Surgical Supplies and Devices - Intraocular Lens","Percent of Charges","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of Florida NETWORKBLUE NWB PPO amp NWB MA PPO All Florida","HD Network Blue","I","Carve Out Term","UB92RM",,,,,"0278","38.00","Medical/Surgical Supplies and Devices - Other Implants","Percent of Charges","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of Florida NETWORKBLUE NWB PPO amp NWB MA PPO All Florida","HD Network Blue","I","Carve Out Term","UB92RM",,,,,"0800","350.00","Inpatient Renal Dialysis - General","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of Florida NETWORKBLUE NWB PPO amp NWB MA PPO All Florida","HD Network Blue","I","Carve Out Term","UB92RM",,,,,"0801","350.00","Inpatient Renal Dialysis - Inpatient Hemodialysis","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of Florida NETWORKBLUE NWB PPO amp NWB MA PPO All Florida","HD Network Blue","I","Carve Out Term","UB92RM",,,,,"0802","350.00","Inpatient Renal Dialysis - Inpatient Peritoneal Dialysis (Non CAPD)","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of Florida NETWORKBLUE NWB PPO amp NWB MA PPO All Florida","HD Network Blue","I","Carve Out Term","UB92RM",,,,,"0803","350.00","Inpatient Renal Dialysis - Inpatient Continuous Ambulatory Peritoneal Dialysis (CAPD)","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of Florida NETWORKBLUE NWB PPO amp NWB MA PPO All Florida","HD Network Blue","I","Carve Out Term","UB92RM",,,,,"0804","350.00","Inpatient Renal Dialysis - Inpatient Continuous Cycling Peritoneal Dialysis (CCPD)","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of Florida NETWORKBLUE NWB PPO amp NWB MA PPO All Florida","HD Network Blue","I","Carve Out Term","UB92RM",,,,,"0809","350.00","Inpatient Renal Dialysis - Other","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of Florida NETWORKBLUE NWB PPO amp NWB MA PPO All Florida","HD Network Blue","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Detoxification Per Diem","0.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of Florida NETWORKBLUE NWB PPO amp NWB MA PPO All Florida","HD Network Blue","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Dialysis Rate","350.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of Florida NETWORKBLUE NWB PPO amp NWB MA PPO All Florida","HD Network Blue","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Hospice Per Diem","1460.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of Florida NETWORKBLUE NWB PPO amp NWB MA PPO All Florida","HD Network Blue","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"ICU CCU Per Diem","1600.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of Florida NETWORKBLUE NWB PPO amp NWB MA PPO All Florida","HD Network Blue","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Intermediate ICU CCU Per Diem","1486.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of Florida NETWORKBLUE NWB PPO amp NWB MA PPO All Florida","HD Network Blue","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Med Surg Per Diem","1460.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of Florida NETWORKBLUE NWB PPO amp NWB MA PPO All Florida","HD Network Blue","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Nursery ICU Per Diem","0.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of Florida NETWORKBLUE NWB PPO amp NWB MA PPO All Florida","HD Network Blue","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Nursery Per Diem","0.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of Florida NETWORKBLUE NWB PPO amp NWB MA PPO All Florida","HD Network Blue","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Psychiatric Per Diem","0.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of Florida NETWORKBLUE NWB PPO amp NWB MA PPO All Florida","HD Network Blue","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Rehabilitation Per Diem","1300.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of Florida NETWORKBLUE NWB PPO amp NWB MA PPO All Florida","HD Network Blue","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Subacute Per Diem","0.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of Florida NETWORKBLUE NWB PPO amp NWB MA PPO All Florida","HD Network Blue","Outpatient","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"[Billed Amount] <= '0'","0",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of Florida NETWORKBLUE NWB PPO amp NWB MA PPO All Florida","HD Network Blue","Outpatient","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"AND Calculated Reimbursement > Claim Billed Amount","100",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","BCBS of Florida NETWORKBLUE NWB PPO amp NWB MA PPO All Florida","HD Network Blue","Outpatient","Standard Term","Combo-PercentOfChargeRM",,,,,,,,,,,,,," AND ","26",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Blue Cross Blue Shield of Florida Advantage 65","MA","I","Adjustment Term","AdvanceCriteriaCalculationRM",,,,,,,,,,,,,,"AND Calculated Reimbursement > Total Payments + 0.05 OR Calculated Reimbursement < Total Payments - 0.05 AND Calculated Reimbursement > 0",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"((([Calculated Reimbursement] - [835 Patient Responsibility]) * -0.02 ) ) ", "4602","Kindred Hospital - South Florida - Coral Gables","Blue Cross Blue Shield of Florida Advantage 65","MA","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"[Billed Amount] <= '0'","0",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Blue Cross Blue Shield of Florida Advantage 65","MA","I","Standard Term","MedicareInpatientLTCRM",,,,,,,,,,,,"LTCH PPS/Site Neutral","100","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Blue Cross Blue Shield of Florida PHS All Florida","HD ALL","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"[Billed Amount] <= '0'","0",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Blue Cross Blue Shield of Florida PHS All Florida","HD ALL","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"AND Calculated Reimbursement >= Claim Billed Amount","100",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Blue Cross Blue Shield of Florida PHS All Florida","HD ALL","I","Carve Out Term","UB92RM",,,,,"0275","38.00","Medical/Surgical Supplies and Devices - Pacemaker","Percent of Charges","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Blue Cross Blue Shield of Florida PHS All Florida","HD ALL","I","Carve Out Term","UB92RM",,,,,"0276","38.00","Medical/Surgical Supplies and Devices - Intraocular Lens","Percent of Charges","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Blue Cross Blue Shield of Florida PHS All Florida","HD ALL","I","Carve Out Term","UB92RM",,,,,"0278","38.00","Medical/Surgical Supplies and Devices - Other Implants","Percent of Charges","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Blue Cross Blue Shield of Florida PHS All Florida","HD ALL","I","Carve Out Term","UB92RM",,,,,"0800","350.00","Inpatient Renal Dialysis - General","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Blue Cross Blue Shield of Florida PHS All Florida","HD ALL","I","Carve Out Term","UB92RM",,,,,"0801","350.00","Inpatient Renal Dialysis - Inpatient Hemodialysis","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Blue Cross Blue Shield of Florida PHS All Florida","HD ALL","I","Carve Out Term","UB92RM",,,,,"0802","350.00","Inpatient Renal Dialysis - Inpatient Peritoneal Dialysis (Non CAPD)","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Blue Cross Blue Shield of Florida PHS All Florida","HD ALL","I","Carve Out Term","UB92RM",,,,,"0803","350.00","Inpatient Renal Dialysis - Inpatient Continuous Ambulatory Peritoneal Dialysis (CAPD)","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Blue Cross Blue Shield of Florida PHS All Florida","HD ALL","I","Carve Out Term","UB92RM",,,,,"0804","350.00","Inpatient Renal Dialysis - Inpatient Continuous Cycling Peritoneal Dialysis (CCPD)","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Blue Cross Blue Shield of Florida PHS All Florida","HD ALL","I","Carve Out Term","UB92RM",,,,,"0809","350.00","Inpatient Renal Dialysis - Other","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Blue Cross Blue Shield of Florida PHS All Florida","HD ALL","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Detoxification Per Diem","0.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Blue Cross Blue Shield of Florida PHS All Florida","HD ALL","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Hospice Per Diem","1512.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Blue Cross Blue Shield of Florida PHS All Florida","HD ALL","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"ICU CCU Per Diem","1804.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Blue Cross Blue Shield of Florida PHS All Florida","HD ALL","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Intermediate ICU CCU Per Diem","1591.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Blue Cross Blue Shield of Florida PHS All Florida","HD ALL","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Med Surg Per Diem","1512.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Blue Cross Blue Shield of Florida PHS All Florida","HD ALL","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Nursery ICU Per Diem","0.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Blue Cross Blue Shield of Florida PHS All Florida","HD ALL","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Nursery Per Diem","0.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Blue Cross Blue Shield of Florida PHS All Florida","HD ALL","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Psychiatric Per Diem","0.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Blue Cross Blue Shield of Florida PHS All Florida","HD ALL","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Rehabilitation Per Diem","1500.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Blue Cross Blue Shield of Florida PHS All Florida","HD ALL","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Subacute Per Diem","0.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Blue Cross Blue Shield of Florida PHS All Florida","HD ALL","Outpatient","Standard Term","Combo-PercentOfChargeRM",,,,,,,,,,,,,," AND ","26",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Bright Health","HD Comm","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"[Billed Amount] <= '0'","0",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Bright Health","HD Comm","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"AND Calculated Reimbursement > Claim Billed Amount","100",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Bright Health","HD Comm","I","Carve Out Term","UB92RM",,,,,"0350","459.00","CT Scan - General","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Bright Health","HD Comm","I","Carve Out Term","UB92RM",,,,,"0351","459.00","CT Scan - Head","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Bright Health","HD Comm","I","Carve Out Term","UB92RM",,,,,"0352","459.00","CT Scan - Body","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Bright Health","HD Comm","I","Carve Out Term","UB92RM",,,,,"0359","459.00","CT Scan - Other","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Bright Health","HD Comm","I","Carve Out Term","UB92RM",,,,,"0636","35.00","Pharmacy-Extension of 025X - Drugs Requiring Detailed Coding","Percent of Charges","100",,,,,"AND Sum of Fee Schedule Charges > 1000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Bright Health","HD Comm","I","Carve Out Term","UB92RM",,,,,"0800","408.00","Inpatient Renal Dialysis - General","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Bright Health","HD Comm","I","Carve Out Term","UB92RM",,,,,"0801","408.00","Inpatient Renal Dialysis - Inpatient Hemodialysis","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Bright Health","HD Comm","I","Carve Out Term","UB92RM",,,,,"0802","408.00","Inpatient Renal Dialysis - Inpatient Peritoneal Dialysis (Non CAPD)","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Bright Health","HD Comm","I","Carve Out Term","UB92RM",,,,,"0803","408.00","Inpatient Renal Dialysis - Inpatient Continuous Ambulatory Peritoneal Dialysis (CAPD)","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Bright Health","HD Comm","I","Carve Out Term","UB92RM",,,,,"0804","408.00","Inpatient Renal Dialysis - Inpatient Continuous Cycling Peritoneal Dialysis (CCPD)","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Bright Health","HD Comm","I","Carve Out Term","UB92RM",,,,,"0809","408.00","Inpatient Renal Dialysis - Other","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Bright Health","HD Comm","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Detoxification Per Diem","2728.50",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Bright Health","HD Comm","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Hospice Per Diem","2728.50",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Bright Health","HD Comm","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"ICU CCU Per Diem","3182.40",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Bright Health","HD Comm","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Intermediate ICU CCU Per Diem","3182.40",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Bright Health","HD Comm","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Med Surg Per Diem","2728.50",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Bright Health","HD Comm","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Psychiatric Per Diem","994.50",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Bright Health","HD Comm","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Rehabilitation Per Diem","1530.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Bright Health","HD Comm","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Subacute Per Diem","765.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Bright Health","HD Medicare","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"[Billed Amount] <= '0'","0",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Bright Health","HD Medicare","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"AND Calculated Reimbursement > Claim Billed Amount","100",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Bright Health","HD Medicare","I","Standard Term","MedicareInpatientLTCRM",,,,,,,,,,,,"LTCH PPS/Site Neutral","100","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","CareWorks formerly Protegrity Services Inc","HD","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"[Billed Amount] <= '0'","0",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","CareWorks formerly Protegrity Services Inc","HD","I","Standard Term","PercentOfChargeRM",,,,,,,,,,,,,,"","70",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","CareWorks formerly Protegrity Services Inc","HD","Outpatient","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"[Billed Amount] <= '0'","0",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","CareWorks formerly Protegrity Services Inc","HD","Outpatient","Standard Term","PercentOfChargeRM",,,,,,,,,,,,,,"","70",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.00","92204013","IV ADMIXTURE 14 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.00","92210088","WARFARIN NA 2MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.00","92210147","NITROGLYCERIN 0.2MG/HR TDM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.00","92210188","ATENOLOL CHLORTHAL 50-25 TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.00","92210392","RAMIPRIL 5MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.00","92210396","BETHANECHOL CL 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.00","92210489","BETHANECHOL CL 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.00","92210818","NITROGLYCERIN 0.1MG/HR TDM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.00","92210904","TAMOXIFEN 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.00","92211002","LORAZEPAM 2MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.00","92211162","ENALAPRIL MALEATE 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.00","92211178","TAMOXIFEN 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.00","92211248","HYDROCODONE APAP 10-650MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.00","92211385","PROVIDONE IODINE 10% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.00","92211389","CAPTOPRIL 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.00","92211545","LOSARTAN POTASSIUM 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.00","92211675","VERAPAMIL HCL 180MG CER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.00","92211959","AMLODIPINE BESYLATE 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.00","92212109","DOXEPIN HCL 75MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.00","92212136","DOXEPIN HCL 75MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.00","92212412","BUPROPION HCL 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.00","92212671","METFORMIN HCL 850MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.00","92212991","DILTIAZEM HCL 300MG C24 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.00","92213017","OXYCODONE HCL 15MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.00","92213247","SERTRALINE HCL 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.00","92213550","OXYCODONE APAP 10-325MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.00","92214025","CARBIDOPA/LEVO 50/200 TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.00","92214291","METOPROLOL SUCC 100MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.00","92214686","DIPHENHYDRAMINE HCL 25MG/10ML "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.00","92214853","MIRTAZAPINE 15MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.00","92214860","MIRTAZAPINE 30MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.00","92214867","CODEINE SULF 30MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.00","92214984","WARFARIN NA 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.00","92215002","QUINAPRIL HCL 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.00","92215033","RAMIPRIL 2.5MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.00","92215054","CILOSTAZOL 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.00","92215216","CILOSTAZOL 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.00","92215355","CILOSTAZOL 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.00","92215482","TAMOXIFEN 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.00","92215498","RAMIPRIL 5MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.00","92215594","BUPROPION HCL 150MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.00","92215698","MORPHINE 15MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.00","92216434","CILOSTAZOL 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.00","92216580","BUPROPION HCL 100MG T12 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.00","92216606","BUPROPION HCL 150MG T12 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.00","92216659","BUPROPION HCL 100MG T12 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.00","92216999","PROPRANOLOL HCL 80MG CER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.00","92217077","IBUPROFEN 100MG/5ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.00","92217121","TERBUTALINE SULF 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.00","92217178","RAMIPRIL 1.25MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.00","92217419","ALPRAZOLAM 0.5MG ODT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.00","92217538","LOPERAMIDE HCL 1MG/5ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.00","92217590","POLYETHYLENE GLYCOL 3350 PDS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.00","92217694","BUPROPION HCL 150MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.00","92218292","MORPHINE SULFATE 15MG ER TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.00","92218386","POLYETH GLYCOL 17 GM/DOSE PWD "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.00","92218539","FIRST-VANCOMYCIN 2525 MG/MLSOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.00","92218666","PEG 3350 17 GM/DOSE PKT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.00","92218786","POLYETH GLYCOL3350 17GM/PKTPWD"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.00","92219020","CLONAZEPAM 0.5 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.00","92219356","BETHANECHOL CHLORIDE 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.00","92219578","CAPTOPRIL 25 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.00","92219706","DOXYCYCLINEMONOHYDRATE100MGCAP"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.00","92219944","POLYETH GLYCOL 17GM/DOSE PKT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.00","92220032","SULFAMETHXZL/TMP 800-160MG TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.00","92220266","RANOLAZINE 500 MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.00","92220516","SODIUM CHLORIDE NASAL SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.10","92212945","OXAZEPAM 30MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.18","92215474","TAMOXIFEN 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.20","92210086","TICLOPIDINE HCL 250MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.25","92211186","SALSALATE 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.40","92211286","MULTIVITAMIN FE/F 0.25MG/ML LI"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.40","92216906","VERAPAMIL HCL 100MG CER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.40","92218248","ATORVASTATIN 80MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.50","92210114","CEFACLOR 250MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.50","92210184","ENALAPRIL MALEATE 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.50","92210206","DIGOXIN 125MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.50","92210284","TETRAHYDROZOLINE HCL 0.05% SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.50","92210314","ENALAPRIL MALEATE 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.50","92210675","KETOROLAC 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.50","92210746","CARBAMAZEPINE 200MG CER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.50","92210824","DIGOXIN 250MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.50","92210925","SODIUM CL NASAL SPR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.50","92210934","CARBIDOPA/LEVO 50/200 TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.50","92211021","LOXAPINE SUCCINATE 25MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.50","92211163","ACETAMINOPHEN 160MG/5ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.50","92211398","ACYCLOVIR 400MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.50","92211602","LOXAPINE SUCCINATE 25MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.50","92211663","FLECAINIDE ACETATE 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.50","92212020","DOXEPIN HCL 100MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.50","92212096","THEOPHYLLINE 600MG T24 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.50","92212455","HYDROCODONE APAP 5-500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.50","92212481","CARBAMAZEPINE 300MG CER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.50","92212792","ALBUTEROL SULF 4MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.50","92212887","TICLOPIDINE HCL 250MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.50","92212903","NITROFURANTOIN MCR 50MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.50","92213077","FENOFIBRATE 134MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.50","92213428","AMITRIPTYLINE HCL 75MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.50","92213519","PREDNISOLONE 15MG/5ML SYR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.50","92213656","BUSPIRONE HCL 15MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.50","92213670","BUSPIRONE HCL 15MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.50","92214736","VENLAFAXINE HCL 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.50","92214790","VERAPAMIL HCL 100MG CER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.50","92215058","DELAVIRDINE MESYLATE 200MG TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.50","92215794","FAMOTIDINE 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.50","92216148","CARBAMAZEPINE 100MG CER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.50","92216380","ZONISAMIDE 100MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.50","92216582","BUPROPION HCL 150MG T12 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.50","92216798","ZOLPIDEM TARTRATE 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.50","92217089","RAMIPRIL 2.5MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.50","92217129","OXYCODONE HCL 10MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.50","92217359","DANTROLENE NA 25MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.50","92217527","PREDNISOLONE 15MG/5ML SYR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.50","92217593","ERGOCALCIFEROL 50000U CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.50","92217606","RIFAMPIN 150MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.50","92217766","HYDROCORTISONE ACET 25MG SUP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.50","92217816","NATEGLINIDE 60MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.50","92217818","HYDROCORTISONE 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.50","92217820","ERGOCALCIFEROL 50000U SGL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.50","92218099","LISINOPRIL 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.50","92218102","FENOFIBRATE 48MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.50","92218168","CREON 15000-3000-9500U DR CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.50","92218258","ATORVASTATIN 80MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.50","92218276","VICODIN 300-5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.50","92218326","NICOTINE 21MG/24HR TDM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.50","92218783","BUPROPION 150 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.50","92218886","METHYLPREDNISOLONE 2 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.50","92218892","CARVEDILOL 3.125 MGTAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.50","92219032","OXYCODONE HCL CR 10 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.50","92219170","RAMIPRIL 1.25 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.50","92219252","GUANFACINE HCL 1 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.50","92219613","ERGOCALCIFEROL 50000 UNITS CAP"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.50","92219651","SOLIFENACIN SUCCINATE 5 MG TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.50","92220108","FENOFIBRATE 48 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.60","92214475","AMYLASE/LIPASE/PROTEASE TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.70","92216311","ESTRADIOL ACETATE 0.45MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.80","92213806","TICLOPIDINE HCL 250MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.80","92215014","QUINAPRIL HCL 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.90","92216293","CLONAZEPAM 2MG ODT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10.90","92216309","CLONAZEPAM 2MG ODT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"100.00","92204012","IV ADMIXTURE 13 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"100.00","92210730","TICARCILLIN CLV K 3.1GM INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"100.00","92210916","PIPERACIL TAZOBACT 3.375GM INJ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"100.00","92211066","SILVER SULFADIAZINE 1% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"100.00","92211445","BICALUTAMIDE 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"100.00","92213695","ALFENTANIL HCL 500MCG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"100.00","92214108","NALOXONE HCL 0.4MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"100.00","92214232","FENTANYL 25MCG/HR TDM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"100.00","92215529","NEOMYCIN SULF/POLYMYX B/HC SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"100.00","92216352","PROPAFENONE HCL 325MG CER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"100.00","92218117","FANAPT 4MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"100.50","92218200","MEMANTINE 28MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"100.50","92218262","NAMENDA XR 14MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"100.86","38300016","GAMMAGLOBULIN IGM ","82784",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"100.86","38300500","GAMMAGLOBULIN IGD FLUID ","82784",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"100.86","38300501","GAMMAGLOBULIN IGD SERUM ","82784",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"100.86","38300502","GAMMAGLOBULIN IGD URINE ","82784",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"100.86","38303150","GAMMAGLOBULIN IGG ","82784",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"100.86","38303155","GAMMAGLOBULIN IGA ","82784",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"100.90","92212747","HYDROCORTISONE NA SUCC 500MG I"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"100.90","92213921","FLUTICASONE PROP 0.005% OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10031.00","92215333","DARBEPOETIN A 200MCG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10031.00","92215579","DARBEPOETIN A 200MCG/0.4ML INJ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1004.25","39200255","HOLTER MONITOR - VISUAL ","93225",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1004.34","73500050","EEG DIGITAL ANALYSIS ","95957",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1007.00","33139854","PICC MAXHYNSGVLVPG6FTL55CM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1007.00","33139857","PICC MAX VLVPGNITDFDRP6FTL55CM"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1007.00","33152531","PICC BIOFLO MAX VLV 6FTL-55CM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"101.00","92210726","SULF-PRED 0.25-10% EYE SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"101.00","92213013","DOPAMINE HCL 400MG/D5W 500ML I"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"101.00","92215550","ORPHENADRINE CITRATE 30MG/ML I"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"101.00","92216900","MARAVIROC 150MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"101.00","92217446","FOSPHENYTOIN NA 75MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"101.00","92219338","NIMODIPINE 30 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"101.10","92213616","METHOTREXATE 25MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"101.21","38303890","EPSTEIN BARR ANTIBODY VCA ","86665",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"101.30","38300122","VON WILLEBRAND FACTOR MULTIMET","85247",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"101.50","92210487","BELLADONNA/PHENOBARB ELI "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"101.50","92212854","BICALUTAMIDE 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"101.50","92216592","ACTIQ 200MCG LOZ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"101.50","92216838","DEFEROXAMINE MESYLATE 500MG IN"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"101.85","38303777","ALBUMIN FLUID ","82042",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"101.85","38305521","ALBUMIN CSF ","82042",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"101.85","38305522","ALBUMIN MISC FLUID ","82042",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1010.00","33111404","SURGICLIP PREM S-9.0 APPLIER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1011.50","92216312","MOMETASONE FUROATE 0.22MG POW "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1013.00","33113818","TRAY PWR TRIALYSIS 15CM 3LM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1013.00","33113819","TRAY PWR TRIALYSIS 24CM 3LM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1015.50","33192404","BUTTON TRACH 10 X 27 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1016.00","92213803","DESMOPRESSIN ACET 0.01% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1016.02","74000222","GI TUBE PLACEMENT RAD GUIDANCE","74340",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1016.77","74000010","ABD FLAT & ERECT &/OR DECUB ","74019",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1017.50","33111913","KIT CATH GROSHONG LS CUFF8FR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1017.50","92210361","HYDROCORTISONE BUTYR 0.1% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1017.84","74000820","THORACIC SP 2 VIEWS ","72070",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1018.00","92212334","HEPATITIS B IMMUNE G 312U/ML I"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1019.50","33114982","SURGICLIP PREMS-9.0LIGCLIPAPPL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"102.00","92210220","VANCOMYCIN HCL 1GM INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"102.00","92210362","BSS EYE SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"102.00","92214582","UREA 10% LOT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"102.00","92218716","OPANA ER 40 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"102.00","92218751","ALFENTANIL HCL 2500MCG/5ML SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"102.00","92219005","LIDO HYDRO/EPI 2%-1:200000 SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"102.15","38202370","THROMBIN TIME ","85670",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"102.37","38301890","PHOTHER BODY FLUIDS ","83986",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"102.47","38302260","STONE ANALYSIS ","82355",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"102.50","92210316","METHYLPREDNISOLONE ACET 80MG I"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"102.50","92216048","FLUCONAZOLE 200MG/100ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"102.50","92217294","WATER STERILE INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"102.50","92218553","GLYCERIN . SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"102.86","72060022"," PLASMA CRYOPRECIPITATE REDUCE"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"102.91","38307034","HIV-2 ANTIBODY ","86702",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1020.11","74001303","SPINE-ENTIRE 4 OR 5 VIEWS ","72083",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1022.50","92219799","OLOPATADINE 0.2% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1023.00","33168380","SET PNEUMOTHORAX WAYNE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1025.00","11400020","RECOV RM EA ADDTL 30 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1028.00","92214234","PENTAMIDINE ISETHIONATE 300 PD"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"103.00","92216802","TIOTROPIUM BROMIDE 18MCG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"103.00","92217915","MAGNESIUM CL 200MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"103.00","92219775","TIOTROPIUM BROM INH 18MCG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"103.00","92219780","TIOTROPIUM BROM INH 18MCG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"103.50","92210219","OINTMENT BASE OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"103.50","92214928","ZOLPIDEM TARTRATE 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"103.50","92215108","AMMONIUM LACTATE 12% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"103.50","92216925","CLOZAPINE 100MG ODT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"103.50","92218647","M.V.I.-12 W/O VITAMIN K SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"103.50","92219603","VANCOMYCIN HCL 1 GM/200 ML INJ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"103.56","38300150","ANA TITER ","86039",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"103.56","38300357","ANTI CENTROMERE ANTIBODY ","86039",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"103.84","38302300","T-3 UPTAKE ","84479",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"103.90","92215597","ATAZANAVIR SULF 100MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"103.93","34010006","ROM TESTING EXTREMITY/TRUNK ","95851GP ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"103.93","34210315","ROM TESTING EXTREMITY/TRUNK ","95851GO ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"103.93","38300071","NIACIN LEVEL ","84591",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10329.00","92217061","IMMUNE GLOBULIN 10% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1033.50","33101812","KIT SAFETY SHARPS PEG 24FR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1034.80","92211519","ADENOSINE 3MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1035.00","92214794","BACITRACIN/HC/NEO/POLY B EYE O"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1036.60","92215039","FLUCONAZOLE 400MG/200 INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1037.00","33113032","AMNIOBAND MEMBRANE 2CMX2CM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10387.50","92218343","VELCADE 3.5 MG VIAL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1039.50","33106367","SET FEEDING SET JEJUNAL 9 FR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1039.50","92212009","BLEPHAMIDE 0.2-10% SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1039.50","92213002","PREDNISOLONE ACETATE 0.12% SUS"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1039.50","92213287","FLUOROMETHOLONE 0.1% OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"104.00","92210490","NALOXONE HCL 0.4MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"104.00","92211960","LEVOFLOXACIN 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"104.00","92212454","ALUM AMMONIUM POW "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"104.00","92214509","LEVOFLOXACIN 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"104.00","92216514","NAFCILLIN 1GM INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"104.00","92217149","OXACILLIN NA 1GM INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"104.37","38307035","HIV-1 AG W/HIV-1 & HIV-2 AB ","87389",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"104.38","38201910","PHOSPHOROUS SERUM ","84100",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"104.48","38300982","ANTI-PLATELET ANTIBODY-DIRECT ","86023",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"104.50","92215451","VASOPRESSIN 20U/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"104.50","92215470","TESTOSTERONE 1% GEL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"104.81","38300555","CHOLESTEROL - DIRECT LDL CHOOL","83721",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1040.00","33102789","KIT INTRO MIC KEY GASTRO 16FR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1040.50","92212911","FLUOCINONIDE 0.05% EMO "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1041.50","92213093","ALTEPLASE RECOMB 2MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1043.00","92215422","LINZOLID 600MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1047.14","74001191","CHEST MIN 4 VIEWS ","71048",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1047.50","33108543","PORT-TITAN IMPLNT-9.6FR CATH "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1048.00","33112439","HELMET HARD SHELL ROYAL MED "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1048.43","76000062","TC-99M TETROFOSMIN-STUDY DOSE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"105.00","92203055","ORALS 55 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"105.00","92211230","MEROPENEM 500MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"105.00","92215224","MODAFINIL 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"105.00","92215354","CASTOR/PERU BALSAM/TRYPSIN SPR"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"105.00","92216812","CASTOR/PERU BALSAM/TRYPSIN SPR"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"105.00","92216832","QUETIAPINE FUMARATE 200MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"105.00","92216840","QUETIAPINE FUMARATE 200MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"105.00","92217553","SEVELAMER CARBONATE 2.4GM PDR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"105.41","34600540","AUD ASSESS REHAB ADD 15 MIN ","92627GN ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"105.50","92212728","OLANZAPINE 5MG ODT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"105.50","92215282","OXANDROLONE 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"105.50","92216935","SODIUM POLYSTYRENE SULF SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"105.50","92218702","MEROPENEM/NS 500 MG/50ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1050.08","74000482","KNEE 4+ VIEWS BILATERAL ","7356450",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1050.08","74010075","KNEE 4+ VIEWS RT ","73564RT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1050.08","74010076","KNEE 4+ VIEWS LT ","73564LT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1051.00","33170442","BOOT WALK AIRCAST XP MED "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1054.66","74001182","BREAST SURGICAL SPECIMEN ","76098",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1056.00","33103049","TRAY CATH XRX 3LCENTVEN7FR35CM"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1056.00","38000504","SURGICAL PATH LEVEL V ","88307",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"106.00","92212554","CARTEOLOL HCL 1% EYE SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"106.00","92213879","MUPIROCIN 2% OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"106.00","92214756","COLESTIPOL HCL 5GM PDR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"106.00","92216401","CEFOXITIN NA 2GM INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"106.00","92216520","RASAGILINE 1MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"106.00","92217682","FENTANYL 12MCG/HR TDM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"106.00","92218071","LINZESS 290MCG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"106.00","92218140","LINZESS 145MCG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"106.00","92219053","LINACLOTIDE 72 MCG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"106.30","92215399","ACTIV CHARCOAL POW "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"106.60","38201650","LDH ","83615",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"106.61","38380100","RIBOFLAVIN VIT B-2 ","84252",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"106.96","38303275","MYCOPLASMA ANTIBODY ","86738",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1060.00","92212439","PRAMOXINE HCL HC 1%-1% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1065.00","33101266","TRAY CATH POWER-TRIAL CVD TRI "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1065.00","33112846","TRAY PWRTRIALYSIS 24CM13FR 3LM"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1065.00","33112848","TRAY PWRTRIALYSIS 15CM13FR 3LM"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1065.00","33113802","TRAY PWR TRIALYSIS 12.5CM 3LM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1068.00","11604967","REMOVAL TRIALYSIS CATH "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1068.00","92213257","NITROGLYCERIN 0.4MG/ACT SPR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1068.85","75000126","US PELVIS LIMITED OR FOLLOWUP ","76857",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10685.50","92216576","MULTIVATAMIN INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10686.61","77010017","CT ABD & PELVIS W/WO CONTAST ","74178",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1069.50","92218840","EXENATIDE EXT REL 2 MG SUSP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"107.00","92211782","DOBUTAMINE HCL 1GM/D5W 250ML I"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"107.00","92212952","SELENIUM SULFIDE 2.5% LOT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"107.00","92213293","LACTIC ACID 10% VIT E 3500U C"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"107.00","92214316","RANITIDINE HCL 25MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"107.00","92215994","FLUCONAZOLE 200MG/100ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"107.00","92217107","PANTOPRAZOLE NA 40MG PKT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"107.11","38303700","GAMMAGLOBULIN IGE ","82785",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"107.50","92210991","UREA 20% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"107.50","92212951","PYRIDOXINE 100MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"107.50","92213426","ERYTHROMYCIN 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"107.50","92213962","NITROGLYCERIN 50MG/250ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"107.50","92219079","IBANDRONATE SODIUM 150 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"107.50","92219390","SPIRONOLACTONE 25 MG/5 ML SUSP"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"107.50","92219480","QUETIAPINE FUMARATE 400MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"107.50","92220086","TIOTROPIUM 18 MCG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"107.74","38302145","RUBELLA ANTIBODY ","86762",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"107.94","38300076","ACHR BINDING AB SERUM ","83519",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"107.94","38300077","ACHR BLOCKING AB SERUM ","83519",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"107.94","38300078","ACHR MODULATING AB SERUM ","83519",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"107.94","38300474","TRYPSIN ","83519",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"107.94","38304300","PTH RELATED TOTAL PROTEIN ","83519",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1070.10","92212800","SODIUM POLYSTYRENE SULF SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1070.50","92211689","TIMOLOL MALEATE 0.25% GFS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1072.00","92211045","CLARITHROMYCIN 250MG/5ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1073.50","92218366","OLOPATADINE HCI 0.2% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1074.50","92215197","EPOETIN ALFA 10000U/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1074.50","92218221","TALC STERILE 5GM POW "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1074.50","92218499","TALC . POW "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1076.00","92210464","DESOXIMETASONE 0.25% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1078.00","92219370","MOXIFLOXACIN HCL 0.5% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"108.00","92212137","ESTRADIOL 0.05MG/DAY TDM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"108.00","92212900","ALCLOMETASONE DIPRO 0.05% OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"108.00","92212990","PIPERONYL BUTO PYRETHRUN EXT K"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"108.00","92217469","LACOSAMIDE 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"108.00","92220160","SUCROFERRIC OXYHYDR 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"108.00","92220444","AMMONIA ALUM PWD "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"108.10","92216455","RISPERIDONE 4MG ODT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"108.18","38200088","P-ANCA ATYPICAL TITER ","86256",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"108.25","38302190","HGB SOLUBILITY SICKLE CELL ","85660",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"108.50","92216427","DOBUTAMINE HCL D5W 500-500ML I"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"108.50","92217116","HEPARIN 20000U/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"108.82","38200491","CELL COUNT FLUIDS W/ DIFF ","89051",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"108.82","38200930","CULTURE SCREEN MRSA ","87081",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1080.38","74000750","SINUS COMP MIN 3 VIEWS ","70220",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1081.50","92217869","PENTAMIDINE ISETHIONATE 300 IN"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"10869.50","33106961","MESH VICRYL KNITTED 12x12 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1087.50","33112403","TRAY MAHURKAR 12X20 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1087.50","92212078","ACETIC ACID HC 2%-1% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"109.00","92215198","SIROLIMUS 1MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"109.00","92217983","TRDJENTA 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"109.00","92219265","LINAGLIPTIN 5 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"109.00","92219448","INFLUENZA VACCINE '19-20 SUSP"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"109.00","92220432","SCOPOLAMINE 0.33MG/24HR PATCH "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"109.25","38399312","IMMUNOASSAY FOR TUMOR ANTIGEN ","86316",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"109.26","38399352","ASSAY VITAMIN K ","84597",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"109.50","92210324","VERAPAMIL HCL 2.5MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"109.50","92211970","DONEPEZIL HCL 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"109.50","92212444","WATER STERILE SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"109.50","92213948","MINERAL OIL PETROLATUM OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"109.50","92215542","RISPERIDONE 2MG ODT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"109.50","92217676","EVEROLIMUS 0.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"109.50","92217684","FENTANYL 12MCG/HR TDM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"109.50","92220370","FENTANYL 12 MCG/HR TDM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"109.70","38306753","METHEMOGLOBIN QUAL ","83045",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"109.74","38302140","RPR ","86592",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"109.74","38303605","VDRL CSF QUALITATIVE ","86592",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"109.97","38302481","HISTOPLASMA ANTIGEN ","87385",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1093.50","92218042","BROMDAY 0.09% EYE SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1094.27","73700220","SLEEP STUDY UNATTENDED ","95806",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1094.50","92216342","DEFERASIROX 500MG TBS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1098.22","74000300","FACIAL BONES 3+ VIEWS ","70150",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1098.50","92214932","CLONIDINE HCL 0.3MG TDM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.00","92210009","SELEGILINE HCL 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.00","92210070","VERAPAMIL HCL 240MG CER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.00","92210224","CIMETIDINE 300MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.00","92210395","LEUCOVORIN CALCIUM 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.00","92210583","DIFLUNISAL 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.00","92210647","ZIDOVUDINE 100MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.00","92210783","FOSINOPRIL NA 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.00","92210801","BUMETANIDE 0.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.00","92210942","BENZONATATE 100MG SGL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.00","92211096","DONEPEZIL HCL 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.00","92211187","CLORAZEPATE 3.75MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.00","92211233","ACYCLOVIR 400MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.00","92211287","NORTRIPTYLINE HCL 10MG/5ML SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.00","92211327","CLORAZEPATE 3.75MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.00","92211376","DOXAZOSIN MESYLATE 4MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.00","92211430","HALOPERIDOL 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.00","92211456","DILTIAZEM HCL 240MG C24 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.00","92211462","TRIFLUOPERAZINE HCL 2MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.00","92212614","LEUCOVORIN CALCIUM 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.00","92212763","ZAFIRLUKAST 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.00","92212773","VENLAFAXINE HCL 37.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.00","92212885","PROPRANOLOL HCL 60MG CER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.00","92212950","METHYLPREDNISOLONE 8MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.00","92213064","DILTIAZEM HCL 240MG C24 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.00","92213180","ISOSORBIDE MN 60MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.00","92213313","FLUTAMIDE 125MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.00","92213465","BUSPIRONE HCL 15MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.00","92213541","ISRADIPINE 5MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.00","92213719","BUSPIRONE HCL 15MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.00","92214008","ORPHENADRINE CITRATE 100MG TER"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.00","92214075","OXYCODONE APAP 2.5-325MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.00","92214251","VENLAFAXINE HCL 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.00","92214506","VENLAFAXINE HCL 37.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.00","92214525","FOSINOPRIL NA 40MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.00","92214717","ZAFIRLUKAST 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.00","92215497","FLECAINIDE ACETATE 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.00","92215844","CYCLOSPORINE MOD 25MG SGL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.00","92216254","BETHANECHOL CL 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.00","92216257","OMEGA 3 ETHYL ESTERS 1GM SGL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.00","92216526","RIFAMPIN 300MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.00","92216943","CARVEDILOL 3.125MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.00","92216946","CARVEDILOL 6.25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.00","92216975","PRENATAL VITAMINS TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.00","92217078","RAMIPRIL 5MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.00","92217144","MIDODRINE HCL 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.00","92217189","CARVEDILOL 6.25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.00","92217208","VENLAFAXINE HCL 37.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.00","92217240","LACTOBACILLUS 5MG GRA "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.00","92217338","CETIRIZINE HCL 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.00","92217357","HYDROCORTISONE 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.00","92217461","AMANTADINE HCL 100MG SGL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.00","92217592","WARFARIN NA 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.00","92217747","ANASTROZOLE 1MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.00","92217817","NATEGLINIDE 120MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.00","92218025","MERCAPTOPURINE 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.00","92218226","LOPERAMIDE 1MG/7.5ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.00","92218504","FLORANEX GRANULES 1 GM GRA "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.00","92218536","LOPERAMIDE 2MG/10ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.00","92218538","FOLTANXRF3M2MG35MG90.314MGCAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.00","92219004","METHYLPHENIDATE HCl 5 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.00","92219067","SODIUM CHLORIDE NASAL0.65%SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.00","92219083","CLONAZEPAM 2 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.00","92219110","FLECAINIDE ACETATE 50 MGTAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.00","92219182","GABAPENTIN 250 MG/5 ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.00","92219557","BUMETANIDE 1 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.00","92219793","VENLAFAXINE 37.5 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.00","92219801","ACETAMINOPHEN 650MG/20.3MLSUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.00","92219804","BETALB/APAP/CAFF 50/325/40 TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.00","92219806","DIPHENHYDRAMINE 12.5MG/5ML SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.00","92219809","VENLAFAXINE 25 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.00","92220030","TOPAMAX 25 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.00","92220036","VENLAFAXINE 25 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.00","92220206","MAGNES HYDROXIDE 2400MG/30ML "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.00","92220394","BUMETANIDE 2 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.00","92220405","ACETAMINOPHEN 650 MG/20.3 ML S"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.10","92214601","VERAPAMIL HCL 360MG CER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.10","92215389","RAMIPRIL 10MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.10","92218021","VISINE ADV RELIEF SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.20","92216907","CARVEDILOL 12.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.20","92216927","CARVEDILOL 6.25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.20","92216928","CARVEDILOL 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.20","92216931","CARVEDILOL 3.125MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.40","92215037","LIOTHYRONINE NA 50MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.50","92210077","SERTRALINE HCL 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.50","92210204","TRAZODONE HCL 150MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.50","92210368","NITROFURANTOIN MCR 50MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.50","92210484","DIGOXIN 125MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.50","92210734","GLYBURIDE MICRO 1.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.50","92210822","PERPHENAZINE 4MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.50","92210910","ACETAZOLAMIDE 125MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.50","92211023","BUMETANIDE 2MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.50","92211050","THYROID 120MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.50","92211406","PERPHENAZINE 4MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.50","92211496","METOPROLOL SUCC 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.50","92211555","NICOTINE 7MG/24 HR TDM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.50","92211753","DILTIAZEM HCL 90MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.50","92211764","FLUTAMIDE 125MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.50","92211794","NICOTINE 14MG/24 HR TDM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.50","92211849","DILTIAZEM HCL 90MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.50","92211881","NITROGLYCERIN 0.4MG/HR TDM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.50","92211973","BUMETANIDE 1MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.50","92212211","NICOTINE 21MG/24HR TDM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.50","92212283","HYDROCODONE APAP 10-660MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.50","92213065","VERAPAMIL HCL 240MG CER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.50","92213299","FLUTAMIDE 125MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.50","92213527","MIDAZOLAM HCL 2MG/ML SYR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.50","92213674","LACTULOSE 10GM/15ML SYR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.50","92213779","SIMVASTATIN 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.50","92213987","LACTULOSE 10GM/15ML SYR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.50","92214830","VERAPAMIL HCL 180MG T24 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.50","92214832","LACTULOSE 10GM/15ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.50","92214873","DANTROLENE NA 100MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.50","92214977","SIMVASTATIN 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.50","92215016","LACTULOSE 10GM/15ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.50","92215220","IPRATR-ALBUTEROL 0.5-3MG/3ML S"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.50","92215533","BUSPIRONE HCL 15MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.50","92216292","BUSPIRONE HCL 15MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.50","92216662","SIMVASTATIN 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.50","92216879","MINOXIDIL 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.50","92216910","CARVEDILOL 6.25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.50","92216913","CARVEDILOL 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.50","92216915","CARVEDILOL 3.125MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.50","92216947","CARVEDILOL 12.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.50","92216948","CARVEDILOL 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.50","92216967","LACTOBACILLUS COMBO 450BU PKT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.50","92217406","LANOLIN OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.50","92217457","TOPIRAMATE 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.50","92217762","LOSARTAN POTASSIUM 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.50","92217807","CALCIUM ACETATE 667MG/5ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.50","92218277","VICODIN ES 7.5-300MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.50","92218286","AMANTADINE 100MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.50","92218521","PROGESTERONE 100 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.50","92219154","MINOXIDIL 10 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.50","92219159","NICOTINE 7 MG/24 HR PATCH "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.50","92219409","CHLORHEXIDINE GLUC 0.12% LIQ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.50","92219556","OMEGA-3 FATTY ACIDS 1 GM CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.50","92219958","BUPROPION HYDROCHL 100 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.50","92220209","DEXTRO/GUAIFEN 10MG-100MG/5ML "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.50","92220285","NICOTINE 21 MG/24 HR TDM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.50","92220402","ACETAMINOPHEN 650MG/20.3ML SUS"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.50","92220448","ACETAMINOPHEN 650MG/20.3ML LIQ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.50","92220535","NICOTINE 7 MG/24 HR TDM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.60","92216365","ZONISAMIDE 100MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.70","92213777","NEOSTIGMINE BR 15MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.70","92217360","GLYCOPYRROLATE 2MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11.80","92214020","ALPRAZOLAM 1MG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"110.00","92211107","RIFABUTIN 150MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"110.00","92211440","OLANZAPINE 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"110.00","92213431","ETOMIDATE 2MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"110.00","92214158","NALOXONE HCL 1MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"110.00","92214722","POTASSIUM PH 3MM/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"110.00","92214829","TERBINAFINE HCL 1% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"110.00","92215469","CEFEPIME HCL 1GM INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"110.00","92218500","TRANSDERM SCOP 0.33MG/24HR TDM"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"110.00","92219124","ALENDRONATE SODIUM 70 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"110.00","92219184","NEOSTIGMINE 0.5 MG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"110.00","92219807","FLUTICASONE PROPIONATE50MCGSPR"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"110.24","38343650","CRYPTOSPORIDIUM IMMUNOFLUOR ","87272",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"110.32","38307018","PNEUMOCYSTIS CARINII ","87281",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"110.50","92212277","BICALUTAMIDE 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"110.50","92213015","ENOXAPARIN NA 60MG/0.6ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"110.50","92214024","ALENDRONATE NA 70MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"110.50","92214327","ALENDRONATE NA 35MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"110.50","92214382","MUPIROCIN 2% OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"110.50","92214406","HETASTARCH 6GM/100ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"110.50","92214919","ALENDRONATE NA 35MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"110.50","92216688","ARIPIPRAZOLE 9.7MG/1.3ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"110.50","92216917","CEFTRIAXONE NA 1GM/D5W INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"110.50","92217097","ALENDRONATE NA 70MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"110.50","92217225","ALENDRONATE NA 70MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"110.50","92217227","ALENDRONATE NA 70MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"110.50","92217235","ALENDRONATE NA 35MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"110.50","92217236","ALENDRONATE NA 35MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"110.50","92217238","ALENDRONATE NA 70MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"110.50","92217243","ALENDRONATE NA 70MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"110.50","92217707","CEFEPIME HCL 1GM/50ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"110.50","92217902","ALENDRONATE NA 70MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"110.50","92219217","ALENDRONATE SODIUM 35MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"110.50","92219948","ALENDRONATE 70 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1100.00","92211914","KETOROLAC 0.5% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1101.00","33192401","BUTTON TRACH 9 X 27 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1101.50","92219520","INDOMETHACIN 50 MG SUPP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1102.55","74000500","LUMBOSACRAL SP 2-3 VIEWS ","72100",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11025.74","76080030","PET TUMOR W/CT LIMITED AREA ","78814",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1103.00","33116100","KIT INTRO MIC KEY GASTRO 18FR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1103.00","33151844","KIT TJ INTRODUCER 18FR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1103.67","74000239","THORACIC SP 3 VIEWS ","72072",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1104.00","92219187","TIOTROPIUM BROM 2.5MCG/ACT INH"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1104.47","39200450","HOLTER MONITOR SCAN/INTERP ","93226",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1106.50","33112659","SET ORTHOSIS ELBOW/HAND ADJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1107.04","75000028","US GUIDE FOR VASCULAR ACCESS ","76937",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1107.13","77000191","CT 3D RENDER W/O POSTPROCESS ","76376",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1107.50","33142195","TRACHEOSTOMY WEINMANN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1107.50","33152475","TRAY PERICARDIOCENTESIS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1107.50","73700051","EMG 2 EXTERMITY ","95861",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1107.50","92218534","RECOMBIVAX HB 40 MCG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1109.00","11600160","INCISION/DRAINAGE OF ABCE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1109.50","33102244","TRAY CATH PWRTRIALYSIS SLM20CM"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1109.50","33110383","TRAY CATH PRWTRIALSTR SLIM15CM"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1109.50","33110384","TRAY CATH PRWTRIALSTR SLIM30CM"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1109.50","92213363","DORZOLAMIDE HCL TIMOLOR MAL SO"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"111.50","92217823","RIVAROXABAN 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"111.50","92217850","RIVAROXABAN 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"111.50","92217950","RIVAROXABAN 15MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"111.50","92218008","XARELTO 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"111.50","92219050","SUBVIRION 36 MCG/0.1 ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"111.50","92219072","RIVAROXABAN 20 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"111.50","92219073","RIVAROXABAN 15 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"111.50","92220498","METHOCARBAMOL 100 MG/1 ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1110.00","92215563","MOXIFLOXACIN HCL 0.5% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1112.00","92213752","GLUCAGEN HCL 1MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1112.00","92214335","GLUCAGEN HCL 1MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1112.00","92219609","GLUCAGON 1 MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1114.00","92211950","CLOBETASOL PROP 0.05% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1114.00","92212681","CLOBETASOL PROP 0.05% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1114.99","75000040","US DOPPLER ECHO HEART COMP ADD","93320",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1119.43","75000031","US BREAST UNIL RT COMPLT ","76641RT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1119.43","75000032","US BREAST UNIL LT COMPLT ","76641LT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"112.00","92212514","MICONAZOLE NITRATE 2% TIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"112.00","92214002","CLINDAMYCIN PHOS 150MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"112.00","92216944","ATORVASTATIN CALCIUM 80MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"112.01","38399329","ANTIGEN SCREENING ","87299",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"112.50","92210105","ALBUTEROL SULF 5MG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"112.50","92214555","HEPARIN 5000U/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"112.50","92214748","ZIPRASIDONE HCL 60MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"112.50","92215367","IMIPENEM CILASTATIN NA 250MG I"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"112.50","92216594","SITAGLIPTIN PHOSPHATE 25MG TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"112.50","92216595","SITAGLIPTIN PHOSPHATE 100MG TA"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"112.50","92216596","SITAGLIPTIN PHOSPHATE 50MG TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"112.50","92216597","SITAGLIPTIN PHOSPHATE 100MG TA"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"112.50","92216598","SITAGLIPTIN PHOSPHATE 25MG TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"112.50","92216599","SITAGLIPTIN PHOSPHATE 100MG TA"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"112.50","92216600","SITAGLIPTIN PHOSPHATE 50MG TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"112.50","92216921","SITAGLIPTIN PHOSPHATE 50MG TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"112.50","92216923","SITAGLIPTIN PHOSPHATE 25MG TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"112.50","92219125","ALENDRONATE SODIUM 35 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"112.61","38300890","CULTURE CAMPY ","87046",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"112.61","38303620","YERSINIA CULT ","87046",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"112.61","38303715","CULTURE ECOLI 0157 ","87046",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"112.92","38300085","NK (NATL KILLR) CELLS TOTAL ","86357",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"113.00","92210017","BETAMETHASONE VA 0.1% OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"113.00","92214482","CLINDAMYCIN PHOS 900MG/D5W INJ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"113.26","38201930","POTASSIUM SERUM ","84132",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"113.27","38301800","OCCULT BLOOD FECAL ","82270",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"113.28","38300685","T CELLS CD4 & CD8 W/RATIO ","86360",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"113.34","38201690","LEGIONELLA TITER ","86713",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"113.47","38343651","GIARDIA IMMUNOFLUOR ","87269",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"113.50","92213682","METHADONE HCL 10MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"113.50","92214254","INSULIN HUM ISOP 100U/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"113.50","92215141","INSULIN HUM REGULAR 100U/ML IN"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"113.50","92215984","PROCHLORPERAZINE EDI 5MG/ML IN"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"113.50","92217846","OLANZAPINE 10MG ODT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"113.50","92218267","OLANZAPINE 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"113.50","92220274","NEOSTIGMINE 1 MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"113.51","38300290","BLEEDING TIME ","85002",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1132.30","74001315","HIPS 2 VIEWS BILATERAL ","73521",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1132.50","33112932","TRAY CHEST TUBE RX 1800 18FR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1132.50","33112933","TRAY CHEST TUBE RX 2000 20 FR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1132.50","33112934","TRAY CHEST TUBE RX 2400 24FR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1132.50","33158322","TRAY CHEST TUBE RX 1600 16FR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1133.00","33113820","TRAY PWR TRIALYSIS 30CM 3LM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1133.00","33113821","TRAY PWR TRIALYSIS 15CM 3LM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1133.50","92217693","GATIFLOXACIN 0.5% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1134.00","36000136","CPAP DAILY ","94660",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1134.21","74000670","RIBS BILATERAL 3 VIEWS ","71110",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1135.79","75093924","US LOWEXTART RST/STRSS COMPBIL","93924",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1136.50","92220343","DIAZEPAM TOPICAL 10 MG GEL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1136.50","92220456","DIAZEPAM RECTAL KIT 20 MG GEL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1139.00","11600052","LARYNGOSCOPY "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1139.00","33122488","TRAY CHST TUB RX C-T-2800 28FR"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"114.00","92211425","AMMONIUM LACTATE 12% LOT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"114.00","92213617","CEFOTAXIME NA 2GM INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"114.00","92215372","MODAFINIL 200MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"114.00","92217463","LACOSAMIDE 200MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"114.00","92217464","LACOSAMIDE 150MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"114.00","92219499","ETHAN/IOD/NA IOD47%-2%-2.4%SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"114.50","33102563","TUBE TRACH PED SHILEY #1 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"114.50","92212649","PIPERACIL TAZOBACT 4.5/0.5GM I"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"114.50","92214122","IRON DEXTRAN 50MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"114.50","92219905","FORMOTEROL 20 MCG/2 ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1140.50","92220182","UPADACITINIB 15MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1141.50","92215911","ACETYLCYSTEINE 200MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1147.50","92212749","KETOROLAC 0.5% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1147.60","75094000","US CAROTID UNILAT STUDY LT ","93882LT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1147.60","75094001","US CAROTID UNILAT STUDY RT ","93882RT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1149.00","92215188","BRIMONIDINE TARTRATE 0.15% SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1149.70","92211869","SUMATRIPTAN SUCC 6MG/0.5ML KIT"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"115.00","38305400","TRAMADOL SCREEN ","80373",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"115.00","92212603","GENTAMICIN SULF 0.1% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"115.00","92214557","ALENDRONATE NA 70MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"115.00","92215860","VENLAFAXINE HCL 150MG CER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"115.00","92217369","DEMECLOCYCLINE HCL 300MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"115.00","92219096","PERAMPANEL 2 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"115.00","92219290","MEROPENEM 500 MG SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"115.13","38300900","CULTURE CHLAMYDIA ","87110",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"115.30","34000560","TRACTION ","97012GP ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"115.50","92210847","SCOPOLAMINE 0.33MG/24HR TDM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"115.50","92216267","PROPOFOL 1% EMULSION INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"115.54","38300805","CRYPTOSPORIDIUM ANTIGEN ","87328",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"115.90","38303095","HEAVY METAL SCREEN ","83015",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"115.96","38307007","CLOTTING FACTOR II ","85210",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11516.50","92219340","CLINDAMYCIN PHOS 1% GEL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1153.00","33111865","DRSG MESH PROLENE 6X6 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11546.00","92216796","IMMUNE GLOBULIN 5% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1155.90","92213973","AZELAIC ACID 20% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1156.00","92217652","MINOCYCLINE HCL 100MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1159.50","33139748","KIT TRACH PERC SOFT INTRO7-9MM"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"116.00","92210944","HYDROCORTISONE ACET 25MG SUP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"116.00","92215598","EMTRICITABINE 200MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"116.10","92211522","CA CL/KCL/NA CL SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"116.50","92211902","SODIUM THIOSULFATE 25% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"116.50","92212928","KETAMINE HCL 100MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"116.50","92213366","DOPAMINE HCL 800MG/D5W 500ML I"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"116.50","92214683","FAMOTIDINE 40MG/5ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"116.50","92214696","FLUMAZENIL 0.1MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"116.50","92215386","FENTANYL 50MCG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"116.50","92216003","TERBUTALINE SULF 1MG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"116.50","92219339","BENZOYL PEROXIDE 5% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"116.57","38300010","ACETYCHOLINE RECEPTOR AB ","84238",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"116.57","38307005","SOLUBLE TRANSFERRIN RECEPTOR ","84238",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"116.59","38205087","CULTURE- EAR ","87070",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"116.75","38300166","SARS-COV-2 NAA UNIT PERFORMED ","87635",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"116.90","38000740","FLOW CYTOMETRY-2-8 MRK-INTERP ","88187",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"116.98","38300687","ANTIBODY ID LEUKOCYTE ","86021",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1161.00","92217619","BACLOFEN 10MG/5ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1162.18","75099982","SHUNT EVALUATION ","93990",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1163.50","33112862","SURGICLIP TITANIUM LIG MED 11."," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1163.50","92214628","BIMATOPROST 0.03% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1165.50","33189584","TRAY CATHWRTRI12FRCRVTEMP15CM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1166.50","92216974","ANIDULAFUNGIN 100MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1167.50","33129520","DRSG VERAFLO CLEANSE CHOICE LG"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1168.50","92212639","HALOBETASOL PROP 0.05% OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1168.86","38303652","RESPIRATORY VIRUS 12-25 TARG ","87633",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1169.50","92217601","ADVAIR HFA 45-21MCG AER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1169.50","92217895","ADVAIR HFA 115-21MCG AER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"117.00","92210246","VANCOMYCIN HCL 5GM INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"117.00","92210544","CROMOLYN NA 10MG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"117.00","92217196","ALBUTEROL SULF 90MCG ARO "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"117.00","92217458","AMLEXANOX 5% PAS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"117.00","92220088","SPIRIVA HANDIHALER 18 MCG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"117.19","38393960","COLLAGEN CROSS LINKS ","82523",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"117.30","92215613","AMINO ACIDS 8.5% IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"117.40","38302010","PROTEIN TOTAL ","84155",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"117.50","92210048","TRIMETHOBENZAMIDE HCL 100MG IN"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"117.50","92210496","VERAPAMIL HCL 2.5MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"117.50","92212312","HAEMOPHILUS B VACC 10MCG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"117.50","92213039","DOPAMINE HCL 800MG/D5W 250ML I"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"117.50","92213801","HYDROMORPHONE HCL 10MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"117.50","92216336","EMTRICITABINE 10MG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"117.50","92217805","OLANZAPINE 10MG ODT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"117.50","92218049","FIRST-MOUTHWASH BLM KIT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"117.50","92218318","INVOKANA 300MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"117.50","92219774","OLANZAPINE ODT 10 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"117.70","38200112","AMIODARONE ","80299",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"117.70","38203555","TOXOPLASM AB (IGG) ","86777",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"117.70","38203753","EOS SMEAR (URINE) ","87205",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"117.77","38302480","UREA NITROGEN (URINE) ","84540",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"117.77","38302750","CA-19-9 ","86301",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"117.96","38399980","EVEROLIMUS LEVEL ","80169",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1170.00","11600150","PARACENTESIS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1171.00","33112213","TRAY THORACIC VENT PROCEDURE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1171.00","33139917","TRAY THORACIC VENTPROC11FR10CM"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1173.50","92212144","ECONAZOLE NITRATE 1% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1173.50","92212389","TIMOLOL MALEATE 0.5% GFS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"11761.00","92215649","GOSERELIN ACET 10.8MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1177.50","92217387","FLUTICASONE PROP 100MCG POW "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1178.50","92218364","ENTEREG 12 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1179.08","73510030","SOMATOSENS EVOK POT LWR LIMBS ","95926",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"118.00","92212161","LETROZOLE 2.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"118.00","92217737","ARMODAFINIL 250MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"118.00","92218491","ONDANSETRON 4 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"118.31","38399316","B CELL TOTAL COUNT ","86355",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"118.33","38301915","PKU ","84030",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"118.49","38300630","COMPLEMENT C-3 ","86160",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"118.49","38300640","COMPLEMENT C-4 ","86160",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"118.49","38302840","COMPLEMENT C-1 ","86160",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"118.50","92210748","VERAPAMIL HCL 2.5MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"118.50","92212599","LEVOFLOXACIN 250MG/50ML D5W IN"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"118.50","92215797","NOREPINEPHRINE BIT 1MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"118.50","92215974","POLYETHYLENE GLYCOL 3350 PDS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"118.50","92218570","DAPAGLIFLOZIN PROPANEDIOL 10MG"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"118.50","92218778","LACOSAMIDE 100 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"118.50","92219011","DAPAGLIFLOZIN PROPANEDL5MGTAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"118.51","38399314","ANTIGEN SCRN W/PT SERUM EA ","86904",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"118.51","72000551","BLD TYPE PATIENT SERUM ","86904",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"118.60","92214924","OLANZAPINE 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"118.81","38200640","COMPLEMENT C-4 ","86160",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"118.81","38201760","MAGNESIUM ","83735",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"118.90","92211947","DIFLORASONE DIACETATE 0.05% CR"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"118.92","38343626","GIARDIA ANTIGEN ","87329",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1180.00","33152483","TRAY PNEUMOTHORAX WIRE14FX29CM"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1180.00","92217993","DERMOTIC OIL 0.01% OIL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1184.24","74010088","RIBS UNILATERAL W/PA CHEST RT ","71101RT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1184.24","74010089","RIBS UNILATERAL W/PA CHEST LT ","71101LT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1187.00","33111089","TUBE GASTRIC 18FR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1187.00","33111872","TUBE TRANSGAST JEJUN 22FR FEED"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1187.00","33111901","TUBE TRANSGAST JEJUN 16FR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1187.00","33119969","TUBE GASTRIC JEJUNAL 18FR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1187.00","33177524","TUBE GASTOSTOMY JEJUNAL 22FR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1187.50","92211749","MUPIROCIN 2% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"119.00","92215061","FUROSEMIDE 10MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"119.00","92217946","RUFINAMIDE 40MG/ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"119.00","92218565","MODAFINIL 100 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"119.19","38000065","CHROM ANAL ADD KARYOTYPE EA ","88280",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"119.28","38307020","SUSCEPT STUDY AGAR (ESTRIP) ","87181",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"119.30","92213805","CA ACE/K ACE/KCL/MG ACE/NA INJ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"119.49","38306600","THROMBOPLASTIN SUBSTITUTION ","85732",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"119.50","92210908","TIMOLOL MALEATE 0.25% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"119.50","92211986","METHYLPREDNISOLONE 80MG/ML INJ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"119.50","92212827","CHLORPROMAZINE HCL 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"119.50","92214426","SELENIUM 40MCG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"119.50","92217671","AMINO ACIDS 10% IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"119.50","92218300","FLUARIX QUADRIVALENT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"119.50","92219057","LIDOCAINE 4% TOP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"119.60","92216707","ERYTHROMYCIN LAC 1GM INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"119.68","34000465","IONTOPHORESIS 15 MIN ","97033GP ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"119.68","34210035","IONTOPHORESIS 15 MIN ","97033GO ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"119.70","92212390","PENTAZOCINE LACTATE 30MG/ML IN"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"119.70","92217552","NAFCILLIN 1GM/50ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"119.71","38302850","CORTISOL FREE ","82530",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"119.92","38201940","POTASSIUM URINE ","84133",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"119.92","38202040","PROTHROMBIN TIME ","85610",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"119.92","38202050","PTT ","85730",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1191.00","92220141","EXENATIDE 2 MG PEN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1198.00","33122442","SYSTEM AIRTAP LIFT COMPTBLE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"12.00","92203005","ORALS 05 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"12.00","92203010","ORALS 10 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"12.00","92210266","BACLOFEN 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"12.00","92210479","BETHANECHOL CL 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"12.00","92210501","LOSARTAN POTASSIUM 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"12.00","92210607","SELEGILINE HCL 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"12.00","92210923","DIGOXIN 250MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"12.00","92211012","DOXYCYCLINE HYCLATE 50MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"12.00","92211035","PHENAZOPYRIDINE 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"12.00","92211619","CAPTOPRIL 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"12.00","92211730","FLUVOXAMINE MAL 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"12.00","92211834","BUMETANIDE 2MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"12.00","92211871","LACTULOSE 10GM/15ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"12.00","92211957","CASTOR OIL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"12.00","92212185","HALOPERIDOL 2MG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"12.00","92212226","BACLOFEN 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"12.00","92212474","VENLAFAXINE HCL 75MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"12.00","92213010","PRAZOSIN HCL 5MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"12.00","92213375","AMIODARONE HCL 200MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"12.00","92213537","VENLAFAXINE HCL 75MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"12.00","92214011","SPIRONOLACTONE 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"12.00","92214349","WARFARIN NA 7.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"12.00","92214626","LOVASTATIN 40MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"12.00","92214749","DIAZEPAM 5MG/5ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"12.00","92214941","METOLAZONE 2.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"12.00","92215230","LOSARTAN POTASSIUM 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"12.00","92215491","GLYCOPYRROLATE 2MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"12.00","92216031","MESALAMINE 400MG ECT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"12.00","92216766","ACYCLOVIR 400MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"12.00","92216855","IPRATR-ALBUTEROL 0.5-3MG/3ML S"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"12.00","92216932","CLOZAPINE 12.5MG ODT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"12.00","92216979","SORBITOL 70% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"12.00","92216998","PROPRANOLOL HCL 120MG CER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"12.00","92217195","RAMIPRIL 10MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"12.00","92217211","VENLAFAXINE HCL 75MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"12.00","92217510","AMYLASE/LIPASE/PROTEASE ECC "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"12.00","92217511","AMYLASE/LIPASE/PROTEASE ECC "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"12.00","92217741","TACROLIMUS 0.5MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"12.00","92217906","NIFEDIPINE 60MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"12.00","92217958","PROPRANOLOL HCL 60MG CER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"12.00","92217977","PURALUBE 15-85% OIL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"12.00","92218198","METHYPREDNISOLONE 4MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"12.00","92218251","FOLTX 2-1.13-25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"12.00","92219054","CILOSTAZOL 100 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"12.00","92219868","RISPERIDONE 0.5 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"12.00","92219883","CILOSTAZOL 50 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"12.00","92220146","PRAZOSIN 5 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"12.00","92220208","VENLAFAXINE 75MG "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"12.00","92220315","BISOPROLOL 10 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"12.00","92220460","BISOPROLOL FUMARATE 10 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"12.10","92214939","PREMPRO 0.625/2.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"12.10","92216929","CLOZAPINE 25MG ODT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"12.10","92217147","CLOZAPINE 25MG ODT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"12.20","92210257","AMYLASE/LIPASE/PROTEASE ECC "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"12.30","92212061","CARISOPRODOL ASPIRIN 200-325 T"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"12.50","92210585","SALSALATE 750MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"12.50","92210593","HYDROXYZINE PAM 50MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"12.50","92210694","NAPROXEN 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"12.50","92210751","DIGOXIN 250MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"12.50","92211142","ACETAMINOPHEN 160MG/5ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"12.50","92211214","DEXTROSE FRUCTOSE PHOS ACID SO"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"12.50","92211285","GEMFIBROZIL 600MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"12.50","92211298","NIFEDIPINE 20MG SGL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"12.50","92211565","DOXEPIN HCL 100MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"12.50","92211621","DIPYRIDAMOLE 75MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"12.50","92211713","DIPYRIDAMOLE 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"12.50","92212297","ENALAPRIL MALEATE 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"12.50","92212452","VERAPAMIL HCL 120MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"12.50","92212625","ORPHENADRINE CITRATE 100MG TER"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"12.50","92213007","PROPAFENONE HCL 225MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"12.50","92213036","FAMOTIDINE 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"12.50","92213515","VENLAFAXINE HCL 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"12.50","92213580","PRIMAQUINE PH 26.3MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"12.50","92213666","CHLORTHALIDONE 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"12.50","92213724","SELEGILINE HCL 5MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"12.50","92214169","AMANTADINE HCL 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"12.50","92215210","NIFEDIPINE 60MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"12.50","92215455","OXYCODONE HCL 15MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"12.50","92216097","NIFEDIPINE 60MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"12.50","92216499","CITALOPRAM HBR 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"12.50","92216731","MORPHINE 30MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"12.50","92217141","CITALOPRAM HBR 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"12.50","92217721","AZATHIOPRINE 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"12.50","92218312","MASTISOL LIQ ADHES "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"12.50","92219246","AMYL/LIPAS/PROTS 24K-5K-17K U "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"12.50","92219352","CASTOR OIL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"12.50","92219363","CALAMINE/ZINC OXIDE8%-8%LOT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"12.50","92219527","MAGNESIUM CIT 1.745GM/30ML SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"12.50","92219752","METHYLPHENIDATE HCL 10 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"12.50","92219965","CHLORTHALIDONE 25 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"12.50","92220409","CHLORHEXIDINE GLUC 0.12% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"12.60","92212526","LOVASTATIN 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"12.60","92213513","LOVASTATIN 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"12.60","92214268","LOVASTATIN 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"12.60","92215676","BENZOYL ERYTHROMYCIN 5%-3% GEL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"12.70","92212190","CARISOPRODOL ASPIRIN 200-325 T"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"12.80","92211492","PROPRANOLOL HCL 80MG CER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"12.90","92215229","FEXOFENADINE HCL 180MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"12.99","38202865","CRYOGLOBULIN ","82595",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"120.00","72000556","RBC SERUM PRETX ID DILUTION ","86976",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"120.00","92212212","FLUTICASONE PROP 0.05% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"120.00","92212628","IMIQUIMOD 5% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"120.00","92214661","MAGNESIUM SULF 50% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"120.00","92219014","HYDROCRT NA SUCCINATE 100MGSOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"120.00","92219015","HYDROCRT NA SUCCINATE 100MGSOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"120.00","92219070","EVEROLIMUS 0.5 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"120.00","92220055","FLU VAC PED 20-21 30MCG/0.25ML"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"120.27","38300019","RH BLOOD TYPING ","86901",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"120.27","72000615","RH TYPING ","86901",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"120.50","92215425","TACROLIMUS 5MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"120.50","92215776","INFLUENZA VACC LIVE SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"120.50","92216245","OLANZAPINE 7.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"120.50","92216761","ONDANSETRON HCL 4MG ODT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"120.50","92216909","FORMOTEROL FUM 20MCG/2ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"120.50","92219841","FORMOTEROL FUMERATE 20 MCG INH"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"120.50","92220053","FLU VAC QUAD 20-21 60MCG/0.5ML"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1200.00","92216470","BRIMONIDINE TARTRATE 0.1% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1201.00","92212054","FLUOROMETHOLONE 0.1% SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1204.00","92210093","ERYTHROMYCIN 2% GEL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1204.00","92212123","TRIFLURIDINE 1% EYE SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1205.13","74010021","BREAST DUCTOGRAM 1 DUCT RT ","77053RT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1205.13","74010022","BREAST DUCTOGRAM 1 DUCT LT ","77053LT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1206.00","92213204","BOSENTAN 125MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1206.00","92220477","MOMETASONE FUROATE 110 MCG POW"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1206.65","74001104","ABD FLAT & UPRIGHT &1V CHEST ","74022",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1208.36","34010286","NPWT DISP EQUIP >50 SQ CM ","97608GP ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"121.00","33111222","TRAC SYS VAC CAN W/GEL 300ML "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"121.00","33114850","CANISTER SIMPLICITY W GEL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"121.00","92212217","OXYCODONE HCL 80MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"121.00","92212787","MORPHINE 1MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"121.00","92215985","FLUCONAZOLE 200MG/100ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"121.16","38302905","DELTA ALA ","82135",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"121.50","92216022","ORPHENADRINE CITRATE 30MG/ML I"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"121.50","92216777","ARFORMOTEROL TARTRATE 15MCG SO"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"121.50","92217099","ARFORMOTEROL TARTRATE 15MCG SO"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"121.50","92217608","COLESEVELAM HCL 3.75GM PDR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"121.50","92218351","DRONABINOL 10 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"121.50","92218893","SCOPOLAMINE 1.5 MG PATCH "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"121.50","92218992","AMINOCARPROIC ACID 500 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"121.77","38300435","CATECHOLAMINES PLASMA ","82383",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"121.98","38300063","GM1 ANTIBODIES ","83520",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"121.98","38300358","ANTI RNA POL-3 ","83520",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"121.98","38300512","IGFBP-3 ","83520",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"121.98","38300698","PLATELET FACTOR 4 ","83520",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"121.98","38303721","INTERLEUKIN 6 ","83520",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"121.98","38303825","IMMUNOASSAY NONANTIBODY ","83520",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1210.00","92204011","IV ADMIXTURE 12 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1210.50","92214039","METRONIDAZOLE 0.75% GEL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1210.60","74000530","MANDIBLE 4+ VIEWS ","70110",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1212.00","92216641","MICAFUNGIN NA 100MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1213.00","92217584","TELAVANCIN HCL 750MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1213.80","92210173","SUMATRIPTAN SUCC 6MG/0.5ML KIT"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1215.00","92213107","FOSCARNET NA 24MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1217.50","33190683","TRAY CATH PWR TRI TL 13FRX20CM"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1219.42","76020012","TC-99M SESTAMIBI - STUDY DOSE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"122.00","92212445","POTASSIUM IODIDE 1GM/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"122.00","92212890","NITROGLYCERIN 50MG/250ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"122.00","92213158","ACYCLOVIR NA 50MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"122.00","92217764","ARMODAFINIL 150MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"122.04","38000560","MOLECULAR CYTOGENETICS ","88271",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"122.10","92215517","DTAP VACCINE SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"122.14","38243614","RHEUMATOID FACTOR QUANT ","86431",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"122.20","92214125","ACTIV CHARCOAL 25GM SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"122.46","34010295","BIOFEEDBACK TRAINING ","90901GP ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"122.46","34250085","BIOFEEDBACK TRAINING ","90901GO ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"122.50","92210645","TRIAMCINOLONE 0.025% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"122.50","92215450","ETOMIDATE 2MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"122.50","92219074","TIOTROPIUM BROMIDE 18 MCG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"122.50","92219886","HYDROCORTISONE 25 MG SUPP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"122.58","38306009","EOS SMEAR (NASAL) ","89190",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"122.91","38386601","ANTI 1-A2 (ISLET CELL AB) ","86341",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"122.96","38300801","CRYPTOCOCCUS ANTIGEN (CSF) ","87327",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1221.63","74001316","HIPS 3-4 VIEWS BILATERAL ","73522",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"12216.50","92220175","RISPERIDONE 90 MG KIT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1222.50","92216797","FLUTICASONE FUROATE 27.5MCG SP"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1224.00","92212632","DOXEPIN HCL 5%CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1224.00","92216567","ADVAIR HFA 115-21MCG AER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1224.00","92218195","SULFACETAMIDE SOD 10% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1227.00","92216676","PENICILLIN G BENZ 0.6MMU/ML SU"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1227.50","92211623","NYSTATIN/TRIAMCINOLONE CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1227.50","92212512","NYSTATIN/TRIAMCINOLONE OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1229.50","33113078","KIT CATH 32CM 15.5FR PU BIOFLO"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1229.50","33113079","KIT CATH 28CM 15.5FR DRTHN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1229.50","33117070","CATHETER HEMODIAL DURAMAX 32FR"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1229.50","33117071","CATHETER HEMODIAL DURAMAX 28FR"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"123.00","38202505","VALPROIC ACID FREE ","80165",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"123.00","92211977","BRIMONIDINE TARTRATE 0.2% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"123.00","92214670","DEXTROSE 70%/WATER IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"123.00","92217069","GRANISETRON HCL 1MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"123.00","92217844","BUDESONIDE 3MG ECC "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"123.00","92218336","INVOKANA 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"123.00","92219245","EMPAGLIFLOZIN 10 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"123.00","92219930","POTASSIUM CHLORIDE 20MEQ/15ML "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"123.00","92220089","VANCOMYCIN 1.25 GM/250 ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"123.00","92220178","EMPAGLIFLOZIN 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"123.00","92220324","EMPAGLIFLOZIN 10 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"123.00","92220419","EMPAGLIFLOZIN 25 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"123.00","92220534","EMPAGLIFLOZIN 25 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"123.25","38201380","GLYCOHEMOGLOBIN (HGB A1) ","83036",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"123.25","38243605","PROTEIN URINE ","84156",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"123.27","38300212","PROTEIN C ACTIVITY ","85303",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"123.28","38300110","AMIKACIN ","80150",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"123.30","92214970","NEOMYIN SULF/POLYMYX B SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"123.48","38302215","RETICULOCYTE (AUTO) ","85045",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"123.50","92210140","HYDROCORTISONE ACET 25MG SUP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"123.50","92211172","CHLORPROMAZINE HCL 200MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"123.50","92214061","MANNITOL 20% IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"123.50","92215589","OLANZAPINE 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"123.79","38300580","C02 CONTENT ","82374",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1230.80","77000192","CT 3D RENDER W/POSTPROCESS ","76377",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1231.00","92217421","DEXTROSE NICARDIPINE HCL SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1231.00","92217422","NICARDIPINE/NACL 40MG/200ML IV"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1233.50","92216017","FLUOROURACIL 5% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1236.00","92212650","MEDROXYPROGESTERONE 150MG/ML S"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1236.00","92218721","SIMBRINZA 1%-0.2% OPHTH SUSP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1237.00","92217578","ANIDULAFUNGIN 100MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1237.50","92211679","BETAMETHASONE DP 0.05% OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1237.50","92216156","IBANDRONATE NA 150MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"124.00","92211843","DTAP VACCINE SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"124.00","92216244","ADENOSINE 3MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"124.00","92219740","SCOPOLAMINE TD 0.33MG/24HR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"124.00","92219787","SCOPOLAMINE TD 0.33MG/24HPATCH"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"124.00","92219840","SCOPOLAMINE 0.33MG/24HR PATCH "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"124.00","92220433","SCOPOLAMINE 1MG/3DAY PATCH "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"124.00","92220434","SCOPOLAMINE 1MG/3DAY PATCH "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"124.00","92220435","SCOPOLAMINE 1MG/3DAY PATCH "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"124.00","92220436","SCOPOLAMINE 1MG/3DAY PATCH "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"124.00","92220437","SCOPOLAMINE 1MG/3DAY PATCH "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"124.00","92220438","SCOPOLAMINE TD0.33MG/24HRPATCH"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"124.22","38300530","CHLORIDE BLOOD ","82435",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"124.40","92214275","AMINO ACIDS 4.25% D10W IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"124.50","92213664","FLUPHENAZINE HCL 2.5MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1240.00","36000676","CARDIOPULMONARY RESUSCITATION ","92950",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1241.50","92219230","MENINGOCOCCAL B175MCG/0.5MLSUS"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1242.71","74001192","FLUORO EXAM GASTRO/COLON TUBE ","49465",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1243.00","92216852","BUDESONIDE 90MCG POW "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1245.00","76000022","NM SPLEEN IMAGING ONLY ","78185",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1245.10","73500327","NRV COND STUDIES 5-6 STUDIES ","95909",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1245.50","33112677","TRAY CATH CVC POWELINE INT 6FR"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1245.50","33194432","TRAY CATH PWRLN DS SURCF 10FR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1247.90","92215182","FLUOROURACIL 1% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1248.51","73500090","AUDITORY EVOKED POTENTIAL ","92585",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"125.00","92210936","CALCIUM CL 10% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"125.00","92215514","OCTREOTIDE ACET 100MCG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"125.20","72070001","SPLITTING BLOOD PRODUCT EACH ","86985",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"125.30","92212694","ACTIV CHARCOAL 25GM SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"125.30","92217734","ACTIV CHARCOAL SORBITOL 50GM S"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"125.40","92217474","COAL TAR MINERAL OIL 2.5% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"125.47","38200197","ANTI-DNA ANTIBODY ","86225",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"125.50","92212196","SUCCINYLCHOLINE CL 20MG/ML INJ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"125.50","92212263","ESTRADIOL 0.1MG/DAY TDM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"125.50","92212562","DESONIDE 0.05% OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"125.50","92212780","ESTRADIOL 0.05MG/DAY TDM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"125.50","92213579","ONDANSETRON HCL 4MG ODT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"125.50","92215601","AMINO ACIDS 10% IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"125.50","92216184","ESTRADIOL 0.025MG/DAY TDM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"125.50","92216186","ESTRADIOL 0.075MG/DAY TDM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"125.50","92216410","QUETIAPINE FUMARATE 400MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"125.50","92217925","ESTRADIOL 0.05MG/DAY TDM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"125.50","92219529","LACOSAMIDE 150 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"125.50","92219590","LACOSAMIDE 200 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1253.50","92211868","CLOBETASOL PROP 0.05% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1254.00","92214386","DARBEPOETIN A 25MCG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1254.00","92215834","DARBEPOETIN A 25MCG/0.42ML INJ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1255.50","92212880","TIMOLOL MALEATE 0.5% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1256.50","92216826","FLUTICASONE PROP 50MCG POW "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1257.00","92216593","TRAVOPROST 0.004% EYE SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1259.00","92217164","RISEDRONATE NA 150MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1259.50","92218360","GILENYA 0.5 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1259.50","92219738","PROCAINAMIDE HCL 100 MG/ML INJ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"126.00","92211711","CIPROFLOXACIN 0.3% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"126.00","92214201","ZOLPIDEM TARTRATE 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"126.00","92215045","PHENYLEPHRINE HCL 2.5% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"126.00","92217341","DARUNAVIR ETHANOLATE 400MG TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"126.20","92216617","FENTANYL CITRATE 400MCG LOZ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"126.39","38200162","COVID-19 ANTIBODY IGM ","86769",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"126.50","92210630","TRIAMCINOLONE 0.1% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"126.50","92210747","ACETYLCYSTEINE 20% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"126.50","92217013","ENOXAPARIN NA 40MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"126.58","38200470","CBC W/ AUTO DIFF ","85025",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"126.59","38300082","ALCOHOL BIOMARKERS 1 OR 2 ","80321",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1260.00","76000058","NM URETERAL REFLUX ","78740",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1261.00","92219262","DAPTOMYCIN 350 MG PWD "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1261.73","72000900","TRANSFUSION BLOOD/COMPONENT ","36430",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1263.72","74001313","HIP 4+ VIEWS UNILATERAL RT ","73503RT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1263.72","74001314","HIP 4+ VIEWS UNILATERAL LT ","73503LT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1264.29","76020009","TC-99M MERTIATIDE <15 MCI "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1266.50","33112961","CLIP RESOLUTION 2261 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1266.50","33117068","CATHETER DURAFLOW 15.5F X 28CM"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1269.50","33113037","AMNIOBAND MTRX TISS 3X4CM MEMB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"127.00","33109027","CATH FILIFORM SPIRAL TIP 3FR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"127.00","33109028","CATH FILIFORM SPIRAL TIP 5FR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"127.00","33111555","DILATOR FILI SPRL 31.75CM4FR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"127.00","38200163","COVID-19 ANTIBODY IGG ","86769",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"127.00","92213353","DOPAMINE HCL 800MG/D5W 250ML I"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"127.00","92216689","PEG ELCTROLYTE LAVAGE SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"127.50","33109030","CATH FILIFORM STRAIGHT TIP 4FR"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"127.50","33109031","CATH FILIFORM STRAIGHT TIP 5FR"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"127.50","33111556","DILATOR FILI STRT 31.75CM3FR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"127.50","92211910","DPT TOX-PED SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"127.50","92218890","DOXYCYCLINE HYCLATE 100 MGCAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"127.50","92219655","ACT CHARC/SORBITOL25GM/120MLPW"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"127.50","92220025","BRIVARACETAM 50 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"127.60","34050140","AQUATIC THERAPY W/EXER 15 MIN ","97113GP ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"127.60","34210345","AQUATIC THERAPY W/EXER 15 MIN ","97113GO ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"127.60","92215430","SAFFLOWER SOYBEAN 10%-10% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"127.70","92210476","SULF-PRED 0.25-10% EYE SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1270.52","74000770","SKULL 4+ VIEWS ","70260",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"12701.00","92217549","PALIPERIDONE PALMITATE 156MG S"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1272.00","92211617","CEFUROXIME NA 1.5GM INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"128.00","92210557","CEPHALEXIN 125MG/5ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"128.00","92218165","NUCYNTA ER 150MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"128.00","92219407","CALCIUM GLUC/NACL 1000 MG PWD "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"128.14","38399306","LACTOFERRIN FECAL QUAL ","83630",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"128.29","38003011","F5 GENE LEIDEN VARIANT ","81241",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"128.29","38300074","FACTOR V (LEIDEN) MUTATION ","81241",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"128.29","38387001","F5 LEIDEN GENE ANALYSIS ","81241",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"128.31","38300116","BETA HYDROXYBUTYRATE ","82010",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"128.37","38302015","PROTEIN ELECTROPHORESIS ","84165",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"128.37","38303860","PROTEIN-ELECTROPHOR-SERUM ","84165",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"128.50","92210722","POTASSIUM CL 2MEQ/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"128.50","92216590","ACTIQ 400MCG LOZ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"128.73","38306560","CLOTTING FACTOR V ","85220",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"128.78","38200175","ANTIBODY CYSTICERCOSIS ","86682",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"128.80","38201695","LEUKOCYTE ALK.PHOS ","85540",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"128.80","38202440","URIC ACID BLOOD ","84550",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"128.80","92213765","MOMETASONE FUROATE 0.1% OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"12802.00","92219434","VASOPRESSIN 20 UNITS/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1283.00","92220507","ARGATROBAN 0.9%NACL 50MG/50ML "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1284.50","92217027","ACETIC ACID EAR SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1284.70","92215124","CICLOPIROX 0.77% GEL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1285.00","92214644","MORPHINE 10MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1286.50","92212149","FLUOCINONIDE 0.05% GEL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1287.00","11604986","DERIDEMNT SNGL DEC ULCR 1.5-3 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"129.00","38203560","TOXOPLASM AB (IGM) ","86778",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"129.00","92215157","ONDANSETRON HCL 4MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"129.00","92217118","NISOLDIPINE 8.5MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"129.00","92218620","CHARCOAL ACTIVATED PWD "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"129.18","38303195","LEPTOSPIRA ANTIBODY ","86720",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"129.25","38301883","CHLORIDE URINE ","82436",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"129.47","38300080","ALBUMIN SERUM ","82040",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"129.50","92212916","TESTOSTERONE 1% GEL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"129.50","92215426","LEUCOVORIN CALCIUM 100MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"129.50","92216713","HYALURONIDASE 150U/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"129.50","92217744","ASENAPINE 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"129.50","92218479","ANECREAM 0.04 TOP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"129.50","92218591","CAFFEINE CITRATE 20 MG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"129.50","92218955","RISPERDONE 2 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"129.50","92219354","VITAMIN A/VITAMIN D OINT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"129.68","38300403","CARBOXYHEMOGLOBIN ","82375",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"129.91","38201420","HEMATOCRIT ","85014",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1291.00","92220280","CEFIDEROCOL 1 GM PDS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1292.50","92219508","ESTRADIOL VALERATE 40MG/ML SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1295.90","92216170","PRAMLINTIDE ACETATE 0.6MG/ML S"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1296.00","92218206","ALOXI 0.05MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1298.00","92212489","DESONIDE 0.05% OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.00","92210286","LOVASTATIN 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.00","92210385","THIOTHIXENE 2MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.00","92210430","SULFASALAZINE 500MG ECT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.00","92210588","BACLOFEN 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.00","92210637","NITROGLYCERIN 0.6MG/HR TDM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.00","92210677","CARBAMIDE PEROXIDE 6.5% EAR SO"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.00","92211263","THIOTHIXENE 5MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.00","92211267","NORTRIPTYLINE HCL 50MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.00","92211417","SODIUM CL 0.65% NASAL SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.00","92211610","METOLAZONE 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.00","92211705","PROPRANOLOL HCL 80MG CER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.00","92211876","VENLAFAXINE HCL 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.00","92212546","LOSARTAN POTASSIUM 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.00","92212591","FLUPHENAZINE HCL 2.5MG/5ML ELI"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.00","92212605","FLUPHENAZINE HCL 2.5MG/5ML ELI"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.00","92212608","CEPHALEXIN 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.00","92212629","DONEPEZIL HCL 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.00","92212852","SODIUM CL 0.65% NASAL SPR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.00","92212925","FAMOTIDINE 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.00","92213004","METFORMIN HCL 1000MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.00","92213044","AMLODIPINE BESYLATE 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.00","92213729","LOVASTATIN 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.00","92213736","RAMIPRIL 2.5MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.00","92213912","LOSARTAN POTASSIUM 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.00","92214012","CITALOPRAM HBR 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.00","92214044","POTASSIUM CL 20MEQ SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.00","92214058","PHENYTOIN NA 50MG CTB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.00","92214283","DOXAZOSIN MESYLATE 4MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.00","92214338","FEXOFENADINE HCL 180MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.00","92214497","PHENAZOPYRIDINE 200MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.00","92214507","PREDNISOLONE 15MG/5ML SYR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.00","92214725","MAGNESIUM HYDROXIDE 400MG SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.00","92214896","FAMOTIDINE 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.00","92215042","LIOTHYRONINE NA 5MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.00","92215086","PERINDOPRIL ERBUMINE 4MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.00","92215143","ASCORBIC ACID 100MG/ML LIQ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.00","92215307","TOPIRAMATE 15MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.00","92215326","GABAPENTIN 400MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.00","92215724","MIDODRINE HCL 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.00","92215804","CITALOPRAM HBR 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.00","92216079","CITALOPRAM HBR 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.00","92216080","CITALOPRAM HBR 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.00","92216110","GABAPENTIN 600MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.00","92216495","CITALOPRAM HBR 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.00","92216558","OMEPRAZOLE 20MG ECC "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.00","92216709","FLUOXETINE HCL 10MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.00","92216736","TAMOXIFEN 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.00","92216816","AMLODIPINE BESYLATE 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.00","92216848","AMLODIPINE BESYLATE 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.00","92216863","FEXOFENADINE HCL 180MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.00","92217003","CLOZAPINE 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.00","92217007","AMLODIPINE BESYLATE 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.00","92217080","RAMIPRIL 10MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.00","92218139","DOXYCYCLINE 100MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.00","92218798","LOPERAMIDE 2MG/15ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.00","92219068","MAGNESIUM HYDROX400 MG/5 MLLIQ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.00","92219735","METHENAMINE MANDELATE 1 GM TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.00","92219867","GABAPENTIN 600 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.00","92219911","BUPRENORPHINE 2 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.00","92219972","PROPANOLOL 80 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.00","92220029","DIVALPROEX ER 250 MG "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.00","92220060","GABAPENTIN 800 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.00","92220100","GUAIFN/DXTMTH200MG20MG/10MLSOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.00","92220194","DOXYCYCLINE 100MG "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.00","92220465","NICOTINE 7 MG/24 HR PATCH ER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.00","92220466","NICOTINE 14 MG/24 HR PATCH ER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.00","92220467","NICOTINE 21 MG/24 HR PATCH ER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.30","92211416","PROPRANOLOL HCL 120MG CER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.40","92210555","PROPRANOLOL HCL 160MG CER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.40","92213234","FLUOXETINE HCL 20MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.40","92216904","VERAPAMIL HCL 200MG CER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.40","92217412","ALPRAZOLAM 1MG ODT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.50","92203015","ORALS 15 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.50","92210423","LOSARTAN POTASSIUM 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.50","92210612","MEXILETINE HCL 150MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.50","92211060","PRAZOSIN HCL 2MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.50","92211094","TROLAMINE SALICYLATE 10% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.50","92211183","ACETAMINOPHEN 325MG/10.15ML SO"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.50","92211380","SULFAMETHOXAZOLE/TMP SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.50","92212064","HYDROCORTISONE 0.5% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.50","92212067","VERAPAMIL HCL 180MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.50","92212132","VERAPAMIL HCL 240MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.50","92212240","FLUVOXAMINE MAL 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.50","92212296","SOTALOL HCL 80MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.50","92212482","VENLAFAXINE HCL 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.50","92212511","VENLAFAXINE HCL 37.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.50","92212985","AMITRIPTYLINE HCL 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.50","92212995","DOXAZOSIN MESYLATE 1MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.50","92213003","AMITRIPTYLINE HCL 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.50","92213056","FLUOXETINE HCL 10MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.50","92213109","GUAIFENESIN DM 100-10MG/5ML LI"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.50","92213172","ROPINIROLE HCL 4MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.50","92213298","RAMIPRIL 5MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.50","92213587","FLUOXETINE HCL 20MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.50","92213798","HCTZ TRIAMTERENE 25-37.5MG CAP"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.50","92213964","DICLOXACILLIN NA 500MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.50","92214176","GUAIFENESIN DM 100-10MG/5ML SY"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.50","92214553","VERAPAMIL HCL 200MG CER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.50","92214596","NICOTINE 7MG/24HR TDM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.50","92214719","BISACODYL 10MG NMA "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.50","92214810","NICOTINE 21MG/24HR TDM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.50","92215412","CETIRIZINE HCL 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.50","92215568","TIZANIDINE HCL 4MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.50","92215653","DIVALPROEX NA 250MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.50","92216350","MINERAL OIL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.50","92216502","CITALOPRAM HBR 40MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.50","92216811","CETIRIZINE HCL 5MG CTB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.50","92217056","CETIRIZINE HCL 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.50","92217067","CETIRIZINE HCL 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.50","92217312","DIVALPROEX NA 500MG TCP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.50","92217316","CETIRIZINE HCL 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.50","92217397","MINERAL OIL NMA "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.50","92217434","DIVALPROEX NA 250MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.50","92217496","MYCOPHENOLATE 250MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.50","92217499","MYCOPHENOLATE 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.50","92217559","CARBAMAZEPINE 100MG/5ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.50","92217882","NICOTINE 14MG/24HR TDM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.50","92218111","CHLOROQUINE PHOSPHATE 250MG TA"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.50","92218317","FUROSEMIDE 10MG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.50","92218865","GLYCERIN/LANOLIN/MIN OIL TOP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.50","92219160","NICOTINE 7 MG/24 HR PATCH "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.50","92219261","DILTIAZEM HCL ER 300 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.50","92219423","DIVALPROEX SODIUM 500 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.50","92219594","ALUM/MAG/SIMETHICONE SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.50","92219689","FUROSEMIDE 40 MG/5 ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.50","92219989","GABAPENTIN 300 MG/6 ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.50","92220365","GUAIFENESIN/DM 200MG-20MG/10ML"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.50","92220401","NIFEDIPINE 90 MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.60","92211825","IRBESARTAN 75MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.60","92213074","FLUVOXAMINE MAL 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.60","92216096","NIFEDIPINE 90MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.70","92210212","PIROXICAM 20MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.70","92212040","RIFAMPIN 300MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.70","92213459","FLUOXETINE HCL 20MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.70","92214087","METRORMIN ROSIG MAL 500-2MG TA"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.80","92214746","HCTZ LOSARTAN K 12.5-50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.85","38302831","COCAINE SCREEN ","80353",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13.90","92215881","DOCUSATE NA 100MG/10ML LIQ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"130.00","92213280","SILDENAFIL CITRATE 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"130.00","92213394","SILDENAFIL CITRATE 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"130.00","92213998","SILDENAFIL CITRATE 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"130.00","92219387","VANCOMYCIN HCL 1.25 GM SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"130.50","92212497","SODIUM FLORIDE 1.1% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"130.50","92212935","PIOGLITAZONE HCL 45MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"130.50","92214079","AMOXICILLIN CLV K 200-28.5/5 S"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"130.50","92218842","SCOPOLAMINE 1.5 MG PATCH "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"130.50","92219500","HYPROMELLOSE OPTH 2.5% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"130.62","38386433","CLOTTING FACTOR VII ","85230",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"130.80","76000064","TC-99M PERTECHNETATE PER MCI "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"130.84","38300218","C DIFFICILE ANTIGEN ","87449",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"130.84","38302537","FUNGITELL QUAL/SEMIQNT ","87449",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"130.84","38380010","BACTERIAL ANTIGEN ","87449",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1300.00","33106405","POSITIONER PATNT TRTS BARIATRC"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1303.50","92218055","PROMACTA 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1303.80","92215737","TALC 4GM SPR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1307.00","92217508","BESIFLOXACIN HCL 0.6% SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1309.80","92216534","METRONIDAZOLE 0.75% LOT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"131.00","92211007","ISOSORBIDE DN 40MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"131.00","92215261","COPPER CL 4MG/10ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"131.00","92216322","MESALAMINE 4GM/60ML NMA "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"131.00","92219287","MULTIVITAMIN . SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"131.09","38280010","BACTERIAL ANTIGEN ","87449",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"131.34","38300899","CULTURE MYCOBACT EA ISOL ","87118",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"131.50","92216407","PIPERACIL TAZOBACT 3.375GM INJ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"131.50","92217290","HYDROCODONE APAP 10-325/15ML S"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"131.50","92217728","ENOXAPARIN NA 30MG/0.3ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1318.00","92218383","COPAXONE 20 MG/ML IV SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1319.10","92218279","HEPARIN-D5W 4000U/500ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1319.50","92210980","LATANOPROST 0.005% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"132.00","92217904","MESALAMINE 4GM/60ML NMA "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"132.00","92218401","MESALAMINE 4 GM/60 ML KIT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"132.00","92220346","MESALAMINE 4 GM/60 ML SUSP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"132.13","38201882","SODIUM URINE ","84300",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"132.25","38202480","UREA NITROGEN (URINE) ","84540",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"132.44","38300216","CRYPTOCOCCUS ANTIGEN SERUM ","87899",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"132.44","38300224","INFECT AGENT AMP PROBE TECH ","87899",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"132.44","38307003","RSV-NASAL WASH/ASPIRATE ","87899",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"132.48","92216205","PARICALCITOL 4MCG SGL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"132.50","92218137","ONFI 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"132.50","92219960","MODAFINIL 100 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"132.61","38300140","ANA SCREEN ","86038",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1322.00","92215293","DOPAMINE HCL 800MG/D5W 250ML I"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1322.33","74000925","SMALL BOWEL VIA ENTEROCLYSIS ","74251",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1323.00","92216978","BRIMONIDINE TIMOLOL 0.2-0.5% S"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1325.00","33117069","CATHETER TRAY HEMODIAL 36CM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1325.50","92217711","FLUTICASONE PROP 44MCG ARO "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1329.50","92219107","MEROPENEM/VARORBACTAM 2GM VIAL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"133.00","92203044","ORALS 44 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"133.00","92210018","PEPPERMINT OIL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"133.00","92210078","TIMOLOL MALEATE 0.5% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"133.00","92211901","LEUCOVORIN CALCIUM 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"133.00","92212037","CICLOPIROX 0.77% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"133.00","92212234","TESTOSTERONE CYPI 200MG/ML OIL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"133.00","92216516","CEFOXITIN NA 2GM INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"133.00","92217377","BUDESONIDE 1MG/2ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"133.00","92217849","TESTOSTERONE 4MG/24HR TDM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"133.00","92218294","NITROPRESS 25MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"133.00","92218577","MODAFINIL 100 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"133.20","92215073","DTAP VACCINE SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"133.50","92212033","DOBUTAMINE HCL D5W 250-250ML I"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"133.50","92214665","SODIUM CL 5% EYE SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"133.50","92215353","RIBAVIRIN 200MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"133.50","92215854","COCAINE 4% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"133.50","92218112","MD-GASTROVIEW 66%-10% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"133.50","92218396","SODIUM BICARBONATE 4.2% IV SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"133.50","92219425","METHOCARBAMOL 100 MG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"133.54","38300214","THROMBOPLASTIN INHIBITION ","85705",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"133.75","38301130","ELECTROPHORESIS HEMOGLOBLIN ","83020",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"133.88","38301473","HEP B SURF AG (HBSAG) NEUTRLZN","87341",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1330.00","92215675","DESMOPRESSIN ACET 0.1MG/ML SPR"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1330.46","34010287","NPWT DISP EQUIP <=50 SQ CM ","97607GP ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1332.00","92215530","ACYCLOVIR 5% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1332.42","74000360","ABSCESS FISTULA SINUS TRACT ST","76080",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1333.32","75010009","US UP EXT ART DUPLEX COMP RT ","93931RT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1333.32","75010010","US UP EXT ART DUPLEX COMP LT ","93931LT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1334.00","92215416","TACROLIMUS 5MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1336.00","92216837","AZITHROMYCIN 1% EYE SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1339.50","92213512","OFLOXACIN 0.3% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"134.00","92214609","PHENYLEPHRINE HCL 2.5% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"134.00","92215119","ONDANSETRON HCL 4MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"134.00","92218037","MESTINON TIMESPAN 180MG "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"134.00","92218190","TRIAD WOUND CARE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"134.00","92219118","BUDESONIDE 3 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"134.50","92210656","GENTAMICIN SULF 3MG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"134.50","92214175","OCTREOTIDE ACET 200MCG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"134.50","92214752","MANNITOL 20% IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"134.50","92217554","NAFCILLIN 1GM/50ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"134.50","92218193","ANDROGEL 1.62% GEL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"134.66","38302384","THYROID STIMULATING IMM GLOB ","84445",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"134.71","38307037","FUNGI IDENTIFICATION MOLD ","87107",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"134.84","38302185","CHALMYDOPHILIA PNEUMONIAE ","87486",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1345.00","92212391","CALCIPOTRIENE 0.005% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1345.50","92215837","EPINASTINE HCL 0.05% EYE SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1346.94","75010013","LOW EXT ART DUPLEX COMP RT ","93926RT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1346.94","75010014","LOW EXT ART DUPLEX COMP LT ","93926LT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1347.00","92219833","TACROLIMUS 5 MG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1348.00","92219612","GLUCAGON KIT 1 MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1349.50","92217379","LIDOCAINE HCL 5% OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"135.00","92215987","FLUCONAZOLE 400MG/200ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"135.00","92219158","NARATRIPTAN HYDROCHL 2.5MGTAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"135.00","92219782","NARATRIPTAN 2.5 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"135.14","38302200","SODIUM SERUM ","84295",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"135.40","92211526","CEFIXIME 100MG/5ML PDR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"135.47","38201400","HAPTOGLOBIN ","83010",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"135.50","92210417","PILOCARPINE HCL 2% EYE SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"135.50","92214890","MAGNESIUM SULF 50% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"135.50","92216699","MULTIVITAMIN AQUADEKS 2MG/ML S"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"135.50","92216937","SODIUM POLYSTYRENE SULF SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"135.50","92218512","TRANSDERM SCOP 0.33MG/24HR TDM"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"135.82","38307022","ANTIGEN DETECT NOS EIA SINGLE ","87450",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13509.70","74001021","ANGIO RENAL SELECT BIL ","36252",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13513.25","74000055","ANGIO RENAL UNILATERAL RT ","36251RT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13513.25","74001022","ANGIO RENAL UNILATERAL LT ","75722LT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1352.62","74000270","ESOPHAGUS ","74220",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1353.00","92219510","EPINEPHRINE HCL 1 MG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1353.60","92214979","NEOMYIN SULF/POLYMYX B SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1356.00","74000271","SWALLOW FUNCTION W/VIDEORAD ","74230",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1356.50","92218185","REVATIO 10MG/12.5ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"136.00","92213487","GLYCOPYRROLATE 0.2MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"136.00","92213661","MILRINONE LACTATE 1MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"136.00","92218954","SUMATRIPTAN 100 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"136.00","92219163","SUMATRIPTAN SUCCINATE100MGTAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"136.00","92219173","SUMATRIPTAN SUCCINATE 50MGTAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"136.17","38303885","COLUMN CHROMATOG/MASS SPECT QT","82542",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"136.42","38307016","PROTEIN S FUNCTIONAL ","85306",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"136.42","38307017","PROTEIN S FREE ","85306",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"136.50","92212776","ITRACONAZOLE 100MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"136.50","92216036","NITAZOXANIDE 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"136.50","92216360","CITRATE PHOS DEXTROSE INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"136.50","92217065","GRAMICIDIN NEOMYCIN POLY SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"136.50","92217691","LEVOFLOXACIN D5W 500MG/100ML I"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"136.50","92217768","DORIPENEN 250MG PDR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"136.50","92218502","TRANSDERM SCOP 0.33MG/24HR TDM"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"136.57","38303888","MASS SPECT NOS QUANT EA ","83789",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"136.80","72000140","FFP THAWING PREP ","86927",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"136.89","38201990","PROLACTIN ","84146",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1360.26","75000230","US EXT ARTERY COMPLETE BIL ","93923",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1361.00","92220317","DEXMEDETOMID/NACL 4MCG/ML0.9% "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1364.00","92211787","ACYCLOVIR 5% OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1364.00","92214312","TEMOZOLOMIDE 100MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1366.00","92218040","MOMET/FORMOTEROL 100MCG5MCGINH"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1366.50","92218164","DULERA INHALER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1367.00","33113096","BSCP FLX 600MM 5MM 2.2MM AMBU "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1367.00","33189579","BRONCH ASCOPE 4 REG SINGLE USE"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1367.00","33189588","BRONCHOSCOPE ASCOPE 4 SLIM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1367.50","33163650","PORT PWR MRI ISP INT 8F CATH "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13674.50","92217954","IMMUNE GLOBULIN 1GM/10/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1368.50","92218443","LEVOTHROXINE 200 MCG SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"137.00","92212984","DOPAMINE HCL 800MG/D5W 500ML I"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"137.00","92215305","ZINC CL 1MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"137.07","38300310","BUN (UREANITROGEN) ","84520",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"137.16","38303690","GLUCOSE QUANTITATIVE ","82947",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"137.27","38301930","POTASSIUM SERUM ","84132",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"137.50","92211512","ITRACONAZOLE 10MG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"137.50","92214732","VANCOMYCIN HCL 10GM INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"137.50","92219218","ALENDRONATE SODIUM 70 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"13722.00","92218483","FLEBOGAMMA 5 GM/100 ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1375.50","33114199","GLIDESCOPE BFLEX "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1376.00","92218467","VASOSTRICT 20 UNITS/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1376.00","92220167","VASOPRESSIN 20 Units/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1376.00","92220506","VASOPRESSIN 0.2 UNITS/1 ML SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1376.00","92220522","VASOPRESSIN 20 UNITS/ML IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1376.50","33171028","INNER CANNULA 7.0 PERCUTAN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1376.50","33171029","CANN INNER 8.0 PERCUT TRACH "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1377.00","92218403","ADVAIR HFA 45 MCG/21 MCG AER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1377.50","33112102","CATH DIALYSIS HEMOSTAR 24CM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1377.50","33112254","KIT CATH HEMOSTAR 19CM 2LUM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1377.50","33112533","CATH DIALYSIS STRT 23CMX14.5FR"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1377.50","33112534","CATH DIALYSIS STRT 27CMX14.5FR"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1377.50","33150919","CATH DIALYSIS HEMOSTAR 28CM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1378.00","33139906","PORT VASCULAR PWRPORT MRI9.6FR"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"138.00","92215523","SCOPOLAMINE 0.33MG/24HR TDM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"138.00","92215966","SCOPOLAMINE 0.33MG/24HR TDM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"138.00","92216836","QUETIAPINE FUMARATE 300MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"138.00","92216841","QUETIAPINE FUMARATE 300MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"138.00","92216936","ISONIAZID 300MG/30ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"138.00","92218031","VAGIFEM 10MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"138.00","92218848","ESTRADIOL 10 MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"138.00","92219452","CHLOROPROCAINE HCL 2% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"138.15","38003010","F2 GENE 20210G >A VARIANT ","81240",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"138.15","38387000","F2 GENE ANALYSIS ","81240",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"138.50","92219035","NITROGLYCERIN 0.4 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"138.80","38200199","ANTI-SMOOTH MUSCLE ANTIBODY ","86255",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"138.80","38201450","HEPATITIS A ANTIBODY ","86708",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"138.90","92216355","MOMETASONE FUROATE 0.1% LOT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1380.50","92220142","TAFLUPROST 0.000015 SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1381.68","75000080","US RETROPERITONEAL LIMITED ","76775",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1383.50","33177312","CVC W/GR CATH 9.5FR 2 LMN W/IN"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1383.50","92216078","ERLOTINIB 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1384.52","74000370","FLUOROSCOPY 1HR OR LESS ","76000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1385.00","92220284","OLOPATADINE 0.1%SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1388.50","92218514","LOTEMAX 0.5% GEL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1389.00","92211631","TOBRAMYCIN 0.3% OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1389.00","92213021","CIPROFLOXACIN 0.3% OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"139.00","92213607","DEXMEDETOMIDINE HCL 200MCG INJ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"139.00","92217193","BENZTROPINE MESYLATE 1MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"139.00","92218820","ALBUTEROL SULF 0.09MG/ACT INH "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"139.11","34600200","TYMPANOMETRY ","92567GN ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"139.24","38301481","HEPATITIS C AMP. PROBE TECH ","87521",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"139.40","38300095","ALKALINE PHOSPHATASE TOTAL ","84075",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"139.50","92217942","LEVETIRACETAM 10MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"139.50","92220056","CU/MANGANESE/SELENIUM/ZN SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"139.61","38302734","C. DIFF. TOXIN B CYTOTOX ASSAY","87230",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"139.61","38302735","C. DIFF. CULT. ","87230",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"139.61","38305210","ASSAY TOXIN OR ANTITOXIN ","87230",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"139.91","38200117","CA 27.29 ","86300",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"139.91","38200120","AMMONIA ","82140",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1392.49","75000131","US PREG UTERUS <14 WEEKS 1ST G","76801",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1394.50","33102141","TRAY PNEUMOTH CUTRTY 1400 WAYN"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1396.09","74000220","CYSTOGRAM 3+ VIEWS ","74430",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1396.60","92214305","LOTEPREDNOL ETABONATE 0.2% SUS"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1397.50","92219608","GLUCAGON KIT 1 MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1397.88","74076010","FLUORO GUIDE FOR CV ACCESS ","77001",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.00","92210384","PIROXICAM 10MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.00","92210581","LOXAPINE SUCCINATE 50MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.00","92210897","ALPRAZOLAM 1MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.00","92210911","LACTULOSE 10GM/15ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.00","92211429","AMOXICILLIN CLV K 125-31.25 PD"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.00","92211433","TRIFLUOPERAZINE HCL 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.00","92211463","FLUVOXAMINE MAL 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.00","92211688","FLUVOXAMINE MAL 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.00","92211727","WARFARIN NA 2MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.00","92211875","PRIMIDONE 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.00","92212017","ZINC OXIDE 20% OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.00","92212147","SOTALOL HCL 80MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.00","92212148","DILTIAZEM HCL 300MG C24 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.00","92212361","LOXAPINE SUCCINATE 50MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.00","92212586","METHENAMINE HIPP 1GM TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.00","92212878","POTASSIUM CITRATE 10MEQ TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.00","92212967","DOXAZOSIN MESYLATE 2MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.00","92212982","FLUOXETINE HCL 20MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.00","92213312","PAROXETINE HCL 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.00","92213430","SOTALOL HCL 80MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.00","92213554","FLUOXETINE HCL 10MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.00","92213860","CITALOPRAM HBR 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.00","92214257","FLUVOXAMINE MAL 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.00","92214322","PAROXETINE HCL 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.00","92214374","AZATHIOPRINE 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.00","92214443","DIVALPROEX NA 250MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.00","92215087","NIFEDIPINE 90MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.00","92215464","SOTALOL HCL 80MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.00","92215526","NIFEDIPINE 90MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.00","92215561","FLUOXETINE HCL 10MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.00","92215665","PAROXETINE HCL 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.00","92215908","MIRTAZAPINE 7.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.00","92216054","MIRTAZAPINE 15MG ODT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.00","92216069","CITALOPRAM HBR 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.00","92216094","SOTALOL HCL 80MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.00","92216438","OXYBUTYNIN CL 5MG/5ML SYR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.00","92216649","GABAPENTIN 600MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.00","92217138","CITALOPRAM HBR 40MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.00","92217220","DAPSONE 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.00","92217354","LEVETIRACETAM 750MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.00","92217520","CHLORHEXIDINE GLUC GEL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.00","92217604","SUMATRIPTAN SUCC 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.00","92217697","BELLADONNA ALK ANALGESICS CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.00","92217857","PETROLATUM OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.00","92217909","NIFEDIPINE 90MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.00","92218106","SUMATRIPTAN SUCCINATE 100MG TA"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.00","92218385","WHITE PETROLATUM . OINT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.00","92220265","AMANTADINE 50 MG/5 ML LIQ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.00","92220300","DEXTROSE 5% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.10","92216191","PROPOXYPHEN APAP 100-325MG TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.10","92217929","FENOFIBRATE 40MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.20","92215562","ORTHO TRI-CYCLEN LO TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.20","92215989","NA PHOS DIBASIC/MONOBASIC TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.30","92211262","RANITIDINE HCL 300MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.30","92212873","AMMONIA AROMATIC SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.40","92211644","CHLORDIAZEPOXIDE CLIDINM BR CA"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.40","92214637","CITALOPRAM HBR 40MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.40","92217154","FELODIPINE 10MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.50","92203056","ORALS 56 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.50","92203058","ORALS 58 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.50","92210037","SODIUM CL 0.65% NASAL SPR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.50","92210146","AMANTADINE HCL 100MG SGL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.50","92210531","FLUOXETINE HCL 20MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.50","92210914","HYDROXYCHLOROQUINE 200MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.50","92211333","HYOSCYAMINE SULF 0.125MG/ML LI"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.50","92211426","NORETHINDRONE ACET 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.50","92211514","IRBESARTAN 150MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.50","92211584","FLUVOXAMINE MAL 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.50","92211642","AMYLASE/LIPASE/PROTEASE ECC "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.50","92211946","PIROXICAM 20MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.50","92211951","LIDOCAINE HCL 2% VISCOUS SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.50","92212198","CLOTRIMAZOLE 10MG LOZ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.50","92212720","RANITIDINE HCL 300MG SGL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.50","92213149","GEMFIBROZIL 600MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.50","92214120","CITALOPRAM HBR 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.50","92214203","MISOPROSTOL 200MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.50","92214328","FLUOXETINE HCL 20MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.50","92214515","DOXAZOSIN MESYLATE 2MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.50","92214630","FELODIPINE 10MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.50","92214791","CLOTRIMAZOLE 10MG LOZ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.50","92215176","ERGOCALCIFEROL 50000U SGL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.50","92215268","DILTIAZEM HCL 300MG C24 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.50","92215350","CIPROFLOXACIN 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.50","92215419","OXYCODONE APAP 7.5-325MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.50","92215609","HCTZ OLMESARTAN MED 12.5-20 TA"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.50","92215656","MIRTAZAPINE 15MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.50","92215717","PAROXETINE HCL 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.50","92215990","TROSPIUM CL 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.50","92216056","MIRTAZAPINE 30MG ODT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.50","92216258","FLUOXETINE HCL 20MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.50","92216260","BETHANECHOL CL 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.50","92216575","SERTRALINE HCL 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.50","92216581","MIDODRINE HCL 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.50","92217053","OXCARBAZEPINE 300MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.50","92217226","MIRTAZAPINE 15MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.50","92217749","FLUOXETINE HCL 20MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.50","92218612","MORPHINE SULFATE 10MG/0.5MLSOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.50","92218845","ACAMPROSATE CALCIUM 333MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.50","92218869","MULTI INGREDIENT LOTION LOT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.50","92219428","OXYCODONE/APAP 7.5MG-325MGTAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.50","92219881","DIPHENHYDRAMINE 25MG/10ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.50","92220027","TROLAMINE SALICYLATE 10% "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.50","92220309","URSODIOL 250 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.50","92220403","BACLOFEN 5 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.50","92220486","MAGNESIUM HYDRO 2400MG/30MLSUS"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.60","92212882","ISOPROPYL ALCOHOL 70% LIQ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.80","92212158","KETOPROFEN 200MG CER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.80","92214247","AMYLASE/LIPASE/PROTEASE ECC "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.80","92215135","FLUOXETINE HCL 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.80","92215644","MIRTAZAPINE 30MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.80","92215824","HCTZ VALSARTAN 12.5-80MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.90","92215664","PAROXETINE HCL 30MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14.90","92215858","PAROXETINE HCL 30MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"140.00","92213256","NYSTATIN 100000U/GM OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"140.00","92216442","PROPOFOL 1% EMULSION INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"140.00","92217755","OXYCODONE HCL 60 MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"140.00","92219410","BRIVARACETAM 100 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"140.25","34000270","WHIRLPOOL ","97022GP ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"140.25","34210005","WHIRLPOOL ","97022GO ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"140.34","72000614","ZIKA TESTING ON BLOOD PRODUCT ","87662",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"140.50","92212693","ISOPROPYL ALCOHOL 99% LIQ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"140.50","92215267","AMMONIUM LACTATE 12% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"140.50","92218180","EXELON ER 13.3MG/24HR TDM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"140.50","92219199","NAFCILLIN SODIUM 2GM/100 MLSOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"140.67","38302216","LEUKOCYTE COUNT FECAL ","89055",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1401.50","92211824","IPRATR-ALBUTEROL 200ACT ARO "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1402.19","74001304","SPINE-ENTIRE MIN 6 VIEWS ","72084",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1402.50","92210915","CLOBETASOL PROP 0.05% OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1408.50","33106308","MASK CPAP LG SLP FITLIFE FACE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1408.50","33106309","MASK CPAP SM SLP FITLIFE FACE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14084.50","92213619","LEUPROLIDE ACET 22.5MG KIT PI3"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"141.00","38303625","17-HYDROXYCORTICOSTEROID ","83491",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"141.00","92210683","BETAMETHASONE VA 0.1% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"141.00","92217350","ANTACID COMBINATION SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"141.00","92217528","IBUPROFEN 100MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"141.00","92218744","PHENYLEPH HYDCHL 50MG/5ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"141.50","92212094","FLUOCINONIDE 0.05% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"141.50","92215319","DALTEPARIN NA 2500U/0.2ML SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"141.50","92220268","ENTECAVIR 0.5 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"141.67","38301385","GONORRHEA DNA PROBE ","87800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1411.00","36000132","BIPAP DAILY ","94660",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1411.00","92220412","INSULIN GLAR RECOM 100U/ML SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1412.01","73500328","NRV COND STUDIES 7-8 STUDIES ","95910",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1413.45","76020019","F-18 FDG PER STUDY DOSE <45MCI"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1413.50","33139746","MASK CPAP AMARA VW HEADGEAR LG"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14168.50","92217241","ROMIPLOSTIM 250MCG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1418.00","92218380","ADVAIR HFA 115MCG-21MCG AER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1419.00","92219315","FILGRASTIM-AAFI300MCG/0.5MLSOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1419.00","92219316","FILGRASTIM-AAFI300MCG/0.5MLSOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"142.00","92212110","NYSTATIN 100000U/GM CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"142.00","92216224","ADENOSINE 3MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"142.02","38301600","IRONSERUMCHEMICAL ","83540",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"142.13","38200572","CMV IGG ANTIBODY ","86644",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"142.13","38201220","FIBRINOGEN ","85384",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"142.29","38301181","FECAL HGB IMMUNOASSAY ","82274",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"142.30","92211954","METIPRANOLOL 0.3% EYE SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"142.41","38301455","HEPATITIS A ANTIBODY IGM ","86709",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"142.50","92214892","CYCLOSPORINE 50MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"142.50","92216878","RISEDRONATE NA 35MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"142.50","92217008","ENOXAPARIN NA 80MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"142.50","92217024","FENTANYL 50MCG/HR TDM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"142.50","92218701","MEROPENEM/NS 1000 MG/50ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"142.50","92218824","CEFTAZIDIME/DEX 5% 2GM/50MLSOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"142.50","92219254","ELUXADOLINE 100 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"142.50","92220038","LEVETIR/NACL .9%500MG/100MLSOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"142.50","92220077","LIPIDS -FISH/PLANTBASE 20% EMU"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"142.73","38300156","LEGIONELLA PNEUMOPHILIA ","87541",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1424.00","92217159","GLATIRAMER ACET 20MG/ML KIT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1424.15","75010026","US EXTREM COMPLT BILAT ","7688150",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1424.15","75010027","US EXTREM COMPLT RT ","76881RT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1424.15","75010028","US EXTREM COMPLT LT ","76881LT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1427.87","74000671","RIBS BILATERAL WITH PA CHEST ","71111",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1428.50","75000175","US HEAD/NECK SOFT TISSUE ","76536",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1429.00","92217659","MULTIVATAMIN 10 ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"143.00","38303520","THIOCYANATE ","84430",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"143.00","92212258","ONDANSETRON HCL 4MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"143.00","92214286","MANNITOL 20% IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"143.00","92219693","PHENYLEPHRINE HCL 10/MG/ML SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"143.00","92220344","EPOETIN ALFA-EPBX 2000U/ML SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"143.20","92213014","ISOPROTERENOL HCL 0.2MG/ML INJ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"143.25","38300901","CULTURE VIRAL ","87252",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"143.25","38302820","CMV CULTURE (TISSUE) ","87252",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"143.50","92212527","HYDROXYZINE HCL 25MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"143.50","92212563","AK-PENTOLATE 1% EYE SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"143.50","92218530","TRANEXAMIC ACID 1000MG/10MLINJ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"143.50","92219496","LIDOCAINE HCL OPTH 3.5% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"143.64","38200198","ANTI-MITOCHONDRIAL ANTIB ","86255",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"143.81","38399330","CULTURE ANAEROBIC ","87073",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1434.00","11600100","THORACENTESIS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1435.71","38200472","LEVITIRACETAM ","80177",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1436.00","92219708","DULAGLUTIDE 0.75 MG/0.5 ML INJ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1436.00","92220059","DULAGLUTIDE 1.5 MG/0.5 ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1437.00","92215167","MALATHION 0.5% LOT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1439.50","92212593","SALMETEROL XINAFOATE 46MCG AER"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1439.50","92219240","SALMETEROL XINAFOATE0.046MGINH"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"144.00","33111542","CATH FILI CD TIP 31.75CM 3FR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"144.00","33111543","CATH FILI CD TIP 31.75CM 4FR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"144.00","33111544","CATH FILI CD TIP 31.75CM 5FR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"144.00","92211510","ROCURONIUM BROMIDE 10MG/ML INJ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"144.00","92213643","LEVOFLOXACIN 750MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"144.10","92210032","LEVOBUNOLOL 0.25% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"144.19","38301400","HAPTOGLOBIN ","83010",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"144.35","38200346","CRP (HIGH SENSITIVITY) ","86141",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"144.40","92214905","POTASSIUM CL 2MEQ/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"144.50","92213245","HYDROGEN PEROXIDE 3% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"144.50","92219016","HYDROGEN PEROXIDE 3% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"144.75","38000040","CYTO-SMEAR ANY-SOURCE ","88160",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"144.88","34010076","PT EDUCAT/TRAINING 30/MIN ","98960GP ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"144.88","34299985","PT/FAMILY TRAINING EA 30 MIN ","98960GO ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"144.88","34699985","PT/FAMILY TRAINING EA 30 MIN ","98960GN ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"144.90","92215036","ALOSETRON HCL 1MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1441.00","92217776","CERTAROLINE FOSAMIL 600MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1441.00","92217777","CERTAROLINE FOSAMIL 400MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1441.66","75000133","US PREGNANT UTERUS TRANSVAGINA","76817",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1446.00","92218314","ZOSTAVAX 19400UN INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1446.00","92219190","ZOSTER VACCINE . SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1446.40","74001306","CERVICAL SP 6 OR MORE VIEWS ","72052",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1447.00","33103294","BRONCHOSCOPE5.0/2.2FLEX SGLUSE"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1447.00","33105671","KIT CATH HEMO XK ACRV 16F 28CM"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1449.00","92216074","ERLOTINIB 150MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1449.80","92217992","SYMLINPEN 1000MCG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"145.00","92211345","BETAMETHASONE DP 0.05% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"145.00","92212164","CLOTRIMAZOLE BETAMETH 1-0.05 C"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"145.00","92214260","CEFTAZIDIME DEXTROSE 1GM/50 IN"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"145.00","92219682","CHLOROPROCAINE 3% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"145.18","38301416","H.PYLORI NON-RADIO ISO ","83013",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"145.18","38303850","H.PYLORI-BREATH TEST ANALYSIS ","83013",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"145.30","92213476","RISEDRONATE NA 30MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"145.46","38200130","AMYLASE ","82150",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"145.46","38201472","HEPATITIS B CORE ANTIBODY ","86704",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"145.46","38202160","SENSITIVITY (MIC) ","87186",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"145.50","92215889","LIPIDS 10% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"145.50","92219736","METHYLNALTREXONE BROM 150MGTAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"145.50","92219942","SOD ZIRCON CYCLOSIL 10GM/ PKT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"145.57","38301830","OVA AND PARASITES ","87177",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"145.60","38301910","PHOSPHOROUS SERUM ","84100",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"145.70","92211734","PHENYLEPHRINE HCL 2.5% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1450.00","92217812","FIDAXOMICIN 200MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1451.00","92216920","BUDESONIDE FORMOTRL 80/4.5 AER"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1456.85","38000505","SURGICAL PATH LEVEL VI ","88309",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1457.50","92219892","MOMETASONE 200MCG/ACTUATN ARO "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"146.00","36000530","PASSY MUIR VALVE ASSIST ","92507",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"146.00","92215331","ENOXAPARIN NA 80MG/0.8ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"146.00","92215996","FLUCONAZOLE 400MG/200ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"146.00","92217550","SUMATRIPTAN SUCC 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"146.00","92219164","SUMATRIPTAN SUCCINATE 25MGTAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"146.00","92220254","SUMATRIPTAN 25 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"146.42","38301985","PROGESTERONE ","84144",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"146.43","34020003","VESTIBULAR REHAB ","95992",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"146.43","38300091","ALPHA-FETOPROTEIN SERUM ","82105",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"146.50","92210493","SILVER SULFADIAZINE 1% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"146.50","92217201","MESALAMINE 4GM/60ML NMA KIT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"146.50","92217645","DIANEAL 2.5% PD-2 DEXTROSE IVS"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"146.57","38200495","CERULOPLASMIN ","82390",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"146.70","38343620","CLOTTING FACTOR X ","85260",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1462.00","92212601","IRINOTECAN HCL 20MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1466.50","92218056","PREVNAR 13 INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1468.50","92218341","QVAR 0.08 MG/ACTUATION "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1469.50","92212790","CEFUROXIME AXETIL 250MG/5ML SU"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"147.00","92212462","ROPIVACAINE HCL 10MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"147.00","92218735","ALBUTEROL SULFATE 0.09 MG INH "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"147.00","92219037","HYDROCRT NA SUCCINATE250MG SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"147.09","38306802","HEPATITIS B VIRUS QUANT ","87517",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"147.38","38399331","SHIGA-LIKE TOXIN ","87427",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"147.50","92210364","BACITRACIN/POLYMYXIN B OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"147.50","92210794","CREAM MULTI INGREDIENT CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"147.50","92214289","DOXYCYCLINE HYCLATE 100MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"147.50","92214745","ZIPRASIDONE HCL 80MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"147.50","92216265","MODAFINIL 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"147.60","92214085","DEXTROSE 70%/WATER IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"147.68","38200196","ANTI NEUTROPHILIC ANTIBODY ","86255",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"147.68","38200895","CULTURE CATH-TIP ","87070",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"147.68","38202540","VITAMIN B-12 ","82607",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"147.68","38203015","T4 FREE (THYROXINE) ","84439",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"147.71","38300595","CLOTTING FUNCTION ACTIVITY ","85397",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"147.90","92211641","ZOLMITRIPTAN 2.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1471.50","92210177","CLOBETASOL PROP 0.05% EMO "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1472.50","92219796","LATANOPROSTENE BUNOD 0.024%SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1477.50","92217750","BIMATOPROST 0.01% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1479.00","92210547","TOBRAMYCIN DEX 0.3-0.1% OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"148.00","38300515","CHLAMYDIA (ELISA) ","87320",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"148.00","92215566","NITROGLYCERIN 0.4MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"148.00","92216861","RIVASTIGMINE 9.5MG/24HR TDM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"148.00","92216864","RIVASTIGMINE 4.6MG/24HR TDM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"148.10","92211712","BENZOYL PEROXIDE 10% GEL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"148.13","38301590","ASPERGILLUS ","87305",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"148.13","38301591","GALACTOMANNAN ANTIGEN ","87305",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"148.30","92216389","LOTION MULTI INGREDIENT LOT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"148.50","92218746","SONAFINE TOP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"148.50","92219398","BELLADONNA/OPIUM 16.2-30MGSUPP"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"148.78","38300509","CULT TYP DNA AMP PROBE EA ORG ","87150",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"148.79","38200540","CHOLESTEROL (TOTAL) ","82465",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"148.79","38201541","HERPES SIMPLEX TYPE 2 ABY ","86696",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"148.79","38202010","PROTEIN TOTAL ","84155",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"148.79","38243603","CREATININE RANDOM URINE ","82570",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"148.90","92212557","ONDANSETRON HCL 4MG/5ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1480.89","74001305","CERVICAL SP 4 OR 5 VIEWS ","72050",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1485.00","92218095","ARGATROBAN 1MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1486.32","74001280","FLOURO NEEDLE GUIDE SPINE ","77003",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1486.50","33151442","KIT CATHETER PLEURX STARTER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"149.00","92203031","ORALS 31 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"149.00","92217767","DORIPENEM 250MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"149.00","92219551","VANCOMYCIN 1.5 GM/300 ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"149.05","34000650","TEST PHYSICAL PERFORM 15 MIN ","97750GP ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"149.05","34210355","PHYSICAL PERFORM TEST 15MIN ","97750GO ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"149.06","38303865","PROTEIN-ELECTROPHOR-OTH FLUID ","84166",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"149.10","92212534","HALOBETASOL PROP 0.05% OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"149.20","38300694","CREATININE URINE 24HR ","82570",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"149.20","38305534","CREATININE MISC FLUID ","82570",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"149.20","38343603","CREATININE RANDOM URINE ","82570",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"149.50","92214135","NYSTATIN 100000U/GM POW "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"149.50","92216958","RANITIDINE HCL 150MG/10ML SYR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"149.50","92217644","DIANEAL 4.25% PD-2 DEXTROSE IV"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"149.50","92218151","SUPRAX 400MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"149.70","92210901","CEFACLOR 250MG/5ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"149.90","38201475","HEPATITIS BE ANTIGEN EIA ","87350",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"149.90","38202350","THEOPHYLLINE ","80198",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1491.50","33198021","PROBE HEMOSTASIS BIPOLAR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1493.68","75010015","EXT VEIN DUPLEX STUDY LIMIT RT","93971RT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1493.68","75010016","EXT VEIN DUPLEX STUDY LIMIT LT","93971LT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1494.50","92218404","TARCEVA 100 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"14941.50","92218310","ACTEMRA 20MG/ML "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1495.00","76000140","NM VENOUS THROMBOSIS BILATERAL","78458",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1496.00","92210668","IMMUNE GLOBULIN 5% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1496.00","92213559","PAMIDRONATE DISOD 30MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1497.00","92216441","METRONIDAZOLE 1% GEL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1497.50","33103697","SYSTEM TURN POSITION 800LB2XL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"15.00","38302455","PORPHYRINS (URINE QUAL) ","84119",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"15.00","92210236","TRIAZOLAM 0.125MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"15.00","92210448","TOLNAFTATE 1% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"15.00","92210632","ENALAPRIL MALEATE 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"15.00","92211017","HCTZ LOSARTAN K 12.5-50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"15.00","92211133","PAROXETINE HCL 30MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"15.00","92211141","NAPROXEN 375MG ECT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"15.00","92211307","PERPHENAZINE 8MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"15.00","92211367","NORTRIPTYLINE HCL 50MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"15.00","92211683","BUTALBITAL COMP/COD #3 CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"15.00","92212083","NYSTATIN 100000U/ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"15.00","92212205","RISPERIDONE 1MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"15.00","92212667","PAROXETINE HCL 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"15.00","92213795","CITALOPRAM HBR 40MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"15.00","92214618","MIRTAZAPINE 30MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"15.00","92214820","PIMOZIDE 2MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"15.00","92214855","CYCLOPHOSPHAMIDE 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"15.00","92214891","TACROLIMUS 0.5MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"15.00","92214929","ETHOSUXIMIDE 250MG SGL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"15.00","92215667","PAROXETINE HCL 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"15.00","92215720","PAROXETINE HCL 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"15.00","92216207","CYCLOSPORINE MOD 50MG SGL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"15.00","92216369","PAROXETINE HCL 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"15.00","92216536","SIMVASTATIN 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"15.00","92216571","SERTRALINE HCL 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"15.00","92216574","SERTRALINE HCL 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"15.00","92216871","PAROXETINE HCL 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"15.00","92217001","OXCARBAZEPINE 300MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"15.00","92217202","ROPINIROLE HCL 2MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"15.00","92217203","ROPINIROLE HCL 2MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"15.00","92217232","MIRTAZAPINE 30MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"15.00","92217471","NITROGLYCERIN 2% OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"15.00","92217969","LEVETIRACETAM 100MG/ML 5ML SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"15.00","92218207","ZARAH 3MG-0.03MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"15.00","92218229","VANCOMYCIN HCI 50MG/ML ORAL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"15.00","92218302","ZOLOFT 20MG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"15.00","92218498","SERTRALINE HYDROCHL 50 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"15.00","92218519","DICLOFENAC SODIUM 100 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"15.00","92218540","FIRST-VANCOMYCIN 25 25 MG/MLSO"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"15.00","92218873","DICLOFENAC POTASSIUM 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"15.00","92218877","POLYET GLYC3350 17 GM/DOSE PKT"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"15.00","92218941","PAROXETINE 30 MGTAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"15.00","92219140","CETIRIZINE HYDROCHLOR 5MGTAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"15.00","92219497","ISOPROPYL ALCOHOL 70% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"15.00","92219712","AMANTADINE HCL 100 MGTAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"15.00","92219865","POLYETH GLYC 3350 17GM/DS PKT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"15.00","92220195","CYCLOSPORINE MODIFIED 50MG "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"15.10","92212532","DICLOFENAC NA MISOPRO 50-0.2 E"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"15.10","92212933","MIRTAZAPINE 45MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"15.10","92215657","MIRTAZAPINE 45MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"15.10","92216313","MIRTAZAPINE 45MG ODT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"15.20","92215343","AMYLASE/LIPASE/PROTEASE ECC "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"15.30","92211905","ISRADIPINE 5MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"15.30","92211915","GLYCERIN LIQ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"15.30","92217355","LEVETIRACETAM 250MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"15.40","92215511","NICARDIPINE HCL 45MG CER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"15.40","92216767","LOVASTATIN 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"15.50","92210409","SERTRALINE HCL 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"15.50","92210564","SELEGILINE HCL 5MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"15.50","92210927","SERTRALINE HCL 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"15.50","92211505","RANITIDINE HCL 300MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"15.50","92211595","SERTRALINE HCL 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"15.50","92211608","DILTIAZEM HCL 120MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"15.50","92211691","DEXTROAMPHETAMINE SULF 5MG TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"15.50","92211793","CAPTOPRIL 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"15.50","92212208","SERTRALINE HCL 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"15.50","92212236","FLUPHENAZINE HCL 5MG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"15.50","92212718","CLORAZEPATE 7.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"15.50","92213040","NIFEDIPINE 60MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"15.50","92213405","SERTRALINE HCL 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"15.50","92213610","FLUOXETINE HCL 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"15.50","92213925","FELODIPINE 10MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"15.50","92213963","FLUOXETINE HCL 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"15.50","92214005","RIFAMPIN 150MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"15.50","92214267","PHENOL 1.4% LIQ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"15.50","92215626","MIRTAZAPINE 45MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"15.50","92215725","PAROXETINE HCL 30MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"15.50","92215859","PAROXETINE HCL 40MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"15.50","92215976","SERTRALINE HCL 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"15.50","92216058","MIRTAZAPINE 45MG ODT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"15.50","92216111","GABAPENTIN 800MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"15.50","92216648","GABAPENTIN 800MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"15.50","92216678","PHENELZINE SULF 15MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"15.50","92216723","SERTRALINE HCL 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"15.50","92216725","SERTRALINE HCL 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"15.50","92216991","PROPRANOLOL HCL 160MG CER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"15.50","92217168","NITROGLYCERIN 0.1MG/HR TDM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"15.50","92217216","LEVETIRACETAM 250MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"15.50","92218116","LIMBREL 250MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"15.50","92218966","MIRTAZAPINE 45 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"15.50","92219286","TORSEMIDE 100 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"15.50","92220118","POTASSIUM CITRATE 10 MEQ TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"15.50","92220229","GABAPENTIN 800 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"15.60","92211865","RANITIDINE HCL 300MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"15.60","92212542","AMYLASE/LIPASE/PROTEASE ECC "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"15.70","92215607","HCTZ OLMESARTAN MED 12.5-20 TA"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"15.70","92215670","PAROXETINE HCL 40MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"15.80","92214910","PERINDOPRIL ERBUMINE 8MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"15.80","92217044","LANOLIN PETROLATUM 15.5-53.4 O"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"15.95","74020009","LOCM 300-399MG/ML IODINE/1ML "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"150.00","92215030","CR CU MN SE ZN TRACE ELEMENT I"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"150.00","92215592","ATAZANAVIR SULF 200MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"150.08","38307032","HLA I B27 PHENOTYPING ","81374",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"150.39","38300260","BILIRUBIN TOTAL ","82247",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"150.39","38305527","BILIRUBIN TOTAL MISC FLUID ","82247",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"150.40","92215789","ESTRADIOL LEVONORGEST 45MCG TD"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"150.50","92216860","RIZATRIPTAN BENZOATE 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"150.50","92218142","ZORTRESS 0.75MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"150.80","92215968","LANSOPRAZOLE 30MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1501.67","75000120","US VASC LTD-ABD/PELV/RETRPERI ","93976",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1503.64","76000792","NM GASTRIC EMPTY MULT DAYS ","78266",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1504.50","75000060","US ECHO TRANSTHORACIC 2D LIMIT","93308",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"15046.50","92215043","DARBEPOETIN A 300MCG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"15046.50","92215574","DARBEPOETIN A 300MCG/0.6ML INJ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"151.00","92211444","OXACILLIN NA 2GM INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"151.31","38300161","COVID-19 CORONAVIRUS ","87635",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"151.42","38300018","ABO BLOOD TYPING ","86900",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"151.42","72000525","BLOOD TYPING ABO ","86900",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"151.50","92212677","NAFCILLIN 2GM INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"151.50","92212799","OLANZAPINE 10MG ODT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"151.50","92215203","DEXTROSE 5%-1/3NS IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"151.70","92215328","ORPHENADRINE CITRATE 30MG/ML I"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"151.84","72000090","COOMBS DIRECT ","86880",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1512.50","92219060","PNEUMOCOCCAL13-VALENT VACC SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1513.00","92220099","OLODATEROL 2.5 MCG/ACT ARO "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1514.90","74001074","IVP ANTEGRADE ","74425",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1515.75","73500329","NRV COND STUDIES 9-10 STUDIES ","95911",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1516.39","74001194","NASAL/OROGASTRIC W/TUBE PLCMT ","43752",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1517.50","92215329","NICARDIPINE HCL 2.5MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"15175.48","74075940","PLACEMENT OF IVC FILTER ","37191",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"152.00","92210094","AMPICILLIN NA 250MG/5ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"152.00","92216430","CASTOR/PERU BALSAM/TRYPSINOIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"152.00","92219457","BUSULFAN 2 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"152.10","38302340","TESTOSTERONE TOTAL ","84403",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"152.11","38301882","SODIUM URINE ","84300",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"152.12","38201880","PHENOBARBITAL QUANT ","80184",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"152.50","92214823","NYSTATIN 100000U/GM POW "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"152.63","38303767","CLOTTING FACTOR XI ","85270",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1520.50","33101248","KIT TRACH PERCUT W/CONN 7X15MM"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1520.50","33101249","KIT TRACH PERCUT W/CONN 8X15MM"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1521.50","92212081","AMYLASE/LIPASE/PROTEASE POW "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1521.55","76000390","NM MYOCARDIAL INFARCT SPECT ","78469",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1525.40","73500070","EEG COMA OR SLEEP ONLY ","95822",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1528.36","74001317","HIPS MIN 5 VIEWS BILATERAL ","73523",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"153.00","92210216","AMIKACIN SULF 250MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"153.00","92211132","HEPATITIS B VACC 10MCG/0.5ML S"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"153.00","92219633","SOD ZIRCON CYCLOSI 10GM/PACPDR"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"153.00","92220395","SOD ZIRCON CYCLOSIL 10GM PDR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"153.00","92220396","SOD ZIRCON CYCLOSIL 5 GM PDR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"153.39","38300795","QUANTIFERON TB GOLD ","86480",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"153.50","92210401","TROPICAMIDE 1% EYE SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"153.50","92218818","INFLUENZA VAC 60MCG/0.5ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"153.79","38300219","CANDIDA DNA AMP PROBE ","87481",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"153.79","38300225","C AURIS SCREEN ","87481",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1530.50","92213862","INSULIN GLARG RECMB 100U/ML IN"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1535.00","92214518","LOTEPREDNOL ETABONATE 0.5% SUS"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"154.00","92213101","CIPROFLOXACIN 400MG/200ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"154.00","92214430","ZIPRASIDONE HCL 60MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"154.00","92217943","DEXTROAMPHETAMINE HBR QUIN CAP"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"154.00","92218181","NEUPRO ER 8MG/24 HR TDM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"154.00","92218188","NEUPRO 6MG/24HR TDM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"154.00","92218637","HALOPERIDOLDECANOATE50MG/MLINJ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"154.00","92218807","VANCO/NACL.9% 1000MG/200ML SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"154.00","92219167","VANCO/NACL 0.9%1000MG/200MLSOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"154.00","92219203","ROTIGOTINE 1 MG/24 HRPatch "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"154.34","38200780","C-REACTIVE PROTEIN ","86140",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"154.34","38202130","RHEUMATOID FACTOR QUAL ","86430",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"154.50","92212509","HEPATITIS B VACC 5MCG/0.5ML IN"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"154.50","92214104","MOXIFLOXACIN HCL 400MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"154.50","92218985","POTASSIUM CHLOR 40MEQ/30ML SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"154.69","38300346","CRP (HIGH SENSITIVITY) ","86141",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"154.70","92216591","ACTIQ 600MCG LOZ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"154.70","92216614","FENTANYL CITRATE 600MCG LOZ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1540.16","74001072","PERC TUBE/DRAIN CATH CHANGE ","75984",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1546.10","92215537","PIMECROLIMUS 1% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1548.49","75000018","US TRANSVAGINAL ","76830",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1548.50","92218819","TIROFIBAN/NACL.9% 12.5MG/250ML"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1549.50","92212972","LOTEPREDNOL ETABONATE 0.2% SUS"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"155.00","92210277","CEPHALEXIN 250MG/5ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"155.00","92214130","FENTANYL 50MCG/HR TDM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"155.26","38302120","RETICULOCYTE (MANUAL) ","85044",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"155.45","38200680","CORTISOL TOTAL ","82533",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"155.50","92211146","SODIUM PHOSPHATE 3MM/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"155.50","92214943","LEVOCARNITINE 200MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"155.50","92215012","PHENOBARBITAL NA 65MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"155.50","92215031","ISOFLURANE 99.9% LIQ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"155.50","92217982","INTELENCE 200MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"155.58","38300154","VZV QN PCR ","87798",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"155.58","38300159","JC VIRUS DNA PCR (WHOLE BLOOD)","87798",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"155.58","38302208","RSV PCR QUALITATIVE ","87798",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"155.58","38302209","PARVOVIRUS B19 ","87798",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"155.58","38303286","C DIFFICILE PCR ","87798",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"155.58","38303653","T2EF ENTEROCOCCUS FAECIUM ","87798",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"155.58","38303654","T2KP KLEBSIELLA PNEUMONIAE ","87798",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"155.58","38303655","T2PA PSEUDOMONAS AERUGINOSA ","87798",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"155.58","38303657","T2EC ESCHERICHIA COLI ","87798",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"155.58","38399326","AMPLIFIED PROBE TECH EA ORG ","87798",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1552.00","33116068","SYSTEM TURN&POSITION MATTRESS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1552.30","92212744","ADENOSINE 3MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1552.31","75000250","US ABDOMEN LIMITED ","76705",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1555.00","92214422","INTERFERON ALFA-2B 10MM U INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1558.00","33101935","PROBE F. 03801000098 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"156.00","92219156","MOXIFLOXACIN 400 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"156.20","92215734","ETHINYL ESTRADIOL NORT 35-1 TA"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"156.20","92216727","MESTRANOL NORETHIND 0.05-1MG T"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"156.31","38304150","FOLLICLE STIMULATING HORMONE ","83001",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"156.39","38303875","IMMUNOFIX ELECTROPHOR-FLUID ","86335",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"156.50","92212929","ABACAVIR SULF LAMI ZIDO TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"156.50","92213675","LIDOCAINE HCL 5% TDM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"156.50","92216373","GASTROGRAFIN 66/10 SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"156.50","92219386","VANCOMYCIN HCL 1.5 GM SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"156.56","38201200","FERRITIN ","82728",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"156.56","38205100","CULTURE- RESPIRATORY ","87070",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1560.50","92216331","EXENATIDE 250MCG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1560.50","92218529","CLOBETASOL PROPIONATE 0.05%TOP"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1561.00","11600070","GASTROSCOPY "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1561.00","11600161","BRONCHOSCOPY PRO "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1561.06","74001158","URETHRA/BLADDER RETROGRADE ","74450",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1565.62","74000790","SMALL BOWEL ","74250",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"157.00","92213847","PARICALCITOL 2MCG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"157.18","38302188","MYCOPLASMA PNEUMONIAE ","87581",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"157.33","38300985","CYCLOSPORINE ","80158",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"157.50","38200924","CULTURE KPC SCREEN ","87081",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"157.50","92211390","METHYLPREDNISOLONE 500MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"157.50","92212726","MOMETASONE FUROATE 0.1% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"157.50","92216912","CEFTRIAXONE NA 2GM/D5W INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"157.50","92218461","CEFEPIME 2 GM SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"157.50","92219329","SOD ZIR CYCLOSILICATE 10GM/PKT"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"157.50","92219632","SOD ZIRCON CYCLOSI 5GM/PAC PDR"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"157.50","92219634","SOD ZIRCON CYCLOSI 5GM/PAC PDR"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"157.90","92214449","POTASSIUM CL 2MEQ/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1571.50","33110801","LIGATION CLIPS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1577.50","33102672","KIT CATH HEMSPLTAIRGRD29CM16FR"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1577.50","33102673","KIT CATH HEMSPLTAIRGRD25CM16FR"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1577.50","33103356","CATH HEMOSPLIT 14.5FR 35CM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1577.50","33111550","CATH HEMODIAL 14.5FR 19CM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1577.50","33111551","CATH HEMODIAL 14.5FR 23CM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1577.50","33111552","CATH HEMODIAL 14.5FR 27CM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1577.50","33116086","KIT CATH HEMSPLT ST DL16FR19CM"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1577.50","33178154","KIT CATH HEMOSPLT STR DL 42CM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1579.50","33189589","BRONCHOSCOPE ASCOPE 4 LARGE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1579.80","92213650","FLUOROURACIL 0.5% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"158.00","92212923","HYDROXYZINE HCL 50MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"158.00","92215195","IMIPENEM CILASTATIN NA 500MG I"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"158.00","92215593","ATAZANAVIR SULF 150MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"158.20","92216214","MOMETASONE FUROATE 0.1% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"158.50","92211690","OXACILLIN NA 2GM/50ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"158.50","92216646","OPRELVEKIN 5MG PDS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"158.51","38300740","CREATININE BLOOD ","82565",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"158.78","38201270","GAMMA GT (GGT) ","82977",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"158.82","34010007","ROM TESTING HAND ","95852GP ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"158.82","34210320","ROM TESTING HAND ","95852GO ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1589.00","92213875","COLLAGENASE 250U/GM OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"159.00","92215194","AMINO ACIDS 4.25% D25W IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"159.00","92218163","NARATRIPTAN 2.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"159.04","38399338","WESTERN BLOT ","84181",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"159.43","38301940","POTASSIUM URINE ","84133",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"159.50","92216862","RIZATRIPTAN BENZOATE 10MG TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"159.64","38302460","URINALYSIS AUTO W/O MICRO ","81003",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"159.72","38300249","HIV-1 PROBE&REVERSE TRANSCRIPT","87535",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"159.89","38200923","CULTURE NARES ","87070",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1594.50","33117523","KIT TUNNEL CATHETER 19CM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1594.50","33117524","KIT TUNNEL CATHETER 23CM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1594.50","33117525","KIT TUNNEL CATHETER 27CM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1595.44","75000160","US SCROTUM ","76870",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1595.57","76000114","NM THYROID IMAGING ","78013",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1599.00","92214908","DESONIDE 0.05% LOT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1599.50","92215629","CIPROFLOXACIN DEX 0.3%-0.1% SU"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"15992.00","92211207","CALCITONIN 200U/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"16.00","38203736","OCCULT BLOOD- OTHER SOURCES ","82271",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"16.00","92210044","ROPINIROLE HCL 0.W5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"16.00","92210273","RIFAMPIN 300MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"16.00","92210609","CAPTOPRIL 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"16.00","92210777","ESTRIFIED ESTROGENS 0.625MG TA"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"16.00","92210883","DEXTRAN HYPROMELLOSE 0.1-0.3 S"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"16.00","92210941","RANITIDINE HCL 300MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"16.00","92211482","ALENDRONATE NA 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"16.00","92211635","PROPRANOLOL HCL 120MG CER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"16.00","92211638","INDOMETHACIN 75MG CER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"16.00","92211653","ALBENDAZOLE 200MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"16.00","92211796","HYDROCODONE IBU 7.5-200MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"16.00","92211805","ACETAZOLAMIDE 250MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"16.00","92211861","PRAVASTATIN NA 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"16.00","92211971","RIFAMPIN 300MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"16.00","92212016","PRAMIPEXOLE DIHCL 1.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"16.00","92212059","INDOMETHACIN 75MG CER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"16.00","92212235","ALENDRONATE NA 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"16.00","92212369","HYDROCORTISONE ACET 0.5% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"16.00","92212386","PRAVASTATIN NA 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"16.00","92212404","ROPINIROLE HCL 2MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"16.00","92212564","ALENDRONATE NA 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"16.00","92212666","ALENDRONATE NA 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"16.00","92212814","ROPINIROLE HCL 1MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"16.00","92212996","PRAMIPEXOLE DIHCL 1MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"16.00","92213016","ZIDOVUDINE 100MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"16.00","92214177","URSODIOL 250MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"16.00","92214362","PROPANTHELINE BR 15MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"16.00","92214380","PAROXETINE HCL 40MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"16.00","92214566","DOXAZOSIN MESYLATE 1MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"16.00","92214799","VERAPAMIL HCL 240MG T24 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"16.00","92215519","NICARDIPINE HCL 60MG CER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"16.00","92216510","RANITIDINE HCL 150MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"16.00","92216815","NA PHOS DIBASIC/MONOBASIC SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"16.00","92216874","POLYETHYLENE GLYCOL 3350 POW "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"16.00","92216971","PRAMIPEXOLE DIHCL 0.75MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"16.00","92217246","ALENDRONATE NA 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"16.00","92217381","HYDROMORPHONE 1MG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"16.00","92217686","TOLNAFTATE 1% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"16.00","92217769","PRAMIPEXOLE DIHCL 0.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"16.00","92218146","FIORICET 300-50-40MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"16.00","92218492","POLY GLYCOL 17 GM/DOSE POW "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"16.00","92219126","ALENDRONATE SODIUM 10 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"16.00","92219143","DESMOPRESSIN ACETATE 0.2MGTAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"16.00","92219362","LEVOMEFOLATE CALCIUM7.5 MGTAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"16.00","92219377","SORBITOL 70% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"16.00","92219554","PILOCARPINE 5 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"16.00","92219824","LACTULOSE 20 GM/30 ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"16.00","92219829","LACTULOSE 10 GM/15 ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"16.00","92220006","PILOCARPINE 5 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"16.00","92220311","PROPAFENONE 300 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"16.00","92220314","SERTRALINE 50 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"16.00","92220348","MINOIL/PET/PHNHCL14-74.9-0.25%"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"16.00","92220358","DEXTROSE 15 GM/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"16.00","92220523","DEXTROSE/VITD3 15GM-400U/60ML "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"16.10","92214698","KETOCONAZOLE 200MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"16.20","92211655","INDINAVIR SULF 400MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"16.20","92214052","INDINAVIR SULF 400MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"16.20","92214754","INDINAVIR SULF 400MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"16.20","92215496","CANDESARTAN CILEXETIL 16MG TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"16.30","92216129","HYDROCODONE APAP 2.5-167/5ML S"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"16.30","92217607","BENZOCAINE DOCUSATE NA 20MG NM"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"16.30","92217609","DOCUSATE NA 283MG NMA "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"16.50","92203027","ORALS 27 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"16.50","92210433","MEXILETINE HCL 200MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"16.50","92210623","CPM PLOY HYDROCODONE SER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"16.50","92211074","ANTIPYRINE/BENZOCAINE EAR SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"16.50","92211168","GABAPENTIN 300MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"16.50","92211706","IRBESARTAN 150MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"16.50","92211731","TRIFLUOPERAZINE HCL 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"16.50","92211754","BENZOYL PEROXIDE 5% LOT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"16.50","92211807","IRBESARTAN 150MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"16.50","92212382","ALOE VERA/GLYCERIN GEL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"16.50","92213058","AMLODIPINE BESYLATE 2.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"16.50","92213062","FENOFIBRATE 160MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"16.50","92213152","ZINC OXIDE 20% OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"16.50","92213155","CORTISONE ACETATE 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"16.50","92213640","TORSEMIDE 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"16.50","92213766","PRAMIPEXOLE DIHCL 0.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"16.50","92213956","RISPERIDONE 3MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"16.50","92214308","HCTZ VALSARTAN 12.5-160MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"16.50","92214437","MINERAL OIL NMA "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"16.50","92214570","CANDESARTAN CILEXETIL 16MG TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"16.50","92214625","MEPERIDINE 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"16.50","92215718","PAROXETINE HCL 40MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"16.50","92215941","CALCIUM CARB 1250MG/5ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"16.50","92216394","CEREFOLIN NAC TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"16.50","92216938","CITRIC ACID NA CITRATE SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"16.50","92217970","ATORVASTATIN CAL 40MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"16.50","92218073","DESMOPRESSIN ACETATE 0.1MG TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"16.50","92218331","INDOMETHACIN 75MG ER CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"16.50","92218602","MELOXICAM 7.5 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"16.50","92219744","ICOSAPENT ETHYL 1 GM CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"16.50","92220082","DAPSONE 100 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"16.60","92217571","FINASTERIDE 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"16.70","92212805","DOXEPIN HCL 150MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"16.70","92215240","ROSIGLITAZONE MALEATE 2MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"16.90","92217171","CETIRIZINE HCL PSE 5MG/120MG T"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"160.00","92214968","ETHYL CHLORIDE SPR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"160.50","92211615","TOBRAMYCIN 0.3% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"160.50","92218745","VENELEX 87MG-788MG/GM TOP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"160.50","92219994","PHYTONADIONE 1 MG/0.5 ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"160.61","38399317","DTT CELL TREATMENT ","86970",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"160.61","72000554","RBC PRETX INCUBAT W/CHEMICAL ","86970",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"160.61","72000775","DTT CELL TREATMENT ","86970",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1601.50","92212848","TRETINOIN 0.01% GEL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1602.50","92217322","ADVAIR 500-50 DSK "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1605.97","74000791","UPPER GI W/ SMALL BOWEL ","74240",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1605.97","74000860","UPPER GI STOMACH W/O KUB ","74240",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1607.50","92220376","ENOXAPARIN 100 MG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"161.00","92212344","CHLORPROMAZINE HCL 200MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"161.00","92212347","MILRINONE D5W 0.2MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"161.00","92212868","NYSTATIN/TRIAMCINOLONE OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"161.00","92217274","NICARDIPINE HCL 2.5MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"161.00","92219289","MEROPENEM 1 GM SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"161.00","92220327","MEROPENEM 1 GM SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"161.31","92218760","OLANZAPINE 15 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"161.40","92213641","ALFENTANIL HCL 500MCG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"161.42","38301700","LUTEINIZING HORMONE ","83002",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"161.50","92217391","RUFINAMIDE 400MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"161.50","92220442","ARIPIPRAZOLE 5 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"161.90","92213648","FLUTICASONE PROP 0.005% OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"161.95","38301722","PROGRAF LEVEL (TACROLIMUS) ","80197",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1610.50","92219294","HYDROPHILIC PASTE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1610.85","74000501","LUMBOSACRAL SP 4+ VIEWS ","72110",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1611.50","92219179","EPINEPHRINE 1 MG/MLSOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1617.50","92211590","TRETINOIN 0.025% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1619.00","92218763","TBO FILGRASTIM 300MCG/0.5MLINJ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1619.00","92218980","TBO-FILGRASTIM300 MCG/0.5MLSOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1619.00","92219320","TBO-FILGRASTIM 300MCG/1ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"162.00","33110059","KIT DRESSING MED VAC "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"162.00","33111159","KIT DRESSING SM VAC "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"162.00","33192215","KIT DRSG LGE VAC "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"162.00","38305405","BENZ0DIAZEPINES 1-12 ","80346",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"162.00","92210346","METHYLPREDNISOLONE 4MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"162.00","92213005","METHYLPREDNISOLONE 4MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"162.00","92218291","METHYLPREDNISOLONE 4MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"162.00","92220384","NOREPINEPHRINE D5W 4 MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"162.11","38200970","CULTURE THROAT ","87070",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"162.50","92215619","ARIPIPRAZOLE 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"162.54","38300073","ACID FAST BACILLI SMEAR ","87206",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"162.54","38303816","FLUROCHROME STAIN ","87206",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1620.00","92219462","AZATHIOPRINE SODIUM 100 MG SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1622.79","74076006","FLUORO GUIDANCE NEEDLE PLACE ","77002",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1625.15","74000035","CONTR EVAL CENT VEN ACC DEVC ","36598",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1626.10","92212461","DESOXIMETASONE 0.25% OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"16289.00","92220174","RISPERIDONE 120 MG KIT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1629.00","11600081","ENDOSCOPY W/BIOPSY "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1629.50","92211544","MOMETASONE FUROATE 50MCG SPR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"163.00","92211424","KETOCONAZOLE 2% SHA "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"163.00","92214391","BENZOCAINE 20% SPR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"163.00","92218376","LATUDA 40 MG TABLET "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"163.41","38306757","HOMOCYSTINE ","83090",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"163.50","92216674","PALIPERIDONE 3MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"163.91","38303190","LEGIONELLA DNA PROBE ","87797",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1631.00","11600180","CHEST TUBE INSERTION "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1633.00","33101292","HEMOSTATIC MATRIX FLOSEAL 10ML"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1633.00","33114967","MATRIX FLOSEAL FULL 10ML "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1633.00","33139910","MATRIX FLOSEAL PREP 10ML "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1636.00","92213129","IMMUNE GLOBULIN 3GM INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"164.00","92211575","IMIPRAMINE PAMOATE 100MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"164.00","92218001","COAL TAR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"164.00","92218127","IMIPENEM AND CILASTATIN 500 MG"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"164.00","92219476","THIOGUANINE 40 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"164.07","38300118","RISTOCETIN CO FACTOR ","85245",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"164.34","38201050","DILANTIN (PHENYTOIN-TOTAL) ","80185",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"164.50","92214021","OLANZAPINE 15MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"164.50","92215094","PIPERACIL TAZOBACT 4.5/100ML I"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"164.50","92217758","OXYCODONE HCL 80MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"164.50","92217796","SODIUM CL 4MEQ/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"164.50","92217991","NEUPRO 4MG/24HR TDM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"164.50","92218064","NEUPRO 2MG/24HR TDM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"164.60","92214142","ALCLOMETASONE DIPRO 0.05% OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1640.50","92219516","DASATINIB 70 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1641.50","92211458","PREDNISOLONE ACETATE 0.12% SUS"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1645.00","33113086","SET CATH 52CM 10FR STD PU BFLX"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1645.00","33113087","SET CATH 52CM 10FR STR PU BFLX"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1648.00","92214912","PRAMOXINE HCL HC 1%-2.5% LOT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1648.50","33102989","TRAY CVC HCKMN PWRLN 9.5FR2LUM"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1649.00","92218372","AUVI-Q 0.3 MG/0.3 ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"165.00","38200222","BNP (B NATRIURETIC PEPTIDE) ","83880",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"165.00","92215887","SILVER ANTIMICROBIAL WOUND GEL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"165.00","92216573","GABAPENTIN 800MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"165.00","92216681","PALIPERIDONE 6MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"165.00","92216740","PALIPERIDONE 3MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"165.00","92216746","PALIPERIDONE 6MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"165.40","92212940","INSULIN HUM ISOP/REG 70U-30U I"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"165.45","38200013","BETA 2 MICROGLOBULIN ","82232",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"165.50","92216374","ARIPIPRAZOLE 2MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"165.50","92220259","CINACALCET 30 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"165.54","38300800","CRYPTOCOCCUS AB ","86641",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"165.70","38303656","T2SA STAPHLOCOCCUS AUREUS ","87640",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"165.76","34600280","MOD OF PROSTH COMMUN DEVICE ","92507GN ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"165.76","34600290","SPEECH LANGUAGE TREATMENT ","92507GN ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"165.91","38302650","ANAEROBIC ORGANISM ID ","87076",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1654.00","92214208","TACROLIMUS 0.1% OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1659.60","92214369","CLOBETASOL PROP 0.05% FOA "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"166.00","33153622","KIT DRN LINE LOCKABLE PLEURX "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"166.00","92217299","AMINO ACIDS 10% IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"166.02","38305559","PROTEIN TOTAL 24 HR URINE ","84156",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"166.02","38343605","PROTEIN URINE ","84156",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"166.20","38300370","CALCIUM SERUM ","82310",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"166.24","38301390","GRAM/GIESMA SMEAR ","87205",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"166.24","38303753","EOS SMEAR (URINE) ","87205",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"166.50","92214539","HEPARIN 10000U/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"166.50","92215855","MULTIVATAMIN INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"166.75","38307023","CULTURE TYPE NUCLEIC ACID ","87149",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1661.79","74000502","LUMBAR SP COMP MIN 6 VIEW ","72114",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1663.50","92220526","PNEUMOCOCCAL 20 CONJ VACC SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1664.50","92216853","BUDESONIDE 180MCG POW "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1666.00","92216964","OFLOXACIN 0.3% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1669.50","33106306","CATHETER ASH SPLIT 28FR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1669.50","33113088","SET CATH 28CM 14FR TRNFLXSPLT3"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1669.50","33113089","SET CATH 32CM 14FR TRNFLXSPLT3"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1669.50","33177253","TRAY ASH SPLIT CATH 28CM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1669.50","92216919","BUDESONIDE FORMOTRL 160/4.5 AE"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"167.00","92213820","ARIPIPRAZOLE 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"167.00","92217224","OLANZAPINE 15MG ODT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"167.00","92219743","OLANZAPINE ODT 15 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"167.00","92219819","OLANZAPINE15 MGTAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"167.10","38300152","HSV 1 BY PCR ","87529",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"167.10","38300153","HSV 2 BY PCR ","87529",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"167.10","38399341","HERPES SIMP VIRUSPCR ","87529",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"167.15","38303766","CLOTTING FACTOR XII ","85280",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"167.50","92212399","TRIAMCINOLONE 0.05% OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"167.50","92217068","DPT TOX-PED SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"167.50","92219950","CINACALCET 30 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"167.65","38300146","INFLUENZA A ANTIGEN ","87804",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"167.65","38300147","INFLUENZA B ANTIGEN ","87804",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"167.65","38300326","INF AG DET BY IA INFLUENZA ","87804",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1671.00","33199317","STAPLER CONTOUR CURVED "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1672.50","92219658","APREPITANT CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1678.88","74000180","CHOLANGIOGRAM INTRAOP ","74300",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"168.00","92214147","ETOMIDATE 2MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"168.00","92214751","PAMIDRONATE DISOD 3MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"168.00","92216898","MARAVIROC 300MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"168.10","92217613","HEXACHLOROPHENE 3% LIQ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"168.50","92211693","ROPIVACAINE HCL 5MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"168.50","92213022","INSULIN HUM ISOP 100U/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"168.50","92213110","INSULIN HUM REGULAR 100U/ML IN"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"168.50","92217233","ADENOSINE 3MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"168.50","92218019","SUMATRIPTAN SUCC 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"168.50","92220016","ACITRETIN 10 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"168.50","92220168","LIPIDS-FISH/PLANT BASE 20% EMU"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"168.50","92220386","VANCOMYCIN HCL 1.75GM/350MLIVS"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"168.54","38300057","ACTIVATED PROTEIN C RESISTANCE","85307",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"168.60","38202045","PARATHYROID HORMONES INTACT ","83970",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"168.64","38300119","VON WILLEBRAND ANTIGEN ","85246",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"168.78","38200975","CULTURE WOUND ","87070",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"168.79","38303771","CRYSTAL IDENTIFICATION ","89060",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1681.33","74076002","UPPER GI STOMACH W/ KUB ","74241",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"169.00","92218640","HALOPERIDOLDECANOATE50MG/MLINJ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"169.00","92219251","VANCOMYCIN HCL 125 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"169.24","38300360","CA 125 ANTIBODY ","86304",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"169.43","38300980","CULTURE URINE ","87088",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"169.43","38380071","BACTERIAL ID URINE ","87088",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"169.50","92219544","METFORMIN ER 1000 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"169.71","38000564","MOL CYT IN SITU HYBRD 100-300 ","88275",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"169.89","38205089","CULTURE- GENITAL ","87070",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1690.50","92216564","ADVAIR HFA 230-21MCG AER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1691.00","11600110","CENTRAL LINE INSERTION ","36569",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1698.60","75000025","US GUIDE FOR NEEDLE PLACEMENT ","76942",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"17.00","92210084","KETOCONAZOLE 200MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"17.00","92210889","MICONAZOLE NITRATE 2% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"17.00","92211356","PAROXETINE HCL 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"17.00","92211577","DEXTROAMPHETAMINE SUL 10MG TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"17.00","92211826","OXAZEPAM 15MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"17.00","92211856","NITROFURANTOIN MCR 100MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"17.00","92211929","NITROFURANTOIN MCR 50MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"17.00","92212068","HCTZ LOSARTAN K 12.5-50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"17.00","92212449","KETOCONAZOLE 200MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"17.00","92212768","DILTIAZEM HCL 60MG C12 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"17.00","92213060","FENOFIBRATE 200MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"17.00","92213063","MORPHINE 30MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"17.00","92213654","GALANTAMINE HBR 12MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"17.00","92214069","PROGESTERONE 100MG SGL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"17.00","92214444","METOLAZONE 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"17.00","92215048","LIOTHYRONINE NA 25MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"17.00","92215068","FINASTERIDE 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"17.00","92215410","NICARDIPINE HCL 30MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"17.00","92215461","URSODIOL 250MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"17.00","92216306","VALSARTAN 40MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"17.00","92216388","BELLADONNA ALK ANALGESICS TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"17.00","92216550","FINASTERIDE 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"17.00","92216559","MELOXICAM 7.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"17.00","92216642","CHLORPHEN/DM/PHEN 1-3-1.5MG SO"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"17.00","92216657","OXYBUTYNIN CL 5MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"17.00","92216983","FINASTERIDE 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"17.00","92217320","GALANTAMINE HBR 8MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"17.00","92218287","BETHANECHOL CHLOR 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"17.00","92218827","VANCOMYCIN HCL 50 MG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"17.00","92219040","CARBI/LEVDOPA23.75MG/95MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"17.00","92219322","METHYLPHENIDATE HCL 2.5 MGTAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"17.00","92219628","CLOBAZAM 10 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"17.00","92219696","OXYBUTYNIN CHLORIDE 15 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"17.00","92219877","PANTOPRAZOLE DR 40 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"17.00","92220243","PETROLATUM 100% OINT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"17.10","92212339","DOXYCYCLINE CALCIUM 50MG/5ML S"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"17.10","92216632","PRAVASTATIN NA 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"17.10","92218171","TOLAZAMIDE 250MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"17.30","92212317","PRAVASTATIN NA 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"17.30","92216634","PRAVASTATIN NA 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"17.40","92216922","AMIODARONE HCL 200MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"17.47","34000305","DIATHERMY ","97024GP ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"17.47","34210335","DIATHERMY ","97024GO ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"17.50","92210120","OXYMETAZOLINE HCL 0.05% SPR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"17.50","92210128","AMLODIPINE BESYLATE 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"17.50","92210780","TOPIRAMATE 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"17.50","92211250","OXCARBAZEPINE 300MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"17.50","92212046","VALSARTAN 160MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"17.50","92212307","PRAVASTATIN NA 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"17.50","92212438","IRBESARTAN 75MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"17.50","92212463","CLOZAPINE 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"17.50","92212618","PERPHENAZINE 8MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"17.50","92212657","VALSARTAN 80MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"17.50","92212969","LEUCOVORIN CALCIUM 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"17.50","92213041","OXYBUTYNIN CL 5MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"17.50","92213135","ZIND OXIDE OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"17.50","92213315","FLUVASTATIN NA 40MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"17.50","92213446","CARBAMAZEPINE 200MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"17.50","92213458","FLUVASTATIN NA 40MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"17.50","92214180","FLUVASTATIN NA 20MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"17.50","92214218","RIMANTADINE HCL 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"17.50","92214281","RIFAMPIN 150MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"17.50","92214639","MIRTAZAPINE 15MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"17.50","92215089","METOLAZONE 2.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"17.50","92215524","VITAMIN A/D OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"17.50","92215949","CIPROFLOXACIN 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"17.50","92216179","METOLAZONE 2.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"17.50","92216463","PRAMIPEXOLE DIHCL 0.125MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"17.50","92216535","OXYMORPHONE HCL 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"17.50","92216537","PRAVASTATIN NA 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"17.50","92216726","PRAVASTATIN NA 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"17.50","92216945","BENZOCAINE GLYCERIN 5-33% SPR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"17.50","92217223","DAPSONE 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"17.50","92217305","DIVALPROEX NA 500MG TCP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"17.50","92218663","NITROFURANTOIN 100 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"17.50","92218665","NITROFURANTOIN 100 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"17.50","92219353","VITAMIN A/VITAMIN D OINT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"17.50","92219411","CHLORHEXIDINE GLUC 0.12% LIQ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"17.50","92219455","CHOLECALC/VIT D3 400 IU/ML LIQ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"17.50","92219725","DOXYCYCLINE HYCLATE100 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"17.50","92219943","CREAM MULTI INGREDIENT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"17.50","92220067","CHLORHEXIDINE GLUC 0.12% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"17.80","92212734","FAMOTIDINE 40MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"170.00","92210267","TRIAMCINOLONE 0.1% OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"170.00","92211518","TRIAMCINOLONE 0.025% OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"170.00","92215518","SIROLIMUS 2MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"170.00","92218261","CYCLOMYDRIL 0.2-1% LIQ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"170.20","38000750","FLOW CYTOMETRY-16> MRK-INTERP ","88189",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"170.40","92210718","HYDROCORTISONE VAL 0.2% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"170.48","38300690","SED RATE (AUTO) ","85652",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"170.50","92214569","FENTANYL 50MCG/HR TDM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"170.50","92215501","SILVER SULFADIAZINE 1% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1702.50","33103039","KIT CATH EQSTRM STR 14.5Fx27CM"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1702.50","33106291","KIT CATH EQU XK SP TP 16FX27CM"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1702.50","33110226","KIT CATH EQST SPLTP14.5FRx42CM"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1702.50","33110227","KIT CATH EQST SPLTP14.5FRx35CM"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1702.50","33152429","KIT CATH EQSTRM STR14.5FRx19CM"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1702.50","33194399","KIT CATH EQU SP TP 14.5FR 23CM"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1704.00","75000305","US PREG UTERUS MULTI GEST COMP","76810",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1705.60","92214353","ISONIAZID 100MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"171.00","92215876","CINACALCET HCL 30MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"171.00","92216277","CLOMIPRAMINE HCL 25MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"171.10","92214100","CLOBETASOL PROP 0.05% GEL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"171.35","38303030","FUNGI MOLD ID ","87106",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"171.35","38303747","FUNGUS/YEAST IDENTIFICATION ","87106",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"171.50","92213432","ARIPIPRAZOLE 15MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"171.60","92218255","VIREAD 150MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"171.70","92214741","CLOTRIMAZOLE 1% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"171.90","92212746","MEPERIDINE 10MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1715.00","92220333","AMPICILLIN SODIUM 2 GM IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1715.50","33111903","TUBE TRANSGAST JEJUNAL 22FR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1715.50","33167621","KIT MIC TR-JEJUN SURG FDG 18F "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1716.90","92216117","CLINDAMYCIN PHOS 1% FOA "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"172.00","36000980","MAX BREATHING CAPACITY ","94200",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"172.00","92211269","AZITHROMYCIN 200MG/5ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"172.00","92217303","CEFEPIME HCL 1GM/50ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"172.00","92218447","PRECEDEX 4 MCG/ML-0.9% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"172.11","38200980","CULTURE URINE ","87088",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"172.11","38205090","CULTURE- TISSUE ","87070",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"172.40","38300072","PORPHYRINS STOOL ","84126",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"172.41","34210375","TX SWALLOWING/ORAL DYSFUN ","92526GO ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"172.41","34600120","TX SWALLOWING/ORAL DYSFUN ","92526GN ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"172.50","92210143","HYPROMELLOSE 0.5% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"172.50","92213698","CEFTRIAXONE NA 2GM INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"172.70","92214766","SOYBEAN OIL 30% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1720.50","92219210","RISEDRONATE SODIUM 150MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1720.50","92219235","RISEDRONATE SODIUM 150 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1722.50","33117065","BIOFLO DRMX 32 CM STR DUAL VLV"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1722.50","92214956","TROPICAMIDE 1% EYE SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1722.50","92217388","FLUTICASONE PROP 250MCG POW "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"173.00","92216684","K CL/NABCRB/NACL/PEG 3350 PDS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"173.00","92220021","ARIPIPRAZOLE 5 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"173.00","92220135","ARIPIPRAZOLE 15 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"173.05","38302797","INF AGT AG DET EIA RSV ","87807",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"173.19","38300138","HDL (DIRECT) ","83718",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"173.38","38302505","VALPROIC ACID FREE ","80165",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"173.41","38303769","CLOTTING FACTOR IX ","85250",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"173.50","92212321","DOBUTAMINE HCL 1GM/D5W 250ML I"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"173.70","92215023","AMINO ACIDS 4.25% M-D10W IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1731.50","92215456","EPOETIN ALFA 10000U/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1732.00","92214182","EPOETIN ALFA 10000U/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1733.00","92219577","BECLOMETHASONE INH 0.08 MG AER"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1734.00","92210754","DESONIDE 0.05% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1734.00","92218395","TARCEVA 150 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1734.31","75000280","DUPLEX AORTA/IVC/GRAFT COMPL ","93978",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1734.50","92217602","ADVAIR HFA 230-21MCG AER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"174.38","38300780","C-REACTIVE PROTEIN ","86140",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"174.50","92212034","TIMOLOL MALEATE 0.5% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"174.50","92212758","PYSLLIUM 6GM PDR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"174.50","92214849","LIPIDS 20% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"174.50","92215622","DTAP VACCINE SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"174.50","92215825","TIMOLOL MALEATE 0.5% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"174.50","92218051","FANAPT 2MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"174.84","38302290","T3 FREE ","84481",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"174.90","92214045","AMINO ACIDS 4.25% D20W IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"174.90","92217852","EPINEPHRINE HCL 0.3MG/0.3ML KI"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1742.62","73500110","EEG AWAKE AND DROWSY ","95816",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1749.00","92217221","INSULIN GLULISINE 100U/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1749.50","92219229","LETERMOVIR 20 MG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1749.50","92219233","LETERMOVIR 20 MG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1749.63","74000982","HYSTEROSALPINGOGRAPHY ","74740",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"175.00","33187150","TUBE TRACH PERCUT SZ 6 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"175.00","38300567","CLOT TIME LYSIS ","85175",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"175.00","92218649","MEPERIDINE HCL 10MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"175.44","38200116","BETA HYDROXYBUTYRATE ","82010",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"175.50","92214758","VANCOMYCIN 1G/200ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"175.50","92217730","ENOXAPARIN NA 40MG/0.4ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"175.50","92218615","CYTARABINE 20 MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1755.09","72060011","PLATELETS PHER LR-PROC ONLY "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1758.50","33105858","TUBE LARY PROVOX ID12MMOD15MM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"176.00","92219012","HYDROCORT NA SUCCINATE250MGSOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"176.20","38399311","PSA ","84152",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"176.50","92220288","SEMAGLUTIDE 3 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"176.50","92220505","VITC/BROM/CRAN/INUL/MAN/PHOS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"176.55","38200880","CULTURE BLOOD ","87040",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"176.55","38202790","CK-MB PANEL ","82553",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"176.69","38304120","RUSSELL VIPER VNM TIME-UNDIL ","85612",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"176.90","92214519","METHYLPREDNISOLONE ACET 40MG I"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1760.00","92216307","NEPAFENAC 0.1% SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1760.00","92217110","IRINOTECAN HCL 20MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1762.47","74000760","SKELETAL SURVEY COMPLETE ","77075",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1762.50","92219263","IVERMECTIN 0.5% LOT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1763.00","92211358","OLOPATADINE HCL 0.1% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"177.18","38300540","CHOLESTEROL (TOTAL) ","82465",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"177.50","92217137","ZILEUTON 600MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"177.50","92218062","ZYFLO 500 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1770.00","33110587","KIT GJ MICKEY LOW PROFILE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1770.00","33114984","TUBE TRANSGAST JEJUN22FR3.0X45"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1774.50","92217713","FLUTICASONE PROP 110MCG ARO "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1775.30","75000140","US RETROPERITONEAL COMPLETE ","76770",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1777.78","74000945","UPPER GI W/AIR WO KUB ","74246",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"17786.50","92220165","ARIPIPR LAUR 882MG/3.2ML SUSP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"178.00","92212420","CA CL/KCL/NA CL SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"178.00","92218487","LARYNG-O-JET 4% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"178.50","92213119","ZINC SULF 1MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"178.50","92213747","MILRINONE D5W 0.2MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"178.77","38202420","TSH ","84443",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"178.80","38301570","IMMUNOELEC SERUM ","86334",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"178.80","38303160","IMMUNOFIXATION ELECTROPHORESIS","86334",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"178.80","38303870","IMMUNOFIX ELECTROPHOR-SERUM ","86334",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"178.92","38302143","RSV ANTIBODY ","86756",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1780.00","92215132","INSULIN LISPRO RCMB 100U/ML IN"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1780.00","92219399","INSUL LISPRO REC100UNITS/MLSOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1780.80","92217987","LAZANDA 100MCG SPRAY "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1786.50","92219275","FILGRSTM-SNDZ 300 MCG/0.5 MLSO"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1789.50","92213544","NAFTINE HCL 1% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1789.52","74000880","IVP INTRAVENOUS W/WO KUB ","74400",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"179.00","92219300","CLONIDINE TRANSDRML 0.1MG/24HR"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"179.25","38301820","OSMOLALITY URINE ","83935",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"179.50","92216145","MOXIFLOXACIN HCL 400MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"179.50","92220180","RIZATRIPTAN 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"179.76","38000016","DECALCIFICATION ","88311",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1797.07","75000110","US PELVIC COMPLETE ","76856",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"18.00","38200134","TREPONEMA PALLIDUM ANTIBODY ","86780",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"18.00","92210238","THIOTHIXENE 10MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"18.00","92210565","CHOLESTYRAMINE 4GM/9GM PDR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"18.00","92210590","BACITRACIN 500U/GM OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"18.00","92211452","CHOLESTYRAMINE LIGHT 4/5.7GM P"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"18.00","92211507","ROPINIROLE HCL 0.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"18.00","92211829","MIDODRINE HCL 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"18.00","92212177","DISOPYRAMIDE PHOS 150MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"18.00","92212506","CLOZAPINE 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"18.00","92212570","ZINC OXIDE 20% OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"18.00","92212584","DOXEPIN HCL 150MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"18.00","92212664","TAMOXIFEN 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"18.00","92212889","ALENDRONATE NA 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"18.00","92212934","OXYBUTYNIN CL 15MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"18.00","92213133","OXYBUTYNIN CL 10MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"18.00","92213342","AMIODARONE HCL 200MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"18.00","92213349","BISOPROLOL/HCTZ 10/6.25 TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"18.00","92213560","AMINOCAPROIC ACID 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"18.00","92213573","FAMOTIDINE 40MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"18.00","92213588","FAMOTIDINE 40MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"18.00","92214111","HCTZ IRBESARTAN 12.5-150MG TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"18.00","92214951","TOLTERODINE TARTRATE 1MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"18.00","92215040","TOLTERODINE TARTRATE 1MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"18.00","92215226","OXCARBAZEPINE 150MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"18.00","92216323","GLIMEPIRIDE 4MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"18.00","92216484","L-METHYLFOLATE 7.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"18.00","92216660","OXYBUTYNIN CL 10MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"18.00","92216739","DILTIAZEM HCL 300MG C24 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"18.00","92218058","HYDROCOD/CHLORPHEN POLIST SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"18.00","92218482","EYE WASH 99.05% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"18.00","92218561","WATER IRRIGATION STERILE SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"18.00","92218826","OXYBUTYNIN CHLORIDE ER 5MGTAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"18.00","92218929","MORPHINE SULFATE 30 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"18.00","92219333","PETROLATUM 33% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"18.00","92219342","CARISOPRODOL 250 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"18.00","92220008","PROPYLTHIOURACIL 50 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"18.00","92220216","OXYBUTYNIN 10MG "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"18.10","92216259","BETHANECHOL CL 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"18.10","92217173","PAROXETINE HCL 12.5MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"18.30","92213577","AMOXICILLIN CLV K 400-57 CTB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"18.30","92214036","HCTZ VALSARTAN 25-160MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"18.30","92215822","HCTZ VALSARTAN 25-160MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"18.40","92216125","HYDROCODONE APAP 2.5-167/5ML S"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"18.40","92216479","DIGOXIN 50MCG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"18.40","92217880","HYDROCODONE APAP 5-325/10ML SO"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"18.50","92210052","BACITRACIN 500U/GM OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"18.50","92210293","OXYMETAZOLINE HCL 0.05% SPR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"18.50","92210356","HYDROCODONE APAP 10-325MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"18.50","92210471","THEOPHYLLINE 100MG C24 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"18.50","92210497","NADOLOL 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"18.50","92210763","MINOCYCLINE HCL 100MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"18.50","92210895","ACYCLOVIR 800MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"18.50","92210909","TOLNAFTATE 1% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"18.50","92211224","DOXEPIN HCL 150MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"18.50","92211443","BELLADONNA OPIUM 16.2-30MG SUP"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"18.50","92211766","LORAZEPAM 0.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"18.50","92212117","PRAVASTATIN NA 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"18.50","92212363","FINASTERIDE 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"18.50","92213307","MIRTAZAPINE 15MG ODT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"18.50","92213511","METHYLPREDNISOLONE 16MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"18.50","92213812","SOTALOL HCL 120MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"18.50","92214026","AMIODARONE HCL 200MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"18.50","92214131","CLOZAPINE 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"18.50","92214146","SOTALOL HCL 120MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"18.50","92214324","CLINDAMYCIN HCL 300MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"18.50","92215057","OXYCODONE HCL 20MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"18.50","92215707","MORPHINE 30MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"18.50","92215997","CLOTRIMAZOLE 10MG LOZ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"18.50","92216521","VARENICLINE 1MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"18.50","92217098","AMIODARONE HCL 200MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"18.50","92217101","NEBIVOLOL HCL 2.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"18.50","92217105","NEBIVOLOL HCL 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"18.50","92217106","NEBIVOLOL HCL 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"18.50","92218068","TOLTERODINE TART 2MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"18.50","92218550","EYE WAS 99.05% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"18.50","92219103","DORZOLAMDE HCL/TIMOLOL2-0.5%OP"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"18.50","92219348","SOTALOL HYDROCHLORIDE 120MGTAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"18.50","92219528","LEVALBUTEROL 0.63 MG/3 ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"18.50","92219766","PANTOPRAZOLE 40 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"18.50","92219876","PANTOPRAZOLE DR 40 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"18.50","92219907","NITROFURANTOIN MAC 100 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"18.50","92219962","NITROFURAN MACCRYS 100 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"18.50","92220211","SEVELAMER 800MG "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"18.60","92212174","ICHTHAMMOL 20% OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"18.60","92217071","ATORVASTATIN CALCIUM 40MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"18.60","92217072","ATORVASTATIN CALCIUM 80MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"18.70","92215678","MENTHOL METHYL SALICYL 3-14% L"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"18.80","92214467","HCTZ LOSARTAN K 25-100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"18.80","92214488","AMOXICILLIN CLV K 400-57 CTB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"18.80","92215731","HCTZ LOSARTAN K 25-100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"18.80","92216328","HCTZ LOSARTAN K 12.5-100MG TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"18.80","92216329","HCTZ LOSARTAN K 12.5-100MG TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"18.80","92216330","HCTZ LOSARTAN K 12.5-100MG TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"18.90","92214159","HYDROCORTISONE ACET 30MG SUP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"18.90","92214284","NAPROXEN NA 375MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"18.90","92217574","NEOMYCIN SULF 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"180.00","92211302","DIAZEPAM 5MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"180.00","92219253","MODAFINIL 200 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"180.22","38300670","COOMBS INDIRECT QUAL ","86885",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"180.22","72000100","COOMBS INDIRECT ","86885",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"180.48","38300810","GLUCOSE BODY FLUID ","82945",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"180.48","38303050","GLUCOSE 24 HR URINE ","82945",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"180.50","92219071","EVEROLIMUS 0.75 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"180.50","92219394","BELLADONNA/OPIUM 16.2-60MGSUPP"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"180.99","38201240","FOLIC ACID ","82746",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1806.00","33199684","CATH TESIO DUAL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1807.00","92214998","CHLOROTHIAZIDE 500MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"181.00","92217685","LEVOFLOXACIN 750MG/150ML D5W I"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"181.50","92217806","COLISTIMETHATE NA 150MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"181.50","92217928","COLISTIMETHATE NA 150MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"181.50","92219629","VANCOMYCIN 2GM/400ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"181.50","92219908","CEFTRIAXONE 10 GM SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"181.83","72000085","COMPONENT POOLING ","86965",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1810.75","73500330","NRV COND STUDIES 11-12 STUDIES","95912",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1811.50","92216803","RISPERIDONE 12.5MG GER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1812.50","92212710","PODOFILOX 0.5% TOPICAL GEL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1813.00","92219258","GLUCAGON HYDROCHLORIDE 1MG SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"182.00","92214636","HALOPERIDOL DEC 50MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"182.00","92218639","HALOPERIDOLDECANOATE50MG/MLINJ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"182.00","92219350","CASTOR/BALSAM 87-788MG/GM OINT"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"182.00","92219975","BALSAM PERU/CASTOR OIL OINT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"182.20","92214650","OLANZAPINE 15MG ODT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"182.33","38200950","CULTURE STOOL ","87045",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"182.50","92211848","FLUOCINOLONE ACET 0.025% OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"182.50","92211984","FLUOCINOLONE ACET 0.025% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"182.50","92218859","ACYCLOVIR SOD 1000MG/20ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"182.60","92215567","DPT TOX-PED SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"182.63","72000355","RBC PRETREAT DIFF RED CELL ABS","86978",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"182.94","38301610","IRON BINDING CAPACITY ","83550",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"183.06","38300143","HUMAN HERPES VIRUS 6 PCR ","87532",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"183.06","38307038","HUMAN HERPES VIRUS 6 DNA AMP ","87532",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"183.20","92216613","FENTANYL CITRATE 800MCG LOZ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"183.50","92213259","GENTAMICIN SULF 0.1% OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"183.50","92215202","FLUCONAZOLE 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"183.50","92219442","NORFLURANE/PENTAFLUOROPR SPY "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"183.63","38301480","HEPATITIS C AB ","86803",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"183.80","38307004","HIV1 & HIV2 SINGLE ASSSAY ","86703",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"183.80","92211311","VITAMIN B COMPLEX 100 INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1831.71","75000130","US PREG UTERUS >14 WEEKS ","76805",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1834.00","92211557","AMPHOTERICIN B LIPOSOME 50MG I"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1835.00","92215695","KETOROLAC 0.4% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1835.47","74000081","BARIUM ENEMA W/WO KUB ","74270",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1835.47","74000082","GASTROGRAFIN ENEMA W/WO KUB ","74270",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1837.00","92217334","DAPSONE 5% GEL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1839.00","92220282","IMIPEN/CILAS/RELEBAC 1.25GMPDS"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"184.01","38302303","T3 TOTAL ","84480",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"184.32","38202390","TOBRAMYCIN ","80200",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"184.61","38001900","PERIPH SMEAR REPT & INTERP ","85060",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"184.80","92217888","ALBUMIN HUMAN 25% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1844.50","33152341","PORT VASC POWER PORT MRI 8FR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1845.00","92212946","INSULIN LISPRO RCMB 75/25U INJ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1845.00","92216653","INSULIN LISO/LISO PROT 50/50 I"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"18454.00","92211086","LEUPROLIDE ACET 30MG KIT PI4 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1847.47","74000870","URETHA BLADDER VOIDING CYSTO ","74455",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"185.00","92212115","FLUTICASONE PROP 0.05% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"185.00","92213540","ERYTHROMYCIN ES 400MG/5ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"185.00","92218864","ESTRADIOL 0.025 MG/24 HR PATCH"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"185.30","38000609","CYTOPATH NON-GYN CELL PREP ","88112",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"185.43","38200150","ANA TITER ","86039",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"185.43","38201720","LIPASE ","83690",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"185.50","92204010","IV ADMIXTURE 11 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"185.50","92213808","COLISTIMETHATE NA 150MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"185.50","92218205","FLUOROURACIL 50MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"185.60","92211813","AZITHROMYCIN 200MG/5ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"185.74","38306590","PROTHROMBIN SUBSTITUTION ","85611",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1852.00","92214237","TACROLIMUS 0.035% OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1857.00","33104019","CATH HMDIAL 14.5FR25CM 19CM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1857.00","33110387","CATH DIAL STRSYMTIP50CMX14.5FR"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1857.00","33152367","CATH DIAL TPRTIPSTR27CMx14.5FR"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1857.00","33152368","CATH DIAL TPRTIPSTR23CMx14.5FR"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"186.50","92214112","PAMIDRONATE DISOD 3MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"186.50","92218898","LIPIDS 20% EMULSION "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"186.50","92219812","POLYVINYL OH/POVIDN 2.7%-2%SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"186.50","92220169","LIPIDS-PLANT BASED 20% EMU "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"186.76","34000042","PT EVALUATION LOW COMPLEXITY ","97161GP ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"186.95","38301571","IMMUNOELEC FLUIDS ","86325",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1860.50","92218837","INSULIN HUMAN REG 500U/ML SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1868.88","72060013","PLATELETS PHER LR IRRAD-PROC "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1868.88","72060023","PLATELETS PHER PATHOGN REDUCED"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"187.00","92210315","ATROPINE SULF 1% EYE SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"187.00","92213385","CHLORPROMAZINE HCL 25MG/ML INJ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"187.00","92217190","CABERGOLINE 0.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"187.00","92219773","METHYLPREDNISOLONE 4 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"187.50","92215381","MORPHINE 1MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"187.50","92217911","MORPHINE 5MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1872.00","92220532","FLUTIC/UMEC/VIL200/62.5/25 MCG"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1875.00","92214301","INSULIN ASPART RECMB 100U/ML I"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1875.00","92220321","INSULIN ASPART RECOMB 100U/ML "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1878.41","73500100","EEG AWAKE AND ASLEEP ","95819",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"188.00","92213634","TENOFOVIR DISOPRXL FU 300MG TA"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"188.00","92216217","VANCOMYCIN HCL 125MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"188.00","92219714","EPHEDRINE SULFATE 50 MG/MLINJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"188.09","38387003","BCR/ABL1 TRANSLOCATION MI BRK ","81207",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"188.50","92211351","SUMATRIPTAN SUCC 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"188.50","92214692","PRAMOXINE HCL HC 1%-1% FOA "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"188.50","92219461","AZITHROMYCIN 100 MG/5 ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"188.76","38200024","LIPID PANEL ","80061",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1882.30","75000115","US VASCULAR DUP VISCERAL COMP ","93975",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1888.53","74076003","UPPER GI W/AIR W/KUB ","74247",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1889.50","92217188","THROMBIN 20000U PDS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"189.00","92219237","DROXIDOPA 100MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"189.15","34250127","OT EVALUATION LOW COMPLEXITY ","97165GO ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"189.50","92216546","SIROLIMUS 1MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"189.50","92217940","LEVETIRACETAM 15MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"189.50","92219630","SIROLIMUS 1 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"189.50","92219837","CEFOXITIN/DEX 2 GM/50 ML IVPB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"189.97","38302040","PROTHROMBIN TIME ","85610",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"19.00","92210169","MEXILETINE HCL 250MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"19.00","92210195","NITROFURANTOIN MCR 100MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"19.00","92210946","PHENAZOPYRIDINE 200MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"19.00","92211809","BACITRACIN 500U/GM OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"19.00","92212443","METHOTREXATE 2.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"19.00","92212502","ERGOCALCIFEROL 8000U/ML LIQ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"19.00","92212779","QUETIAPINE FUMARATE 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"19.00","92212883","METHOTREXATE 2.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"19.00","92213668","GALANTAMINE HBR 8MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"19.00","92213968","MERCAPTOPURINE 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"19.00","92214105","CITALOPRAM HBR 40MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"19.00","92214193","NITROFURANTOIN MCR 100MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"19.00","92214720","MAGNESIUM HYDROXIDE 1200MG SU"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"19.00","92215081","DICLOFENAC NA MISOPRO 50-0.2 E"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"19.00","92215413","OXYCODONE APAP 10-325MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"19.00","92215439","OXYCODONE HCL 30MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"19.00","92215555","ALPRAZOLAM 2MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"19.00","92215591","CELLULOSE TALC 71GM POW "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"19.00","92215714","CYCLOSPORINE 25MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"19.00","92215746","LOSARTAN POTASSIUM 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"19.00","92215805","LEVETIRACETAM 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"19.00","92216086","METHYLPHENIDATE HCL 10MG/5ML S"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"19.00","92216511","METHOTREXATE 2.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"19.00","92216620","SIMETHICONE 40MG/0.6ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"19.00","92216686","PHENYLEPHRINE HCL 0.25%-3% CRE"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"19.00","92216771","MIRTAZAPINE 30MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"19.00","92216817","VARENICLIINE TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"19.00","92217045","NEBIVOLOL HCL 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"19.00","92217318","GALANTAMINE HBR 4MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"19.00","92217348","LEVETIRACETAM 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"19.00","92217349","LEVETIRACETAM 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"19.00","92217631","ZIND OXIDE OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"19.00","92217828","AMLODIPINE BESYLATE 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"19.00","92218182","AMOXICILLIN 125MG/5ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"19.00","92218220","VASCULERA 600MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"19.00","92218598","LEVETIRACETAM 100 MG/ML "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"19.00","92218664","NITROFURANTOIN MACROC100MGCAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"19.00","92218730","DIOSMIN COMPLEX 630 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"19.00","92218749","LEVOCARNITINE 1GM/10ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"19.00","92219717","AMANTADINE HCL 100 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"19.00","92219849","SODIUM CHLORIDE 0.9% IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"19.00","92220154","OXYBUTYNIN 5 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"19.00","92220224","OXYCOD/ACETAMIN 10MG/325MG "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"19.00","92220240","MOUTHWASH SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"19.00","92220277","BENZOCAINE 10% GEL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"19.00","92220513","HYDROCORTISONE W/ALOE 1% EA "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"19.20","92214250","LOVASTATIN NIACIN20-500MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"19.30","92212345","DESIPRAMINE HCL 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"19.50","92211013","THIOTHIXENE 5MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"19.50","92211126","GLYBURIDE MICRO 3MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"19.50","92211306","CEFADROXIL 500MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"19.50","92211823","ESTRIFIED ESTROGENS METHY TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"19.50","92211830","DILTIAZEM HCL 90MG C12 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"19.50","92212989","OXYCODONE HCL 30MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"19.50","92213461","CHOLESTYRAMINE 4GM/5.5GM PDR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"19.50","92213538","BACITRACIN 500U/GM OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"19.50","92213687","PAREGORIC 2MG/5ML LIQ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"19.50","92213897","TRANYLCYPROMINE SULF 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"19.50","92213982","CITRIC ACID K CITRATE SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"19.50","92214114","BUSPIRONE HCL 30MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"19.50","92214263","FLECAINIDE ACETATE 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"19.50","92214363","MESALAMINE 250MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"19.50","92214701","NATEGLINIDE 60MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"19.50","92214869","MINOCYCLINE HCL 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"19.50","92214914","DICLOFENAC NA MISOPRO 75-0.2 E"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"19.50","92214975","FELBAMATE 600MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"19.50","92215808","LEVETIRACETAM 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"19.50","92216035","BUSPIRONE HCL 30MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"19.50","92216720","CARBAMAZEPINE 100MG/5ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"19.50","92216905","VERAPAMIL HCL 300MG CER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"19.50","92217509","DIVALPROEX NA 500MG TCP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"19.50","92217705","AMYLASE/LIPASE/PROTEASE ECC "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"19.50","92218228","VANCOMYCIN HCI 50MG/ML ORAL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"19.50","92218546","BUPROPION SR 200 MG TAB SR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"19.50","92218556","PEPTO BISMOL 262 MG/15 ML SUSP"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"19.50","92218562","FLECAINIDE ACETATE 100 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"19.50","92218907","OMEGA3ACID ETHYL ESTR 1GM CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"19.50","92218912","BUSPIRONE HCL 30 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"19.50","92218971","FLECAINIDE ACETATE100 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"19.50","92219192","PANCREAZE 10 CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"19.50","92219565","ESTROG-METHYLTEST1.25MG-2.5MG "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"19.50","92219568","MIGLITOL 50 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"19.50","92219727","FLUOXETINE HCL40 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"19.50","92219992","LANOLIN 50% CRM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"19.50","92220192","SODIUM CHLORIDE 0.9% "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"19.50","92220217","SODIUM CHLORIDE 0.9% "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"19.50","92220417","BISACODYL 10 MG/1.25 OZ SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"19.59","92213586","DANAZOL 50MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"19.60","92212093","OMEPRAZOLE 10MG ECC "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"19.60","92213826","HCTZ IRBESARTAN 12.5-300MG TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"19.79","38307002","HEELSTICK ","36416",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"19.90","92214685","EYE WASH SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"190.00","38201978","PREALBUMIN ","84134",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"190.00","92213453","NALBUPHINE HCL 10MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"190.11","38301990","PROLACTIN ","84146",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"190.30","92211628","TRETINOIN 0.025% GEL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"190.40","92214248","CHLORAMPHEN NA SUCC 1GM INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"190.50","92211659","CEFOTETAN DISODIUM 1GM INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"190.50","92215175","FIBER PDR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"190.50","92217803","NULECIT 62.5MG/5ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1901.00","92211687","BECLOMETHASONE DIPRO 42MCG SPR"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1904.03","74001057","ERCP (ENDO CATH BIL DUCT) ","74328",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"19051.50","92218081","INVEGA SUSTENNA 234MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1908.00","33111584","SET TRACH PERCUTANEOUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1908.50","33112669","STPLR RELOAD SPU GIA 60-3.5 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"191.00","92212116","HYDROCORTISONE 2.5% LOT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"191.00","92216118","ARIPIPRAZOLE 1MG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"191.00","92217995","TEMAZEPAM 7.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"191.00","92218203","CALCIDOL 480000IU/60ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"191.08","34000043","PT EVALUATION MOD COMPLEXITY ","97162GP ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"191.50","92212986","CARBIDOPA 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1910.00","92204007","IV ADMIXTURE 08 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1914.40","92217910","HYLAN PLOYMERS A B 8MG/1ML INJ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"192.00","92212977","TACROLIMUS 5MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"192.00","92213357","GADOTERIDOL 279.3MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"192.00","92214735","MANNITOL 20% IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"192.00","92220279","INSULIN GLARGINE 100 U/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"192.28","38301685","LEGIONELLA AG-DFA ","87278",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"192.50","92212553","HYDROCORTISONE ACET 1% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"192.50","92214985","FLUCONAZOLE 200MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"192.50","92215620","ARIPIPRAZOLE 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"192.50","92215624","ARIPIPRAZOLE 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"192.50","92215631","ARIPIPRAZOLE 15MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"192.50","92218072","MODAFINIL 200MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"192.50","92220536","SEMAGLUTIDE 14 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"192.93","38300835","CULTURE MYCOPLASMA ANY SOURCE ","87109",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1921.00","33113057","TRAY TRCH 8FR SHLYCGLBRHN PERC"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1924.50","92213108","CISATRACURUIM BESYL 10MG/ML IN"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1925.00","92219388","NETARSUDIL 0.002% 0.002% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1927.00","76000791","NM GASTRIC EMPTY W/SM BOWEL ","78265",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"193.00","36201050","MAXIMUM BREATHING CAPACITY ","94200",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"193.00","92211972","PROMETHAZINE HCL 50MG SUP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"193.00","92213810","FAMOTIDINE 10MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"193.00","92218834","LEVET/NACL0.9% 1000MG/100MLSOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"193.00","92219795","ENOXAPARIN 150 MG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"193.00","92220377","ENOXAPARIN 150 MG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"193.21","38200830","CULTURE-FUNGUS-OTHER SOURCE ","87102",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"193.32","34210340","STANDARD COGNITIVE TEST PER HR","96125GO ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"193.32","34600530","STANDARD COGNITIVE TEST PER HR","96125GN ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"193.64","34250128","OT EVALUATION MOD COMPLEXITY ","97166GO ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"193.70","92215339","BEXAROTENE 75MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"193.99","38302410","TRIGLYCERIDES ","84478",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"193.99","38302412","TRIGLYCERIDE FLUID ","84478",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1938.50","92219842","ESTRADIOL 0.01% CREAM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"194.00","92210429","CLINDAMYCIN PHOS 1% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"194.00","92215233","SIROLIMUS 1MG/ML ORAL SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"194.00","92215995","FLUCONAZOLE 10MG/ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"194.32","38386602","UREA NITROGEN CLEARANCE ","84545",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"194.47","38301260","WET MOUNT SMEAR ","87210",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"194.47","38303710","INDIA INK PREP ","87210",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"194.50","92213413","CLOTRIMAZOLE 1% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"194.50","92215532","LACTIC ACID 10% LOT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"194.50","92217131","CIPROFLOXACIN 400MG/200ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"194.50","92220399","MIDAZOLAM 100 MG/100 ML IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"194.59","38302180","SGPT (ALT) ","84460",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1945.00","92215484","INSULIN AS/AS PROT 70-30U/ML I"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1947.00","92215773","CALCITONIN 200U SPR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1949.00","92215838","DAPTOMYCIN 500MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1949.50","92210813","EPOETIN ALFA 20000U/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"195.00","92215819","LEVOFLOXACIN 750MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"195.04","38306815","STREP A AMP PROBE TECH ","87651",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"195.15","38300504","M TUBERCULOSIS DNA AMP PROBE ","87556",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"195.50","92211786","AMOXICILLIN CLV K 200-28.5/5 S"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"195.50","92215192","FLUCONAZOLE 200MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"195.80","92218016","MAXALT 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1954.00","92218533","CALCIPOTRIENE 0.005% TOP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"19596.50","92219335","TREPROSTINIL 2.5 MG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"196.00","92212775","ATOVAQUONE 750MG/5ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"196.00","92218125","LMX 5% CREAM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"196.50","92210654","MIDAZOLAM HCL 5MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"196.50","92211952","SCOPOLAMINE HBR 0.25% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"196.50","92212738","HYDROCORTISONE VAL 0.2% OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"196.50","92216957","RALTEGRAVIR K 400MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"196.54","38202115","RENIN-PLASMA ","84244",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"196.54","38202400","TRANSFERRIN SERUM ","84466",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"196.68","38206560","CLOTTING FACTOR V ","85220",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"196.70","38300590","CLOTTING FACTOR VIII ","85240",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1961.00","33113068","SET INT 24FR 26FR CGL BRHN EZ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1961.00","33113069","SET INT 24-26-28FR CGL BRHN G2"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1961.00","33168053","TRAY PERC TRACH INTRODUCER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1961.50","92216792","TEMOZOLOMIDE 140MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1964.50","33103843","CEMENT BONE REFOBACIN/GENTAMIC"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1965.45","75010001","US UP EXT ART DUPLEX COMP BIL ","93930",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1968.00","92215581","IMATINIB MESYLATE 400MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"197.21","38300294","COAGULATION TIME ACTIVATED ","85347",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"197.40","38200216","CRYPTOCOCCUS ANTIGEN SERUM ","87899",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"197.50","92210658","EPINEPHRINE HCL 1MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"197.50","92217894","MOXIFLOXACIN HCL 400MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"197.50","92219922","DOLUTEGRAVIR 25 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"197.58","38300040","ACETONE SERUM QUAL. ","82009",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"197.58","38301620","KETONES (ACETONE)QUAL ","82009",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"197.75","92212888","NEOMYIN SULF/POLYMYX B SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1972.00","92217851","EPINEPHRINE HCL 1MG/ML KIT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1972.00","92219572","EPINEPHRINE PED 0.15MG(0.15ML)"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1975.52","77000373","CT LIMITED OR FOLLOWUP STUDY ","76380",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1978.85","74000660","IVP RETROGRADE ","74420",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"198.00","92210741","CABERGOLINE 0.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"198.31","34000140","PHYSICAL THERAPY RE-EVALUATION","97164GP ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"198.55","38301540","HIV-1 ANTIBODY ","86701",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"198.56","38303015","T4 FREE (THYROXINE) ","84439",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"198.61","38000050","CYTO-SMEAR PREP/SCREENING ","88161",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"198.70","92213481","METHOTREXATE 25MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"198.70","92217335","LIDOCAINE HCL 3.5% GEL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1986.98","72060010","PLATELETS PHER-PROC ONLY "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"199.00","92214017","LEFLUNOMIDE 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"199.00","92217783","LURASIDONE HCL 80MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"199.36","38300250","BILIRUBIN DIRECT ","82248",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"199.38","38302170","SGOT (AST) ","84450",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"199.50","92215207","METHYLDOPATE HCL 250MG/5ML INJ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"199.74","38301170","ESTRADIOL ","82670",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"199.87","38200380","CALCIUM (IONIZED) ","82330",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"199.90","38300144","CORTISOL BASELINE ","82533",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"199.90","38300145","CORTISOL 1 HOUR POST DOSE ","82533",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"199.90","38300680","CORTISOL TOTAL ","82533",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1992.00","11400010","RECOVERY RM 0-30 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1992.00","36000150","BRONCHOSCOPY ","31622",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"1997.00","92216386","INSULIN DETEMIR 100U/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"20.00","38302890","CYSTINE/HOMO ","83090",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"20.00","92210251","CHLORHEXIDINE GLUC 4% LIQ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"20.00","92210488","WATER STERILE SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"20.00","92211300","TRIAZOLAM 0.25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"20.00","92212027","CEFADROXIL 500MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"20.00","92212072","AMOXICILLIN CLV K 500-125MG TA"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"20.00","92212111","CARVEDILOL 6.25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"20.00","92212879","FLECAINIDE ACETATE 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"20.00","92213327","ZALEPLON 5MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"20.00","92213582","FLUOXETINE HCL 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"20.00","92213623","CLINDAMYCIN HCL 300MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"20.00","92213665","DILTIAZEM HCL 420MG C24 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"20.00","92214336","VERAPAMIL HCL 300MG CER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"20.00","92214578","LEVETIRACETAM 250MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"20.00","92214621","REPAGLINIDE 2MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"20.00","92215096","CANDESARTAN CILEXETIL 8MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"20.00","92215147","ZONISAMIDE 100MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"20.00","92215383","EZETIMIBE 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"20.00","92216157","METOLAZONE 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"20.00","92216384","ISOFLURANE 99.9% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"20.00","92217718","OPIUM 10MG/ML TIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"20.00","92217945","CLOBAZAM 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"20.00","92217960","ACYCLOVIR 400MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"20.00","92218032","THEOPHYLLINE 80MG/15ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"20.00","92218433","LANTISEPTIC SKIN PROTECT TOP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"20.00","92218785","HYDROCOD/HOMOTROP 5MG-1.5MGSYR"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"20.00","92219056","TRIAZOLAM 0.25 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"20.00","92219111","NADOLOL 20 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"20.00","92219615","NIFEDIPINE ER 90 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"20.00","92219694","NIFEDIPINE 20 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"20.00","92220212","FERROUS SULFATE 400MG/5ML "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"20.00","92220484","ZIPRASIDONE 20 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"20.00","92220530","CARBAMAZEPINE ER 100MG CER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"20.10","92215610","HCTZ OLMESARTAN MED 12.5-40 TA"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"20.20","92215599","HYDROCORTISONE ACET 30MG SUP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"20.31","38200981","CULTURE URINE W/COLONY COUNT ","87086",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"20.50","92210189","TOLNAFTATE 1% POW "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"20.50","92211489","HYDROCORTISONE 0.5% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"20.50","92212539","FLECAINIDE ACETATE 150MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"20.50","92212904","DICLOFENAC NA MISOPRO 75-0.2 E"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"20.50","92213286","AMITRIPTYLINE HCL 150MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"20.50","92213612","GABAPENTIN 400MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"20.50","92213706","BROMOCRIPTINE MESYLATE 2.5MG T"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"20.50","92213716","ALUMINA MAGNESIA SIM LIQ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"20.50","92214723","METOLAZONE 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"20.50","92215477","TAMOXIFEN 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"20.50","92215480","TAMOXIFEN 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"20.50","92215748","LEVETIRACETAM 100MG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"20.50","92215852","DIPHENHYDRAMINE HCL Z ACE CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"20.50","92215880","MAG-AL PLUS XS SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"20.50","92216153","TIZANIDINE HCL 4MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"20.50","92216168","AMOXICILLIN CLV K 500-125MG TA"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"20.50","92216513","HCTZ VALSARTAN 12.5-320MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"20.50","92217206","RISPERIDONE 0.25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"20.50","92218295","QUETIAPINE 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"20.50","92218523","ZALEPLON 10 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"20.50","92218593","HYDCOD BIT-HMTRP 1.5MG-5MG/5ML"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"20.50","92218607","PIOGLITAZONE HCL 15 MG TABLET "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"20.50","92219098","BNZCN/BNZALK/ZNC20-0.02-0.1TOP"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"20.50","92219485","PHENYLEPHRINE HCL 0.5% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"20.50","92219700","PANTOPRAZOLE 20 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"20.50","92219874","PANTOPRAZOLE DR 20 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"20.53","38302965","ETHOSUXIMIDE ","80168",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"20.60","92214652","HYDROCODONE APAP 7.5-500MG SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"20.60","92214721","ISONIZAID RIFAMPIN 150-300MG C"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"20.80","92211816","SOTALOL HCL 160MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"200.00","92211037","FLUPHENAZINE DEC 25MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"200.00","92212516","CARTEOLOL HCL 1% EYE SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"200.50","92216339","ONDANSETRON 8MG ODT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"200.60","92214673","ALCLOMETASONE DIPRO 0.05% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2006.00","92214373","DARBEPOETIN A 40MCG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2006.00","92215811","DARBEPOETIN A 40MCG/0.4ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2008.50","92213329","DIAZOXIDE 50MG/ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"201.00","33111265","PROTECTOR BOOT HEEL PSR RELIEF"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"201.00","92211958","CROMOLYN NA 4% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"201.00","92214246","PAMIDRONATE DISOD 6MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"201.50","92214777","TRETINOIN 10MG SGL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"201.50","92216603","NAFCILLIN 2GM INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"201.50","92217150","OXACILLIN NA 2GM INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"201.59","34250130","OCCUPAT THERAPY RE-EVAL ","97168GO ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"201.60","38301380","GLYCOHEMOGLOBIN (HGB A1) ","83036",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"201.63","72000905","COOMBS INDIRECT TITER ","86886",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"201.67","38302212","BLOOD COUNT-PLATELET AUTO ","85049",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"20119.00","92217838","IMMUNE GLOBULIN 100MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2012.50","92211238","BETAXOLOL HCL 0.25% EYE SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2012.50","92216167","AZELAIC ACID 15% GEL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2017.50","92219276","FORMOTEROL/MOMET 5MCG200MCGINH"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2018.00","92218509","MOMETASON/FORMOTEROL100MCG5MCG"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"202.00","92217926","EPOPROSTENOL NA 0.5MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"202.50","92211349","SULFACETAMIDE NA 10% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"202.50","92215211","ENOXAPARIN NA 100MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"202.50","92215246","NALOXONE HCL 1MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"202.50","92218698","BALPERUCASTOIL87MG-788MG/GMTOP"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"202.50","92218989","FLUCYTOSINE 250 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"202.65","38205067","VITAMIN B6 LEVEL ","84207",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2029.67","38301508","RESP PATHOGEN PROFILE PCR ","0099U ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"203.00","36000880","AEROSOL/VAPOR INHALE SUBSEQ ","9464076",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"203.00","92219903","LEVETIRA/NACL 1500MG/100ML SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"203.03","38300008","CULTURE GROUP A STREP SCR ","87081",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"203.03","38300099","CLOTEST ","87081",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"203.03","38300920","CULTURE GC ","87081",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"203.03","38300924","CULTURE KPC SCREEN ","87081",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"203.03","38300930","CULTURE SCREEN MRSA ","87081",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"203.03","38300935","CULTURE SCREEN ACINETOBACTER ","87081",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"203.03","38300955","CULTURE VRE SCREEN ","87081",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"203.03","38301680","CULTURE LEGIONELLA ","87081",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"203.03","38302138","CULTURE VRE SCREEN ","87081",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"203.03","38302271","CULTURE GROUP B STREP SC ","87081",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"203.03","38303856","H.PYLORI RAPID UREASE TEST ","87081",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"203.03","38305627","BETA STREP SCREEN ","87081",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"203.40","38393920","HEPB CORE AB IGM (HBCIGM) ","86705",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"203.42","38301190","FDP (FSP) ","85362",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"203.50","92213290","HEXACHLOROPHENE HBR 2% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"203.81","38310002","PROTEIN C INHIBITOR ACTIVATED ","85335",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2030.50","92217230","SAGRAMOSTIM 500MCG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2032.39","75000198","US LOW EXT ART DUPLEX COMP BIL","93925",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2037.00","92220045","NETARSUDIL/LATANO 0.005%-0.02%"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"204.00","92211432","MEROPENEM 1GM INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"204.00","92211472","TRIAMCINOLONE 0.025% LOT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"204.00","92214041","AMOXICILLIN CLV K 400-57/5 SUS"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"204.00","92216568","LEVETIRACETAM 500MG/5ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"204.31","38202303","T3 TOTAL ","84480",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"204.31","38203110","HERPES SIMPLEX TYPE 1 ABY ","86695",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"204.50","92214214","ADEFOVIR DIPIVOXIL 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"204.59","76020016","I-131 SOD IOD CAP PER MCI TX "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2040.00","92212450","FILGRASTIM 300MCG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2041.50","33119956","STAPLER SINGLE USE RELOAD "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2042.50","73500331","NRV COND STUDIES 13+ STUDIES ","95913",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2047.00","92213718","CIPROFLOXACIN HC 0.2%-0.1% SUS"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2049.35","73500180","EEG OVER 1 HR ","95813",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"205.00","92214378","AMINO ACIDS 5% D25W IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"205.00","92220151","CLINOLIPID 20% EMU "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"205.10","92211165","HYDROCORTISONE VAL 0.2% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"205.16","38302440","URIC ACID BLOOD ","84550",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"205.40","92211662","AMINO ACIDS 10% IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"205.42","38202750","CA-19-9 ","86301",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"205.90","38300503","ELASTASE PANCREATIC(EL-1)FECAL","82656",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2054.50","92214942","ADVAIR 100-50 DSK "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2055.50","92211798","TOBRAMYCIN DEX 0.3-0.1% SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2057.00","92214584","LIDOCAINE HCL 5% OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2058.00","92218532","PROLENSA 0.07% OPHTH "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"206.00","92214788","FERRLECIT 62.5MG/5ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"206.00","92219090","AMMONIUM LACTATE 12% TOP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"206.20","92214225","FLUOCINONIDE 0.05% GEL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"206.50","92219847","MESALAMINE 1000 MG SUPP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"206.53","38387002","BCR/ABL1 TRANSLOCATION MAJ BRK","81206",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"206.61","38200795","QUANTIFERON TB GOLD ","86480",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"206.62","38302310","T-4 TOTAL (THYROXINE) ","84436",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2063.00","92219770","IBANDRONATE 150 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"20658.00","92217060","IMMUNE GLOBULIN 10% IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2066.70","92217998","FLUTICASONE 0.05% SPR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2067.00","11600020","O.R. EACH ADDTL 30 MIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2068.00","92211811","EPOETIN ALFA 10000U/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"207.00","92213903","CLONIDINE HCL 0.1MG TDM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"207.23","38301760","MAGNESIUM ","83735",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"207.23","38303250","MAGNESIUM URINE ","83735",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"207.24","38303586","CRYPTOCOCCUS LATEX AG SER ","86403",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"207.50","92212104","VERAPAMIL HCL 2.5MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"207.50","92213169","AMOXICILLIN CLV K 600-42.9/5 S"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"207.50","92214659","RILUZOLE 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"207.50","92214666","LOPINAVIR RITONAVIR 80-20MG SO"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"207.50","92215888","PYRIDOSTIGMINE BR 5MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"207.50","92216424","MILRINONE D5W 0.2MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"207.50","92218044","SORIATANE 25MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"207.50","92219996","CADEXOMER IODINE 0.9% GEL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"207.80","92216046","FLUCONAZOLE 400MG/200ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2074.70","92215306","SODIUM POLYSTYRENE SULF SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"20768.00","92214994","ADALIMUMAB 40MG/0.8ML KIT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2077.50","92211101","CLOBETASOL PROP 0.05% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2079.00","92210651","BLEPHAMIDE 0.2-10% SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"208.50","92213927","ALCLOMETASONE DIPRO 0.05% OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"208.50","92215677","LIDOCAINE HCL/HC 3%-0.05% CRE"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"208.50","92219255","PATIROMER 16.8 GM PWD "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"208.50","92219522","PATIROMER 8.4 GM/Packet PKT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"208.50","92219860","PATIROMER 25.2 GM/PACKET PWDR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2085.00","11600156","PEG TUBE INSERTION - OR ","43246",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"209.00","92213734","DALTEPARIN NA 5000U/0.2ML SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"209.00","92218357","ONFI 20 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"209.50","92215863","MULTIVATAMIN INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"21.00","92202005","TOPICALS 05 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"21.00","92211003","AMOXICILLIN CLV K 500-125MG TA"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"21.00","92211111","CLORAZEPATE 7.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"21.00","92211205","AMANTADINE HCL 50MG/5ML LIQ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"21.00","92211331","CARVEDILOL 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"21.00","92211420","WATER STERILE SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"21.00","92211815","PROVIDONE IODINE 10% OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"21.00","92212045","HYDROXYCHLOROQUINE 200MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"21.00","92214329","NITROFURAN MONO/MCR 100MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"21.00","92214713","RISPERIDONE 0.25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"21.00","92215431","SERTRALINE HCL 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"21.00","92215500","CANDESARTAN CILEXETIL 4MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"21.00","92215522","AMOXICILLIN CLV K 1000-62.5 TA"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"21.00","92215633","PROMETHAZINE HCL 12.5MG SUP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"21.00","92215648","OMEPRAZOLE 20MG ECC "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"21.00","92216039","LEVOCARNITINE 100MG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"21.00","92216587","VITAMIN A/D OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"21.00","92217052","OMEPRAZOLE 20MG ECC "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"21.00","92217489","ARMODAFINIL 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"21.00","92217877","BENZOCAINE DOCUSATE NA 20MG NM"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"21.00","92217892","DOCUSATE NA 283MG NMA "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"21.00","92218173","FENOFIBRIC ACID 45MG DR CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"21.00","92218301","VOIKACE 39150-10440-39150U TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"21.00","92218315","MIDODRINE 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"21.00","92218324","ATACAND 16MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"21.00","92218347","ZORVOLEX 35 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"21.00","92218377","PERPHENAZINE 16 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"21.40","92213340","CLINDAMYCIN HCL 300MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"21.50","92210223","TRIAMCINOLONE 0.1% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"21.50","92210982","NADOLOL 40MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"21.50","92211517","DILTIAZEM HCL 60MG C12 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"21.50","92211710","PREDNISONE 5MG/5ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"21.50","92211776","DEXTROAMPHETAMINE SULF 5MG CER"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"21.50","92211883","CALAMINE LOT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"21.50","92211898","DIPHENHYDRAMINE HCL Z ACE CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"21.50","92212576","NADOLOL 40MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"21.50","92212594","PRAMIPEXOLE DIHCL 1MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"21.50","92212717","COLESEVELAM HCL 625MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"21.50","92212723","SEVELAMER HCL 400MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"21.50","92212731","TROLAMINE SALICYLATE 10% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"21.50","92212976","CIPROFLOXACIN 250MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"21.50","92212997","HYDROCORTISONE 0.5% OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"21.50","92213567","TRIPLE ANTIBIOTIC OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"21.50","92213572","DEXTROSE 40% GEL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"21.50","92213764","HYDROCORTISONE ACET 1% OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"21.50","92214063","NAPROXEN NA 500MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"21.50","92214372","HCTZ VALSARTAN 12.5-80MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"21.50","92215228","ATORVASTATIN CALCIUM 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"21.50","92215483","ESCITALOPRAM OXALATE 5MG/5ML S"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"21.50","92215576","QUETIAPINE FUMARATE 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"21.50","92215680","ZINC OXIDE MENTHOL OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"21.50","92215684","ZINC OXIDE MENTHOL OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"21.50","92216572","DEXTROSE 15GM GEL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"21.50","92216640","LANOLIN PETROLATUM 15.5-53.4 O"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"21.50","92217215","SULFAMETHOXAZOLE/TMP SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"21.50","92217810","VENLAFAXINE HCL 37.5MG CER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"21.50","92217963","ALUMINUM OH/MG OH 355ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"21.50","92218987","LEVALBUT HYDROCHL1.25MG/3MLINH"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"21.50","92218997","PANTOPRAZOLE SODIUM 40 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"21.50","92219384","GLUCOSE ORAL GET 40% 1GM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"21.50","92219441","DEXTROSE ORAL 40% GEL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"21.50","92219443","DEXTROSE ORAL 40% GEL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"21.50","92219523","PANTOPRAZOLE 20 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"21.50","92219800","METHYL SAL 15% MENTHOL 10% CRE"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"21.50","92219813","POTASSIUM CHLORIDE ER 10MEQCER"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"21.50","92219872","PANTOPRAZOLE DR 20 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"21.50","92219873","PANTOPRAZOLE DR 40 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"21.50","92220201","COLESEVELAM 625MG "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"21.50","92220451","CETYLPYRIDINIUM CHLOR 0.05%SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"21.50","92220515","PROGESTERONE MICRONIZ 200MGCAP"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"21.70","92217231","EPLERENONE 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"21.71","38307012","BARTONELLA/CAT SCRATCH DISEASE","86611",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"21.90","92215611","HCTZ OLMESARTAN MED 12.5-40 TA"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"210.00","92214164","EFAVIRENZ 600MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"210.20","38302151","PSA SCREENING "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"210.50","92211159","GENTAMICIN SULF 3MG/GM OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"210.50","92211275","DICLOFENAC NA 0.1% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"210.50","92217177","DARUNAVIR ETHANOLATE 600MG TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2103.00","92218381","ADVAIR HFA 230MCG-21MCG AER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2107.00","92216806","BUDESONIDE FORMOTRL 80/4.5 AER"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2109.48","75000030","US EXTRACRANIAL STUDY COMP BIL","93875",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2109.48","75094002","US CAROTID BILATERAL ","93880",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"211.00","92210971","CEFPROZIL 250MG/5ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"211.00","92218348","MYCOPHENOLATE 200 MG/ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"211.00","92218906","ALBUMIN HUMAN 5% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"211.14","38301810","OSMOLALITY SERUM ","83930",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"211.50","92215348","IMIPENEM CILASTATIN NA 500MG I"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"211.50","92218524","LAMOTRIGINE 300 MG TAB ER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2110.51","73510001","EEG MONITORING 1 HR ","95812",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2119.50","92219277","TEDIZOLID PHOSPHATE 200 MG PWD"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"212.08","38202290","T3 FREE ","84481",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"212.08","38202500","VALPROIC ACID ","80164",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"212.50","38303125","HGB FRACTIONATION BY HPLC ","85461",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"212.65","38300190","ANTIBODY SCREEN ","86850",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"212.65","72000025","ANTIBODY SCREEN ","86850",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"213.19","38200590","CLOTTING FACTOR VIII ","85240",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"213.26","38000580","IMMUNOFLUORESCENCE ","88346",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"213.36","38301650","LDH ","83615",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"213.50","92216519","RASAGILINE 0.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"213.50","92218130","CYCLOPENTOLATE HCL 2% EYE SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"213.50","92220483","DIAZEPAM 10 MG/2 ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"213.72","38003000","HLA CL 1 TYP HI RES AL/AL GRP ","81381",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2131.00","92214418","CLOBETASOL PROP 0.05% FOA "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2133.00","92218086","NATACYN 5% OPHTH SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2138.50","92213787","TAZAROTENE 0.1% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"214.00","92218452","CELLCEPT 200 MG/ML SUSP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"214.00","92219077","SIROLIMUS 1 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"214.10","92215692","ZOLMITRIPTAN 5MG NASAL SPR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"214.16","38302327","INF AGT AG DET EIA INFLU A/B ","87400",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"214.21","38000070","INTRA-OPERATIVE CONSULTATION ","88329",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"214.30","38201290","GENTAMICIN ","80170",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"214.30","38202885","CULTURE FLUID/OTHER (NON CSF) ","87070",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"214.33","38300517","CHLAMYDIA TRACHOMATIS(AMP) ","87491",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"214.50","92210512","NEOMYIN SULF/POLYMYX B/DEXAM O"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"214.50","92211643","CHLORDIAZEPOXIDE CLIDINIUM CAP"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"214.50","92214642","CHLORPROMAZINE HCL 25MG/ML INJ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"214.59","38303135","HIV1 ANTIGENEIA ","87390",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"214.61","38302073","CMV BY PCR ","87496",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2142.00","92215892","TRAVOPROST 0.004% EYE SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2143.00","92217972","LEVOFLOXACIN/D5W 500MG/100ML I"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2145.50","92212501","APRACLONIDINE 0.5% EYE SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"21456.50","92220164","ARIPIPR LAUR 1064MG/3.9ML SUSP"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2149.00","92211592","EPOETIN ALFA 20000U/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"215.00","92211210","SUMATRIPTAN SUCC 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"215.00","92214916","OLANZAPINE 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"215.00","92215191","EPOETIN ALFA 2000U/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"215.00","92216249","OLANZAPINE 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"215.00","92217016","ENOXAPARIN NA 100MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"215.00","92218118","FANAPT 6MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"215.00","92219487","PENIC G PRO 600000UNITS/MLSOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"215.26","38000730","FLOW CYTOMETRY-1ST MKR-TECH ","88184",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"215.50","92212698","AZTREONAM 1GM/50ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"215.50","92214494","ATOVAQUONE 750MG/5ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"215.50","92216318","AZTREONAM 1GM/50ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"215.50","92217449","DICLOFENAC NA 0.1% GEL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"215.66","38300142","BK VIRUS PCR QNT ","87799",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"215.66","38301000","INF AGENT DETEC NUC AC NOS QNT","87799",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2150.50","76000425","NM NONCARDIAC VASCULAR FLOW ","78445",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2158.50","92217834","IMMUNE GLOBULIN 100MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"216.00","92210062","ACETIC ACID 2% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"216.00","92210699","CEPHALEXIN 125MG/5ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"216.00","92217222","INSULIN GLULISINE 100U/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"216.00","92217252","AMINO ACIDS 4.25% D25W IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"216.00","92218951","SUMATRIPTAN 50 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"216.00","92219553","LEPTOSEPERMUM HONEY 1 TUBE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"216.50","92212631","FLUOCINOLONE ACET 0.01% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2162.50","92212491","FILGRASTIM 300MCG/0.5ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2166.00","92215312","ESTRADIOL 0.01% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"217.00","92216262","MEGESTROL ACET 625MG/5ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"217.50","92214560","FENTANYL 75MCG/HR TDM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"217.50","92217010","FENTANYL 75MCG/HR TDM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"217.50","92219732","MESALAMINE 1000 MG SUP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"217.70","92211943","WARFARIN NA 5MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"217.88","34000044","PT EVALUATION HIGH COMPLEXITY ","97163GP ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2171.00","74200289","MRI CHEST W/CONTRAST ","71551",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2173.00","33106421","HARVESTER CELLUTOME 5.0CM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"218.00","92213796","CEFTRIAXONE NA 2GM INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"218.00","92215465","CEFEPIME HCL 2GM INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"218.00","92215982","DOXERCALCIFEROL 2.5MCG SGL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"218.35","38301350","GLUCOSE TOL - 3 SPECIMENS ","82951",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"218.42","38301978","PREALBUMIN ","84134",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"218.50","92214747","COLESTIPOL HCL 5GM PDR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"218.50","92215204","PHYTONADIONE 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"218.50","92219472","VITAMIN E 15 IU/0.3 ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"218.74","38200405","CARCINOEMBRYONIC-(CEA) ","82378",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"218.97","38303295","MYOGLOBIN ","83874",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2183.00","92210073","FLUOROMETHOLONE 0.1% SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2188.50","92215004","CASPOFUNGIN ACETATE 50MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"219.46","38302270","STREP A SCREEN (EIA) ","87430",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"219.50","92213690","PHENYLEPHRINE HCL 2.5% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"219.52","38302130","RHEUMATOID FACTOR QUAL ","86430",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"219.52","38304121","D-DIMER SEMI QUANT ","85378",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"219.53","38301730","LITHIUM ","80178",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"219.90","38301470","HEPATITIS B SURFACE AG (HBSAG)","87340",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2190.30","92218006","EXTIA 2% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2194.70","92218135","SUTENT 25MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2196.50","92219797","INSULIN DEGLUDEC 100U/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"22.00","38302980","FEBRILE AGGLUTININS ","86000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"22.00","92203065","ORALS 65 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"22.00","92210301","PRAMOXINE HCL Z ACET 1%-0.1% L"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"22.00","92210311","AMOXICILLIN 125MG/5ML PDR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"22.00","92210391","MICONAZOLE NITRATE 2% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"22.00","92210802","NIFEDIPINE 60MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"22.00","92210860","CHLORPROMAZINE HCL 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"22.00","92211109","AMOXICILLIN CLV K 250-125 TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"22.00","92211185","QUETIAPINE FUMARATE 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"22.00","92212154","SODIUM CL 0.9% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"22.00","92212314","PAROXETINE HCL 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"22.00","92212355","METHOTREXATE 2.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"22.00","92212994","AMIODARONE HCL 200MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"22.00","92213611","PREDNISOLONE NA POS 5MG/5ML SO"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"22.00","92214781","PANTOPRAZOLE NA 20MG ECT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"22.00","92214796","OXCARBAZEPINE 300MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"22.00","92215098","FERROUS SULF 300MG/5ML ELI "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"22.00","92215136","PANTOPRAZOLE NA 40MG ECT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"22.00","92215857","MERCAPTOPURINE 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"22.00","92216370","HYDROMORPHONE 2MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"22.00","92217199","RALOXIFENE HCL 60MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"22.00","92217200","DRONABINOL 2.5MG SGL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"22.00","92217323","VENLAFAXINE HCL 37.5MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"22.00","92217324","VENLAFAXINE HCL 37.5MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"22.00","92217356","AZITHROMYCIN 250MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"22.00","92217426","LAMOTRIGINE 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"22.00","92217771","PRADAXA 75MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"22.00","92217868","HYDROCODONE APAP 7.5-500/15ML "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"22.00","92217881","HYDROCODONE APAP 2.5-167/5ML S"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"22.00","92218002","FENOFIBRIC ACID 105MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"22.00","92218162","UROGESIC BLUE TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"22.00","92218748","LEVOCARNITINE1GM/10ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"22.00","92218838","DIGOXIN 0.125 MG/2.5 ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"22.00","92219456","CARBAMAZEPINE 200 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"22.00","92219616","MONTELUKAST CHW 5 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"22.00","92220001","FLECAINIDE 50 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"22.10","92215623","CARBIDOPA/ENTACAPONE/LEVO TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"22.10","92216261","SIBUTRAMINE HCL 10MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"22.30","92213207","LOVASTATIN 40MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"22.40","92215193","DESLORATADINE 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"22.50","92203013","ORALS 13 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"22.50","92211072","CEPHALEXIN 250MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"22.50","92211547","PROVIDONE IODINE 10% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"22.50","92211717","NEOMYCIN SULF/POLYMYX B/PRAM C"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"22.50","92211741","HALOPERIDOL LAC 2MG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"22.50","92211767","FLUOXETINE HCL 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"22.50","92212290","DESIPRAMINE HCL 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"22.50","92212475","DOXYCYCLINE 25MG/5ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"22.50","92212654","AMOXICILLIN CLV K 250-125 TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"22.50","92212737","PETROLATUM SHARK LIVER OIL OIN"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"22.50","92213418","DIPHENHYDRAMINE HCL Z ACE CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"22.50","92213697","RIVASTIGMINE TARTRATE 6MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"22.50","92213710","RIVASTIGMINE TARTRATE 4.5MG CA"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"22.50","92214210","CANDESARTAN CILEXETIL 32MG TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"22.50","92214590","LEVETIRACETAM 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"22.50","92214655","FLUVASTATIN NA XL 80MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"22.50","92215492","TRIAMTERENE 50MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"22.50","92215761","EPLERENONE 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"22.50","92215787","VENLAFAXINE HCL 37.5MG CER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"22.50","92216016","OMEPRAZOLE 20MG ECC "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"22.50","92217210","RISPERIDONE 0.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"22.50","92217329","VENLAFAXINE HCL 150MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"22.50","92217373","HYDROXYCHLOROQUINE 200MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"22.50","92217582","HYPROMELLOSE 0.3% GEL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"22.50","92217681","TAMSULOSIN HCL 0.4MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"22.50","92217863","RIVASTIGMINE TARTRATE 1.5MG CA"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"22.50","92218841","FINASTERIDE 1 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"22.50","92219041","CARBI/LEVDOPA48.75MG-195MGCAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"22.50","92219123","ACETAZOLAMIDE 250 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"22.50","92219196","CALAMINE 8%-8% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"22.50","92219298","LIDOCAINE PATCH 4% PATCH "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"22.50","92219646","CEFUROXIME AXETIL 250 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"22.50","92219650","NAFTIFINE HCL 1% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"22.50","92219741","TAMSULOSIN HCL 0.4 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"22.50","92219762","CEFUROXIME AXETIL 250 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"22.50","92219901","UREA POWDER 15 GM PKT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"22.50","92220190","MULTIVITAMIN & MINERALS LIQ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"22.50","92220355","UREA POWDER 15 GM PKT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"22.52","74020007","LOCM 100-199MG/ML IODINE/1ML "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"22.58","38306754","HTLV I ","86687",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"22.60","92210129","RANITIDINE HCL 150MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"22.60","92214126","SOTALOL HCL 160MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"22.60","92214503","LOVASTATIN 40MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"22.60","92216784","METRORMIN SITAG PH 500-50MG TA"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"22.70","92217416","ALPRAZOLAM 2MG ODT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"22.80","92211614","VISINE FOR CONTACTS SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"220.00","92212545","AZTREONAM 1GM INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"220.50","92214634","LEVOCARNITINE 200MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"220.50","92215660","MODAFINIL 200MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"220.50","92218857","NORFLURANE/PENTAGLUOROPROPN SP"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"220.66","38302011","PROTEIN TOTAL OTHER SOURCE ","84157",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"220.66","38305561","PROTEIN CSF ","84157",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"220.70","92215117","CICLOPIROX 0.77% SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2202.00","92214318","PRAMOXINE HCL HC 1%-1% LOT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2203.00","11600320","LUMBAR PUNCTURE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2204.88","76000046","NM CEREBROSPINAL FLUID FLOW ","78630",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2205.00","92213953","CONJUCATED ESTROGENS 25MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2206.00","92215394","DROTRECOGIN ALFA 5MG PDS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"221.00","36000400","AEROSOL/VAPOR INHALE INITIAL ","94640",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"221.00","92211114","TERCONAZOLE 0.8% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"221.00","92219044","OLANZAPINE 20 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"221.40","92218082","GENOTROPIN MINIQUICK 0.4MG INJ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"221.49","38399318","T CELL TOTAL COUNT ","86359",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"221.72","72000300","ANTIGEN TYPE (RBC) ","86905",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2212.50","33111020","SET INTRO PERCUT TRACH SZ6 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2219.30","39200258","ECHO 2-D&M-MODE W/O DOPPLER ","93307",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2219.30","75000050","US ECHO TRANSTHORACIC 2D COMPL","93307",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"222.00","34250129","OT EVALUATION HIGH COMPLEXITY ","97167GO ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"222.35","38302160","SENSITIVITY (MIC) ","87186",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"222.50","33108410","CATH PHILLIPS FOLLOWER 10FR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"222.50","33108411","CATH PHILLIPS FOLLOWER 12FR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"222.50","33108412","CATH PHILLIPS FOLLOWER 16FR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"222.50","33108413","CATH PHILLIPS FOLLOWER 18FR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"222.50","33108414","CATH PHILLIPS FOLLOWER 20FR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"222.50","33108415","CATH PHILLIPS FOLLOWER 22FR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"222.50","33108416","CATH PHILLIPS FOLLOWER 24FR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"222.50","33108417","CATH PHILLIPS FOLLOWER 8FR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"222.50","33109192",""CATH URET 14FR/CH 4.L7MM 16"" ""," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"222.50","92213185","ONDANSETRON 8MG ODT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"222.78","72000575","IRRADIATION OF BLOOD ","86945",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2224.00","92214660","BRINZOLAMIDE 1% EYE SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2225.00","92218616","CYCLOPHOSPHAMIDE 500 MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2229.00","92218446","CRESEMBA 372 MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"223.00","92214934","ONDANSETRON HCL 8MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"223.00","92220064","ATOVAQUONE 750 MG/5 ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"223.06","38399315","DTT SERUM TREATMENT ","86977",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"223.06","72000361","RBC SERUM PRETX INCUB/INHIBIT ","86977",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"223.06","72099982","NEUTRALIZATION ","86977",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"223.21","38300470","CBC W/ AUTO DIFF ","85025",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"223.50","92213636","MYCOPHENOLATE 1000MG SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"223.50","92213642","AMINO ACIDS W/E IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"223.50","92218726","MYCOPHEN MOFETIL1000MG/5MLSUSP"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2230.00","92217615","PROVIDONE IODINE 5% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2233.19","77000412","ASPIRATION NDL W CT ADD LESION","10010",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2233.50","92217658","MULTIVATAMIN INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"224.00","92210505","POLYMYXIN B/TMP 10000U/1MG SO"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"224.00","92214930","EXEMESTANE 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"224.00","92215973","POLYETHYLENE GLYCOL 3350 PDS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"224.16","72000310","RBC ELUTION ","86860",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"224.50","92210074","BETAMETHASONE VA 0.1% OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"224.50","92214864","LIPIDS 20% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"224.50","92216891","TDAP VACCINE SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2242.00","92210550","CLOBETASOL PROP 0.05% OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2242.70","75000220","US EXT VEIN DUPLEX COMPLETE BI","93970",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"225.00","33129575","SPLINT OCL ROLL II 3x15FT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"225.00","38200225","C AURIS SCREEN ","87481",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"225.00","92217813","AMIODARONE HCL 150MG/100ML SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"225.50","92211201","AK-PENTOLATE 1% EYE SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"225.50","92219059","AMINO ACIDS/DEXT 2.75%-5% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2252.50","33106442","BLUE RHINO G2-MULTI PERC TRACH"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2252.50","33113080","TRAY TRCH 24-28FR SHLY CGLBRHN"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2252.50","33129511","INTRODUCER PERCUTANEOUS 13F "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2253.00","11600080","ENDOSCOPY "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"226.00","38300650","COMPLEMENT FIXATION EA ANTIGEN","86171",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"226.00","92216203","ESOMEPRAXOLE NA 20MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"226.00","92216685","PEG ELCTROLYTE LAVAGE PDS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"226.50","92210310","BETAMETHASONE DP 0.05% LOT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2268.00","92220473","ZOLEDRONIC ACID 5MG/100ML IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"227.00","92210760","TIMOLOL MALEATE 0.25% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"227.00","92213843","LIDOCAINE HCL 4% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"227.00","92214775","CITRIC ACID GLUC MG CARBONAT S"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"227.00","92214825","ACYCLOVIR NA 50MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"227.00","92214957","ETHYL CHLORIDE SPR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"227.00","92216338","OCTREOTIDE ACET 500MCG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"227.00","92219648","INSUL HUM REG100UNITS/100MLSOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"227.00","92220383","NOREPINEPHRINE D5W 8 MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"227.16","72060020","FFP 8-24HRS-PROC ONLY "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"227.30","92216834","METHOTREXATE 25MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"227.50","38302217","RETIC COUNT AUTO W DIR MEAS ","85046",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"227.50","92210891","PROPARACAINE HCL 0.5% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"227.50","92211328","AMMONIUM LACTATE 12% LOT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"227.63","38201010","FIBRIN-D-DIMER QUANT ","85379",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"227.63","38201540","HIV-1 ANTIBODY ","86701",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2270.50","92219313","FILGRASTIM-AAFI480MCG/0.8MLSOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2270.50","92219314","FILGRASTIM-AAFI480MCG/0.8MLSOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2270.50","92220478","FILGRASTIM-AAFI 480MCG/0.8ML "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2270.80","74001421","UGI W/AIR & SMALL BOWEL ","74249",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2273.50","92214981","CASPOFUNGIN ACETATE 70MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2275.20","92211399","CYANIDE ANTIDOTE INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"228.00","33171341","GUIDEWIRENITNOL.035STFTIP150CM"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"228.00","92215662","NYSTATIN 150MMU POW "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"228.20","34010260","STRAPPING TOES ","29550GP ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"228.20","34210365","EVAL OF SWALLOWING BLUE DYE ","92610GO ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"228.20","34600419","CLINICAL/BEDSIDE EVALUATION ","92610GN ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"228.20","34600420","EVAL SWALLOW/ORAL FUNCTION ","92610GN ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"228.20","34600421","EVAL OF SWALLOWING BLUE DYE ","92610GN ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"228.20","34600431","EVAL SWALLOW/ORAL FUNC 30 MIN ","92610GN ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"228.20","34600432","EVAL SWALLOW/ORAL FUNC 45 MIN ","92610GN ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"228.20","34600433","EVAL SWALLOW/ORAL FUNC 60 MIN ","92610GN ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"228.50","33103279","KIT SIMPULSE VARICARE WOUND "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"228.50","92215710","UREA 40% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"228.50","92216317","AZTREONAM 1GM INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"228.74","38200850","CULTURE ANAEROBIC ","87075",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"228.99","38307015","KB SENSITIVITY ","87184",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2281.50","92212125","SULFACETAMIDE NA S 10%-5% LOT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2282.20","92211891","ALBUMIN HUMAN 25% IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2285.00","11600060","COLONOSCOPY "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2287.00","33170395","KIT CATH DIAL PALIN 55CMX14FR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2288.00","33109971","STPLR ENDOGIA ROTIC DLU45-3.5 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"229.00","92213175","HYDROXYZINE HCL 50MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"229.33","38300456","ACTH STIMULATION PANEL ","80400",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"229.50","92216667","ARIPIPRAZOLE 15MG ODT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"229.50","92217254","AMINO ACIDS 4.25% D5W IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"229.50","92218449","APTIOM 600 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"229.50","92218626","AMMONIUM LACTATE 12% TOPICAL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"229.54","39200140","ECG RHYTHM STRIP 1-3 LEAD ","93041",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2291.50","92214627","MORPHINE 25MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2294.50","92218742","UMECLIDINIUM 62.5 MCG/ACT NH "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2299.50","92218057","VICTOZA 6MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"23.00","92210149","BETHANECHOL CL 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"23.00","92211350","OMEPRAZOLE 20MG ECC "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"23.00","92211570","SODIUM CL 0.9% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"23.00","92211596","SODIUM CL 0.9% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"23.00","92211773","DEXTRAN HYPROMELLOSE SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"23.00","92212342","OMEPRAZOLE 20MG ECC "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"23.00","92212540","DIVALPROEX NA 500MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"23.00","92213087","NALTREXONE 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"23.00","92213124","NALTREXONE 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"23.00","92213196","LOVASTATIN 40MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"23.00","92213474","METOCLOPRAMIDE 10MG/10ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"23.00","92213938","ACETAZOLAMIDE 500MG CER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"23.00","92214178","PHENYLEPHRINE HCL 0.25% OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"23.00","92214870","RISPERIDONE 0.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"23.00","92215088","NORFLOXACIN 400MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"23.00","92215279","ETIDRONATE DISODIUM 200MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"23.00","92215448","RIVASTIGMINE TARTRATE 3MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"23.00","92215452","GABAPENTIN 250MG/5ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"23.00","92215961","MEGESTROL ACET 40MG/ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"23.00","92215962","MEGESTROL ACET 40MG/ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"23.00","92216708","MENTHOL METHYL SALICYL 1-15 CR"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"23.00","92216882","CEFUROXIME AXETIL 250MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"23.00","92217120","OXYCODONE HCL 20MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"23.00","92217175","MONTELUKAST NA 5MG CTB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"23.00","92217317","GALANTAMINE HBR 12MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"23.00","92217342","MEGESTROL ACET 40MG/ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"23.00","92217390","RUFINAMIDE 200MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"23.00","92217577","AMYLASE/LIPASE/PROTEASE ECC "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"23.00","92218063","NORTRIPTYLINE HCL 75MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"23.00","92218069","LEVALBUTEROL HCL 0.63MG/3ML IN"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"23.00","92218648","MEGESTROL ACETATE 40MG/ML SUSP"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"23.00","92218806","ALFUZOSIN HCL 10 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"23.00","92218839","THEOPHYLLINE ER 300 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"23.00","92219023","OXYCODONE HCL CR 20 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"23.00","92219657","ACETAZOLAMIDE 250 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"23.00","92219856","VANCOMYCIN 25 MG/ML SOLN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"23.00","92219939","NITROFURANTOIN MONOMAC100MGCAP"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"23.00","92220331","ACYCLOVIR 800 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"23.10","92213817","METRORMIN ROSIG MAL 500-4MG TA"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"23.10","92214532","HCTZ LOSARTAN K 25-100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"23.10","92215826","HCTZ VALSARTAN 12.5-160MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"23.10","92217297","HCTZ LOSARTAN K 12.5-100MG TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"23.20","92212075","CEFPROZIL 250MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"23.20","92214139","CEFUROXIME AXETIL 250MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"23.50","92210678","ANTIBACTERIAL/ANESTHETIC OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"23.50","92210947","PRAZOSIN HCL 5MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"23.50","92211412","FLUPHENAZINE HCL 1MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"23.50","92211603","WATER STERILE SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"23.50","92211907","RIFAMPIN 300MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"23.50","92212659","POTASSIUM CL 40MEQ/15ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"23.50","92212927","RIVASTIGMINE TARTRATE 1.5MG CA"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"23.50","92213421","CELECOXIB 200MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"23.50","92213496","SALICYLIC ACID 2%-2% LIQ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"23.50","92213689","ORLISTAT 120MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"23.50","92215360","DESMOPRESSIN ACET 0.1MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"23.50","92215495","FLECAINIDE ACETATE 150MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"23.50","92216542","OXYMORPHONE HCL 10MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"23.50","92216754","ACYCLOVIR 800MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"23.50","92217627","POTASSIUM CITRATE 15MEQ TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"23.50","92217770","PRADAXA 75MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"23.50","92218124","ARTHRICREAM 10% CREAM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"23.50","92218270","ESCITALOPRAM 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"23.50","92218289","FENOFIBRATE 145MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"23.50","92218293","NALTREXONE 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"23.50","92218994","HYDROXYCHLOROQUINE SUL200MGTB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"23.50","92218996","ZINC OXIDE 20% OINT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"23.50","92219349","SOTALOL HYDROCHLORIDE 160MGTAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"23.50","92219895","MICONAZOLE 2% PWD "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"23.50","92220196","CELECOXIB 100MG "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"23.50","92220382","TELMISARTAN 80 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"23.60","92215916","OFLOXACIN 0.3% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"23.70","92215044","DESLORATADINE 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"23.87","92216213","MINERAL OIL PRAMOX HCL ZINC OI"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"23.94","38300111","URINALYSIS NONAUTO W/O MICROSC","81002",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"230.00","34600427","TYMPANOMETRY & REFLEX THRESH ","92550GN ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"230.00","92217253","AMINO ACIDS 4.25% D20W IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"230.00","92217472","NITROGLYCERIN 2% OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"230.80","92213978","TINZAPARIN NA 20000U/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"230.80","92214249","TINZAPARIN NA 20000U/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"230.96","38200140","ANA SCREEN ","86038",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"230.96","38200710","CPK-TOTAL ","82550",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"230.99","38300490","CELL COUNT FLUIDS W/O DIFF ","89050",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2305.00","33113049","TRAY TRCH SHLY CGL BRHN PERC "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2307.50","92218074","TUDORZA PRESSAIR 400MCG/ACT IN"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"231.00","92217720","CYANOCOBALAMIN 1000MCG/ML INJ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"231.05","38300380","CALCIUM (IONIZED) ","82330",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"231.27","72000540","ANTIGEN SCREENING (REAGENT) ","86902",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"231.50","92213011","CR CU MN ZN TRACE ELEMENT INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"231.50","92213170","ENOXAPARIN NA 120MG/0.8ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"231.50","92217255","AMINO ACIDS 4.25% D10W IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"231.80","92213479","FLUOCINONIDE 0.05% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2317.00","33170069","TRACH PERC SETIN BLURHNO G2MLT"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2319.00","92214992","SUMATRIPTAN SUCC 6MG/0.5ML SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"232.35","38300017","AEROBIC CULTURE QUANT ","87071",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"232.50","92219640","LINEZOLID 600 MG/300 ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2321.00","33111585","SET TRACH PERCUT BLURHINODIL28"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2322.00","92217623","BACLOFEN 10MG/20ML KIT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2325.00","33195412","BRONCHOSCOPE ASCOPE 4 LARGE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2325.00","92218421","AVYCAZ 2GM/0.5GM INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2327.50","92219402","IMMUNE GLOB 10% 100 MG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"23276.00","92219404","IMMUNE GLOB 10% 100 MG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"233.00","92214785","CLOMIPRAMINE HCL 50MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"233.00","92215713","DIAZEPAM 5MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"233.00","92216788","RETAPAMULIN 1% OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"233.50","92212146","ADENOSINE 3MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"233.50","92219326","DEXMEDETOMI HCL400MCG/100MLSOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"233.50","92219588","TETRACAINE OPHTH 0.5 % SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"233.90","92216889","TDAP VACCINE SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"234.00","92213947","PAMIDRONATE DISOD 30MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"234.00","92216693","PRAMOXINE HCL 1% FOA "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"234.29","38200675","COPPER ","82525",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"234.50","92211784","HEXACHLOROPHENE HBR 5% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"234.50","92215417","LINZOLID 200MG/100ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2342.00","92218624","FLUTICASONE/SALMETREROLHFA INH"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2347.50","92212186","ECONAZOLE NITRATE 1% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2347.90","75000010","US ABDOMEN COMPLETE ","76700",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"235.30","92212504","ETHANOL 98% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"235.40","38203155","GAMMAGLOBULIN IGA ","82784",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"235.42","38343630","METHYL ALCOHOL ","84600",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"235.48","38202015","PROTEIN ELECTROPHORESIS ","84165",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"235.50","92214064","FENTANYL 75MCG/HR TDM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"235.50","92215318","LIPIDS 20% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2351.50","92216807","BUDESONIDE FORMOTRL 160/4.5 AE"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"236.00","92217944","ENOXAPARIN NA 100MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"236.02","38301270","GAMMA GT (GGT) ","82977",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"236.25","38300845","AEROBIC ORGANISM ID ","87077",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"236.40","92212157","HYDROCORTISONE VAL 0.2% OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"236.40","92215065","MOMETASONE FUROATE 0.1% OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"236.50","92212624","LEVOFLOXACIN 500MG/100ML D5W I"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"236.51","38202415","TROPONIN (QUANTITATIVE) ","84484",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"236.51","38202416","TROPONIN T (QUANTITATIVE) ","84484",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2367.50","92214903","DESONIDE 0.05% LOT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"237.50","92218993","AMINOCAPROIC ACID 1000 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"237.81","38300263","DONOR SPEC AG CLASS 1 ","86807",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"237.81","38300264","DONOR SPEC AG CLASS 2 ","86807",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"237.99","38201591","GALACTOMANNAN ANTIGEN ","87305",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2370.50","76099985","NM ESOPHAGEAL MOTILITY ","78258",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"238.00","33110983","BRACE KNEE HINGE WRAPRND XL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"238.20","92216612","FENTANYL CITRATE 1200MCG LOZ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"238.50","38305568","UNFRACTIONATED HEPARIN ","85520",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"238.50","38393939","HEPARIN LEVEL ","85520",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"238.50","92210011","BUTORPHANOL 2MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"238.50","92218810","XULANE 150MCG-35MCG/24HR PATCH"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"23845.50","92217507","CERTOLIZUMAB PEGOL 200MG/ML IN"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2386.00","92212568","CALCIPOTRIENE 0.005% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"239.00","92214948","ONDANSETRON HCL 8MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"239.00","92218369","ACETAZOLAMIDE 500 MG PWD "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"239.50","92218463","FYCOPA4 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"239.50","92218470","FYCOMPA 8 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"239.50","92219097","PERAMPANEL 6 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"239.85","38201476","HEP B SURF ANTIBODY QUALITATIV","86706",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"239.85","38201477","HEP B SURF ANTIBODY QUANT ","86317",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"239.87","38302470","URINALYSIS AUTO W/MICROSCOPIC ","81001",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2395.50","33113081","TRAY INTRO CGL BRHN G2 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2399.00","92216466","BRIMONIDINE TARTRATE 0.1% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"24.00","92210329","COLCHICINE 0.6MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"24.00","92210586","TRIAMCINOLONE 0.025% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"24.00","92211081","VERAPAMIL HCL 240MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"24.00","92211175","CIPROFLOXACIN 250MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"24.00","92211206","PHENYLEPHRINE HCL 0.25% SPR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"24.00","92211251","NORFLOXACIN 400MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"24.00","92211506","SODIUM CL 0.9% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"24.00","92211988","SILVER SULFADIAZINE 1% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"24.00","92212320","ACYCLOVIR 800MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"24.00","92212394","METHAZOLAMIDE 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"24.00","92212610","CHOLESTYRAMINE 4GM/5GM PDR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"24.00","92214615","MICONAZOLE NITRATE 4% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"24.00","92214772","MORPHINE 20MG CER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"24.00","92214999","MELOXICAM 15MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"24.00","92215080","FINASTERIDE 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"24.00","92215391","OXYCODONE HCL 10MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"24.00","92215441","ATORVASTATIN CALCIUM 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"24.00","92216083","MIDODRINE HCL 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"24.00","92216087","METHYLPHENIDATE HCL 5MG/5ML SO"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"24.00","92216712","MEGESTROL ACET 40MG/ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"24.00","92217298","LEVETIRACETAM 500MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"24.00","92217485","TOPIRAMATE 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"24.00","92218225","BUPRENORPHINE 2MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"24.00","92218542","RISPERIDONE 0.25 MGTAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"24.00","92218674","SALICYLIC ACID/SULFUR 2%-2%TOP"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"24.00","92219075","RISPERIDONE 0.25 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"24.00","92219345","LOPERAMIDE HCL 1MG/7.5ML SUSP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"24.00","92220308","NITROFURANTOIN MACRO 50MGCAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"24.00","92220461","FENOFIBRATE MICRO 10 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"24.00","92220519","FERROUS SULFATE 300MG/5ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"24.10","92217031","CARVEDILOL 40MG CER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"24.10","92217032","CARVEDILOL 20MG CER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"24.10","92217035","CARVEDILOL 80MG CER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"24.10","92217037","CARVEDILOL 10MG CER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"24.20","92216639","ZOLPIDEM TARTRATE 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"24.30","92214682","AMOXICILLIN 200MG/5ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"24.40","92217096","NIACIN 750MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"24.50","92210378","HYDROMORPHONE 4MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"24.50","92210626","HYDROCORTISONE 1% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"24.50","92212230","WATER STERILE SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"24.50","92212293","BARIUM SULF 2.1% SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"24.50","92212761","SIMVASTATIN 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"24.50","92213248","TRIPLE ANTIBIOTIC OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"24.50","92213504","GENTAMICIN 2MG/ML NS SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"24.50","92213815","TOLTERODINE TARTRATE 2MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"24.50","92214330","NELFINAVIR MESYLATE 250MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"24.50","92214447","RISPERIDONE 1MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"24.50","92214693","CLOTRIMAZOLE 1% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"24.50","92215879","MAG-AL SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"24.50","92215956","CARBAMAZEPINE 100MG/5ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"24.50","92216195","CLARITHROMYCIN 250MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"24.50","92217512","AMYLASE/LIPASE/PROTEASE ECC "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"24.50","92217829","AMLODIPINE BESYLATE 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"24.50","92217876","SELENIUM SULFIDE 1% SHA "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"24.50","92218088","DELZICOL 400MG DR CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"24.50","92218093","DOXYCYCLINE 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"24.50","92218265","PREZISTA 100MG/ML LIQ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"24.50","92218333","ESCITALOPRAM 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"24.50","92219008","DIPHENHYDRAMINEHCL25MG/10MLSOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"24.50","92219047","CAMPH/EUC/MENTH4.2%1.2%2.6%ONT"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"24.50","92219119","Bupropion XL 300 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"24.50","92219188","VANCOMYCIN HCL 50 MG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"24.50","92219281","AMY/LIP/PRO 42K-10K-32K UCAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"24.50","92219598","DIPHENHYDRAMINE12.5 MG/5 MLSOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"24.80","92210929","AMOXICILLIN CLV K 250-62.5 CTB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"24.80","92214277","ROSIGLITAZONE MALEATE 4MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"24.80","92216451","ROSIGLITAZONE MALEATE 4MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"240.00","92215738","MINERAL OIL PETROLATUM 15-18 O"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"240.00","92220260","ACETAMINOPHEN 1000MG/100ML SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"240.11","38300107","ANTIEPILEPTICS NOS 1-3 ","80339",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"240.50","92210537","FLUOCINOLONE ACET 0.01% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"240.50","92212197","ACETAZOLAMIDE 500MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"240.50","92217782","LURASIDONE HCL 40MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"240.95","38200091","ALPHA-FETOPROTEIN SERUM ","82105",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2403.00","92213986","DESMOPRESSIN ACET 0.1MG/ML SPR"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2407.50","92212188","ACYCLOVIR NA 500MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2408.00","92217994","TYVASO 0.6MG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"241.00","92210671","ATROPINE SULF 1% EYE SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"241.50","92212641","LEVOFLOXACIN 25MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"241.50","92220307","DEXT/KCL/NACL 5%-0.15%-0.45%IV"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"241.70","92210312","DIPIVEFRIN HCL 0.1% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"241.83","38302000","PROSTATE SPECIFIC ATG (TOTAL) ","84153",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2412.00","92213194","BOSENTAN 62.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2417.00","92217948","NAFTINE HCL 2% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"242.00","92212359","DOBUTAMINE HCL D5W 500-250ML I"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"242.00","92217103","DICLOFENAC NA 0.1% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"242.00","92218531","APTIOM 400MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"242.00","92218991","ESLICARBAZEPINE ACET 800MGTAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"242.50","92211559","BETAMETHASONE ACE/NA 6MG/ML IN"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"242.50","92214001","AMMONIUM LACTATE 12% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2423.85","74000210","BARIUM ENEMA AIR W/WO KUB ","74280",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2425.00","92214936","ADVAIR 250-50 DSK "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2429.94","76078587","NM LUNG VENT AEROSOL MULTI ","78587",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2429.94","76078593","NM LUNG VENT GASEOUS W/WASHOUT","78579",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"243.00","92211864","DOXEPIN HCL 10MG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"243.00","92211894","IRON DEXTRAN 50MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"243.00","92215295","ARIPIPRAZOLE 30MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"243.00","92215432","ARIPIPRAZOLE 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"243.00","92219574","CALCIUM GLUCONATE 2.5%GEL (25G"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"243.37","38301460","HEPATITIS B SURFACE AB ","86706",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"243.37","38301476","HEP B SURF ANTIBODY QUALITATIV","86706",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"243.83","38307036","LACTOFERRIN FECAL (QUANT) ","83631",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"243.83","38399358","LACTOFERRIN FECAL QUANT ","83631",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"243.86","38399350","C DIFFICILE AMP PROBE ","87493",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2433.00","92218506","IMITREX STATDOSE 6MG/0.5ML INJ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2433.50","92211396","IMMUNE GLOBULIN 5GM INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2438.00","92210536","SALMETEROL XINAFOATE 46MCG DSK"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2438.00","92219239","SALMETEROL XINAFOATE0.046MGINH"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"244.00","33181905","CATH SUPRAPUBIC "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"244.00","92217086","LIDOCAINE HCL 4% FOA "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"244.29","34600450","THERAPY SPEECH GEN DEVICE ","92609GN ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"244.50","92210161","SULFAMETHOXAZOLE/TMP INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"244.50","92213345","AMINO ACIDS 7% IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2444.64","76000050","NM KIDNEY W/FLOW ","78701",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2446.00","92214298","LOTEPREDNOL ETABONATE 0.5% SUS"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"24479.50","92217325","TERIPARATIDE 600MCG/2.4ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2449.44","73510013","EEG SEIZURE EVAL 8 CHAN ","95950",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2449.50","92214212","BRIMONIDINE TARTRATE 0.15% SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"245.00","92217158","ANTIBACTERIAL/ANTI-INFLAM SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"245.50","92214658","OLANZAPINE 20MG ODT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2456.00","61010211","INSERT MIDLINE CATH (NO PORT) ","36410",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"246.00","92211022","FLUOCINONIDE 0.05% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"246.03","38301555","HIV VIRAL LOAD QUANT (DNA) ","87536",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"246.50","38202000","PROSTATE SPECIFIC ATG (TOTAL) ","84153",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"246.54","38301040","DIGOXIN ","80162",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"246.89","38301630","LACTIC ACID ","83605",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2460.50","92216833","AMBRISENTAN 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2464.21","76000019","NM LIVER IMAGING ONLY ","78201",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2466.00","92218304","NAFTIFINE HCL 1% "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2466.50","92214293","NICOTINE 4MG/ACT DEV "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"247.21","72000553","HEMOLYSINS/AGGLUT-INCUBATED ","86941",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"247.32","38300405","CARCINOEMBRYONIC-(CEA) ","82378",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"247.50","92216007","ABACAVIR SULF LAMI 600-300MG T"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"247.50","92216679","PALIPERIDONE 9MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"247.50","92217832","VORICONAZOLE 200MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"247.66","72060001","CRYOPRECIPITATE-PROC ONLY "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"247.87","34600031","EVAL SPEECH SOUND PRODUCTION ","92522GN ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"247.87","34600145","SPEECH/HEARING EVAL 15 MIN ","92522GN ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"247.87","34600146","SPEECH/HEARING EVAL 30 MIN ","92522GN ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"247.87","34600147","SPEECH/HEARING EVAL 45 MIN ","92522GN ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"247.87","34600148","SPEECH/HEARING EVAL 60 MIN ","92522GN ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2478.50","92213146","CLOBETASOL 0.05% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"248.00","92215099","CLINDAMYCIN PHOS 1% PAD "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"248.50","92212008","CEFTRIAXONE NA 1GM INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"248.50","92216956","DORIPENEM 500MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"248.72","38203295","MYOGLOBIN ","83874",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2487.50","92218718","BREO ELLIPTA 200MCG-25MCG INH "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"249.00","33105663","PACK MAJOR OR PROCEDURE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"249.00","92210168","CLINDAMYCIN PHOS 1% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"249.00","92211949","CIPROFLOXACIN 0.3% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"249.05","38399324","INF AGT NAP AMP PRB TECH MRSA ","87641",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"249.15","38200361","CALCITONIN ","82308",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"249.40","92214490","DEXTROSE 50%/WATER IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"249.50","92211317","DICLOFENAC NA 0.1% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"249.50","92212689","CEFOTETAN DISODIUM 2GM INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"249.50","92217256","AMINO ACIDS 2.75% D5W W/E IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"25.00","92210071","MENTHOL METHYL SALICYL 10-15 C"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"25.00","92210535","TOLNAFTATE 1% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"25.00","92211213","CYCLOSPORINE 25MG SGL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"25.00","92211266","CLORAZEPATE 15MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"25.00","92211449","DILTIAZEM HCL 90MG C12 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"25.00","92211604","VITAMIN E OIL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"25.00","92212791","CARVEDILOL 12.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"25.00","92213621","ZOLPIDEM TARTRATE 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"25.00","92213872","GABAPENTIN 600MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"25.00","92214387","ZOLPIDEM TARTRATE 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"25.00","92214579","ROPINIROLE HCL 3MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"25.00","92215437","RIVASTIGMINE TARTRATE 4.5MG CA"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"25.00","92215442","METHYLPREDNISOLONE 32MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"25.00","92216064","FENOFIBRATE 145MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"25.00","92216248","HYDRALZAINE HCL ISORBIDE DIN T"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"25.00","92216637","ZOLPIDEM TARTRATE 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"25.00","92217599","ZOLPIDEM TARTRATE 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"25.00","92218453","MATZIM LA 360 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"25.00","92219039","CARBI/LEVDOPA36.25MG/145MGCAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"25.00","92219467","ALBENDAZOLE 200 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"25.00","92219583","MELOXICAM 15 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"25.00","92219956","MONTELUKAST 10 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"25.00","92220125","BENZOCAINE 20%SPR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"25.10","92215502","SILVER SULFADIAZINE 1% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"25.12","74000430","GASTROGRAFIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"25.12","76020024","GASTROVIEW PER ML "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"25.30","92213500","OFLOXACIN 200MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"25.30","92215719","ATORVASTATIN CALCIUM 40MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"25.30","92215732","ATORVASTATIN CALCIUM 80MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"25.30","92215846","OFLOXACIN 200MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"25.40","92216636","PRAVASTATIN NA 40MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"25.40","92216851","PRAVASTATIN NA 80MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"25.50","92203028","ORALS 28 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"25.50","92210738","HYDROCORTISONE 1% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"25.50","92211227","BACLOFEN 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"25.50","92211607","DILTIAZEM HCL 120MG C12 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"25.50","92211847","MENTHOL METHYL SALICYL 8-30% C"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"25.50","92211918","GANCICLOVIR 250MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"25.50","92212374","CAPTOPRIL 12.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"25.50","92212426","BUPROPION HCL 150MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"25.50","92212825","FAMOTIDINE 40MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"25.50","92213272","TACROLIMUS 1MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"25.50","92213477","ARGININE 4.5GM/9.2GM PDR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"25.50","92213594","CHLORAMBUCIL 2MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"25.50","92213692","GALANTAMINE HBR 4MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"25.50","92214824","DIDANOSINE 125MG ECC "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"25.50","92215120","FLUOXETINE HCL 40MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"25.50","92215290","LEVETIRACETAM 750MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"25.50","92216395","TRAMADOL HCL 100MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"25.50","92216868","PRAMOXINE HCL HC 1%-2.5% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"25.50","92216926","MORPHINE 10MG CER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"25.50","92217186","BUPROPION HCL 300MG T24 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"25.50","92217257","SODIUM CL 0.9% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"25.50","92217352","LEVETIRACETAM 750MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"25.50","92217400","MENTHOL METHYL SALICYL 10-15 C"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"25.50","92217427","LAMOTRIGINE 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"25.50","92218237","PRAVASTATIN 40MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"25.50","92218480","ARGINAID 4.5 GM/9.2 GM POW "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"25.50","92218494","SMOOTHBERY 2.1%W/V SUS2.1%SUSP"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"25.50","92219783","CHOLECALCIF/VITD3 400 U/ML LIQ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"25.50","92219879","PANTOPRAZOLE DR 20 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"25.50","92220157","BUPREN/NALOXONE 2MG-0.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"25.80","92210674","SELENIUM SULFIDE 1% SHA "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"25.80","92215409","TIAGAINE HCL 2MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"25.80","92216057","BENAZEPRIL HCL AMLODIP BESYL C"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"250.00","92214840","CREAM MULTI INGREDIENT CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"250.05","38301472","HEPATITIS B CORE ANTIBODY ","86704",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"250.50","38307028","HLA I TYPING COMPLETE LOW RES ","81372",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"250.50","92214536","EPOETIN ALFA 2000U/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"250.50","92220351","REVEFENACIN 175 MCG/3 ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"250.75","38000500","SURGICAL PATH LEVEL I ","88300",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2503.50","92218762","TEDIZOLID PHOSPHATE 200 MGTAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2505.20","75010032"," US DUP SCAN HEMO COMPL BILAT ","93985",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"25077.50","92215810","DARBEPOETIN A 500MCG/1ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"251.00","92214959","ONDANSETRON HCL 8MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"251.00","92216112","MESALAMINE 1000MG SUP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"251.00","92216223","OCTREOTIDE ACET 500MCG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"251.00","92217057","MESALAMINE 1000MG SUP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"251.00","92218740","PIRFENIDONE 267 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"251.60","92216341","DEFERASIROX 250MG TBS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2514.50","92212201","PENICILLIN G BENZ 0.6MMU/ML SU"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2519.50","92218101","COMBIGAN 0.2%-0.5% INH "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"252.00","92217264","AMINO ACIDS 2.75% D10W W/E IVS"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"252.00","92218568","AZITHROMYCIN 250 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"252.00","92218897","LIPIDS 20% EMULSION "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"252.00","92219638","FAT EMU/OLIVE/SOY/PHOS 20% SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"252.00","92220170","LIPIDS-PLANT BASED 20% EMU "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"252.00","92220172","CLINILIPID 20% EMU "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"252.06","38203500","TESTOSTERONE FREE ","84402",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"252.30","92215650","CA CL/ICODX/MGCL/NACL/NALACT S"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"252.50","92213219","NYSTATIN 100000U/GM POW "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2525.50","33113070","SET INT 24FR 26FR CGL BRHN EZ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2528.00","33113050","TRAY TRCH CGL BRHN SHLY PERC "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"253.00","92212801","PRILOCAINE LIDOCAINE 2.5-2.5 C"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"253.00","92219884","IOHEXOL 51.8% 240 MG/ML LIQ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"253.17","38203150","GAMMAGLOBULIN IGG ","82784",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"253.50","92214902","CYCLOSPORINE 50MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"253.50","92217791","VORICONAZOLE 200MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"253.90","92216300","CEFTRIAXONE NA 1GM INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2531.00","33102022","SUPPORT BACK ULTRALIGN TLSO XL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2534.57","39200301","CARDIOVASCULAR STRESS TEST ","93017",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"254.00","92210222","LEVOBUNOLOL 0.5% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"254.50","92215005","NITROGLYCERIN 0.3MG/HR TDM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2546.39","76000113","NM THYROID UPDATE SGL/MULT ","78012",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"255.00","36000180","CHEST WALL MANIPULATION SUBSEQ","94668",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"255.20","92215242","FLUTICASONE PROP 0.05% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"255.70","92217244","HYDROQUINONE 4% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2550.00","11600050","BRONCHOSCOPY DIAGNOSTIC "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2552.80","92214194","FLUVESTRANT 125MG/2.5ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"25552.50","92218596","TRASTUZUMAB 440 MG SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"256.00","92215359","VORICONAZOLE 200MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"256.00","92220489","CALCIUM GLUCON-NACL 2000MG SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"256.50","92216459","TETANUS TOXOID 5LFU/0.5ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"256.72","38303581","URINE PREGNANCY TEST ","81025",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"256.88","38307033","GROUP B STREP ASSAY W/OPTIC ","87802",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"256.97","38000300","TUMOR MORPH EA AB COMP AID ","88361",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2567.02","74000975","ARTHROGRAM SHOULDER BILATERAL ","7304050",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2567.02","74010017","ARTHROGRAM SHOULDER RT ","73040RT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2567.02","74010018","ARTHROGRAM SHOULDER LT ","73040LT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2569.06","76000862","NM GI ACUTE BLOOD LOSS IMAGING","78278",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"257.00","92214542","LOTEPREDNOL ETABONATE 0.5% SUS"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"257.00","92215263","ACTIV CHARCOAL POW "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"257.00","92218621","CHARCOAL ACTIVATED PWD "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"257.00","92219346","ICODEXTRIN PERITONEAL DIAL.SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"257.41","38303895","CYTOMEGALOVIRUS DNA QUANT ","87497",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"257.50","92217269","AMINO ACIDS 5% D25W IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"257.50","92217856","OCTREOTIDE ACET 500MCG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2576.70","92215078","PIMECROLIMUS 1% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2578.45","76078070","NM PARATHYROID ","78070",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2578.51","76000115","NM RADIOPHARM TX-ORAL ADMIN ","79005",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"258.00","92211297","METHYLPREDNISOLONE 1GM INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"258.24","38301120","ELECTROLYTE PANEL ","80051",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"258.50","92219463","ATROPINE SULFATE 1% OPTH SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"258.71","38000765","FISH EA ADDL SGL PROBE STAIN ","88369",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"258.75","34600445","EVAL SPEECH DEVICE ADDL 30 MIN","92608GN ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"258.80","92215886","LIPIDS 10% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2586.50","33177830","TRAY CATH DIAL PALINDRM 28CM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2586.50","33177831","TRAY CATH DIAL PALINDRM 23CM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"259.00","92213076","ZINC OXIDE 20% OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"259.00","92214228","MILRINONE LACTATE 1MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"259.00","92217038","HYDROCORTISONE 1% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"259.00","92218485","HYDROCORTISONE 1% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"259.00","92220469","AA2.36%/D6.8W/FAT/LYTES KIT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"259.50","33102630","PAD VISTA T REPLACEMENT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"259.50","92218488","LIDOCREAM 4% CREAM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2591.50","92218232","GRANIX 480MCG/0.8ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2591.50","92219319","TBO-FILGRASTIM480MCG/1.6MLSOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2591.50","92219321","TBO-FILGRASTIM 480MCG/0.8MLSOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2597.00","33168376","TRACH PERCUT BL RHN G2-MLT7.5"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2597.00","92213472","AMINO ACIDS 20% IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"26.00","92210281","NEOMYIN SULF/POLYMYX B/BAC Z O"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"26.00","92210322","CREAM MULTI INGREDIENT CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"26.00","92210739","ACYCLOVIR 200MG/5ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"26.00","92211147","MICONAZOLE NITRATE 2% SPR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"26.00","92211479","PYSLLIUM 3.4GM PDR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"26.00","92211504","NEFAZODONE HCL 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"26.00","92211536","BUTALB CAFF APAP 50-40-325 CAP"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"26.00","92211568","BROMOCRIPTINE MESYLATE 2.5MG T"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"26.00","92211979","BUPROPION HCL 150MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"26.00","92212306","TIAGAINE HCL 4MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"26.00","92212705","SOD CITRATE/CITRIC ACID LIQ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"26.00","92214574","MICONAZOLE NITRATE 2% SPR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"26.00","92214834","OXCARBAZEPINE 600MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"26.00","92215222","PRAVASTATIN NA 80MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"26.00","92215645","FORMOTEROL FUMARATE 12MCG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"26.00","92216023","BARRIER SKIN PROTECTANT OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"26.00","92216055","TERBUTALINE SULF 1MG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"26.00","92216444","SENNA LEAF EXT 176MG/5ML SYR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"26.00","92216555","MELOXICAM 15MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"26.00","92216729","PRAVASTATIN NA 40MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"26.00","92217055","OXCARBAZEPINE 600MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"26.00","92217362","DANAZOL 200MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"26.00","92217594","MENTHOL Z OXIDE .44%-20.625% O"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"26.00","92217827","VENLAFAXINE HCL 150MG CER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"26.00","92218307","OXYMORPHONE 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"26.00","92218590","SALIVA SUBSTITUTE . SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"26.00","92218643","ESTRO/METHYLTEST0.625MG-1.25MG"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"26.00","92219418","MELOXICAM 15 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"26.00","92219845","RIFAPENTINE 150 MG TABLET "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"26.00","92220226","BENZOCAINE 10% "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"26.03","38303818","HEMOGLOBIN URINE ","83069",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"26.07","38207014","CULTURE FUNGUS BLOOD ","87103",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"26.10","92214787","SIMVASTATIN 40MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"26.10","92215342","SIMVASTATIN 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"26.10","92216663","SIMVASTATIN 40MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"26.10","92218245","CIPROFLOXACIN 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"26.21","38302070","QUINIDINE ","80194",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"26.30","92217617","HYPROMELLOSE PROPY CLYCERIN SO"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"26.38","38303355","PINWORM PREP ","87172",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"26.40","92215449","TOLNAFTATE 1% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"26.40","92215799","FAMOTIDINE 40MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"26.50","92211282","NEFAZODONE HCL 150MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"26.50","92211992","HCTZ LOSARTAN K 12.5-50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"26.50","92212222","SIMVASTATIN 40MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"26.50","92212471","CAMPHOR MENTHOL 0.5%-0.5% LOT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"26.50","92213769","RIVASTIGMINE TARTRATE 1.5MG CA"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"26.50","92214520","FLUOXETINE HCL 20MG/5ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"26.50","92214613","CITALOPRAM HBR 10MG/5ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"26.50","92214677","AMOXICILLIN CLV K 875-125MG TA"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"26.50","92214690","MENTHOL METHYL SALICY 7.6-29 S"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"26.50","92214770","SIMVASTATIN 80MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"26.50","92214792","SIMVASTATIN 40MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"26.50","92214852","CYCLOPHOSPHAMIDE 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"26.50","92215032","MORPHINE 60MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"26.50","92215118","ESCITALOPRAM OXALATE 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"26.50","92216085","URSODIOL 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"26.50","92216538","SIMVASTATIN 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"26.50","92216539","SIMVASTATIN 40MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"26.50","92216615","FLUOXETINE HCL 20MG/5ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"26.50","92216661","SIMVASTATIN 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"26.50","92217336","OPIUM 10MG/ML TIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"26.50","92217698","ACETAZOLAMIDE 500MG CER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"26.50","92218520","FLUOXETINE 20 MG/5 ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"26.50","92219183","RISPERIDONE 0.5 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"26.50","92219878","PANTOPRAZOLE DR 40 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"26.50","92220138","RISPERIDONE 0.5 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"26.50","92220261","HYDRCD/APAP7.5MG-325MG/15MLSOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"26.67","38203533","MICROSOMAL ANTIBODIES ","86376",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"26.80","92217429","LAMOTRIGINE 150MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"26.80","92218155","VESTURA 3MG-0.2MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"260.00","92211188","PRILOCAINE LIDOCAINE 2.5-2.5 C"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"260.00","92212910","FLUOCINONIDE 0.05% EMO "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"260.12","38302050","PTT ","85730",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"260.50","92219045","AA DEX ELEC 4.25%-5% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"260.50","92219641","DALFAMPRIDINE 10 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2602.04","72060019","PLT HLA LR-PROC ONLY "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2603.40","76000112","NM THYROID IMG W UPTK SGL/MULT","78014",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"261.10","92218090","FLUMIST NASAL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"261.20","92211921","DESOXIMETASONE 0.05% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"261.50","92213321","PROTAMINE SULF 10MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"261.50","92219713","DALFAMPRIDINE ER 10 MGTAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2612.00","11600032","J-TUBE PLACEMENT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2618.00","92219234","CONJUGATED ESTRGN0.625MG/GMCRM"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2629.00","92213435","DALFOPRISTIN QUINU 350-150MG I"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"263.00","92211342","TIMOLOL MALEATE 0.5% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"263.00","92211707","TIMOLOL MALEATE 0.5% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"263.00","92212600","KETOROLAC 0.5% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"263.50","92214826","INSULIN HUM ISOP/REG 50U-50U I"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"263.50","92217729","ENOXAPARIN NA 60MG/0.6ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"263.50","92220492","DICYCLOMINE 10MG/1ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"263.54","38300004","PROCALCITONIN ","84145",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"263.60","92215235","THIOPENTAL NA 500MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2635.50","33152631","KIT STARTER PLEURAL ASPIRA 2 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2636.00","33113093","TRAY TRCH 24-28FR CGLBRHNG2PRC"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2637.00","92218959","GLYCOPYR/FORM FUM9MCG-4.8MGINH"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"264.00","92211842","CLOTRIMAZOLE 1% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"264.50","92211316","MINOCYCLINE HCL 100MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"264.50","92213954","HYDROCORTISONE 1% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"264.71","38000745","FLOW CYTOMETRY-9-15 MRK-INTERP","88188",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"264.94","38303705","SED RATE (MANUAL) ","85651",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"265.00","33113097","VALVE RBR PLS CHST DRN SEAL FL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"265.00","33113098","VALVE RBR PLS CHST DRN SEAL FL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"265.00","33130891","TUBE GASTROSTOMY 28FR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"265.00","33130897","TUBE GASTROSTOMY 20F "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"265.00","33130901","TUBE GASTROSTOMY 24F "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"265.50","92215906","OLANZAPINE 10MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"265.50","92217042","CICLOPIROX OLAMINE 0.77% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"265.80","92216354","MOMETASONE FUROATE 0.1% LOT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2650.00","92211411","BETAXOLOL HCL 0.25% EYE SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2655.66","76000029","NM LUNG PERFUSION ONLY ","78580",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2656.00","92217050","PRAMLINTIDE ACETATE 1MG/ML SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2658.00","33113092","TRAY TRCH 24-26-28FR CGLBRHNG2"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2658.00","33168060","TRACH BLUE RHINO G2-MULTI PERC"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"266.00","33111019","DRSG WOUND SILVASORB GEL 8OZ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"266.08","38302400","TRANSFERRIN SERUM ","84466",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"266.49","38200060","ACTH ","82024",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"266.50","33102614","NEEDLE SET BIOPSY 18-9.0-20T "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"266.50","92212364","TRETINOIN 0.05% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"266.50","92214007","CEFTAZIDIME DEXTROSE 2GM/50 IN"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"266.50","92217140","DICLOFENAC NA 0.1% GEL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"266.50","92217273","AMINO ACIDS 5% D15W IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2663.50","92215245","LEUPROLIDE ACET 7.5MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"267.00","33111705","IMMOBILIZER KNEE LG 24 IN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"267.00","92216465","DEFEROXAMINE MESYLATE 2GM INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"267.00","92220098","POLYETHYLENE GLY3350/KCL/NACL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"267.10","92215979","DOXAPRAM HCL 20MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"267.45","38302390","TOBRAMYCIN ","80200",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"267.50","92212812","DESMOPRESSIN ACET 4MCG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"267.50","92217632","PRILOCAINE LIDOCAINE 2.5-2.5 C"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"267.50","92218477","ABILIFY 20 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"267.76","34600535","AUD ASSESS REHAB 1ST HR ","92626GN ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"26782.00","92214015","DIGOXIN IMMUNE FAB OV 40MG INJ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"268.00","33103610","COLLAR VISTA "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"268.00","92213888","METHOCARBAMOL 100MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"268.41","38393950","C DIFFICILE TOXIN A/B ","87324",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"268.71","38202510","VANCOMYCIN ","80202",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"268.71","38202615","ACID FAST BACILLI CULTURE ","87116",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"268.82","72000845","CROSSMATCH ELECTRONIC ","86923",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"268.92","38399334","ANTIGEN RSV ","87420",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"269.00","33103267","PILLOW HIP ABDUCT CONTOUR MED "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"269.00","92213339","AMOXICILLIN CLV K 400-57/5 SUS"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"269.00","92217282","AMINO ACIDS 5% D25W W/E IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"269.00","92217418","ACETAZOLAMIDE 500MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"269.00","92218722","BREXPIPRAZOLE 1 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"269.00","92220360","IOHEXOL 64.7% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"269.50","92212770","INSULIN LISPRO RCMB 100U/ML IN"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","38302970","EUGLOBULIN LYSIS ","85360",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92202010","TOPICALS 10 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92203062","ORALS 62 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92210002","DIPHENHYDRAMINE HCL 50MG/ML IN"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92210054","SODIUM CL 0.9% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92210102","SODIUM BICARB 7.5% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92210123","MIDAZOLAM HCL 1MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92210162","BUPIVACAINE/EPI 0.25%/0.0005 I"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92210218","LIDOCAINE HCL 2% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92210229","TOBRAMYCIN 40MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92210265","CEFOTAXIME NA 1GM INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92210290","SODIUM CL 0.9% IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92210335","MORPHINE 50MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92210341","SODIUM CL CONC 4MEQ/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92210374","MUMPS VIRUS VACCINE INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92210405","SODIUM CL 0.9% IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92210424","PHENYLEPHRINE 10MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92210443","CEFAZOLIN 500MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92210451","WATER STERILE INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92210470","BUPIVACAINE HCL 0.75% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92210486","ENALAPRILAT 1.25MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92210561","NUTRILYTE 20ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92210595","TOBRAMYCIN 40MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92210633","SODIUM CL 0.9% IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92210636","BUPIVACAINE HCL 0.5% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92210655","SODIUM CL 0.9% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92210716","WATER STERILE INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92210723","CEFUROXIME NA 750MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92210752","SODIUM CL 0.9% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92210778","CEFOTAXIME NA 1GM INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92210796","KETOROLAC 30MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92210806","SODIUM CL 0.9% IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92210808","MIDAZOLAM HCL 1MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92210809","MIDAZOLAM HCL 1MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92210817","BUPIVACAINE HCL 0.5% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92210862","DILTIAZEM HCL 25MG/5ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92210935","LIDOCAINE HCL 2% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92210959","WATER STERILE INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92211000","BUPIVACAINE HCL 0.75% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92211043","PIPERONYL BUTO PYRETHRUN EXT L"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92211049","CEFTRIAXONE NA 500MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92211068","SODIUM CL 0.9% IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92211078","LORAZEPAM 2MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92211085","CEFTRIAXONE NA 500MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92211090","KETOROLAC 30MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92211100","WATER STERILE INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92211117","WATER STERILE INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92211119","LIDOCAINE HCL 1% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92211190","SODIUM CL 2.5MEQ/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92211195","WATER STERILE INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92211216","SODIUM ACETATE 2MEQ/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92211241","BUMETANIDE 0.25MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92211264","SODIUM CL 0.9% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92211301","AMIKACIN SULF 50MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92211322","MORPHINE 4MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92211360","MORPHINE 10MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92211369","WATER STERILE INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92211386","WATER STERILE INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92211397","SODIUM BICARB 4.2% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92211538","ENALAPRILAT 1.25MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92211572","DROPERIDOL 2.5MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92211591","AMPICILLIN NA 500MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92211611","BUPIVACAINE HCL 0.25% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92211739","MIDAZOLAM HCL 5MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92211762","GENTAMICIN SULF 40MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92211775","SODIUM CL 4MEQ/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92211827","TOBRAMYCIN 40MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92211828","METOCLOPRAMIDE 5MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92211839","KETOROLAC 15MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92211841","MAGNESIUM SULF 50% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92211857","SODIUM CL 0.9% IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92211879","MEPERIDINE 75MG/1.5ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92211906","AMPICILLIN NA 250MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92211911","BUPIVACAINE HCL 0.25% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92211935","PROPOFOL 10MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92211938","MIDAZOLAM HCL 5MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92211967","TOBRAMYCIN 10MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92211975","MORPHINE 1MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92211976","PHYTONADIONE 1MG/0.5ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92211999","EPINEPHRINE HCL 1MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92212003","LORAZEPAM 4MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92212029","MIDAZOLAM HCL 5MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92212069","BUPRENORPHINE HCL 0.3MG/ML INJ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92212084","TOBRAMYCIN 40MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92212089","SODIUM CL 0.9% IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92212097","LIDOCAINE 2%/EPI 1:100000 INJ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92212100","BUMETANIDE 0.25MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92212103","CR CU MN ZN TRACE ELEMENT INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92212105","PHENYLEPHRINE HCL 10MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92212187","CEFAZOLIN 1GM INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92212213","BUPIVACAINE HCL 0.25% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92212221","SODIUM CL 0.9% IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92212223","FUROSEMIDE 10MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92212229","PROMETHAZINE HCL 25MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92212241","CEFAZOLIN 1GM INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92212243","DIPHENHYDRAMINE HCL 50MG/ML IN"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92212269","VASOPRESSIN 10U/0.5ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92212289","BUPIVACAINE HCL 0.25% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92212300","VANCOMYCIN HCL 1GM INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92212301","BUPIVACAINE HCL 0.25% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92212326","FENTANYL 50MCG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92212346","CLINDAMYCIN PHOS 150MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92212350","SODIUM CL 0.9% IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92212357","BUPIVACAINE HCL 0.75% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92212400","METOCLOPRAMIDE 5MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92212416","SODIUM CL 0.9% IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92212428","MORPHINE 15MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92212431","NEFAZODONE HCL 200MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92212435","MEPERIDINE 50MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92212448","DEXTROSE 40% IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92212467","MEPERIDINE 50MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92212472","SODIUM CL 0.9% IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92212494","BUPIVACAINE HCL 0.25% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92212531","METOCLOPRAMIDE 5MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92212538","TUBERCULIN 5TU/0.1ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92212572","BUPIVACAINE/EPI 0.25%/0.0005 I"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92212583","THEOPHYLLINE 200MG C24 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92212585","HYDROCORTISONE NA SUCC 100MG I"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92212590","CLINDAMYCIN PHOS 150MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92212595","SAQUINAVIR MESYLATE 200MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92212597","SODIUM CL 0.9% IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92212612","WATER STERILE INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92212623","AMIODARONE HCL 50MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92212627","HALOPERIDOL LACTATE 5MG/ML "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92212634","BUPIVACAINE HCL 0.5% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92212637","WATER STERILE INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92212651","BUMETANIDE 0.25MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92212653","WATER STERILE INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92212660","PHENYTOIN NA 100MG/2ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92212665","MIDAZOLAM HCL 1MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92212672","HEPARIN 10000U/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92212673","DEXTROSE 5%/WATER IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92212676","MIDAZOLAM HCL 1MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92212700","BUPIVACAINE HCL 0.75% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92212714","SODIUM CL 0.9% IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92212725","CYANOCOBALAMIN 1000MCG/ML INJ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92212748","FENTANYL 50MCG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92212756","NALBUPHINE HCL 10MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92212772","PRAVASTATIN NA 40MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92212777","TRIMETHOBENZAMIDE HCL 100MG IN"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92212788","FENTANYL 50MCG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92212829","NALOXONE HCL 0.4MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92212837","BUPIVACAINE/EPI 0.5%/0.0005 IN"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92212839","BUPIVACAINE/EPI 0.5%/0.0005 IN"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92212858","BUPIVACAINE HCL 0.25% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92212892","BUPIVACAINE HCL 0.5% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92212896","HEPARIN FLUSH 100U/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92212906","MEPERIDINE 100MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92212921","D5W-1/4NS/KCL 30MEQ/L IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92212926","FUROSEMIDE 10MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92212936","GENTAMICIN SULF 40MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92212938","MORPHINE 8MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92212957","HYDROMORPHONE 2MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92212960","FUROSEMIDE 10MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92212963","KETOROLAC 30MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92212980","DEXTROSE 10%/WATER IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92212983","LORAZEPAM 2MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92212999","DEXAMETHASONE NA PH 4MG/ML INJ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213023","HEPARIN 5000U/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213030","HEPARIN 10U/ML-NS INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213049","MORPHINE 8MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213059","EPINEPHRINE HCL 1MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213072","CA CL/DEX/NACL/NALACT IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213104","ASCORBIC ACID 500MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213128","EPINEPHRINE HCL 1MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213147","DIGOXIN 0.25MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213183","GENTAMICIN SULF 40MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213188","LIDOCAINE HCL 1% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213191","DEXTROSE 5%/WATER IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213199","HEPARIN FLUSH 100U/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213213","HEPARIN FLUSH 100U/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213215","PANCURONIUM 2MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213218","INFLUENZA VACC 2011-2012 INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213222","DEXTROSE 5%/WATER IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213233","KETOROLAC 15MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213239","DEXTROSE 5%/WATER IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213243","HEPARIN FLUSH 100U/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213244","HYDROCORTISONE 2.5% OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213270","HEPARIN FLUSH 10U/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213274","HEPARIN 5000U/0.5ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213282","HEPARIN FLUSH 10U/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213291","BUPIVACAINE/EPI 0.5%/0.0005 IN"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213296","DEXTROSE 5%-1/2NS IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213302","HEPARIN FLUSH 10U/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213310","DEXTROSE 5%/WATER IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213311","KETOROLAC 30MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213320","LIDOCAINE 1%/EPI 1:100000 INJ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213324","DEXTROSE 2.5%/WATER IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213331","D5W-1/4NS/KCL 10MEQ/L IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213336","KETOROLAC 30MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213351","LIDOCAINE 0.5%/EPI 1:200000 I"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213361","D5W KCL 0.224% IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213364","DEXAMETHASONE NA PH 4MG/ML INJ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213368","DEXTROSE 5%-1/2NS IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213373","D5W-1/3NS/KCL 20MEQ/L IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213376","DEXAMETHASONE NA PH 4MG/ML INJ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213378","CR CU MN ZN TRACE ELEMENT INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213398","FAMOTIDINE 10MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213410","D5W-1/3NS/KCL 20MEQ/L IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213415","LIDOCAINE HCL 2% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213423","D5W KCL 0.3% IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213427","FAMOTIDINE 10MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213438","HYDROMORPHONE 4MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213448","HYDROMORPHONE HCL 10MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213449","LORAZEPAM 4MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213454","CISATRACURIUM BESYL 2MG/ML INJ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213470","LIDOCAINE HCL 1% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213478","HYDROMORPHONE 2MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213493","GENTAMICIN 100MG/NS 100ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213497","DOPAMINE HCL 40MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213498","PHENOBARBITAL NA 130MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213501","HYDROMORPHONE 2MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213505","CISATRACURIUM BESYL 2MG/ML INJ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213516","HYDROMORPHONE 4MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213526","DEXTROSE 5%/WATER IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213529","LIDOCAINE HCL 1% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213551","DILTIAZEM HCL 5MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213555","LIDOCAINE 1%/EPI 1:100000 INJ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213561","LIDOCAINE HCL 1% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213575","CODEINE PH 30MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213583","EPINEPHRINE HCL 0.1MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213600","FAMOTIDINE 10MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213604","HYDROMORPHONE 2MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213627","MORPHINE 15MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213630","LIDOCAINE HCL 1% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213669","MORPHINE 8MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213683","D5W-1/2NS/KCL 30MEQ/L IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213686","GENTAMICIN 100MG/NS 100ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213691","CHROMIUM CL 4MCG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213693","CEFAZOLIN 500MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213700","CLARITHROMYCIN 500MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213714","FENTANYL 50MCG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213717","BUPIVACAINE/EPI 0.25%/0.0005 I"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213738","LIDOCAINE HCL 2% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213739","EPHEDRINE SU 50MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213743","MEPERIDINE 50MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213750","D5W KCL 0.15% IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213761","PHENYTOIN NA 50MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213767","SODIUM CL 2.5MEQ/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213771","D5W-NS KCL 40MEQ IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213774","HYDROMORPHONE HCL 1MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213782","HEPARIN 1000U/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213785","HYDROMORPHONE HCL 10MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213792","GENTAMICIN 80MG/100ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213800","FAMOTIDINE 10MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213802","DOPAMINE HCL 80MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213807","GENTAMICIN 60MG/50ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213818","FAMOTIDINE 10MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213821","AMIODARONE HCL 50MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213823","GENTAMICIN 80MG/50ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213836","DEXTROSE 5%-1/2NS IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213852","DOPAMINE HCL 80MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213859","LIDOCAINE HCL 2% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213898","KCL 40MEQ/NS 1000ML IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213900","FENTANYL 50MCG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213913","METOPROLOL TART 1MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213915","DEXTROSE 5%/WATER IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213919","DEXTROSE 5%/WATER IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213926","KCL 20MEQ/NS 1000ML IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213935","DEXTROSE 25%/WATER INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213950","MANNITOL 25% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213951","GENTAMICIN 1.6MG/ML NS INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213961","GENTAMICIN 60MG/NS 100ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213971","D5W-NS/KCL 20MEQ IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213972","D5W NS KCL 20MEQ IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213975","POTASSIUM ACET 2MEQ/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213979","GENTAMICIN 80MG/NS 100ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213984","LORAZEPAM 2MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92213988","MORPHINE 15MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214004","KETOROLAC 30MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214013","PHYSOSTIGMINE 1MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214028","DEXTROSE 5%-NS IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214030","HEPARIN FLUSH 100U/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214034","KETOROLAC 15MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214038","SODIUM CL 0.45% IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214054","INSULIN HUM ISOP/REG 70U-30U I"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214059","DOPAMINE HCL 40MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214072","PHENOBARBITAL NA 60MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214082","FENTANYL 50MCG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214093","HEPARIN 2000U/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214096","D5W-1/2NS/KCL 10MEQ/L IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214099","CA CL/KCL/NA CL IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214113","D5W-1/4NS/KCL 40MEQ/L IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214115","DEXTROSE 50%/WATER INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214132","METHOTREXATE 25MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214138","HEPARIN FLUSH 10U/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214150","LIDOCAINE HCL 2% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214160","CA CL/DEX/NACL/NALACT IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214165","LIDOCAINE HCL 2% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214191","BUPIVACAINE HCL 0.75% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214195","DEXTROSE 5%/WATER IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214196","PROMETHAZINE HCL 50MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214197","DEXTROSE 5%/WATER IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214204","MANNITOL 25% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214205","DEXTROSE 5%/WATER IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214223","METRONIDAZOLE 500MG/100ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214230","BUPIVACAINE HCL 0.5% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214235","LABETALOL HCL 5MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214236","EPHEDRINE SU 50MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214240","MAGNESIUM SULF 50% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214255","HYDROCORTISONE NA SUCC 100MG I"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214274","LIDOCAINE HCL 2% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214282","SODIUM CL 0.45% IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214285","LIDOCAINE HCL 2% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214290","POTASSIUM CL 2MEQ/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214292","LIDOCAINE HCL 2% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214296","DEXTROSE 5%-1/2NS IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214307","SODIUM CL 3% IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214323","LIDOCAINE HCL 1% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214358","DEXTROSE 5%-1/3NS IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214366","DEXTROSE 5%-1/4NS IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214390","LIDOCAINE HCL 2% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214393","DIPHENHYDRAMINE HCL 50MG/ML IN"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214398","MISOPROSTOL 100MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214407","HYDRALAZINE HCL 20MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214408","LIDOCAINE HCL 2% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214428","BUPIVACAINE/EPI 0.25%/0.0005 I"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214433","SODIUM CL 2.5MEQ/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214434","BUPIVACAINE HCL 0.25% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214452","DEXPANTHENOL 250MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214456","LIDOCAINE HCL 2% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214469","POTASSIUM CL 2MEQ/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214500","MICONAZOLE NITRATE 2% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214516","METOCLOPRAMIDE 5MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214521","SODIUM CL 0.45% IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214522","LACTATED RINGERS IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214523","HEPARIN 1000U/NS 500 INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214533","LIDOCAINE HCL 1% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214538","SODIUM CL 0.45% IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214545","METOCLOPRAMIDE 5MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214551","LIDOCAINE HCL 0.5% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214554","LIDOCAINE HCL 1% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214558","LIDOCAINE HCL 0.5% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214565","PHENYTOIN NA 50MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214571","POTASSIUM CL 20MEQ/100ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214576","PHENYTOIN NA 50MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214585","DEXTROSE 5%-1/4NS IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214588","SODIUM CL 0.9% IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214591","LIDOCAINE HCL 2% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214599","BUMETANIDE 0.25MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214614","D5W-1/2NS/KCL 20MEQ/L IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214617","LIDOCAINE HCL 1% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214622","SODIUM CL 0.45% IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214623","POTASSIUM CL 2MEQ/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214632","POTASSIUM CL 2MEQ/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214635","MEPERIDINE 75MG/1.5ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214654","MORPHINE 10MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214656","CR CU MN ZN TRACE ELEMENT INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214664","PROMETHAZINE HCL 25MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214679","MAGNESIUM SULF 50% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214680","LIDOCAINE HCL 1% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214688","PANCURONIUM 2MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214706","GENTAMICIN 80MG/NS 50ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214707","HEPARIN 100U/ML-NS INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214710","HEPARIN FLUSH 100U/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214716","PANCURONIUM 1MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214753","HEPARIN 5000U/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214760","BUPIVACAINE HCL 0.75% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214769","D5W-1/4NS KCL 20MEQ IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214771","DILTIAZEM HCL 5MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214773","LIDOCAINE HCL 2% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214801","POTASSIUM CL 10MEQ/50ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214802","AMMONIUM CL 5MEQ/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214804","BUMETANIDE 0.25MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214813","DEXAMETHASONE NA PH 10MG/ML IN"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214843","DEXTROSE 5%-1/4NS IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214850","D5W-1/4NS/KCL 20MEQ/L IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214857","LIDOCAINE HCL 1% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214876","LIDOCAINE HCL 0.4% D5W INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214877","D5W-1/2NS/KCL 20MEQ/L IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214878","NEOSTIGMINE MS 0.5MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214879","CLINDAMYCIN PHOS 150MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214882","MORPHINE 10MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214888","HEPARIN 100U/ML-NS INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214901","HYDROMORPHONE HCL 2MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214921","METRONIDAZOLE 500MG/100ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214922","BUPIVACAINE HCL 0.5% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214940","DIGOXIN 0.25MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214945","LIDOCAINE HCL 2% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214949","BUMETANIDE 0.25MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214955","BUPIVACAINE HCL 0.25% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214958","MIDAZOLAM HCL 5MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214962","LIDOCAINE HCL 2% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214972","DEXTROSE 10% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214982","DEXTROSE 5%/WATER IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214990","BUPIVACAINE HCL 0.25% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214991","ATROPINE SULF 1MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92214996","LEUCOVORIN CALCIUM 50MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92215007","MEPERIDINE 100MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92215019","MEPERIDINE 75MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92215034","MEPERIDINE 50MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92215041","KETOROLAC 15MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92215051","HYDROMORPHONE 1MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92215053","KETOROLAC 30MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92215055","PROMETHAZINE HCL 50MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92215060","MEPERIDINE 25MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92215062","RISPERIDONE 0.25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92215076","MORPHINE 5MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92215101","MIDAZOLAM HCL 5MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92215110","ACETIC ACID 0.25% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92215114","SODIUM CL 0.45% IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92215121","SODIUM CL 0.45% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92215128","LACTATED RINGERS IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92215130","SODIUM CL 0.9% IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92215142","POTASSIUM CL 10MEQ/100ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92215150","ATROPINE SULF 0.4MG/0.5ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92215156","MIDAZOLAM HCL 1MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92215165","THEOPHYLLINE 800MG/D5W INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92215171","D5W LR KCL 20MEQ IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92215173","POTASSIUM CL 2MEQ/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92215199","LIDOCAINE 1%/EPI 1:100000 INJ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92215208","METRONIDAZOLE 500MG/100ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92215215","DEXAMETHASONE NA PH 10MG/ML IN"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92215238","LIDOCAINE 2%/EPI 1:100000 INJ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92215239","KCL 20MEQ/NS 1000ML IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92215249","DEXTROSE 5%/WATER IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92215254","METRONIDAZOLE 500MG/100ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92215258","HYDROMORPHONE 2MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92215259","FENTANYL 50MCG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92215270","HYDROMORPHONE HCL 10MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92215275","SODIUM CL 0.9% IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92215278","DEXTROSE 5%/WATER IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92215286","POTASSIUM CL 40MEQ/100ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92215316","LACTATED RINGERS IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92215358","D5W KCL 0.3% IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92215362","CA CL/KCL/MGCL/NA ACE/NACL INJ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92215377","FENTANYL 50MCG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92215379","DROPERIDOL 2.5MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92215380","DEXTROSE 5%/WATER IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92215382","ASCORBIC ACID 500MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92215392","WATER STERILE INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92215397","AMPICILLIN-SULBACTAM 15GM INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92215404","DEXTROSE 5%/WATER IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92215406","ASCORBIC ACID 500MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92215444","HYDROXYZINE HCL 50MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92215466","HEPARIN FLUSH 100U/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92215467","HEPARIN FLUSH 10U/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92215473","HEPARIN FLUSH 100U/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92215475","HEPARIN FLUSH 10U/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92215554","HYDROMORPHONE 10MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92215558","AMIODARONE HCL 150MG/3ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92215605","HEPARIN 5000U/0.5ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92215671","PAPAVERINE HCL 30MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92215679","METOPROLOL TART 5MG/5ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92215712","ORAJEL MOUTH SORE GEL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92215750","LOSARTAN POTASSIUM 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92215780","MIDAZOLAM HCL 1MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92215840","ESCITALOPRAM OXALATE 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92215868","PAPAVERINE HCL 30MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92215901","HEPARIN FLUSH 1U/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92215905","HEPARIN FLUSH 1U/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92215981","KETOROLAC 30MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92216061","PHENYTOIN NA 50MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92216093","KETOROLAC 30MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92216164","HEPARIN FLUSH 10U/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92216165","HEPARIN FLUSH 100U/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92216166","LORAZEPAM 2MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92216193","NEOSTIGMINE MS 1MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92216246","MORPHINE 2MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92216263","GENTAMICIN 120MG/NS 100ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92216268","PROPOFOL 1% EMULSION INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92216275","WATER STERILE INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92216377","ALBUMIN HUMAN 25% IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92216393","HEPARIN FLUSH 100U/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92216426","D5W-1/2NS/KCL 30MEQ/L IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92216467","DEXTROSE 5%/WATER INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92216481","PROCAINE HCL 10% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92216517","METOCLOPRAMIDE 5MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92216525","DEXTROSE 5%-1/2NS IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92216529","DEXTROSE 5%-1/2NS IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92216530","LACTATED RINGERS IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92216531","DEXTROSE 5%/WATER IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92216533","DEXTROSE 5%/WATER IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92216543","POTASSIUM CL 30MEQ/100ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92216577","CIPROFLOXACIN 10MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92216650","ONDANSETRON HCL 2MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92216654","ONDANSETRON HCL 2MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92216666","HEPARIN FLUSH 100U/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92216710","ONDANSETRON HCL 2MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92216718","METOPROLOL TART 5MG/5ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92216801","ONDANSETRON HCL 2MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92216813","CLINDAMYCIN PHOS 9G/60ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92216825","DIPHENHYDRAMINE HCL 50MG/ML IN"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92216865","CEFAZOLIN 1GM A-V INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92216876","MIDAZOLAM HCL 5MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92216880","MIDAZOLAM HCL 1MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92216896","FOSPHENYTOIN NA 50MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92216897","FOSPHENYTOIN NA 75MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92216980","HEPARIN FLUSH 1U/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92216982","HEPARIN 2U/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92217015","HEPARIN 5000U/0.5ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92217111","HEPARIN 1000U/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92217135","CIPROFLOXACIN 400MG/200ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92217136","CIPROFLOXACIN 200MG/100ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92217169","PROPRANOLOL HCL 1MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92217172","EPINEPHRINE/LIDOCAINE HCL INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92217182","AMOXICILLIN CLV K 875-125MG TA"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92217198","METOPROLOL TART 1MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92217315","PHENYLEPHRINE HCL 10MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92217385","METRONIDAZOLE 500MG/100ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92217392","KCL 20MEQ/0.45% NA IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92217402","HALOPERIDOL DEC 50MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92217467","HEPARIN 10U/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92217524","METHYLPREDNISOLONE NA 40MG INJ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92217526","DIPHENHYDRAMINE HCL 2% GEL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92217556","BUPROPION HCL 150MG T24 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92217600","ENALAPRILAT 1.25MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92217624","METOPROLOL TART 5MG/5ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92217648","LIDOCAINE HCL 1% 10MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92217702","WATER STERILE INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92217732","PROPOFOL 1% EMULSION INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92217780","HYDROMORPHONE HCL 1MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92217785","BUPIVACAINE/EPI 0.25%/0.0005 I"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92217804","LIDOCAINE HCL 1% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92217809","SODIUM CL 0.9% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92217845","LIDOCAINE HCL 1% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92217875","POTASSIUM CL 2MEQ/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92217898","HEPARIN 5000U/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92217935","PHENYTOIN NA 50MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92217936","PHENYTOIN NA 50MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92217965","MORPHINE 5MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92217976","FENTANYL 50MCG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92217997","MORPHINE 10MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92218018","BD POSIFLUSH 0.9% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92218045","GRANISETRON 0.1MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92218079","MORPHINE SULFATE 4MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92218084","MORPHINE SULFATE 2MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92218091","LORAZEPAM 2MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92218092","MONTELUKAST SOD 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92218288","DEXAMETHASONE 4MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92218325","MORPHINE SULF 10MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92218384","LIDOCAINE 2% IV SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92218402","LIDOCAINE 1% IV SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92218441","HEPARIN LOCK FLUSH 10 U/MLSOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92218442","HEPARIN LOCK FLUSH 100U/MLSOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92218471","LIDOCAIN HCL 0.01 INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92218541","VALSARTAN 160 MGTAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92218548","CALCIUM CHLORIDE 0.1 INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92218644","FAMOTIDINE 40 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92218660","PHENYTOIN SODIUM 250MG/5ML SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92218661","PHENYTOIN SODIUM 250MG/5ML SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92218700","MORPHINE SULFATE 4 MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92218724","MORPHINE SULFATE 10 MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92218727","MORPHINE SULFATE 10 MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92218729","ELECTROLYTE CONCENTRATE SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92218741","MINOIL/PETRO OPHTH 15%-83%OINT"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92218747","FLUZONE QUADVLNT60MCG/0.5MLINJ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92218761","FENTANYL CITRATE 100MCG/2MLSOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92218822","HYDROMORPHONHCL 0.5MG/0.5MLSOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92218935","LIDOCAINE HCL PF 1% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92218995","MORPHINE SULFATE 8 MG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92219002","MORPHINE SULFATE 2 MG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92219003","MORPHINE SULFATE 5 MG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92219007","HYDROMORPHONE HCL 1MG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92219033","HALOPERIDOL LACTATE 5MG/ML SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92219100","BARIUM SULFATE 2% SUSP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92219311","LIDOCAINE HCL 1% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92219312","HYDROMORPHONE HCL 1 MG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92219385","PARICALCITOL 0.002MG/ML "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92219431","OCTREOTIDE ACETATE 50MCG/MLSOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92219458","BUPIVACA/EPI 0.5%-1:200000 SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92219502","HEPA 100 UNITS/ML 0.9% NACLSOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92219503","HEPARIN SOD 5 UNITS/5 ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92219512","DOXERCALCIFEROL 2 MCG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92219513","DEXTROSE 10% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92219514","D5%/NACL 0.9% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92219601","PHENYLEPHRINE HCL 10/MG/ML SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92219627","LIDOCAINE 1% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92219681","HYDROMORPHONEHCL0.5MG/0.5MLINJ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92219704","MORPHINE SULFATE 4 MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92219705","MORPHINE SULFATE 4 MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92219723","DEXAMETHASONE SODPHOS4MG/MLSOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92219737","MORPHINE SULFATE 2MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92219751","MIDAZOLAM HCL/PF 2 MG/2ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92219821","FENTANYL50 MCG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92219822","PARICALCITOL2 MCG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92219825","LIDOCAINE 1% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92219852","SODIUM CHLORIDE 0.9% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92219853","SODIUM CHLORIDE 0.9% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92219909","HYDROMORPHONE 0.5 MG/0.5 ML SO"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92219910","MORPHINE 2 MG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92219973","HEPARIN SODIUM 10 UNITS/ML SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92220000","MYCOPHENOLATE SODIUM 180MG TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92220007","EPLERENONE 25 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92220015","LIDOCAINE 1% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92220023","SODIUM CHLORIDE 0.9% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92220050","SODIUM CHLORIDE 0.9% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92220101","COVID-19 VACC100 MCG/0.5 MLSOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92220148","LIDOCAINE 2% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92220177","DEXTROSE 5% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92220191","HALOPERIDOL LACTATE 5MG/ML SYG"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92220263","COVID-19 VACCINE SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92220267","KETORLAC TROMETHAM 30MG/ML SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92220371","HYDROMORPHONE 2 MG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92220380","FENTANYL CITRATE 50 MCG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92220391","D5/NACL 5%-0.9% IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92220404","HYDROMORPHONE HCL 2 MG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92220440","LIDOCAINE HCL/EPI1%-1:100000IN"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92220458","HYDROMORPH HCL 0.5MG/0.5ML INJ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92220502","PROPOFOL 10 MG/1 ML EMU "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92220503","SODIUM CHLORIDE 0.9% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.00","92220517","LIDOCAINE HYDROCHLORIDE 1% SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.10","38303085","G6-PD ","82955",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.10","92212176","SODIUM CL 2.5MEQ/ML IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.20","92213662","MITOTANE 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.30","92217891","CHLORPHEN/HYDROCODONE 8-20 CER"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.43","38300070","ALDOLASE ","82085",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.50","92210023","SULFADIAZINE 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.50","92210180","BACLOFEN 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.50","92210294","THIOTHIXENE 10MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.50","92210518","BACLOFEN 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.50","92211310","SERTRALINE HCL 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.50","92211511","SODIUM CL 0.9% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.50","92211806","CITRIC ACID NA CITRATE SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.50","92212088","CHOLESTYRAMINE 4GM/5.5GM PDR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.50","92212817","OXCARBAZEPINE 600MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.50","92213277","DEXTROSE 5%/WATER IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.50","92213865","DESLORATADINE 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.50","92214186","PENICILLAMINE 250MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.50","92214510","LACTATED RINGERS IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.50","92214734","DEXTROAMPHETAMINE SULF 10MG CE"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.50","92214886","PHYTONADIONE 1MG/0.5ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.50","92214947","FLUOXETINE HCL 40MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.50","92215853","AMIODARONE HCL 50MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.50","92216092","FLUOXETINE HCL 40MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.50","92216151","VENLAFAXINE HCL 150MG CER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.50","92216412","OXCARBAZEPINE 600MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.50","92216673","SALICYLIC ACID 3%SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.50","92216721","NITROFURAN MONO/MCR 100MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.50","92216810","CEFDINIR 300MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.50","92217036","LOPINAVIR RITONAVIR 100-25MG T"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.50","92217569","SEVELAMER CARBONATE 0.8GM PDR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.50","92218083","SUBOXONE 2MG-0.5MG SL TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.50","92218107","DOXYCYCLINE HYCLATE 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.50","92218109","APRISO 0.375GM ER CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.50","92218731","CLINDAMYCIN 150 MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.50","92218942","NITROFUR MONOHYD 100 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.50","92219038","CARBI/LEVDOPA61.25MG/245MGCAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.50","92219267","PHYTONADIONE 1 MG/0.5 ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.50","92219961","MYCOPHENOLATE SODIUM 180MG TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.50","92220106","CEFDINIR 300 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.50","92220132","FENOFIBRATE 145 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.50","92220256","FENOFIBRATE 160 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.50","92220258","CYCLOSPORINE 25 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.60","92213484","THEOPHYLLINE 400MG/500ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.60","92214215","BUPIVACAINE/EPI 0.5%/0.0005 IN"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.65","74020008","LOCM 200-299MG/ML IODINE/1ML "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.80","92214029","DIAZEPAM 5MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.80","92216635","CARVEDILOL 40MG CER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27.90","92214917","TETRACAINE HCL 1% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"270.00","92213676","LACTATED RINGERS SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"270.00","92214643","GRANISETRON HCL 1MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"270.00","92215011","METHYLDOPATE 250MG/5ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"270.50","33179697","SPLINT HAND DEVATION "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"270.50","92215105","AMMONIUM LACTATE 12% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"270.93","38200016","GAMMAGLOBULIN IGM ","82784",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2702.00","92215489","MAFENIDE ACET 85MG/GM CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2707.00","92214966","HYDROCORTISONE ACET 10% FOA "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"271.28","38301439","CBC AUTO W/O DIFF ","85027",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"271.50","33139770","MIDLINE MAX PG 5F DL-20cm w/GW"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"271.50","33161388","TUBE 80MM 10MM7MM UNCF LO TRMA"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"271.50","92213854","GELATIN SPONGE SPG "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"271.50","92217260","AMINO ACIDS 5% D20W IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"271.50","92219940","ATOVAQUONE 750 MG/5 ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2711.00","92217949","GANCICLOVIR 0.15% GEL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2716.11","73510010","EEG SEIZ EVAL ATTND 16 CHAN ","95956",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"272.00","92214088","LEUCOVORIN CALCIUM 10MG/ML INJ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"272.00","92217275","AMINO ACIDS 5% D15W W/E IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"272.50","33111909","MOUTHPIECE ACAPELLA BLUE LOW "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"272.50","33112885","PROTECTOR HEEL BOOT PRESS REL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"272.50","33141516","SYS MOUTH ACAP GRN HIFLO 15LPM"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"272.50","33171888","SLING GIVMOHR SM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"272.50","92215627","ARIPIPRAZOLE 30MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"272.50","92216161","ENTECAVIR 0.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"272.50","92218280","ABILIFY 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"272.50","92219249","LIPIDS 20% 0.2 EMULSION "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"273.00","33109799","DRSG SURGICEL 2X14 STRL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"273.00","92212459","CLINDAMYCIN PHOS 1% PAD "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"273.00","92214604","TEMOZOLOMIDE 20MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"273.50","92214294","AMINO ACIDS 15% IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"273.50","92217344","PRENATAL VITAMINS KIT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"273.79","38301200","FERRITIN ","82728",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2733.50","33103819","DRSG MESH PROLENE SOFT 2x4 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27349.00","92218511","GAMUNEX-C 1 GM/10 ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"274.00","33152349","TRAY LAP CUSTOM 4807 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"274.00","92217265","AMINO ACIDS 5% D20W W/E IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"274.00","92219707","CARIPRAZINE HCL 1.5 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"274.00","92220359","CARIPRAZINE 6 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"274.26","38201505","CULTURE HERPES ","87254",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"274.26","38201630","LACTIC ACID ","83605",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"274.50","33103242","SET MICROPUNCTURE INTRUDER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"274.50","33109229","SUT 05-2 ETHIBOND "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"274.50","33199356","DRAIN CHEST AQUASEAL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"274.50","92210317","CEFACLOR 250MG/5ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"274.50","92210475","LEVOTHYROXINE NA 0.2MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"274.50","92214783","LIDOCAINE HCL 4% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"274.83","38303910","CROSSMATCH INCUBATION ","86921",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"274.83","72000769","CROSSMATCH INCUBATION ","86921",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"274.93","38300710","CPK-TOTAL ","82550",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"275.00","33111095","TUBE TRACH XL CFLS DIST 6.0MM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"275.00","33111594","SYSTEM WOUND MGT FISTULA "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"275.00","33113071",""OST SYS 4 1/8-6.25"" MINI 2 LYR""," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"275.00","33113072",""OST SYS 4 1/8-6.25"" MINI 2 LYR""," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"275.00","33161380","TUBE 90MM9.6MM5MM UNCF PROXXTN"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"275.00","33161393","TUBE 95MM11MM6MM UNCF PROX XTN"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"275.00","33161408","TUBE 100MM12.3MM7MM UNCUF DIST"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"275.00","33161409","TUBE 100MM12.3MM7MM UNCUF PROX"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"275.00","33161418","TUBE 105MM13.3MM8MM UNCUF DIST"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"275.00","33161419","TUBE 105MM13.3MM8MM UNCUF PROX"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"275.00","92210707","DESONIDE 0.05% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"275.50","33111564","KIT MICROINT PTFE SAFETY 4.5FR"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"275.50","33131075","DRAIN CHEST DRY SUC DUAL CHAM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2750.03","76000360","NM LIVER IMAGING SPECT ","78205",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2756.00","92215668","POLYMYXIN B SULF 100MMU POW "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2756.00","92217712","FLUTICASONE PROP 220MCG ARO "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2759.00","92220269","SEMAGLUTIDE 2 MG/1.5 ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"276.00","33161377","TUBE 90MM9.6MM5MM CUF DIST XTN"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"276.00","33161379","TUBE 90MM9.6MM5MM UNCF DISTXTN"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"276.00","92213906","CICLOPIROX 0.77% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"276.00","92217247","AMINO ACIDS 4.25% D25W W/E IVS"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"276.00","92217306","CEFEPIME HCL 2GM/100ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"276.50","33142176","KIT CATH 3LUM BLUEFLEX TIP 7FR"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"276.70","92214056","CLOBETASOL PROP 0.05% GEL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27619.00","92220328","FIDAXOMICIN 40 MG/ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"27635.50","92217176","OCTREOTIDE ACET 20MG PDR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"277.00","33131171","TUBE TRACH BIV UNCUFF 6.0MM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"277.00","92211087","CEPHALEXIN 250MG/5ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"277.50","33131050","ORTHOSIS HAND THERA+ TA LT MD "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"277.50","33131051","ORTHOSIS HAND THERA+ TA LT LG "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2777.00","33170063","SPHNTM 20MM450CM4.4FRDREAMTOME"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2777.01","74010043","VENOGRAM EXT UNIL RT ","75820RT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2777.01","74010044","VENOGRAM EXT UNIL LT ","75820LT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2778.50","92215020","ARGATROBAN 100MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"278.00","92218160","EDURANT 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"278.50","33194468","CANISTER W/O GEL INFOVAC 500ML"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"278.50","92211493","DESOXIMETASONE 0.05% GEL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"278.50","92215107","LIDOCAINE HCL 3% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"278.50","92219439","LIDOCAINE HYDROCHLORIDE 3% SPY"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"278.50","92219838","DEXMEDETOM/NACL200MCG/50MLIVPB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"278.50","92220264","DEXMEDETOMIDINE HCL4MCG/ML SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"278.87","34000670","LOWFREQUENCY NONTHERMAL US/DAY","97610GP ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2783.00","11600071","GASTRO-PEG INSERTION "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2783.33","72000835","THERAPEUTIC APHERESIS WBC ","36511",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"279.00","92218705","PATIROMER 8.4 GM/PACKET POW "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"279.00","92219579","CYANOCOBALAMIN 1000MCG/1ML SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"279.50","92212863","DIDANOSINE 10MG/ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"279.50","92218399","DERMA PHOR . TOPICAL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"279.54","38206802","HEPATITIS B VIRUS QUANT ","87517",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"279.80","92211701","CLONIDINE HCL 0.1MG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2797.00","92219477","TEMOZOLOMIDE 180 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2797.42","77000360","CT GUIDANCE RAD THERAPY FIELDS","77014",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2799.50","92213869","INTERFERON ALFA-2B 18MM U INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"28.00","92210174","CALAMINE PRZMOXINE HCL 8%-1% L"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"28.00","92210882","SODIUM CL 0.9% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"28.00","92211020","WATER STERILE INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"28.00","92211204","PHYTONADIONE 1MG/0.5ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"28.00","92211329","CHLORPROMAZINE HCL 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"28.00","92211525","LOVASTATIN 40MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"28.00","92212253","MEPERIDINE 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"28.00","92212533","SODIUM CL 0.45% IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"28.00","92212604","AMOXICILLIN CLV K 875-125MG TA"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"28.00","92212716","DILTIAZEM HCL 5MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"28.00","92213009","TACROLIMUS 1MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"28.00","92213305","LIDOCAINE 1%/EPI 1:100000 INJ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"28.00","92213749","RIVASTIGMINE TARTRATE 3MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"28.00","92213793","DEXTROSE 5%-1/2NS IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"28.00","92213824","DEXTROSE 5%-NS IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"28.00","92214170","PHENYLEPHRINE HCL 0.25% OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"28.00","92214361","CELECOXIB 100MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"28.00","92214368","PREDNISONE 5MG/5ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"28.00","92215453","RIVASTIGMINE TARTRATE 6MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"28.00","92216032","DULOXETINE HCL 60MG ECC "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"28.00","92216356","AZITHROMYCIN 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"28.00","92217380","BUPROPION HCL 150MG T24 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"28.00","92217687","BACITRACIN 500U/30GM OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"28.00","92218495","READI-CAT 22.1%SUSP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"28.00","92218563","ACETEC ACID 0.25% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"28.00","92218743","TRANEXAMIC ACID 650 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"28.10","92212274","AMOXICILLIN 250MG/5ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"28.20","92216544","THEOPHYLLINE 800MG/D5W INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"28.40","92216266","CETIRIZINE HCL 10MG CTB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"28.48","38320510","IMMFLUOR TYPE ","87140",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"28.50","33171349","PACK PROCEDURE PLEURX "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"28.50","92211244","BUTORPHANOL 1MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"28.50","92211457","CIPROFLOXACIN 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"28.50","92212227","ATORVASTATIN CALCIUM 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"28.50","92212832","CEFUROXIME AXETIL 250MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"28.50","92213186","DISOPYRAMIDE PHOS 100MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"28.50","92213456","DEXTROSE 5%-1/4NS IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"28.50","92213981","CEFDINIR 300MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"28.50","92214060","LIDOCAINE HCL 4% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"28.50","92214124","DIVALPROEX NA 500MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"28.50","92214153","QUINAPRIL HCL 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"28.50","92215186","IVERMECTIN 3MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"28.50","92215311","POTASSIUM CL 20MEQ/50ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"28.50","92215701","MORPHINE 60MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"28.50","92216005","FLUCONAZOLE 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"28.50","92216144","AMOXICILLIN CLV K 875-125MG TA"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"28.50","92217494","MOUTHWASH SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"28.50","92218921","FLUCONAZOLE 50 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"28.50","92218931","MORPHINE SULFATE 60 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"28.50","92219465","ASCORBICACID/ASCOR500mg/5mlSOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"28.50","92219507","IRON 15 MG/ML LIQ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"28.50","92219728","LEVALBUTEROL HCL0.63MG/3ML INH"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"28.50","92220242","OXYMETAZOLINE 0.05% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"28.50","92220338","CHLORHEXIDINE GLUCONATE 4% LIQ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"28.60","92211469","PREDNISONE 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"28.60","92214629","DEXTROSE 10%/WATER IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"28.73","38399353","ANTIPHOSPHOLIPID AB ","86148",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"28.99","38301660","LDH ISOENZYMES ","83625",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"280.00","33102082","ORTHOSIS AIRHAND ROLL W FINGR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"280.00","33129522","KIT INTRO INTROFLEX PERCUT8.5F"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"280.37","38000770","FISH EA PROBE MANUAL ","88368",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"280.50","33112278","DRSG VAC FOAM WHITE SML "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"280.50","33177667","TUBE TRACHEAL JACKSON #4 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"280.50","33177669","TUBE TRACHEAL JACKSON 5 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"280.50","33177671","TUBE TRACHEAL JACKSON #6 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"280.50","92210755","TRIAMCINOLONE 0.1% LOT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"280.50","92219109","TENOFOVIR ALAFENAMIDE 25MGTAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"280.60","92212646","AMINO ACIDS 6% IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"280.66","73570058","EMG NON-EXTREM MUSC(S) ","95887",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"280.92","38202340","TESTOSTERONE TOTAL ","84403",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"28018.50","92218595","PERTUZUMAB 30 MG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2803.50","33102024","HANDPIECE VERSAJET "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2804.00","76000350","NM KIDNEY SPECT ","78710",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2805.50","92212232","CLOBETASOL PROP 0.05% OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"281.00","33111092","TUBE TRACH XL CFLS PROX 5.0MM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"281.00","33111096","TUBE TRACH XL CFLS PROX 6.0MM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"281.00","33111099","TUBE TRACH XL CFLS DIST 7.0MM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"281.00","33111100","TUBE TRACH XL CFLS PROX 7.0MM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"281.00","33111104","TUBE TRACH XL CFLS DIST 8.0MM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"281.00","33111105","TUBE TRACH XL CFLS PROX 8.0MM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"281.00","33113062","TUBE 95MM11MM6MM UNCUF DISTXTN"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"281.00","92216185","ALENDRONATE NA 70MG/2800U TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"281.88","92217731","CYANOCOBALAMIN 1000MCG/ML INJ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"282.00","33111091","TUBE TRACH XL CFLS DIST 5.0MM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"282.00","33111122","TUBE TRACH XL CFFD DIST 5.0MM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"282.00","92214404","FONDAPARINUX NA 2.5MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"282.04","38200360","CA 125 ANTIBODY ","86304",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"282.04","38202310","T-4 TOTAL (THYROXINE) ","84436",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"282.50","33110299","DRAINAGE CHEST THORA-SEAL III "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"282.50","33178023","DRAIN CHEST THORA-SEAL III "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"282.50","92213089","NALBUPHINE HCL 20MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"282.86","38302350","THEOPHYLLINE ","80198",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"283.00","92214675","ACETYCHOLINE CL 20MG SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"283.00","92218406","FIRST-MOUTHWASH BLM . SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"283.00","92219637","PHYTONADIONE 10 MG/ML EMU "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"283.00","92220119","PRAMOXINE 1% FOAM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"283.50","92210627","BETAMETHASONE DP 0.05% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"283.50","92219034","CARIPRAZINE 3 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"283.50","92219475","TOLCAPONE 100 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"283.50","92220509","CARIPRAZINE 3 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2831.00","11600120","TRACHEOSTOMY "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2831.00","92220079","GLATIRAMER ACETATE 40MG/ML SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"28337.00","92217953","ROMIPLOSTIM 500MCG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"28365.50","92217475","LEUPROLIDE ACET 22.5MG KIT PI3"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"284.00","33116193","BLADE DERMATONE ZIMMER STRT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"284.26","38203700","GAMMAGLOBULIN IGE ","82785",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"284.50","92217905","TDAP VACCINE SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2843.00","92212803","DIFLORASONE DIACETATE 0.05% CR"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2844.50","92219273","FILGRSTM-SNDZ 480MCG/0.8MLSOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2845.50","92217800","IBANDRONATE NA 3MG/3ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"285.00","33103473","IMMBOLIZER KNEE 20 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"285.00","33107270","IMMOBILIZER KNEE MED "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"285.00","33176505",""IMMOBILIZER KNEE 24"" ""," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"285.00","92210854","TERCONAZOLE 0.4% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"285.00","92216866","EPHEDRINE SU 50MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"285.10","92217170","SULFACETAMIDE NA S 10%-5% SOA "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"285.50","33101128","TRAY MAHUKKAR CATH "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"285.50","33170449","BOOT PODUS W/TSFR PAD/STRAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"285.50","92218889","LIPIDS 20% EMULSION "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"285.50","92220171","LIPIDS-PLANT BASED 20% EMU "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"285.50","92220173","LIPIDS-FISH/PLANT BASE 20% EMU"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"285.53","38200326","INF AG DET BY IA INFLUENZA ","87804",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"285.55","38300981","CULTURE URINE W/COLONY COUNT ","87086",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"28513.00","92213161","ALTEPLASE RECOMB 50MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2856.00","92216497","OPRELVEKIN 5MG PDS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"286.00","92211423","MOMETASONE FUROATE 0.1% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"286.00","92214808","UREA 40% LOT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"286.00","92217985","X-VIATE 40% CREAM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"286.50","33103448","TRAY CATH SFTCENT NO LIDOCN6FR"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"286.50","33153007","TRAY THORANCENTESIS W/C "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"286.50","92217587","HYDRALAZINE HCL 20MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2860.00","11600155","PEG TUBE INSERTION - NOT OR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"287.50","33111093","TUBE TRACH XL CFFD DIST 6.0MM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"287.50","33111094","TUBE TRACH XL CFFD PROX 6.0MM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"287.50","33111097","TUBE TRACH XL CFFD DIST 7.0MM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"287.50","33113059","TUBE 95MM11MM6MM CUFDISTXTNXTD"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"287.50","33113955","TUBE TRACH CFF PROX EXT XLT 8 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"287.50","33153640","TUBE TRACH XLT CUFDIST8.0MM ID"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"287.50","33153641","TUBE TRACH XLT CUFPROX7.0MM ID"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"287.50","33161378","TUBE 90MM9.6MM5MM CUF PROX XTN"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"287.50","33170451","BOOT PODUS W/TSFR PAD/STRAP XL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"287.50","38206680","FLUORESCENT ANTIBODY TITER ","86256",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"287.59","38201481","HEPATITIS C AMP. PROBE TECH ","87521",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2878.50","92217228","INTERFERON BETA-1B 0.3MG PDS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"288.00","92211500","TRIMETHOBENZAMIDE HCL 100MG IN"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"288.00","92214543","FENTANYL 100MCG/HR TDM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"288.00","92217025","FENTANYL 100MCG/HR TDM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"288.00","92217248","AMINO ACIDS 4.25% D10W W/E IVS"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"288.00","92219062","BREXPIPRAZOLE 0.5 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"288.00","92220319","BREXPIPRAZOLE 2 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"288.40","92212954","HALOPERIDOL DEC 50 INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"288.50","33101840","BOOT FTHLD WAFL SPLT SEC MD "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"288.50","33177674","TUBE TRACHEAL JACKSON #7 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"288.50","92213168","HYDROCORTISONE 2.5% LOT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"288.50","92216135","ALBUTEROL SULF 90MCG ARO "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2883.50","92216198","IPRATROPIUM BR 17MCG SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2887.00","92213242","INTERFERON BETA-1B 0.3MG PDS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"289.00","92212819","FLUCONAZOLE 10MG/ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"289.00","92212979","CR CU MN ZN TRACE ELEMENT INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"289.00","92217611","INSULIN HUM REGULAR 100U/ML IN"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"289.00","92217714","INSULIN HUM ISOP 100U/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"289.00","92217981","INSULIN HUM ISOP/REG 70U-30U I"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"289.42","38312020","D-DIMER ULTRASENS QUAL/SEMIQNT","85380",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"289.50","33151316","UNIT CHEST DRAINAGE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"289.50","92214727","CLINDAMYCIN PHOS 1OOMG SUP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"289.50","92216204","ESOMEPRAXOLE NA 40MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"289.50","92216918","THROMBIN 5000U PDS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"289.68","38301780","HETEROPHILE ANTIBODY SCREEN ","86308",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2896.00","11600379","O.R. RM 1 HR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"29.00","92210209","ARTIFICIAL TEARS 1.4% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"29.00","92210300","CEFUROXIME AXETIL 250MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"29.00","92210973","ACYCLOVIR 500MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"29.00","92211851","ENALAPRILAT 1.25MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"29.00","92212732","SODIUM CL 4MEQ/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"29.00","92213506","VERAPAMIL HCL 120MG CER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"29.00","92213647","FLUOXETINE HCL 40MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"29.00","92213920","PYRAZINAMIDE 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"29.00","92214129","ZOLPIDEM TARTRATE 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"29.00","92214385","ZOLPIDEM TARTRATE 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"29.00","92214689","BUPIVACAINE HCL 0.75% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"29.00","92214944","FELBAMATE 600MG/5ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"29.00","92215741","CALCITRIOL 1MCG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"29.00","92215861","LANSOPRAZOLE 30MG ECC "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"29.00","92215947","CIPROFLOXACIN 250MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"29.00","92216337","OCTREOTIDE ACET 50MCG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"29.00","92216715","POLYETHYLENE GLYCOL 3350 PDS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"29.00","92216939","CITRIC ACID NA CITRATE SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"29.00","92217492","MOUTHWASH SPR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"29.00","92217699","DRONABINOL 2.5MG SGL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"29.00","92218145","HYDROCOD/ACET 7.5/325MG 15ML "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"29.00","92218191","DROS/ETH ESTRAD 3MG-0.03MG TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"29.00","92218569","CEFTAZIDIME 1 GM INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"29.00","92219141","CETIRIZINE HYDROCHLOR 10MGTAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"29.00","92219663","CETIRIZINE 5 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"29.00","92219665","CETIRIZINE 10 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"29.00","92219995","DOXYCYCLINE HYCLATE 100 MG TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"29.00","92220005","TACROLIMUS ER 0.75 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"29.00","92220043","CYANOCOBALAMIN 1000 MCG/MLSOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"29.12","76020017","GAB DIMEGLUMINE MULTIHANCE 1ML"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"29.16","92213295","CEFOTAXIME NA 2GM INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"29.20","92216287","DESLORATADINE 5MG ODT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"29.30","92217399","HALOPERIDOL DEC 50MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"29.40","92212941","MEPIVACAINE HCL 1% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"29.50","92202003","TOPICALS 03 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"29.50","92212182","CIPROFLOXACIN 750MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"29.50","92212214","TERBUTALINE SULF 2.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"29.50","92212620","PRAMIPEXOLE DIHCL 0.25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"29.50","92213533","DANAZOL 100MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"29.50","92213620","CYCLOSPORINE 100MG SGL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"29.50","92213684","NYSTATIN 100000U TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"29.50","92214396","GENTAMICIN 80MG/NS 100ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"29.50","92214472","OINTMENT BASE OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"29.50","92215049","FAMOTIDINE 0.4MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"29.50","92215146","LIDOCAINE 2%/EPI 1:200000 INJ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"29.50","92215604","BENZOCAINE 20% GEL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"29.50","92215693","ALFUZOSIN HCL 10MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"29.50","92215862","TOPIRAMATE 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"29.50","92216209","CYCLOSPORINE MOD 100MG SGL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"29.50","92216578","BUPROPION HCL 150MG T12 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"29.50","92217204","ROPINIROLE HCL 4MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"29.50","92217270","SODIUM CL 0.9% IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"29.50","92217573","RIFAMPIN 300MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"29.50","92218176","CLINDAMYCIN 300MG/50ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"29.50","92218408","CYCLOSPORINE 100 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"29.50","92219076","RISPERIDONE 1 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"29.50","92219614","SODIUM CHLORIDE 0.9% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"29.50","92219768","RISPERIDONE ODT 1 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"29.50","92220144","DIPHENHYDRAMINE12.5 MG/5 MLSOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"29.50","92220341","CREAM MULTI INGREDIENT CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"29.60","92214091","METOCLOPRAMIDE 5MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"29.81","38303425","RICKETTSIA ANTIBODY ","86757",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"29.86","92215100","BUPIVACAINE/EPI 0.5%/0.0005 IN"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"290.00","92202006","TOPICALS 06 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"290.00","92211415","CEFPODOXIME PROSETIL 100MG SUS"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"290.37","72000280","RH PHENOTYPING ","86906",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"290.50","92218766","NYSTATIN PWD "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"290.54","38302510","VANCOMYCIN ","80202",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2906.11","74001193","PARACENTESIS W IMAGE GUIDANCE ","49083",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2906.11","75000014","PARACENTESIS US NEEDLE PLCMT ","49083",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"291.00","36000620","PULSE OXIMETRY-SINGLE ","94760",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"291.00","36200900","PULSE OXIMETRY-SINGLE ","94760",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"291.00","92212802","BRIMONIDINE TARTRATE 0.2% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"291.00","92216162","ENTECAVIR 1MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"291.00","92218425","LATUDA 80 MG TABLET "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"291.50","92211249","BACITRACIN 500U/GM OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"291.50","92212630","RITONAVIR 80MG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"291.50","92219308","BACITRACIN 500 U/GM OINT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"291.50","92220139","OMEPRAZOLE 2MG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"291.63","38307014","CULTURE FUNGUS BLOOD ","87103",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"291.73","38393921","PLATELET AGGREGATION EA AGENT ","85576",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"292.00","92212735","IOPAMIDOL 61% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"292.00","92215816","PHENYLEPHRINE HCL 10MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"292.09","76020008","TC-99M MEDRONATE <30 MCI "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"292.50","33198077","STK JOB KNEE 15-20MMHG US LG "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"292.50","33198535","STOCK COMPR KNEE HI OP TOE XL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"292.50","92217163","ENFUVIRTIDE 90MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2923.00","92216443","CONIVAPTAN HCL 20MG/4ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"293.00","33111809","SYSTEM WND MGT FISTULA MID "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"293.00","33112452","ORTHOSIS WHFO REST LEFT SML "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"293.00","33112453","ORTHOSIS WHFO REST RT SML "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"293.00","33112772","CANISTER KCI VAC LG 1000ML "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"293.00","33114975","TRAY INSERTION CHEST TUBE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"293.00","92212842","CLOTRIMAZOLE BETAMETH 1-0.05 C"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"293.00","92215628","CAPECITABINE 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"293.00","92219473","VEMURAFENIB 240 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"293.14","38206757","HOMOCYSTINE ","83090",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"293.36","38390000","MOLECULAR PATHOLOGY LEVEL 2 ","81401",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"293.50","33112904","DRSG VAC SIMPLACE MEDIUM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"293.50","92214841","PROPOFOL 10MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2930.50","92218588","IBUTILIDE 0.1 MG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"294.00","33111090","TUBE TRACH XL CFFD PROX 5.0MM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"294.00","33111098","TUBE TRACH XL CFFD PROX 7.0MM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"294.00","33111101","TUBE TRACH XL CFFD DIST 8.0MM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"294.00","33111103","TUBE TRACH XL CFFD PROX 8.0MM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"294.00","33113060","TUBE 95MM11MM6MM CUFDISTXTNXTD"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"294.00","33113061","TUBE 95MM11MM6MM CUFPROXXTNXTD"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"294.00","33113063","TUBE 100MM12.3MM7MM CUFDISTXTN"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"294.50","92210225","ESTRADIOL 0.0375MG/DAY TDM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"294.55","38301240","FOLIC ACID ","82746",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2945.02","75000009","THORACENTESIS US NEEDLE PLCMT ","32555",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2948.50","92220410","TOLVAPTAN 30 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"295.00","92211919","AMPHOTERICIN B 50MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"295.50","33153115","BOOT TRACTION UNIVERSAL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"295.50","92210194","CHOLESTYRAMINE 4GM/9GM PDR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"295.60","38301772","CYTOGENETICS 20-25 CELLS ","88264",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"295.74","38302540","VITAMIN B-12 ","82607",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2956.50","92219515","DASATINIB 80 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2956.50","92219518","DASATINIB 140 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2956.50","92219519","DASATINIB 100 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"296.00","36000835","TRACH STINT REPLACEMENT ","31899",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"296.00","92217596","NICARDIPINE HCL 25MG/10ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"296.42","76020000","GALLIUM GA-67 PER MCI "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"296.47","38202300","T-3 UPTAKE ","84479",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2965.50","33103839","LIGASURE SMALLJAW CURV 18.8CM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"297.00","33109919","RELOAD CUTTER PROX LIN BLU75MM"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"297.00","33178029","HEM ABS SURGICEL 4X8 STERILE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"297.00","92211171","TRIPLE ANTIBIOTIC OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"297.00","92216911","FLUNISOLIDE 0.025MG SPR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"297.00","92218178","FIRST-BXN MOUTHWASH "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"297.76","38300108","ANTI-PLATELET IB/IX AB ","86022",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"297.76","38300109","ANTI-PLATELET IA/IIA AB ","86022",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"297.76","38300127","ANTI-PLATELET IIB/IIA AB ","86022",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"297.76","38300200","ANTI-PLATELET ANTIB ","86022",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"297.76","38303776","HEPARIN INDUCED ANTIBODY ","86022",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"297.76","72000800","PLATELET ANTIBODY ID ","86022",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2974.50","33168399","TRAY TRCH MULTI PERC BRHN G2 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"298.00","33113083","TUBE 10CM 18FR BLN RTNT INTGRT"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"298.00","33152480","SET GASTRO FDG INT THRIVE 20FR"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"298.00","33168136","TUBE FD 16FR BLN RTNT ENTUIT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"298.00","33168137","TUBE GSTRM 22FR BLN ENTUIT 10 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"298.00","33168138","TUBE FD 24FR BLN ENTUIT THRIVE"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"298.00","92217179","METHYLNALTREXONE 12MG/0.6ML IN"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"298.07","72000120","CROSSMATCH ANTIGLOBIN ","86922",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"298.13","72060000","BLOOD WHOLE-PROC ONLY "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"298.23","38201499","HEPATITIS DELTA VIRUS AB ","86692",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"299.00","92217814","AMIODARONE HCL 360MG/200ML SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"299.50","33103574","ORTHOSIS HAND REST SM RT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"299.50","33103581","ORTHOSIS HAND REST SM LT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"299.50","33109715","ORTHOSIS REST HAND XL LEFT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"299.50","92210213","LEVOTHYROXINE NA 500MCG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"299.50","92211783","ZOLMITRIPTAN 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"299.70","92216253","LACTIC ACID 10% VIT E 3500U C"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2992.50","92210372","IMMUNE GLOBULIN 5% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"2994.00","92218764","BACLOFEN 20000MCG/20MLINJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"30.00","92203040","ORALS 40 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"30.00","92210348","TRIAMCINOLONE 0.1% OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"30.00","92210602","NAPHAZOLINE HCL 0.1% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"30.00","92211294","SIMVASTATIN 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"30.00","92211362","HYDROCORTISONE 1% OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"30.00","92211597","DOXYCYCLINE HYCLATE 100MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"30.00","92211640","CEFTAZIDIME 1GM INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"30.00","92211854","CLINDAMYCIN PHOS 150MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"30.00","92212305","DOXYCYCLINE HYCLATE 100MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"30.00","92212466","SODIUM CL 4MEQ/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"30.00","92213341","SIMVASTATIN 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"30.00","92213727","RISPERIDONE 0.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"30.00","92214259","OXYCODONE HCL 20MG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"30.00","92215022","NITROGLYCERIN 0.1MG/HR TDM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"30.00","92215164","PAROXETINE HCL 12.5MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"30.00","92215371","PHENYLEPHRINE HCL 10MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"30.00","92216215","PHENYLEPHRINE HCL 10MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"30.00","92216447","NIACIN 500MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"30.00","92217653","DEXTROSE 5%/WATER IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"30.00","92217899","ATORVASTATIN CALCIUM 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"30.00","92219880","TELMISARTAN 40 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"30.00","92220335","BENZAL/BENZO/ZINC 0.02-20-0.1%"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"30.00","92220349","OXYCODONE HCL 5 MG/5 ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"30.20","92213148","OFLOXACIN 300MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"30.20","92215848","OFLOXACIN 300MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"30.20","92217197","ROPINIROLE HCL 4MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"30.50","92210710","BENZOYL PEROXIDE 5% GEL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"30.50","92210837","LANSOPRAZOLE 30MG ECC "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"30.50","92211384","SODIUM ACETATE 2MEQ/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"30.50","92211403","MOUTHWASH 474ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"30.50","92211934","LANSOPRAZOLE 15MG ECC "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"30.50","92212262","QUETIAPINE FUMARATE 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"30.50","92212333","CHLOROQUINE PH 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"30.50","92213000","OXANDROLONE 2.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"30.50","92213043","GENTAMICIN SULF 10MG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"30.50","92213318","OXCARBAZEPINE 300MG/5ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"30.50","92213403","MONTELUKAST NA 5MG CTB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"30.50","92213429","FUROSEMIDE 10MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"30.50","92213819","CA CL/KCL/MGCL/NA ACE/NACL INJ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"30.50","92214806","PILOCARPINE HCL 4% EYE SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"30.50","92214819","PILOCARPINE HCL 2% EYE SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"30.50","92215209","FLUCONAZOLE 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"30.50","92215298","OLMESARTAN MEDOXOMIL 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"30.50","92215332","MONTELUKAST NA 4MG CTB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"30.50","92215820","AMIODARONE HCL 50MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"30.50","92216040","MORPHINE 30MG CER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"30.50","92217428","LAMOTRIGINE 200MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"30.50","92217490","NEBIVOLOL HCL 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"30.50","92217597","LANSOPRAZOLE DR 30MG ECC "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"30.50","92217656","DEXTROSE 5%-NS IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"30.50","92217657","LACTATED RINGERS IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"30.50","92217826","LEVOFLAXACIN D5W 250MG/50ML IN"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"30.50","92218208","PAROEX 0.12% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"30.50","92218334","VALACYCLOVIR 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"30.50","92219215","TELMISARTAN 40 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"30.50","92219259","VANCOMYCIN HCL 50 MG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"30.50","92219919","CARBOXYMETH/GLYC 0.5%-0.9% SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"30.50","92219968","ITRACONAZOLE 100 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"30.66","38200800","CRYPTOCOCCUS AB ","86641",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"30.80","92215580","ESMOLOL HCL 10MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"30.83","38300007","IGG SUBCLASSES (EACH) ","82787",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"30.90","92213813","CA CL/KCL/MGCL/NA ACE/NACL INJ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"300.00","38200161","COVID-19 CORONAVIRUS ","87635",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"300.00","92218141","OMNIPAQUE 300 INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"300.91","38202049","PARATHYROID HORMONE ","83970",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3008.11","74000995","FLUORO GUIDE FOR PERCUT DRAIN ","75989",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3008.11","75075989","US GUIDE FOR PERCUT DRAINAGE ","75989",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3008.11","77000366","CT GUIDE FOR PERCUT DRAINAGE ","75989",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3009.50","92214354","DARBEPOETIN A 60MCG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3009.50","92215572","DARBEPOETIN A 60MCG/0.3ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"301.00","33122465","ORTHO HAND FING EXT ADLT 8.25I"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"301.00","92219835","CLONIDINE 0.2MG PATCH "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"301.50","33107162","ORTHO WRIST/HND/FIN BLU ADLT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3015.50","92218096","DEHYDRATED ALCOHOL 98%/3ML INJ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"302.00","33112711","KIT PLEUREX DRAINAGE 500ML "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"302.00","92211540","LIDOCAINE HCL 4% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"302.30","92216212","MOMETASONE FUROATE 0.1% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"302.41","38000715","STAIN GROUP-II ","88313",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"302.41","38303730","TRICHROME STAIN ","88313",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"302.50","33103300","CARRIER SKIN GRAFT STERILE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"302.50","92218378","PRECEDEX 4 MCG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"30259.00","92217181","OCTREOTIDE ACET 30MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3026.12","76000015","NM BONE/JOINT LIMITED ","78300",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"303.00","33194467","CANISTER W/GEL INFOVAC 500ML "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"303.00","92213156","ENOXAPARIN NA 150MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"303.00","92217788","ACETAMINOPHEN 10MG/ML 100ML IN"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"303.50","92215296","MANNITOL 20% IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"303.50","92217288","AMINO ACIDS 2.75% D10W W/E IVS"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3030.50","92217245","ESMOLOL HCL 10MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"304.00","33154440","BOOT MULTIPURP 3IN1 SOFT ADULT"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"304.00","92213491","OFLOXACIN 0.3% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"304.50","33110350","WEDGE FOAM CG 16X15X4.5IN XL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"304.50","92214620","CEFPROZIL 250MG/5ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"304.50","92218527","NITROFURANTOIN 25MG/5ML SUSP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"304.59","38000621","SLIDE REFERAL W/SLD PREP-CONS ","88323",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"304.92","38301290","GENTAMICIN ","80170",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3044.49","76000020","NM LIVER/SPLEEN IMAGING ","78215",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3047.50","33153430","KIT CATH PERITONEAL PLEURX "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"305.00","33109881","COLLAR CERVICAL MIAMI J STOUT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"305.00","33112267","ORTHOSIS WHFO REST HAND RT LG "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"305.00","33112275","ORTHOSIS WHFO REST HAND LFT LG"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"305.00","33112714","ORTHOSIS WHFO REST HAND LT MED"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"305.00","33112715","ORTHOSIS WHFO REST HAND RT MED"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"305.00","33113045","TUBE 20FR BLN REPL BLSTR STDPR"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"305.00","36200171","CHEST WALL MANIP-SUBSEQ ","94668",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"305.00","92217043","CICLOPIROX OLAMINE 0.77% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"305.50","33103692","POSITIONER FLUID COVER SM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"305.50","92213035","HALOPERIDOL DEC 50 INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"306.00","33103705","POSITIONER PATIENT w/COVER LG "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"306.50","33109767","BOOT ANKLE CONTRACTURE LG "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"306.50","33111767","SYSTEM WOUND MGT FISTULA "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"306.50","92217781","LURASIDONE HCL 80MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"306.50","92218313","LATUDA 40MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"306.50","92218345","LATUDA 20 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"306.50","92218349","LATUDA 60 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"306.50","92219692","EPHEDRINE SULFATE 50 MG/ML INJ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"306.57","38301100","ALCOHOLS SCREENING ","80320",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"306.63","38000710","SPECIAL STAIN GROUP-1 ","88312",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"306.89","38302136","ROTAVIRUS ANTIBODY ","86759",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3063.00","92218077","FOSCAVIR 24MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"30649.00","92204008","IV ADMIXTURE 09 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3068.50","33152645","TRAY INTRODUCER G2 PERC8 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3068.50","33168056","TRAY INTRODUCER X RX PERC 6 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"307.00","92214646","AMINO ACIDS 10% IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"307.00","92216219","SILDENAFIL CITRATE 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"308.00","92218825","PHYTONADIONE 10 MG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"308.23","38000586","TISSUE IN SITU INTERP ","88365",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"308.41","34600400","FIBEROPTIC EVAL SWALLOWING ","92612GN ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"308.50","33110345","SHEET REPOSITION CG 42x78IN XL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"308.50","92210230","BETAMETHASONE VA 0.1% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"308.68","38200092","ALDOSTERONE SERUM ","82088",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3080.40","39200425","TILT TABLE EVAL ","93660",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"309.00","92213528","CARTEOLOL HCL 1% EYE SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"309.00","92215842","ALENDRONATE NA 70MG/75ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"309.07","38302615","ACID FAST BACILLI CULTURE ","87116",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"309.07","38399344","CULTURE TB ","87116",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"309.10","92215459","EPOETIN ALFA 3000U/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"309.14","38300750","CREATININE CLEARANCE ","82575",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"309.30","92210082","METHYLPREDNISOLONE ACET 80MG I"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"309.30","92214473","BENZOYL ERYTHROMYCIN 5%-3% GEL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"309.50","33152459","SET COPE GASTRO SUTURE ANCHOR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"309.50","92210940","NITROPRUSSIDE 50MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"309.50","92216888","TDAP VACCINE SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"309.52","34650005","EVAL APHASIA PER HR ","96105GN ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"309.56","38301220","FIBRINOGEN ","85384",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"31.00","92210996","ZIND OXIDE MENTHOL POW "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"31.00","92211533","DOXYCYCLINE HYCLATE 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"31.00","92211903","SODIUM CL 0.9% IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"31.00","92213054","CIPROFLOXACIN 10MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"31.00","92213308","MONTELUKAST NA 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"31.00","92214133","DROPERIDOL 2.5MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"31.00","92214174","LIDOCAINE 2%/EPI 1:100000 INJ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"31.00","92214511","OXYCHLOROSENE NA 2GM PDR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"31.00","92214815","PILOCARPINE HCL 1% EYE SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"31.00","92214911","MONTELUKAST NA 4MG CTB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"31.00","92215771","EPLERENONE 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"31.00","92217453","RISPERIDONE 1MG ODT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"31.00","92217566","BENZOCAINE MENTHOL 20%-0.5% SP"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"31.00","92217704","AMYLASE/LIPASE/PROTEASE ECC "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"31.00","92217753","OXYCODONE HCL 10MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"31.00","92217784","BUPIVACAINE/EPI 0.25%/0.0005 I"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"31.00","92218474","ZINC 16% CASTER/BALSM/PETROLM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"31.00","92218592","VSL#3-DS 900 BILLION ORG/PKT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"31.00","92218614","MORPHINE SULFATE 30 MGCAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"31.00","92218738","TEMAZEPAM 7.5 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"31.00","92219194","PANCREAZE 16 CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"31.00","92219238","BENZO/BENZETHON CHL20%0.2%SPR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"31.00","92219355","VITAMIN A/VITAMIN D OINT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"31.00","92219823","MICONAZOLE 2% PWD "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"31.00","92220103","BENZOCAINE/MENTHOL20%-0.26%GEL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"31.10","92216303","ZOLPIDEM TARTRATE 12.5MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"31.20","92211908","WATER STERILE INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"31.33","38393928","GABAPENTIN ","80171",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"31.50","92210107","ALBUTEROL SULF 4MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"31.50","92210381","ALBUTEROL SULF 4MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"31.50","92210993","LANSOPRAZOLE 30MG ECC "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"31.50","92211414","DIACETAZONE CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"31.50","92211509","TESTOSTERONE 2.5MG/24HR TDM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"31.50","92211656","ALBUTEROL SULF 2MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"31.50","92211671","ALBUTEROL SULF 2MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"31.50","92212872","MEBENDAZOLE 100MG CTB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"31.50","92212993","BUPRENORPHINE NAOLXONE 2-0.5 T"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"31.50","92213265","MIRTAZAPINE 30MG ODT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"31.50","92214127","EPHEDRINE SU 50MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"31.50","92214839","COAL TAR 0.5% SHA "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"31.50","92214973","DIMENHYDRINATE 50MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"31.50","92215093","ESCITALOPRAM OXALATE 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"31.50","92215172","PAROXETINE HCL 25MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"31.50","92215281","OLMESARTAN MEDOXOMIL 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"31.50","92216431","ZOLPIDEM TARTRATE 6.25MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"31.50","92216963","NAPHAZOLINE/PHEN .027- .315% S"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"31.50","92217020","PENTOXIFYLLINE 400MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"31.50","92217205","OINTMENT BASE OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"31.50","92217491","MENTHOL METHYL SALICYL 10-15 C"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"31.50","92217819","ZIDOVUDINE 300MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"31.50","92217864","QUETIAPINE FUMARATE 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"31.50","92218363","DESVENLAFAXINE 100 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"31.50","92218478","ADDERALL 7.5 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"31.50","92219391","VANCOMYCIN HCL 25 MG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"31.50","92219564","ARTIFICIAL TEARS0.5-0.6%(15ML)"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"31.50","92219722","CLARITHROMYCIN 500 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"31.50","92220293","PETROLAT/RESORCINOL 55%-2%OINT"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"31.50","92220345","MANNITOL 25% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"31.50","92220462","CLARITHROMYCIN 250 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"31.70","92214066","GLYCOPYRROLATE 0.2MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"31.70","92216183","DEXTROSE 10%-1/4NS IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"31.74","38299354","CYCLIC CITRULLINATD PEPTIDE AB","86200",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"31.80","92210579","PAPAVERINE HCL 30MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"31.80","92212870","OFLOXACIN 400MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"31.80","92215149","METHOTREXATE 25MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"31.83","38300720","CPK ISOENZYMES ","82552",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"31.90","92213976","CEFDITOREN PIVOXIL 200MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"310.38","38300840","CULTURE-ROUTINE ","87070",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"310.38","38300895","CULTURE CATH-TIP ","87070",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"310.38","38300910","CULTURE CSF ","87070",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"310.38","38300923","CULTURE NARES ","87070",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"310.38","38300940","CULTURE SPUTUM ","87070",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"310.38","38300970","CULTURE THROAT ","87070",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"310.38","38300975","CULTURE WOUND ","87070",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"310.38","38302885","CULTURE FLUID/OTHER (NON CSF) ","87070",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"310.38","38305086","NOCARDIA CULTURE ","87070",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"310.38","38305087","CULTURE- EAR ","87070",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"310.38","38305088","CULTURE- EYE ","87070",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"310.38","38305089","CULTURE- GENITAL ","87070",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"310.38","38305090","CULTURE- TISSUE ","87070",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"310.38","38305100","CULTURE- RESPIRATORY ","87070",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"310.38","38305624","CULTURE AEROBIC ","87070",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"310.50","33109127","TRAY INTRO SUPRAPUBIC FOLEY "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"310.50","33111617","DRSG VAC GRANUFOAM SOLV SML "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"310.50","33170070","AIRVO AIRSPIRAL TUBE+CHAMBR KI"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"310.50","33170071","AIRVO AIRSPIRAL TUBE+CHAMBR KI"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"311.00","92214420","PENICILLIN G NA 5MMU INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"311.00","92215131","FLUOCINONIDE 0.05% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"311.50","92218330","VANCOMYCIN 250MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"311.50","92219028","VANCOMYCIN HCL 250 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"311.50","92219778","VANCOMYCIN 250 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3112.78","76000030","NM VENTILATION/PERFUSION QUANT","78598",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3113.50","92217871","VERAPAMIL HCL 2.5MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"312.00","33195251","AQUALINER GUIDEWIRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"312.18","72060003","FFP<8HRS-PROC ONLY "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"312.50","33111860","KIT PLEURX DRAINAGE 1000ML "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"312.50","33117503","TRAY THORACENTESIS PLEURA-SEAL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"312.50","92220413","INSULIN GLAR RECOM 100U/ML SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"312.76","38343624","HEPATITIS C VIRUS AB RNA ","87522",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3123.39","73700175","SLEEP STUDY ATTENDED ","95807",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"313.00","33112903","DRSG VAC GRANUFOAM BRIDGE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"313.00","92210164","ALBUTEROL SULF 5MG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"313.00","92216633","ATAZANAVIR SULF 300MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"313.00","92220076","AMINO ACIDS 6%-5% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"313.50","33117513","TRAY 20CM 3 LUM ARROWGARD "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3131.50","33103663","KIT CATH PLEURX RX REQUIRED "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"314.00","92214530","LEVOFLOXACIN 750MG/150ML D5W I"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"314.50","92213707","ISOPROTERENOL HCL 0.2MG/ML INJ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"314.50","92214371","MEDROXYPROGESTERONE 150MG/ML S"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"314.73","92217638","DIANEAL 1.5% DEXTROSE IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3149.50","92218283","COPAXONE 40MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"315.45","38300830","CULTURE-FUNGUS-OTHER SOURCE ","87102",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"315.50","92219036","ATROPINE SULFATE 1% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"315.91","38301880","PHENOBARBITAL QUANT ","80184",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3158.10","92212548","DACLIZUMAB 5MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"316.00","33103847","GUIDE WIRE COONS INTRVNSTR15CM"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"316.00","36000140","CHEST WALL MANIPULATION INIT ","94667",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"316.00","92220075","AMINO ACIDS 8%-10% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"316.24","38300491","CELL COUNT FLUIDS W/ DIFF ","89051",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"316.50","33152435","SLING HOYER FULL BACK DISP LG "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"316.50","92213626","ZINC SULF 5MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3162.00","92213853","BRINZOLAMIDE 1% EYE SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3164.00","92220133","TOLVAPTAN 30 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3165.00","92219264","DEGARELIX ACETATE 80 MG KIT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"317.00","33115290","TRAY CVC 7FR20CM TL INTRO "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"317.00","33131205","MULTIBOOD STD MED "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"317.50","33152960","TRACH 6.5MM SHILEY FLEX CFLS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"317.50","33152962","TRACH 7.5MM SHILEY FLEX CFLS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"317.50","33152963","TRACH 8.5MM SHILEY FLEX CFLS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"317.50","33152967","TRACH 8.0MM SHILEY FLEX CFLS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"317.50","92211170","PHYTONADIONE 10MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"317.50","92217912","SUMATRIPTAN SUCC 6MG/0.5ML INJ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3175.53","76000790","NM GASTRIC EMPTYING STUDY ","78264",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"318.00","33117130",""POSIT HEEL MRG GEO-MATTLYR 29""""," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"318.00","92214580","AMINO ACIDS 6.5% IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"318.00","92218361","LINEZOLID 2 MG/ML IV "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"318.50","92214423","LEVOFLOXACIN IV 25MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"318.50","92217070","GRANISETRON HCL 1MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"318.50","92217073","GRANISETRON HCL 1MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"318.90","92215792","SULFACETAMIDE NA 10% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"318.90","92215793","SULFACETAMIDE NA 10% GEL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"319.00","36200180","CHEST WALL MANIP-INITIAL ","94667",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"319.50","33178199","SPLINT HAND OPPOSIT RT ADULT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"319.50","33178200","SPLINT HAND OPPOSIT LT ADULT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3194.00","33168398","TRAY TRCH MULTI BRHN G2 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"32.00","92202029","TOPICALS 29 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"32.00","92210520","NITROGLYCERIN 0.2MG/HR TDM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"32.00","92210869","CLOTRIMAZOLE 1% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"32.00","92211019","THEOPHYLLINE 400MG/500ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"32.00","92211115","THEOPHYLLINE 300MG C24 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"32.00","92211937","TETRAHYDROZOLINE HCL 0.05% SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"32.00","92212569","FOLIC ACID 5MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"32.00","92213325","PYSLLIUM 3.4GM PDR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"32.00","92213797","RANITIDINE HCL 1MG/1ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"32.00","92214080","BENZOCAINE 20% OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"32.00","92214148","LIDOCAINE 1.5%/EPI 1:200000 I"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"32.00","92214495","RISPERIDONE 1MG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"32.00","92215015","NITROGLYCERIN 0.2MG/HR TDM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"32.00","92215907","MEGESTROL ACET 40MG/ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"32.00","92215953","OXYMETAZOLINE HCL 0.05% SPR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"32.00","92217026","LANSOPRAZOLE 15MG TDR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"32.00","92217655","DEXTROSE 5%-1/2NS IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"32.00","92218575","METAXALONE 800 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"32.00","92218717","OXYMORPHONE 10 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"32.00","92219525","METAXALONE 800 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"32.00","92219966","VALACYCLOVIR 500 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"32.00","92220122","TROLAMINE SALICYLATE 10% CRM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"32.00","92220166","DULOXETINE 30 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"32.06","38301320","GLUCOSE BLOOD REAGENT STRIP ","82948",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"32.10","92214037","LIDOCAINE HCL 0.4% D5W INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"32.20","92210253","CEFADROXIL 250MG/5ML PDR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"32.30","92215138","FELBAMATE 400MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"32.30","92215918","PYSLLIUM 3.4GM PDR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"32.30","92218098","METHOTREXATE 25MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"32.44","38300009","ALLERGEN IGE ","86003",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"32.50","92210112","ATROPINE SULF 1% EYE SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"32.50","92210285","CREAM MULTI INGREDIENT CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"32.50","92210894","PHENOL 1.4% SPR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"32.50","92211033","FLUPHENAZINE HCL 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"32.50","92211124","ZIDOVUDINE 300MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"32.50","92211234","DIBUCAINE 1% OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"32.50","92212206","CARVEDILOL 3.125MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"32.50","92212368","ROPINIROLE HCL 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"32.50","92212816","CLARITHROMYCIN 250MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"32.50","92213864","MEGESTROL ACET 40MG/ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"32.50","92214419","BUPIVACAINE HCL 0.25% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"32.50","92214517","METHYLPREDNISOLONE 40MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"32.50","92214828","FORMOTEROL FUMARATE 12MCG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"32.50","92215169","PAROXETINE HCL 37.5MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"32.50","92215187","RAMIPRIL 1.25MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"32.50","92215903","DUTASTERIDE 0.5MG SGL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"32.50","92217517","LAMOTRIGINE 150MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"32.50","92217628","CLARITHROMYCIN 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"32.50","92217675","LACTATED RINGERS D5W IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"32.50","92217683","DIBUCAINE 1% OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"32.50","92218231","BUPRENORPHINE 8MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"32.50","92219393","CLOTRIMAZOLE 1% CRM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"32.50","92220058","FLECAINIDE 100 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"32.50","92220184","PIPERON/PYRETH 4%-0.33% SHA "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"32.50","92220347","MICONAZOLE NITRATE 2% PDR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"32.50","92220363","WOUND WASH SALINE 0.9% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"32.50","92220425","TRIAZOLAM 0.125 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"32.60","92213990","DEXTROSE 10%-1/4NS IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"32.63","38302730","BRUCELLA ANTIBODY ","86622",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"32.80","92214817","DIDANOSINE 200MG ECC "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"32.90","92211391","LIDOCAINE HCL 2% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"32.90","92217143","CLOZAPINE 100MG ODT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"32.94","38200750","CREATININE CLEARANCE ","82575",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"320.00","92218641","HALOPERIDOLDECANOAT100MG.MLINJ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"320.32","34600032","EVAL SOUND PROD/LANG COMP EXP ","92523GN ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"321.00","33178209","BOOT SOFPRO AMB AFO FLC XLG "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"321.00","33194422","BOOT SOFPRO AMB AFO FLC LG "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"321.00","36000840","TRACH CHANGE ","31502",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"321.00","92213772","RANITIDINE HCL 25MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"321.34","38300243","HIV GENOTYPE DNA/RNA ","87901",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"321.50","92217680","RIFAXIN 550MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"321.75","72000228","TRANS-REACTION INVESTIGAT ","86078",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3212.27","73510011","EEG SEIZ EVAL UNATTN 16 CHAN ","95953",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"322.00","33117520","TRAY CVC 20CM MAX BARR PRSARGD"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"322.00","92219451","CITRIC ACID/POT CIT/SOD CITLIQ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"322.20","92214485","METHYLPREDNISOLONE ACET 80MG I"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"322.20","92214592","METHYLPREDNISOLONE ACET 40MG I"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"322.50","33112297","ORTHOSIS HAND/WRIST GRAD LEFT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"322.50","92215212","EPOETIN ALFA 3000U/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"322.50","92217961","CYCLOPENTOLATE HCL 2% EYE SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3220.50","92218222","BONIVA 1MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3220.50","92219636","OSIMERTINIB MESYLATE 80 MG TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"323.00","33113053",""SPLINT LG13X3.5-3.75""HND LT ""," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"323.00","33113054","SPLINT MED 11.5X3-3.5IN HND LT"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"323.00","33113055","SUPPORT LG 13IN KYDX HNDTHB RT"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"323.00","33113056",""SUPPORT MD11.5"" KYDX HNDTHB RT""," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"323.00","33115296","TRAY CVC WFR20CM TL WINTROD "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"323.00","92212210","FLUOCINONIDE 0.05% OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"323.00","92212619","SULFACETAMIDE NA S 10%-5% LOT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"323.61","34600030","EVAL SPEECH FLUENCY ","92521GN ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"323.96","72070000","BLOOD SPLIT UNIT - PROC ONLY "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3231.50","92218136","SANCUSO 301MG/24HR TDM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3232.00","68000100","RENAL-HEMODIALYSIS ","90935",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3236.04","76000011","NM BONE IMAGING SPECT ","78320",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"324.00","92210691","NEOMYIN SULF/POLYMYX B/DEXAM S"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"324.50","33111751","DRSG ATS TRAC 10X7.5 LG "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"324.50","92214827","MEDROXYPROGESTERONE 150MG/ML S"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3247.25","76000045","NM CARDIAC MUGA ","78472",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3248.50","92210477","FILGRASTIM 480MCG/1.6ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"32495.00","92215273","ETHACRYNATE NA 50MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"325.00","92216954","CICLOPIROX 8% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"325.05","38000052","TISSUE CULT. NEOPLASTIC BM-BC ","88237",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"325.50","33109757","TRAY THORACENT TURKEL SAFE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"325.50","33114977","DRSG AQUACEL AG SURGICAL COVER"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3255.50","92218773","GLYCERIN 99.5% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"326.00","92216493","CASTOR/PERU BALSAM/TRYPSIN GEL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"326.00","92218199","CLOBAZAM 20MG/8ML "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"326.50","33113067","DRSG VAC GRANUFOAM w/SILVER LG"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"326.50","33115284","RESUSCITATOR AUTO GO2VENT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"326.50","33161355","PLUG DCAN WHT 4 FULL TRCH TUBE"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"326.50","33161356","PLUG DCAN WHT 6 FULL CLSR TRCH"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"326.50","92218128","BINOSTO 70MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"326.50","92220407","BARIUM SULFATE 40% PUD "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3264.50","92215643","SUMATRIPTAN 20MG NASAL SPR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"327.00","92220278","INSULIN LISPRO 100 U/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"327.50","33112084","SLEEVE SCD BARI CALF TO 28 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"327.50","33122467","BOOT SOFPRO AMB AFO FLC SML "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"327.50","33122468","BOOT SOFPRO AMB AFO FLC MED "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"327.50","33194423","BOOT SOFPRO GAIT TR AFO FLC LG"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"327.50","92210705","SULFACETAMIDE NA 10% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"327.50","92220073","AMINO ACIDS 8%-10% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3273.50","92214926","ADVAIR 500-50 DSK "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3275.00","11600208","PEG PLACEMENT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3275.00","92215525","ZOLEDRONIC ACID 4MG/5ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"32757.30","92218149","SIMULECT 20MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"328.00","92215038","AZITHROMYCIN 600MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"328.26","34010220","STRAPPING THORAX ","29200GP ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3286.00","33117522","SET CATH HEMO ANTRGRADE15FRX23"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"329.00","33113031","AMNIOBAND MTRX TISS 14MM PLCNT"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"329.00","92210892","AZITHROMYCIN 200MG/5ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"329.00","92215726","MOXIFLOXACIN HCL 400MG/250ML I"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"329.80","92212387","COCAINE 4% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"33.00","92203023","ORALS 23 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"33.00","92203024","ORALS 24 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"33.00","92210200","TRIAMCINOLONE 0.025% OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"33.00","92210580","FLUVASTATIN NA 20MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"33.00","92211400","WATER STERILE SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"33.00","92211553","GLYCERIN LIQ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"33.00","92211709","AMOXICILLIN 250MG/5ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"33.00","92212398","CARBAMAZEPINE 400MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"33.00","92212579","MIDAZOLAM HCL 5MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"33.00","92212729","AMOXICILLIN CLV K 500-125 TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"33.00","92214198","LOSARTAN POTASSIUM 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"33.00","92215205","LIDOCAINE 0.5%/EPI 1:200000 I"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"33.00","92215241","DEXTROSE 10%/WATER IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"33.00","92215666","BUPROPION HCL 150MG T24 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"33.00","92216304","ZOLPIDEM TARTRATE 12.5MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"33.00","92216308","ZOLPIDEM TARTRATE 6.25MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"33.00","92216512","HCTZ VALSARTAN 25-320MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"33.00","92216933","NICOTINE POLACRILEX 4MG GUM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"33.00","92217570","SEVELAMER CARBONATE 2.4GM PDR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"33.00","92217740","INFLUENZA VACC 2010-11 INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"33.00","92217952","CLARITHROMYCIN 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"33.00","92218126","PROTONIX 40MG IV "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"33.00","92218234","AMPHET SALT COMB 25MG ER CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"33.00","92218259","AMPHETAMINE SALTS 15MG ER CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"33.00","92220102","DOXYCYCLINE HYCLATE 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"33.00","92220283","MESALAMINE 400 MGECC "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"33.00","92220302","AMPHETAMINE SALT COMB 30MGCAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"33.00","92220354","ZINC OXIDE 40% OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"33.10","92212311","LANSOPRAZOLE 30MG ECC "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"33.10","92212376","LANSOPRAZOLE 15MG ECC "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"33.10","92213773","KETOROLAC 30MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"33.20","92213317","ESOMEPRAXOLE MG 20MG ECC "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"33.20","92213334","ESOMEPRAXOLE MG 40MG ECC "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"33.22","38300675","COPPER ","82525",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"33.30","92211718","TIAGAINE HCL 12MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"33.36","92216201","FLUOXETINE HCL 10MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"33.38","38301441","HEMOSIDERIN ","83070",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"33.40","92215919","PYSLLIUM 3.4GM PDR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"33.40","92216251","BUPROPION HCL 300MG T24 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"33.50","92211079","LANSOPRAZOLE 15MG ECC "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"33.50","92211095","GLYCERIN/PHENO/NA BIC/NA BOR S"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"33.50","92211355","HEPARIN 1000U/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"33.50","92211652","NADOLOL 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"33.50","92211664","CLARITHROMYCIN 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"33.50","92212166","LIDOCAINE 1%/EPI 1:100000 INJ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"33.50","92212295","ATORVASTATIN CALCIUM 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"33.50","92212348","ATROPINE SULF 0.1MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"33.50","92213157","ESCITALOPRAM OXALATE 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"33.50","92213289","LIDOCAINE 1%/EPI 1:100000 INJ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"33.50","92213468","MORPHINE 60MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"33.50","92213699","METHOTREXATE 2.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"33.50","92214033","POTASSIUM CL 40MEQ SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"33.50","92214709","PANCURONIUM 1MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"33.50","92215109","LIDOCAINE HCL 1% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"33.50","92215234","CLOPIDOGREL HSO4 75MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"33.50","92217034","CLINDAMYCIN PALMI HCL 75MG/5 P"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"33.50","92218382","CLORPACTIN WCS90 2 GM TOPICAL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"33.50","92218723","FAMOTIDINE/NACL 20MG/50ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"33.50","92218958","VALSARTAN 320 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"33.50","92218965","MIRTAZAPINE 45 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"33.50","92219317","TACROLIMUS ER 1 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"33.50","92219785","BARIUM SULFATE 60% SUSP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"33.50","92219808","TACROLIMUS 0.2 MG PKT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"33.50","92220361","QUETIAPINE FUMARATE 50 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"33.60","38203290","MYELIN BASIC CSF ","83873",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"33.70","92213126","METHYLTESTOSTERONE 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"33.74","38300689","OXCARBAZEPINE (TRILEPTAL) ","80183",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"33.75","38207034","HIV-2 ANTIBODY ","86702",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"33.80","92216222","HYDROXOCOBALAMIN 1000MCG/ML I"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"33.84","38303180","LEAD LEVEL ","83655",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"330.00","38202537","FUNGITELL QUAL/SEMIQNT ","87449",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"330.13","38301720","LIPASE ","83690",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"330.50","33112216","KIT DRAINAGE PLEURX 500CC "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"330.50","33113075","KIT DRN VAC BTL PLEURX 500ML "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"330.50","33153616","KIT PLEURX DRAINAGE 1000ML "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"330.59","38300770","IMMEDIATE SPIN CROSSMATCH ","86920",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"330.59","72000765","CROSSMATCH IMMEDIATE SPIN ","86920",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3300.25","76000012","NM BONE/JOINT MULT AREAS ","78305",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3309.71","72000840","THERAPEUTIC APHERESIS RBC ","36512",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"331.00","92210997","GRAMICIDIN NEOMYCIN POLY SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"331.00","92215875","CINACALCET HCL 60MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"331.03","38300130","AMYLASE ","82150",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"331.03","38300135","AMYLASE URINE ","82150",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"331.03","38302645","AMYLASE FLD ","82150",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"331.35","38000635","CYTOPATH WASH/BRUSH NON-GYN ","88104",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3314.00","11600510","PIC LINE INSERTION ","36569",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3314.10","76000035","NM BRAIN COMPLETE W/FLOW ","78606",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3316.50","92215781","AMINOCAPROIC ACID 25% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"332.00","92210371","BETAMETHASONE DP 0.05% OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"332.00","92211933","BETAMETHASONE DP 0.05% GEL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"332.50","33114987","ORTHOSIS HAND COMFYREST ADL RT"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"332.50","33114988","ORTHOSIS HAND COMFYREST ADL LT"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"332.50","33116112","ORTHOSIS RESTING HAND SM LEFT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"332.50","33116113","ORTHOSIS RESTING HAND ADULT LT"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"332.50","33116114","ORTHOSIS RESTING HAND SM RIGHT"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"332.50","33116115","ORTHOSIS RESTING HAND ADULT RT"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"332.50","33152632","SPLINT FOOT CUB NIGHT LEFT MD "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"332.50","33152638","SPLINT NIGHT CUB LEFT MEDIUM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"332.81","38000547","IMMUNOHISTO AB EA ADDL SLIDE ","88341",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"333.00","33112639","ORTHOSIS HAND LEFT SML SPU "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"333.33","72000535","ANTIBODY ID/ENZYMES ","86971",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"333.50","33189010","SPLINT HAND REST 11IN LT SM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"333.50","33189011","SPLINT HAND REST 13IN LG LT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"333.50","33189013","SPLINT HAD REST 13IN RT LG "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"333.50","33189014","SPLINT HAND REST 11.75IN RT MD"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"333.50","33189016","SPLINT HAND REST 11IN RT SM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"333.50","33189018","SPLINT HAND REST 11.75IN LT MD"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"333.50","92213211","HALOPERIDOL DEC 100MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"333.50","92214231","EPOETIN ALFA 2000U/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"333.50","92214645","HALOPERIDOL DEC 100MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"333.50","92218638","HALOPERIDOLDECAN0AT100MG/MLINJ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3336.00","92219471","ARFORMOTEROL TAR 15MCG/2ML SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3337.00","92219776","TOLVAPTAN 15 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"334.22","38205068","VITAMIN C (ASCORBIC ACID) ","82180",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"334.45","38000655","TISSUE BLOCK FROZEN SECT ADD ","88332",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"334.50","92214859","CEFADROXIL 500MG/5ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"334.50","92220010","RISEDRONATE 35 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3342.90","92215600","DALTEPARIN NA 25000/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3344.50","33113058","TRAY TRCH 8FR SHLYCGLBRHN PERC"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3349.26","76000059","NM HEPATOBILIARY ","78226",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"335.50","33111570","ORTHOSIS COMFYHANDTHUMB ADULT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"335.50","92212688","HEPATITIS B VACC 20MCG/ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"335.50","92214455","CARBACHOL 1.5% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"336.00","92216271","FENTANYL 100MCG/HR TDM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"336.50","33110331","TRAY KNEE ARTHROSCOPY 4576 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"336.50","33122463","ORTHOSIS HAND GRIP RT SM 7IN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3369.50","92220051","REMDESIVIR 100MG/20ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3369.50","92220052","REMDESIVIR 100 MG PWD "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"337.00","92214187","ALBUTEROL SULF 90MCG ARO "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"337.05","76000470","CHEMO VIA IV EA ADDL HOUR ","96415",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"337.52","74001400","TMJ UNILATERAL LT ","70328LT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"337.52","74001401","TMJ UNILATERAL RT ","70328RT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"337.63","34600034","BEH QUAL ANALYSIS VOICE/RESON ","92524GN ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"337.80","38000620","SLIDE REFERAL-CONSULT ","88321",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3371.00","92217501","TOLVAPTAN 15MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3377.50","92215828","DARBEPOETIN A 25MCG/0.42ML INJ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"338.00","33115281","SET TUBE DUO V.A.C. VERATRAC "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"338.00","33131045","ORTH HAND SPT CMFY DORS RT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"338.00","33131315","ORTHOSIS HND DORSL COMFY AD LT"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"338.22","34600422","EVAL COMP AUDIOMTY THRES ","92557GN ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"338.50","33102167","SPLINT HAND WRIST FNG ADLTNAVY"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"338.50","33163760","ORTHOSIS H/W/F BRDCLTH AD SM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"338.50","92220054","FLU VAC ADJV 20-21 45MCG/0.5ML"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"338.56","38300120","AMMONIA ","82140",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"339.00","33117506","SET WIRE SIMPLICITY "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"339.35","34010250","STRAPPING KNEE ","29530GP ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"339.50","92219790","BTMETHNA-PHOS/BETAACE6MG/MLSOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"34.00","92203032","ORALS 32 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"34.00","92210321","SODIUM CL 0.9% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"34.00","92210714","BUPIVACAINE/EPI 0.25%/0.0005 I"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"34.00","92210828","SODIUM CL 0.9% IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"34.00","92211161","WATER STERILE INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"34.00","92211177","MEPERIDINE 100MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"34.00","92211490","WATER STERILE SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"34.00","92211579","DEXAMETHASONE NA PH 4MG/ML INJ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"34.00","92211694","NUTRILYTE II 20ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"34.00","92211877","SODIUM CL 0.9% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"34.00","92212141","WATER STERILE SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"34.00","92212336","DIAZEPAM 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"34.00","92212575","SODIUM CL 0.45% IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"34.00","92212617","SODIUM CL 0.9% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"34.00","92213203","DEXTROSE 5%/WATER IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"34.00","92213301","PYRAZINAMIDE 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"34.00","92213348","PYRAZINAMIDE 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"34.00","92213367","MONTELUKAST NA 5MG CTB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"34.00","92213781","DEXTROSE 5%-1/2NS IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"34.00","92213849","CEFAZOLIN 1GM/D5W INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"34.00","92213882","DEXTROSE 5%/WATER IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"34.00","92214144","SODIUM CL 0.9% IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"34.00","92214309","D5LR 1000ML IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"34.00","92214325","DEXTROSE 5%-1/3NS IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"34.00","92214379","MONTELUKAST NA 4MG CTB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"34.00","92214388","SODIUM CL 0.45% IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"34.00","92214501","LACTATED RINGERS IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"34.00","92214594","DEXTROSE 5%-1/4NS IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"34.00","92214649","DEXTROSE 10%/WATER IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"34.00","92214807","DEXTROSE 10%/WATER IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"34.00","92214816","DEXTROSE 10%/WATER IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"34.00","92215069","SODIUM CL 0.9% IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"34.00","92215232","ACETIC ACID 0.25% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"34.00","92215288","OLMESARTAN MEDOXOMIL 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"34.00","92215302","WATER STERILE SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"34.00","92215356","SODIUM CL 0.9% IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"34.00","92215433","MONTELUKAST NA 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"34.00","92216197","FLUOXETINE HCL 20MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"34.00","92216221","OCTREOTIDE ACET 50MCG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"34.00","92216242","SODIUM CL 0.9% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"34.00","92216532","LACTATED RINGERS IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"34.00","92216672","CALCITRIOL 1MCG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"34.00","92217166","DEXTROSE 5%/WATER IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"34.00","92217271","SODIUM CL 0.45% IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"34.00","92217483","TOPIRAMATE 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"34.00","92217811","VENLAFAXINE HCL 75MG CER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"34.00","92218210","DULOXETNE 20MG DR CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"34.00","92218367","PHEN-MINOIL-PETO.25-14-74.9OIN"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"34.00","92218771","CROMOLYN SODIUM 100MG/5ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"34.00","92218831","NORMOSOL-R PH 7.4 SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"34.00","92218967","LOSARTAN NA/HYD100MG12.5MGTAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"34.00","92219358","WATER STERILE SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"34.00","92219652","DEXTROSE 5% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"34.00","92220116","OLMESARTAN MEDOXOMIL 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"34.00","92220221","DEXTROSE 10% "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"34.04","38302590","ZINC ","84630",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"34.50","92211209","PYRAZINAMIDE 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"34.50","92213142","DEXTROSE 5%/WATER IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"34.50","92213452","CEFUROXIME NA 1.5GM INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"34.50","92213605","DEXTROSE 5%/WATER IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"34.50","92213667","PERMETHRIN 1% LOT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"34.50","92214341","SODIUM CL 0.9% IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"34.50","92214376","LIDOCAINE HCL 2% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"34.50","92215006","CLARITHROMYCIN 250MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"34.50","92215447","FAMCICLOVIR 125MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"34.50","92215893","MYCOPHENOLATE 180MG ECT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"34.50","92216142","CIPROFLOXACIN 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"34.50","92216194","GALANTAMINE HBR 8MG CER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"34.50","92216199","GALANTAMINE HBR 16MG CER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"34.50","92216200","GALANTAMINE HBR 24MG CER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"34.50","92217821","AZITHROMYCIN 600MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"34.50","92217840","LEVOFLOXACIN D5W 500MG/100ML I"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"34.50","92218080","LEVALBUTEROL HCL 1.25MG/3ML IN"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"34.60","92215363","MAGNESIUM SULF 4% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"34.60","92215424","OLSAZSINE NA 250MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"34.72","38300084","ASPERGILLUS FUMIGATUS ","86606",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"34.72","38300097","ASPERGILLUS FLAVUS ","86606",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"34.72","38300098","ASPERGILLUS NIGER ","86606",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"34.72","38306710","ASPERGILLUS ANTIBODY ","86606",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"34.83","38200350","CA 15-3 ","86300",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"34.90","92213783","LIDOCAINE HCL 1% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"34.96","38302865","CRYOGLOBULIN ","82595",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"340.00","33167520","TUBE MIC FDG JEJUN LO V 12FR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"340.50","33114985","BOOT WALKER LOW FIXED ANK MEDM"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"341.00","33110590",""CUSHION GELFOAM DELUX 18X18X3""""," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"341.01","38000640","CYTOSPIN ","88108",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"341.50","33189572","WALKER AIR STABIL HIGH PROF XL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"342.00","33112713","ORTHOSIS HAND LEFT MED 9IN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"342.00","33112914","ORTHOSIS HANDGRIP RT MED 6.25-"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"342.00","33131055","ORTHOSIS HAND GRIP RT LG "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"342.00","33131056","ORTHOSIS HAND GRIP LT LG "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"342.00","38201722","PROGRAF LEVEL (TACROLIMUS) ","80197",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"342.00","92217278","AMINO ACIDS 2.75% D5W W/E IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3423.20","92214402","LEPIRUDIN 50MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3423.60","92215809","PEGINTERFERON ALFA-2A 180MCG K"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"343.00","33109278","KIT FDGTUBE MIC PULL PEG20FR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"343.00","33110342","KIT FDTUBE MICPULLMETH PEG24FR"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"343.00","33129582","KIT PEG MIC PUSH 20FR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"343.11","38201040","DIGOXIN ","80162",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"343.50","92219446","ERAVACYCLINE 50 MG PWD "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3432.00","92218219","KENALOG 0.147MG/GM CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3437.50","92220445","POSACONAZOLE 18 MG/ML IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"344.00","33103808","KIT DRAINAGE ASEPT SGLBTL600mL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"344.00","33114275","SUPP WHFO ANTIMIC HANZ RT MD "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"344.00","33114277","SUPPP WHFO ANTIMIC HANZ RT XS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"344.00","33174245","COLLAR SET ASPEN W/PAD AD REG "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"344.50","92216420","FONDAPARINUX NA 2.5MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"344.50","92217279","AMINO ACIDS 6% IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3443.50","92211814","FILGRASTIM 480MCG/0.8ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3443.50","92220512","FILGRASTIM 480 MCG/0.8 ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3444.50","33119988","KIT POEUREX PLEURAL CATH "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3449.00","33105678","BRACE VISTA TLSO 464 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"345.00","33111206","SHOE PRESSURE RELIEF MED "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"345.00","33115291","TRAY CVC 7FR20CM TL INTERLINK "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"345.00","92220521","DORAVIRINE 100 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"345.15","38300730","CPK-MB ","82553",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"345.15","38302790","CK-MB PANEL ","82553",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"345.23","38301010","FIBRIN-D-DIMER QUANT ","85379",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"345.50","33191083","PROTECTOR HEELMEDIX XL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"345.50","92210010","SILVER SULFADIAZINE 1% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3457.00","11600190","EGD "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3457.50","92215364","EPOETIN ALFA 40000U/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"346.50","92216114","VANCOMYCIN HCL 250MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"346.50","92216450","MESALAMINE 4GM/60ML NMA "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"346.50","92220041","FLU VAC QUAD20-21 180MCG/0.5ML"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"346.50","92220042","FLU VAC QUAD20-21 240MCG/0.7ML"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3463.00","11600010","O.R. 0-30 MINUTES "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3463.50","92216976","EPOETIN ALFA 20000U/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3463.50","92217084","EPOETIN ALFA 10000U/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3464.53","74075970","TRANSCATHETER BIOPSY ","75970",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"347.00","33100903","COLLAR CERVICAL TOT ADULT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"347.00","33105620","BOOT WALKER ANK LO P FIX LG "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"347.00","33112531","BOOT WLK LOW FIX ANKLE SML "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"347.00","92218811","ATAZANVR/COBIC 300MG-150MGTAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"347.30","92216102","LOTEPREDNOL ETAB TOBY .5-.3% S"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"347.50","33112317","TRAY PARACENT NDL 15GX3.25IN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"347.50","33112758","TRAY PARACENT RX 18GX3.25IN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"348.50","92217337","BENZOCAINE BUTA TETRA 14-2-2 S"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"348.52","38301050","DILANTIN (PHENYTOIN-TOTAL) ","80185",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"348.59","38300880","CULTURE BLOOD ","87040",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"349.00","33114271","SUPP WHFO ANTIMIC HANZ LT SM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"349.00","33114272","SUPP WHFO ANTIMIC HANZ LT MD "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"349.00","33114273","SUPP WHFO ANTIMIC HANZ LT LG "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"349.00","33114274","SUPP WHFO ANTMIC HANZ RT LG "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"349.00","33114276","SUPP WHFO ANTIMIC HANZ RT SM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"349.50","92211421","DEXAMETHASONE 0.1% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"34914.00","92220181","IMMUNE GLOBUL10% 100MG/ML VIAL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3492.00","92219495","MEDROXYPROG ACET 400 MG/ML SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3497.00","92217505","TOLVAPTAN 30MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3497.00","92219777","TOLVAPTAN 30 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"35.00","92204000","IV ADMIXTURE 01 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"35.00","92210006","PROVIDONE IODINE 10% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"35.00","92210154","PHENYLEPHRINE HCL 0.5% SPR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"35.00","92210827","AMPICILLIN-SULBACTAM 1.5GM INJ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"35.00","92211048","BUTORPHANOL 2MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"35.00","92212824","ALENDRONATE NA 40MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"35.00","92213052","MORPHINE 1MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"35.00","92213070","LANOLIN MINERAL OIL PETROLAT O"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"35.00","92213201","PHENYLEPHRINE HCL 1% SPR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"35.00","92213408","LANOLIN MINERAL OIL PTR XINC O"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"35.00","92213494","EPINEPHRINE HCL 0.1MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"35.00","92213592","LIDOCAINE HCL 4% KIT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"35.00","92215103","DILTIAZEM HCL 120MG C12 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"35.00","92216418","RANOLAZINE 500MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"35.00","92216952","ATORVASTATIN CALCIUM 40MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"35.00","92217051","SEVELAMER CARBONATE 800MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"35.00","92217460","NEVIVOLOL HCL 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"35.00","92217662","D5W/NACL 0.45%/KCL 20MEQ IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"35.00","92218303","TAPENTADOL ER 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"35.00","92218365","ONDANSETRON 2MG/ML IV "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"35.00","92218576","QUETIAPINE FUMARATE100 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"35.00","92218876","QUETIAPINE FUMARATE 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"35.00","92219108","CLOZAPINE 200 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"35.00","92219114","MICONAZOLE NITRATE 0.02 SPR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"35.00","92219846","ZINC OXIDE 16% CREAM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"35.00","92219997","LEVALBUTEROL 1.25 MG/3 ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"35.00","92220390","AMYL/LIP/PRO63000-15000-47000U"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"35.24","38301180","FECAL FAT QUALITATIVE ","82705",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"35.48","38303640","5 HIAA ","83497",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"35.50","92210019","SUCRALFATE 1GM/10ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"35.50","92211340","BUPIVACAINE HCL 0.75% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"35.50","92212291","PILOCARPINE HCL 0.5% EYE SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"35.50","92212793","DIGOXIN 0.25MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"35.50","92213825","HEPARIN 1000U/NS 500 INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"35.50","92214206","BUPIVACAINE HCL 0.5% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"35.50","92214466","RIFAMPIN 300MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"35.50","92214492","LACTATED RINGERS D5W IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"35.50","92215113","FLUOXETINE HCL 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"35.50","92215126","PERU BALSAM/PETRO/ZINC OXIDE O"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"35.50","92215294","OLMESARTAN MEDOXOMIL 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"35.50","92215762","MEMANTINE HCL 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"35.50","92216237","MICONAZOLE NITRATE 2% POW "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"35.50","92216411","QUETIAPINE FUMARATE 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"35.50","92216419","QUETIAPINE FUMARATE 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"35.50","92216698","CHLORHEXIDINE GLUC 4% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"35.50","92216730","ALISKIREN 150MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"35.50","92217047","NEBIVOLOL HCL 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"35.50","92217048","NEBIVOLOL HCL 2.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"35.50","92217049","NEBIVOLOL HCL 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"35.50","92218358","COLCHICINE 0.6 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"35.50","92218634","DIGOXIN 250 MCG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"35.50","92219055","LAMOTRIGINE ER 25 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"35.50","92219106","LAMOTRIGINE ER 25 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"35.70","92215148","ESTRAMUSTINE PHOS NA 140MG CAP"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"35.86","38302835","COCCIDIOIDES ANTIBODY ","86635",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"35.90","92213546","ESTRADIOL 25MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"35.90","92213556","ESTRADIOL 25MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"350.00","33111922","CATH NIAGARA SLIMDL 12FRX20CM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"350.00","33111923","CATH NIAGARA SLIMDL 12FRX24CM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"350.00","33116145","CROWN WOUND FISTULA "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"350.50","33100765","BOOT 3D ROM SH WALKER MD "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"350.90","34010255","STRAPPING ANKLE AND/OR FOOT ","29540GP ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3502.00","11600380","O.R. RM 1-2HR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"351.00","92217726","ENOXAPARIN NA 80MG/0.8ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"351.16","92217641","DIANEAL 2.5% DEXTROSE IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"351.50","92211413","BACITRACIN/HC/NEO/POLY B EYE O"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"351.50","92211872","COLLAGENASE 250U/GM OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"351.50","92214950","CADEXOMER IODINE 0.9% GEL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3516.95","74000892","VENOGRAM EXT BILATERAL ","75822",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"352.00","33103249","ZIPWIRE STRT .035X150X3CM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"352.00","33114320","BOOT TCC-EZ REG "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"352.30","34010185","ASSISTIVE TECH ASSESS 15 MIN ","97755GP ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"352.30","34210000","ASSISTIVE TECH ASSESS 15 MIN ","97755GO ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"352.30","34600500","ASSISTIVE TECH ASSESS 15 MIN ","97755GN ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"352.50","33115289","TRAY CVC 7FR20CM 3LUMEN CATH "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"352.50","33152961","TRACH 6.5MM SHILEY FLEX CUFFED"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"352.50","33152964","TRACH 8.5MM SHILEY FLEX CUFFED"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"352.50","33152966","TRACH 7.0MM SHILEY FLEX CUFFED"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"352.50","33194448","ORTH WHF NAVY ADLT SM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"353.00","92210640","CYCLOPENTOLATE 1% EYE SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3539.48","76000880","NM KIDNEY W/FLOW&FUNC W/O PH ","78707",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"354.00","33106928","BRACE-HINGED KNEE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"354.00","33110366","TUBE TRACHEAL JACKSON #6 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"354.90","92212378","CEFUROXIME AXETIL 250MG/5ML SU"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"355.00","92218342","HYLENEX 150 UNITS/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"355.32","38200073","ACID FAST BACILLI SMEAR ","87206",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"355.34","38302500","VALPROIC ACID ","80164",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"355.50","92218625","ALBUTEROL HFA 0.09 MG/DOSE INH"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"355.50","92220408","BARIUM SULFATE 40% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"356.40","92216989","PREDNISOLONE ACETATE 1% SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"356.50","92211477","FLUOCINONIDE 0.05% OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"356.50","92213999","DOXAPRAM HCL 20MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"356.50","92215538","MEDROXYPROGESTERONE 150MG/ML S"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"356.50","92217637","CA CL/DEX/MGCL/NACL/NALACT SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"356.50","92218339","BENZTROPINE 2MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3567.00","92214427","GOSERELIN ACET 3.6MG IMP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"357.08","38000022","FINE NEEDLE ASP EVAL ","88172",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"357.41","38300046","ANALGESICS NON-OPIOD 1-2 ","80329",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"358.00","33112067","DILATOR ESOPH BALLOON 15MM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"358.00","33112444","KIT PEG PONSKY 20FR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"358.00","33118621","DILATOR ESOPH BALLOON 12MM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"358.00","33118623","DILATOR ESOPH BALLOON 20MM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"358.00","33195278","KIT PONSKY PEG 24FR RETEN DOME"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"358.00","92210069","BETAXOLOL HCL 0.5% EYE SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3582.00","92216468","RHO D IMMUNE GLOBULIN 2500U I"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3583.50","92218768","LENALIDOMIDE 2.5 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"359.13","38302788","IMMUKNOW CYLEX ","86352",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"359.70","92214965","SULFACETAMIDE NA S 10%-5% SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3598.00","92213390","ETANERCEPT 25MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"36.00","92211661","TERBUTALINE SULF 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"36.00","92213400","NITROGLYCERIN 0.3MG/HR TDM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"36.00","92214837","NITROGLYCERIN 0.4MG/HR TDM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"36.00","92214838","MIDODRINE HCL 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"36.00","92215091","MAGNESIUM SULF 50% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"36.00","92215839","VALSARTAN 80MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"36.00","92217493","NEBIVOLOL HCL 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"36.00","92217980","TRECATOR 250MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"36.00","92218052","KEPPRA XR 750MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"36.00","92218651","HYDROCORTISONE 1% TOPICAL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"36.00","92218885","MICONAZOLE NITRATE 0.02 PWD "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"36.00","92218932","MEMANTINE HCL 5 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"36.00","92219687","FLUOXETINE HCL 20 MG/5ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"36.13","38300157","ANGIOTENSIN CONVERT ENZYME ","82164",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"36.18","38302673","CADMIUM ","82300",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"36.18","92214035","POTASSIUM ACET 2MEQ/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"36.28","38305069","VITAMIN A LEVEL ","84590",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"36.30","92214073","LIDOCAINE HCL 7.5% D5W INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"36.30","92214474","AMOXICILLIN 200MG/5ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"36.50","92210170","VITAMIN E OIL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"36.50","92210388","MINERAL OIL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"36.50","92210949","BACITRACIN/POLYMYXIN B OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"36.50","92211682","BUPIVACAINE/EPI 0.5%/0.0005 IN"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"36.50","92211732","METHYLENE BLUE 1% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"36.50","92211913","CEFPODOXIME PROXETIL 100MG TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"36.50","92212493","DOBUTAMINE HCL 12.5MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"36.50","92212537","LABETALOL HCL 5MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"36.50","92213200","FLUPHENAZINE HCL 2.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"36.50","92213655","CEFUROXIME NA 750MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"36.50","92214334","DEXTROSE 50%/WATER IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"36.50","92215074","POTASSIUM CL 20MEQ PDS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"36.50","92215160","HYDROCORTISONE 1% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"36.50","92215420","METOCLOPRAMIDE 5MG/5ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"36.50","92215832","VALSARTAN 160MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"36.50","92216367","HYDROMORPHONE 4MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"36.50","92217040","TROSPIUM CL 60MG CER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"36.50","92217046","NEBIVOLOL HCL 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"36.50","92218110","JALYN 0.5MG-0.4MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"36.50","92218194","DULOXETINE 30MG DR CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"36.50","92218311","URELLE TABLET "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"36.50","92218673","PREPARATION H 0.25%-3% TOPICAL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"36.50","92218795","LEVOFLOXACIN/D5W 250MG/50MLSOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"36.50","92219419","HEPARIN SOD5000UNITS/0.5 MLSOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"36.50","92219955","POLYVIN/ALC/POV 0.5%-0.6% SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"36.50","92220028","GLYCERIN/PETR/PHENYLEPH/PRAM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"36.50","92220107","COLCHICINE 0.6 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"36.69","38300560","CHOLINESTERASE ","82480",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"36.77","38343631","PARVOVIRUS ANTIBODY ","86747",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"36.96","38303812","CALCULUS (STONE) SPECTROSCOPY ","82365",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"360.00","33103593","SPLINT REST FUNCT RT SM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"360.00","92218177","PRECEDEX 4MCG/ML 0.9% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"360.50","92219413","BRIVARACETAM 10 MG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"361.00","33112445","KIT CHEST TB INSERT PLEURGUIDE"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"361.50","33111515","DRSG TAC FOAM THIN BLACK "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"361.50","92219885","HYALURONIDASE 150 UNITS/ML SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"361.50","92220156","PHYTONADIONE 5 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"361.50","92220533","PHYTONADIONE 5 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"361.85","38301482","HEPATITIS C AB CONFIRM ","86804",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3619.00","92212415","FLUCONAZOLE 40MG/ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"362.00","33133096","ORTHOSIS HAND THERA+ TA RT MD "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"362.50","92213140","MIDAZOLAM HCL 1MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"362.50","92214993","MOMETASONE FUROATE 0.1% LOT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"362.50","92218812","ACETIC ACID 3% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"362.50","92218854","ACETIC ACID 3% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3622.50","92215785","RISPERIDONE 25MG SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3623.12","76000066","NM HEPATOBILIARY W PHARM ","78227",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"363.00","33139738","GUIDEWIRE HYDROPH NIT0.18X80CM"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"363.00","92215884","VORICONAZOLE 40MG/ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"363.50","33113085","COLLAR CERV VISTA UNIV ADLT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"363.60","92212547","BENZOYL ERYTHROMYCIN 5%-3% GEL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"363.89","38000075","DNA ANALYSIS-FLOW CYTO ","88182",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3636.50","92214077","LOTEPREDNOL ETABONATE 0.5% SUS"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"364.00","92211102","HYDROCORTISONE 2.5% OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3641.88","76078833","NM KIDNEY W/FLOW & FUNC W/PH ","78708",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"365.00","92211151","KETOCONAZOLE 2% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"365.50","33113225","TUBE TRACH UNPER ADJ CFF 7.0 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"365.50","92211743","TOBRAMYCIN DEX 0.3-0.1% SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"365.50","92220084","TRIGLYCERIDES OIL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3654.50","92215177","BRIMONIDINE TARTRATE 0.15% SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3655.70","92215849","PEGINTERFERON ALFA-2B 50MCG KI"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"366.50","92219236","NARATRIPTAN HYDROCHL 2.5MGTAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"366.77","38387004","JAK2 GENE ANALYSIS ","81270",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"366.80","92212846","SULFACETAMIDE NA S 10%-5% LOT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3662.96","76078803","NM TUMOR LOCALIZATION SPECT ","78803",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"367.00","33103592","SPLINT REST FUNCT LT SM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"367.00","33103597","SPLINT REST FUNCT LT LG "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"367.00","33114282","SPLINT REST FUNCT RT LG "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"367.00","92210963","PREDNISOLONE ACETATE 1% SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"367.00","92217642","CA CL/DEX/MGCL/NACL/NALACT SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"367.00","92217643","CA CL/DEX/MGCL/NACL/NALACT SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"368.00","33161394","TUBE 60MM7.4MM5MM CF CLIPINOBT"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"368.00","33161397","TUBE 80MM10.5MM7.5MM CFPRTXBVN"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"368.00","33161398","TUBE 88MM11MM8MM CLIPIN OBTTWL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"368.00","33161400","TUBE 98MM12.3MM9MM CUF CLIP IN"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"368.00","92212224","CLOBETASOL PROP 0.05% EMO "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"368.41","38300021","HCG SERUM QUALITATIVE ","84703",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"368.41","38301410","HCG QUAL URINE ","84703",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3683.25","74001124","DISCOGRAPHY LUMBAR ","72295",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"369.00","33161395","TUBE 70MM8.8MM6MM CF CLIPINOBT"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"369.00","33161396","TUBE 80MM10MM7MM CF CLIPIN OBT"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"369.00","92213709","MILRINONE D5W 0.2MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"369.50","33170360","COLLAR VISTA UNIT ADULT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"369.50","92215427","ZIPRASIDONE HCL 20MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"369.50","92215689","UREA HC 40% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"369.50","92218734","ALBUTEROL SULFATE 0.09 MG INH "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"37.00","92210318","TRIPLE ANTIBIOTIC OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"37.00","92210624","LOTION MULTI INGREDIENT LOT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"37.00","92211067","AMPICILLIN-SULBACTAM 1.5GM INJ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"37.00","92211235","METHYLPREDNISOLONE 40MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"37.00","92211916","AMPICILLIN NA 1GM A-V INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"37.00","92212340","QUETIAPINE FUMARATE 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"37.00","92212500","LAMOTRIGINE 150MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"37.00","92213252","FLUCONAZOLE 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"37.00","92213744","PHENYTOIN NA 100MG/4ML LIQ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"37.00","92213790","HEPARIN 25000U/D5W 500ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"37.00","92214780","LIDOCAINE HCL 0.4% D5W INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"37.00","92215405","CEFOTAXIME NA 2GM INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"37.00","92216347","FLUOXETINE HCL 20MG/5ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"37.00","92217285","DEXTROSE 5%-1/4NS IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"37.00","92217364","AZITHROMYCIN 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"37.00","92217836","MULTIVITAMIN MINERALS INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"37.00","92217930","LEVETIRACETAM 100MG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"37.00","92218774","RENACIDIN SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"37.00","92219421","ENTACAPONE 200 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"37.00","92219533","COLCHICINE 0.6 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"37.00","92219649","HEP SODPORC5000UNITS/0.5MLINJ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"37.00","92219710","SODIUM CHLORIDE 0.9% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"37.00","92219882","PETROLATUM 42% OINT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"37.00","92220202","LEVETIRACETAM 100MG/ML "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"37.01","38301280","GASTRIN ","82941",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"37.27","38303380","PRIMIDONE ","80188",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"37.30","38302545","VMA (URINE) ","84585",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"37.40","92213756","DEXTROSE 5%-1/3NS IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"37.50","92212204","TAMSULOSIN HCL 0.4MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"37.50","92212239","MEPERIDINE 100MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"37.50","92213209","CLOPIDOGREL HSO4 75MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"37.50","92213267","DEXTROSE 5%/WATER IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"37.50","92213928","METOPROLOL TART 1MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"37.50","92214207","MISOPROSTOL 200MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"37.50","92214851","CLOTRIMAZOLE 1% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"37.50","92215349","GABAPENTIN 300MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"37.50","92215943","PANTOPRAZOLE NA 40MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"37.50","92216425","DEXTROSE 10%-NS IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"37.50","92216787","VITAMIN B COMPLEX W/C SGL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"37.50","92217009","LIDOCAINE HCL 2% GEL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"37.50","92217019","LUBIPROSTONE 24MCG SGL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"37.50","92217432","FENOFIBRATE 160MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"37.50","92217700","URSODIOL 300MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"37.50","92217971","DIGOXIN 5MCG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"37.50","92218067","PIOGLITAZONE HCL 15MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"37.50","92218105","CLOMIPHENE CITRATE 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"37.50","92218144","FENOFIBRATE 130 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"37.50","92218475","MINERAL OIL 99.9% TOP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"37.50","92218484","GENTEAL 0.3% GEL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"37.50","92218580","OXANDROLONE 2.5 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"37.50","92218608","OXANDROLONE 2.5 MG TABLET "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"37.50","92218759","LEVAQUIN/D5W 750MG/150ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"37.50","92219061","TAPENTADOL 50 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"37.50","92219142","CLOMIPHENE CITRATE 50 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"37.50","92219721","CARBAMAZEPINE ER 400 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"37.50","92219763","CLOMIPHENE CITRATE 50 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"37.50","92219832","MISOPROSTOL 200 MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"37.50","92220037","DEXAMETH NA PHOS 10 MG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"37.70","92210568","METHYLERGONOVINE MAL 0.2MG INJ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"37.87","38302693","MERCURY QUANTITATIVE ","83825",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"37.95","38302535","VISCOSITY ","85810",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"37.97","38301465","HEPATITIS BE ANTIBODY ","86707",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"370.00","33103805","BOOT ANKLE ORTHOTIC LG "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"370.00","92219089","ALENDRONATE SODIUM 70 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"370.00","92220020","MICONAZOLE NITRATE 2% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"370.50","33116014","SYSTEM BED STD WEDGE & SHEET "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"370.50","92220074","AMINO ACIDS 8%-14% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"370.87","38201498","HEPATITIS PANEL (ACUTE) ","80074",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3701.00","74000600","IVP INFUSION W/ TOMOGRAMS ","74415",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"371.00","33117160","ORTHOSIS H/T COMFY SPLNT AD SM"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"371.00","33117162","ORTHOSIS H/T COMFY SPLINT AD "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"371.00","33139847","PICC BIOFLO NV 5F DL-55cm "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"371.00","33160868","KIT ARTERIAL CATH 18G 16CM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"371.00","33177676","TUBE TRACHEAL JACKSON #8 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"371.40","92216269","SULFACETAMIDE NA S 10%-5% GEL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3717.50","92218344","TAMOXIFEN 10 MG/5 ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"372.00","33112088","STPLR PROX TX LIN RELD 30MM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"372.00","33114872","BOOT STAB AIR WALK LO MD "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"372.50","92213008","HALOPERIDOL LAC 5MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3722.00","11600513","EGD W/ BIOPSY "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3727.88","75000261","US TEE PROBE PLACE ONLY ","93313",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"373.00","33103622","BOOT ANKLE CONTRACT WO SOLE MD"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3732.48","92210811","IMMUNE GLOBULIN 6GM INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"374.00","33110577","SYS SKIN CLOS DERMABAND PRINEO"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"374.00","92213069","IRON SUCROSE 20MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"374.00","92216656","IRON SUCROSE 20MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"374.00","92219030","METHYLPRED NA SUCC500MG/4MLSOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"374.00","92219595","HYDROCOD/CHLOR10MG-8 MG/5MLSOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"374.00","92220072","AMINO ACIDS 8%-14% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"374.63","38399337","SOMATOSTATIN ","84307",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3749.50","92219392","TELAVANCIN HCL 750 MG SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"375.00","92214856","CASTOR/PERU BALSAM/TRYPSINOIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"375.20","92214906","ZANAMIVIR 5MG/ACT DSK "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"375.50","33117508","TRAY CVC 12R-16CM 3LUM CATH "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"375.50","76020014","THALLIUM TI-201 PER MCI "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"376.00","33107170","TUBE TRACH BIV MID AIR-CF 6.0 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"376.00","33109763","TUBE TRACH MID AIRECUF 7X80MM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"376.00","33111930","TUBE TRACH BIV 5MMX60MM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"376.00","33171809","TRACH BIVONA AIR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"376.00","33175828","CANN INN 8.0 PERC TRACH "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"376.00","33183647","TUBE ENDOTRACH 9.0 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"376.00","92216961","PENICILLIN G PROCAINE SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"376.20","92214784","BENZOCAINE BUTA TETRA 14-2-2 K"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"376.71","38305040","OBSTETRIC PANEL ","80055",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"377.00","92213371","GADOTERIDOL 279.3MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"377.50","33106962","STAPLER LIN RELOAD 60MM-3.5MM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"377.50","33108844","TUBE TRCH SIL 7MMIDX10MMODX80M"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"377.50","33108863","TUBE TRACH TTS 6MMIDX70MM LONG"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"377.50","92215929","AMINOCAPROIC ACID 25% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"377.50","92218374","FIRST-MOUTHWASH BLM . SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"377.50","92220389","FLU VAC ADJUV60 MCG/0.5 ML INJ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"377.53","38203310","VITAMIN D 1 25-DIHYDROXY ","82652",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"379.00","33102583","TRAY MAHURKAR DL CRV125FRx13CM"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"379.00","33103183","TRAY CATH MAHURRX 11.5FX19.5CM"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"379.00","33106402","TRAY CATH MAHURKAR DL 12FR16CM"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"379.00","33108379","TRAY CATH 11.5CMX 9.5CM HEMOD "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"379.00","33108380","TRAY CATH HEMO MUHU 11.5X13.5C"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"379.00","33109194","TRAY URETHRAL 11.5FRX19.5CM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"379.00","33111435","TRAY CATH QUINT MAHUR11.5X19FR"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"379.00","33111461","CATH MAHURKAR RX QUINTON "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"379.00","33113205","TRAY CATH MAHUR ELT 12F X 20CM"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"379.00","33116201","BOOT COMFY ANTIMIC PAD ADULT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"379.00","92211464","OFLOXACIN 0.3% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"379.00","92218814","ACETIC ACID 5% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"379.00","92218855","ACETIC ACID 5% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"379.00","92219323","FONDAPARINUX SOD7.5MG/0.6MLSOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"379.00","92219432","FONDAPARINUX SOD 5MG/0.4MLSOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"379.00","92219624","FONDAPARINUX 7.5 MG/0.6 ML INJ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"379.50","92212515","DESMOPRESSIN ACET 4MCG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"38.00","92210359","SODIUM BICARB POW "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"38.00","92210931","SODIUM CL 3% IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"38.00","92213439","DIPHENOXYLATE HCL ATROPINE SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"38.00","92213940","PROPOFOL 10MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"38.00","92213943","PIOGLITAZONE HCL 15MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"38.00","92214199","ALBUTEROL SULF 2MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"38.00","92214216","ALBUTEROL SULF 4MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"38.00","92214885","LIDOCAINE HCL 0.4% D5W INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"38.00","92215163","TOPIRAMATE 25MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"38.00","92215845","LOTION MULTI INGREDIENT LOT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"38.00","92216335","CEFUROXIME NA 1.5GM INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"38.00","92216477","LEVETIRACETAM 1000MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"38.00","92217649","SALIVA SUBSTITUTES SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"38.00","92217703","WATER STERILE INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"38.00","92218354","ATOVAQUONE-PROG 250MG-100MGTAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"38.00","92218501","TRANSDERM SCOP 0.33MG/24HR TDM"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"38.00","92220095","ZINC OXIDE 12.8% TOP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"38.01","38300055","ACID PHOS PROSTATIC ","84066",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"38.01","38343615","DHEA (DEHYDROEPIANDROSTERONE) ","82626",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"38.10","92214595","ESTRADIOL NORETN 0.05/0.25MG T"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"38.17","38300420","CAROTENE BLOOD LEVEL ","82380",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"38.23","38302575","WEST NILE VIRUS TITER ","86789",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"38.40","92216793","DONEPEZIL HCL 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"38.50","92203020","ORALS 20 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"38.50","92210144","AMOXICILLIN 250MG/5ML LIQ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"38.50","92210523","LAMIVUDINE 150MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"38.50","92211309","BACITRACIN 500U/GM OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"38.50","92211624","MEPERIDINE 25MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"38.50","92213323","MONTELUKAST NA 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"38.50","92213563","URSODIOL 300MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"38.50","92213742","MELOXICAM 7.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"38.50","92214767","LIDOCAINE 2%/EPI 1:100000 INJ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"38.50","92215330","RISPERIDONE 2MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"38.50","92215435","ATORVASTATIN CALCIUM 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"38.50","92217119","NISOLDIPINE 34MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"38.50","92217328","VENLAFAXINE HCL 75MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"38.50","92217677","EVEROLIMUS 0.25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"38.50","92217802","BUPIVACAINE/EPI 0.5%/0.0005 IN"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"38.50","92218960","MEMANTINE HCL10 MGTAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"38.50","92219051","LIDOCAINE HYDROCHLORIDE2%JELLY"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"38.50","92219366","MULTIVITAMIN/MINERALS LIQUID "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"38.50","92219464","ATOVAQU/PROGUAN250MG-100MGTAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"38.50","92219757","EVEROLIMUS 0.25 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"38.50","92219938","RALOXIFENE 60 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"38.50","92220003","TACROLIMUS ER 1 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"38.50","92220004","TACROLIMUS ER 1 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"38.50","92220252","RALOXIFINE 60 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"38.59","38301805","OUCHTERLONY GEL DIFFUSION EA ","86331",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"38.67","92215010","MORPHINE 100MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"38.70","92215388","ESOMEPRAXOLE MG 20MG ECC "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"38.80","92215754","MORPHINE 1MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"38.86","38300495","CERULOPLASMIN ","82390",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"38.90","34010270","ELEC STIM WOUND UNATTENDED "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"380.00","92220150","VORICONAZOLE 40 MG/ML SUSP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"380.50","33114324","BOOT COMFY ADJ W AMB PAD "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"380.50","33117532","TRAY ENTAKE PEG PULL20FRNODRUG"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"380.62","38300220","HEP C GENOTYPE DNA/RNA ","87902",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"381.00","33111408","TUBE TRACH JACKSON XL#5 METAL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"381.00","33116011","TAP SHEET GLIDE PREVALON 2.0 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"381.00","33177673","TUBE TRACHEAL JACKSON #6 LONG "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3816.00","92217746","ALPHA-1 PROTEINASE 1GM INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"382.00","33109672","SPLINT EZ FLEX LEGT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"382.00","33109787","SPLINT EZ FLEX RIGHT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"382.00","92215300","MANNITOL 20% IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"382.50","33118625","DILATOR PYL/COL BALLOON 10MM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"382.50","33118626","DILATOR PYL/COL BALLOON 12MM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"382.50","33118627","DILATOR PYL/COL BALLOON 15MM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"382.50","92218988","FLUCYTOSINE 500 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"383.00","92217014","ENOXAPARIN NA 120MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"383.20","92216272","PREDNISOLONE ACETATE 1% SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"383.30","92212871","BSS EYE SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"383.50","33113084","COLLAR CERV UNV VST PD ST RGD "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"383.80","92212587","CARBACHOL 3% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"384.50","33129531","COLLAR CERV ADLT TRACH 16-18IN"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"384.83","38302456","VITAMIN D 25 HYDROXY ","82306",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3842.50","33105831","SET HD STEP LG-TRM ACCESS 23CM"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3842.50","33105832","SET HD STEP LG-TRM ACCESS 19CM"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"385.00","33112037","SYSTEM PEP ACAPELLA VIB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"385.50","33101014","KIT CVC TRIPLE-LUMEN+ 7FRX16CM"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"385.95","72060018","RBC/WHL BLD LR CMV-NEG-PROC "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3857.00","92212535","DESMOPRESSIN ACET 4MCG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"386.00","33101251","KIT TRIPLE LUME POL CVC 12FRX6"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"386.10","92217975","HALFLYTELY/BISACODYL 5 MG KIT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"386.18","38302420","TSH ","84443",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"386.30","92210270","CHOLESTYRAMINE 4GM/5.5GM PDR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"386.40","92211896","BLEPHAMIDE 0.2-10% OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"386.50","33152642","PROTECTOR HEEL TRUVUELITE XL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"386.60","92213609","BETAMETHASONE DP 0.05% GEL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3866.80","92211886","LEUPROLIDE ACET 3.75MG KIT PI1"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"387.00","33122464","ORTHO H/T COMFY SPLNT PED LG "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"387.00","92211755","DORZOLAMIDE HCL 2% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"387.50","33106400","KIT CVC TL ARRGD FLXTP 7FX20CM"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3873.20","92218034","GAMUNEX-C 1GM/10ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3874.57","74210036","MRA CHEST W/CONT ","71555",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"388.50","92210740","FLUNISOLIDE 0.025MG SPR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"389.00","33151843","SPLINT HAND/THUMB BROADCLOTHLG"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"389.00","92210743","ACETIC ACID ALUMINUM 2-0.79% S"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"389.00","92211601","HYDROCORTISONE 1% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"389.00","92211956","HYDROCORTISONE 2.5% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"389.00","92213230","HYDROCORTISONE 1% OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"389.00","92215276","LINZOLID 600MG/300ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"389.50","33109294","CATH AIRWAY EXCHG 14FR83CM LNG"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"389.50","33111764","DRSG VAC GRANUFOAM MED W/SLVR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"389.50","33113074","KIT DRSG 18X12.5CM GRANFM SLVR"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"389.52","76020010","TC-99M OXIDRONATE <30 MCI "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"39.00","92210245","RANITIDINE HCL 150MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"39.00","92210724","DIGOXIN 0.25MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"39.00","92210877","NADOLOL 40MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"39.00","92211145","DOBUTAMINE HCL 12.5MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"39.00","92212150","CHLORPROMAZINE HCL 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"39.00","92213099","HALOPERIDOL DEC 100MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"39.00","92213732","DEXTROSE 5%-1/4NS IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"39.00","92214938","TOLTERODINE TARTRATE 1MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"39.00","92214987","NITROGLYCERIN 0.6MG/HR TDM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"39.00","92215334","CIPROFLOXACIN 10MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"39.00","92215503","CALCITRIOL 1MCG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"39.00","92216396","TRAMADOL HCL 200MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"39.00","92216651","HYPROMELLOSE 0.3% GEL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"39.00","92216785","METRORMIN SITAG PH 500-50MG TA"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"39.00","92216934","HALOPERIDOL LAC 5MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"39.00","92217160","LUBIPROSTONE 8MCG SGL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"39.00","92217452","VANCOMYCIN HCL 5GM INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"39.00","92217706","AMYLASE/LIPASE/PROTEASE ECC "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"39.00","92217778","ARMODAFINIL 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"39.00","92217822","DEXTRAN HYPROMELLOSE 0.1-0.3 S"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"39.00","92217858","VANCOMYCIN HCL 10GM INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"39.00","92217914","LIDOCAINE HCL 2% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"39.00","92218043","LANOXIN PEDIATRIC 0.1 MG/ML IN"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"39.00","92218468","NEOSTIGMINE METHSUL 1MG/ML SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"39.00","92218544","CEFOXITIN 1 GM INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"39.00","92218618","CEFOXITIN 1 GM INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"39.00","92218692","HALOPERIDOL DECANOATE100 MG/ML"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"39.00","92219195","PANCREAZE 20 CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"39.00","92219531","FLUCONAZOLE 200 MG/100 ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"39.00","92219988","OMEPRAZOLE 20 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"39.00","92220136","DEXTRAN70/GLYC/HYPROMELLOSE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"39.00","92220247","HEPARIN SODIUM 5000 U/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"39.00","92220452","BARIUM SULFATE 98% SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"39.10","92213369","PENICILLAMINE 250MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"39.10","92214016","LIDOCAINE HCL 0.4% D5W INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"39.10","92214572","LIDOCAINE 1%/EPI 1:200000 INJ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"39.10","92217167","LANOLIN PETROLATUM 15.5-53.4 O"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"39.30","92212189","NIACIN 750MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"39.30","92216428","ZOLPIDEM TARTRATE 12.5MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"39.37","38305066","VITAMIN E LEVEL ","84446",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"39.40","92215806","TIAGAINE HCL 2MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"39.50","92212005","LACTIC ACID UREA 5%-10% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"39.50","92212257","MICONAZOLE NITRATE 2% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"39.50","92213534","HALOPERIDOL DEC 50MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"39.50","92214461","METHYLPREDNISOLONE 125MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"39.50","92215013","OXYCODONE HCL 40MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"39.50","92216043","MESALAMINE 500MG CER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"39.50","92216126","QUININE SULF 324MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"39.50","92216228","PREGABALIN 150MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"39.50","92217450","PETROLATUM 41%OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"39.50","92219029","METHYLPRED NA SUCC 40 MG SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"39.50","92220244","PHEN/MINOIL/PET0.25%-14%-74.9%"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"39.50","92220476","CEFAZOLIN 2 GM INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"39.80","92210899","BUTORPHANOL 2MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"39.80","92214245","MILRINONE LACTATE 1MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"39.80","92216403","CEFTRIAXONE NA 500MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"39.91","34600134","SPEECH GROUP TREATMENT ","92508GN ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"39.91","34600135","SPEECH GROUP TRTMT 30 MIN ","92508GN ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"39.91","34600136","SPEECH GROUP TRTMT 45 MIN ","92508GN ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"39.91","34600137","SPEECH GROUP TRTMT 60 MIN ","92508GN ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"390.00","33117514","TRAY 3 LUM CATH 7FR 20CM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"390.00","92217109","BENZOCAINE 20% GEL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"390.20","92212018","MORPHINE 20MG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"390.50","92215308","FLUCONAZOLE 150MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3905.46","76078832","NM TUMOR LOCAL WHOLE BODY ","78802",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"391.00","92218733","ALBUTEROL SULFATE 0.09 MG INH "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"391.50","92215991","EMITRICITABINE TENOFOVIR TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"391.96","38280053","COMPREHEN METABOLIC PANEL ","80053",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3912.00","92215122","CICLOPIROX 8% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3917.31","76000240","NM BONE IMAGING 3 PHASE ","78315",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"392.00","33103234","SET NEFF PERCUTANEOUS ACCESS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"392.00","33103286","ORTH COMFYPRENE ELBOW NAVY SM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"392.00","33108399",""TRAY THORCENT W/17GX6""""ASPIRTR""," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"392.00","33152471","CATH MULTPURP MACLOC DRN 8.5F "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"392.00","33152472","CATH MULTPURP MACLOC DRN 10.2F"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"392.00","33152473","CATH MULTPURP MACLOC DRN 12F "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"392.00","33152474","CATH MULTPURP MACLOC DRN 14F "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"392.00","92212615","FOSFOMYCIN TROMETHAINE 3GM PDS"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"392.00","92212794","HEPATITIS B VACC 10MCG/ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"392.00","92216859","HEPATITIS B VACC 10MCG/ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"392.49","38303758","POTASSIUM STOOL ","84999",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"392.49","38307021","OSMOLALITY STOOL ","84999",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"392.50","92212675","MMR VACCINE LIVE PDS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"393.00","92215494","MAFENIDE ACET 85MG/GM CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3930.50","92214081","DIGOXIN IMMUNE FAB OV 38MG INJ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"39463.00","92218770","IMMUNE GLOBULIN 40 GM SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"395.40","92211605","HYDROCORTISONE VAL 0.2% OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"395.50","33116098","STOCKING SCD COMFORT KNEE LG "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"395.50","92220388","BENZO/BUTAM/TETRA14%/2%/2% SPR"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3962.50","92220373","EDARAVONE 30 MG/100 ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3969.05","76000028","NM LUNG VENT & PERFUS IMG ","78582",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"397.00","33152498","31Accustick II "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"397.00","92220497","LACOSAMIDE 10 MG/1 ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"397.50","33117066","GUIDEWIRE NIT-VU HIGH PERFORM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"397.50","92211014","RIMEXOLONE 1% SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3975.50","92213263","SOMATROPIN E-COLI DERIVE 5MG P"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"398.00","92213922","CLONIDINE HCL 0.2MG TDM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"398.50","33111409","TUBE TRACH JACKSON XL#7 METAL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"398.50","92213273","ALBUMIN HUMAN 5% IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"398.62","34050180","STRAPPING HAND OR FINGER ","29280GP ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"399.00","33113823","KIT PLEURA GUIDE CHEST TUBE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"399.00","92215327","DALTEPARIN NA 7500U/0.3ML SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"399.50","33111271","PLEUREVAC SAHARA ADLT W/VLV "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"399.50","92211723","ALBUTEROL SULF 90MCG ARO "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"3992.00","36000945","VENTILATOR SUBSEQUENT DAILY ","94003",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"40.00","38200089","PERINUCLEAR AB TITER ","86256",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"40.00","38300301","HEMAGGLUTINATION INHIBITION ","86280",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"40.00","92211057","TIMOLOL MALEATE 0.25% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"40.00","92211466","ROPIVACAINE HCL 5MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"40.00","92212381","RALOXIFENE HCL 60MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"40.00","92212496","MEPERIDINE 50MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"40.00","92213745","NEOSTIGMINE MS 1MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"40.00","92213768","OMEPRAZOLE 40MG ECC "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"40.00","92213814","HEPARIN 2000U/NS 1000ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"40.00","92214190","AMPICILLIN NA 1GM INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"40.00","92214270","OXYCODONE HCL 5MG/5ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"40.00","92214616","TOLTERODINE TARTRATE 2MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"40.00","92214744","TOLTERODINE TARTRATE 2MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"40.00","92215260","METAXALONE 800MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"40.00","92215557","ALPRAZOLAM 0.5MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"40.00","92215758","AMIODARONE HCL 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"40.00","92215759","AMIODARONE HCL 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"40.00","92215836","VALSARTAN 320MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"40.00","92216008","LEVALBUTEROL 1.25MG/0.5ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"40.00","92217865","LEVALBUTEROL 1.25MG/0.5ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"40.00","92217934","VENLAFAXINE HCL 150MG CER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"40.00","92218197","LORTAB 10MG-300MG/15ML ELIXIR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"40.00","92218552","LEVETIRACETAM 100MG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"40.00","92220241","OMEPRAZOLE 40 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"40.02","38300475","E HISTOLYTICA-EIA ","87337",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"40.04","38300688","BORDETELLA PERTUSSIS AB ","86615",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"40.40","92212635","SODIUM CL 5% IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"40.47","38300241","INFECT AGENT PHENOTYP ADD HIV1","87904",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"40.50","92210571","SULFAMETHOXAZOLE/TMP INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"40.50","92210976","SODIUM PHOSPHATE 3MM/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"40.50","92211154","CHLORHEXIDINE GLUC 0.12% LIQ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"40.50","92211200","WATER STERILE INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"40.50","92212101","CHLORPROMAZINE HCL 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"40.50","92212674","HYDROCORTISONE 2.5% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"40.50","92212730","SODIUM ACETATE 4MEQ/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"40.50","92212750","PYRIDOSTIBMINE BR 60MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"40.50","92213601","MICONAZOLE NITRATE 2% POW "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"40.50","92213932","POTASSIUM ACET 4MEQ/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"40.50","92214342","PROPRANOLOL HCL 1MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"40.50","92215658","KETOROLAC 0.5% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"40.50","92215681","ZINC OXIDE MENTHOL OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"40.50","92215896","NIACIN 100MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"40.50","92216053","AMINOCAPROIC ACID 1000MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"40.50","92216561","DIGOXIN 0.25MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"40.50","92216973","OXYCODONE HCL 40MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"40.50","92217088","OXYCODONE HCL 15MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"40.50","92217145","IMIQUIMOD 5% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"40.50","92217887","HYDROCORTISONE ACET/PRAM HCL C"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"40.50","92218861","SOD POLYSTYR SULF15GM/60MLSUSP"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"40.50","92219024","OXYCODONE HCL CR 40 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"40.50","92219754","CANDESARTAN CILEXETIL 32MG TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"40.50","92220033","CHLORPROMAZINE 25 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"40.50","92220219","OMEPRAZOLE 40MG "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"40.50","92220524","SODIUM CHLORIDE 0.9% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"40.53","38203275","MYCOPLASMA ANTIBODY ","86738",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"40.60","92217870","CEFOXITIN NA 1GM INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"40.68","38302760","CATECHOLAMINES URINE ","82382",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"40.93","38300505","SEX HORMONE BINDING GLOBULIN ","84270",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"400.00","33112009","TUBE TRACH JACK 8X5.8X72MM SZ4"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"400.00","92219814","HEPATITIS B VACCINE20MCG/MLINJ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"401.00","92218039","LANSOPRAZOLE 3MG/ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"401.62","38302415","TROPONIN (QUANTITATIVE) ","84484",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"401.62","38302416","TROPONIN T (QUANTITATIVE) ","84484",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"401.90","92212505","CEFPROZIL 250MG/5ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4014.67","77000411","ASPIRATION NDL W CT 1ST LESION","10009",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"402.21","38300222","BNP (B NATRIURETIC PEPTIDE) ","83880",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"402.21","38300223","NT-PRO BNP ","83880",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"402.50","92212869","GADOTERIDOL 279.3MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4028.50","92216413","ALPHA-1 PROTEINASE 1000MG PDS"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"403.00","92211011","HEPATITIS B VACC 10MCG/ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"403.30","92211756","HALOBETASOL PROP 0.05% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"403.50","92210467","CLOTRIMAZOLE 1% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"403.50","92215025","PHENOBARBITAL 130MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4030.50","92217533","BOTULINUM TOXIN TYPE A 100U IN"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4036.00","11605001","CATHETER INSERTION (VENOUS) ","36569",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4036.18","39200259","ECHO 2-D&M-MODE W/IMAGE ","93350",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"40377.50","92214439","PEGFILGRASTIM 6MG/0.6ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4038.77","76000010","NM BONE/JOINT WHOLE BODY ","78306",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"404.50","92216042","FLUMAZENIL 0.1MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"404.63","38387005","CYP2C19 GENE CMO VARIANTS ","81225",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4040.96","74210027","MRA ABDOMEN W/CONT ","74185",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4041.73","74200408","MRI LOW EXT JOINT W/CONT BIL ","7372250",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4041.73","74200423","MRI LOW EXT JOINT W/CONT RT ","73722RT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4041.73","74200550","MRI LOW EXT JOINT W/CONT LT ","73722LT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4048.00","92215784","RISPERIDONE 37.5MG GER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"405.00","92210313","TRIAMCINOLONE 0.025% LOT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"405.00","92214868","HYOSCYAMINE SULF 0.5MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"405.00","92218704","LINEZOLID 600MG/300ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"405.00","92220115","NALOXONE 4 MG/0.1 ML SPR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"405.50","92219022","ETHINYL ESTRAD/NORGEST TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"406.00","76020022","TC-99M MEBROFENIN<15MCI "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"406.50","33111255","VALVE AQUA SPEAKING MIN PURCH "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"406.50","33111509","KIT DRSG SLV ATS VAC LG "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"406.50","33113066","DRSG LG VAC GRANUFOAM SLVR FOM"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"406.50","33113832","VALVE PASSY MUIR SPEAK TRACH/V"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"406.50","33114972","SET INTRO PED TRANSITLS4FR10CM"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"406.50","33198897","TRACH PURPLE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"407.00","33101769","STOCKING THIGH 20-30MMHG MED "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"407.00","33171456","VALVE CHEST DRAIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"407.00","92217585","TELAVANCIN HCL 250MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"407.50","33112166","BRACE KNEE WRAP LG HINGED "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"408.50","92219099","FLUOROURACIL 2% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"408.58","72060004","PLATELETS-PROC ONLY "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"408.60","92213811","HYDROQUINONE 4% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"408.62","38200110","AMIKACIN ","80150",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4084.37","74200230","MRI UPPER EXT W/O CONTRAST BIL","7321850",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4084.37","74200305","MRI UPPER EXT W/O CONTRAST LT ","73218LT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4084.37","74200306","MRI UPPER EXT W/O CONTRAST RT ","73218RT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4091.84","74000580","MYLEOGRAM LUMBAR ","72265",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"41.00","92210434","ATROPINE SULF 1% EYE SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"41.00","92211789","LIDOCAINE HCL 4% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"41.00","92211873","SILVER SULFADIAZINE 1% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"41.00","92212180","RISPERIDONE 2MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"41.00","92213483","GENTAMICIN 60MG/100ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"41.00","92213804","LIDOCAINE HCL 0.8% D5W INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"41.00","92213914","RISPERIDONE 2MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"41.00","92214311","LIDOCAINE HCL 1.5% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"41.00","92214370","D5W-1/2NS/KCL 40MEQ/L IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"41.00","92215700","MORPHINE 100MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"41.00","92215895","DRONABINOL 5MG SGL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"41.00","92216231","PREGABALIN 200MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"41.00","92216877","CEFUROXIME AXETIL 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"41.00","92217066","DESMOPRESSIN ACET 0.2MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"41.00","92218153","NEPHROCAPS QT TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"41.00","92218930","MORPHINE SULFATE 100 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"41.00","92219095","LIDOCAINE HYDROCHLORIDE2%JELLY"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"41.00","92220039","FLUTICASONE FUROATE 100MCG EA "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"41.08","38302670","ARSENIC ","82175",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"41.20","92216846","AZITHROMYCIN 250MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"41.30","92214375","DEXTROSE 40%/WATER IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"41.50","92210248","CONJUCATED ESTROGENS 1.25MG TA"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"41.50","92211352","SODIUM ACETATE 2MEQ/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"41.50","92211863","CONJUCATED ESTROGENS 0.625MG T"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"41.50","92212085","COLCHICINE 0.6MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"41.50","92212091","MIDAZOLAM HCL 5MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"41.50","92212451","CONJUGATED ESTROGENS 0.3MG TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"41.50","92212543","CONJUCATED ESTROGENS 0.9MG TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"41.50","92212864","MORPHINE 10MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"41.50","92213419","OINTMENT BASE OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"41.50","92213571","CEFOXITIN NA 1GM INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"41.50","92213832","NIFEDIPINE 90MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"41.50","92214117","PROGESTERONE 200MG SGL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"41.50","92214505","LAMIVUDINE 10MG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"41.50","92215250","FENTANYL 50MCG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"41.50","92215345","CIPROFLOXACIN 750MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"41.50","92215527","AMOXICILLIN CLV K 1000-62.5 TE"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"41.50","92215585","CONJUCATED ESTROGENS 0.45MG TA"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"41.50","92215950","CIPROFLOXACIN 750MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"41.50","92216417","QUETIAPINE FUMARATE 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"41.50","92216984","URSODIOL 300MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"41.50","92217028","LIDOCAINE HCL 2% GEL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"41.50","92217313","DIVALPROEX NA 500MG TCP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"41.50","92217630","DULOXETINE HCL 60MG ECC "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"41.50","92218714","LEVALBUTEROL1.25 MG/0.5 ML INH"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"41.50","92219438","MILNACIPRAN HCL 100 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"41.50","92220418","CEFOXITIN 2 GM PDS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"41.50","92220520","MAG SULFATE DEXT 1GM/100ML IVS"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"41.57","38380040","FRUCTOSAMINE-GLYCATED PROTEIN ","82985",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"41.65","38303330","OXALATE ","83945",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"41.66","38302620","ALK PHOS ISOENZYMES ","84080",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"41.70","92214668","DIDANOSINE 250MG ECC "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"41.80","92213838","CEFUROXIME AXETIL 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"41.80","92217872","CEFUROXIME AXETIL 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"410.00","33112420","KIT PULL PEG SAFETY 20FR STRL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"410.60","92217616","TRIAMCINOLONE 0.1% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"410.88","34010230","STRAPPING SHOULDER ","29240GP ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"410.88","34210285","STRAPPING SHOULDER ","29240GO ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4103.00","92215564","BIVALIRUDIN 250MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"411.00","33177677","TUBE TRACHEAL JACKSON #8 ADP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"411.00","92210410","LEVOBUNOLOL 0.5% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"411.00","92211802","SUMATRIPTAN SUCC 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"411.00","92215775","TALDALFIL 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"411.50","33103447","DRN BLAKE HUBLESS15FR3/16TROC "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"411.50","92219094","DIANEAL 1.5% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"411.99","38399322","FIBRIN DEGREDATION PROD QUANT ","85370",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"412.00","33114330","SUPT H/W SOFPRO LT SM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"412.00","33152832","SOFTPRO WHFO RIGHT SMALL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"412.00","92212074","PAMIDRONATE DISOD 90MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"412.10","92215458","EPOETIN ALFA 4000U/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"412.50","92216489","SELEGILINE HCL 6MG/24HR TDM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4120.87","74200409","MRI TMJ ","70336",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"413.00","33183945","SPLINT KWK FM FUNC REST RT M/L"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"413.00","33183946","SPLINT KWK FM FUNC REST LT M/L"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"413.00","92211270","DILTIAZEM HCL 300MG C24 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"413.00","92213608","HYDROCORTISONE 2.5% LOT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"413.00","92219587","TETRABENAZINE 12.5 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"413.25","38302214","MAN DIFF WBC CNT BUFFY COAT ","85009",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"413.40","92217647","SOTALOL HCL 150MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"413.74","72000620","THERAPEUTIC PHLEBOTOMY ","99195",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4130.44","74200160","MRI ORBIT-FAC-NECK W/O CONT ","70540",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4139.00","33105809","KIT ASPIRA DRAINAGE PLEURAL 1L"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4139.00","92220183","ERENUMAB-AOOE 150MG/ML PFS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"414.00","33113064","KIT CATH 20CM12.5FR LG PUMHRKR"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"414.00","33135890","KIT CATH TL MAHURKAR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"414.50","92218719","MILRINONELACT/D5W40MG/200MLINJ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"414.50","92220320","DEXMEDETOMIDE 4 MCG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"414.94","38302330","TEGRETOL-TOTAL ","80156",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4142.79","72000842","THERAPEUTIC APHERESIS PLASMA ","36514",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"415.50","92218896","LIPIDS 20% EMULSION "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4152.00","92217962","NITROGLYCERIN 4% OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"416.00","92216705","HEPATITIS B VACC 20MCG/ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"416.50","33168051","CHEST TUBE KIT PLEURAGUIDE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"416.50","92219889","APREMILAST 30 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"416.57","34010235","STRAPPING ELBOW OR WRIST ","29260GP ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"416.57","34210290","STRAPPING ELBOW OR WRIST ","29260GO ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"417.50","33113041","ALLOPATCH PLBL 2.0CMX0.4-0.8MM"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"417.50","33183149","BOOT E-Z "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"417.50","33190901","COLLAR MIAMI J XTRA PAD XS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"417.50","92217017","ENOXAPARIN NA 150MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"417.50","92217551","CLONIDINE 0.3MG/DAY TDM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"417.50","92220014","CLONIDINE 0.3MG/24HR PATCH ER"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"417.85","38300024","LIPID PANEL ","80061",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4173.80","92218030","OPTIRAY 320 20ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"418.00","33113042","ALLOPATCH PLBL 1.5CMX0.4-0.8MM"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"418.00","92213863","DALTEPARIN NA 10000U/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"418.20","92214986","AMINO ACIDS 6.9% IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"418.50","92218003","ISOVUE-M 200 40% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"418.56","74008100","DEXA BONE DENSITY WRIST/HEEL ","77081",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4180.00","11600514","COLONOSCOPY W/BIOPSY "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"419.00","33114321","BOOT TCC-EZ LG "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4194.00","92209004","ARANESP 125MCG (100+25) INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"42.00","92203051","ORALS 51 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"42.00","92210569","METHYLPHENIDATE HCL 20MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"42.00","92211702","ETOMIDATE 2MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"42.00","92211758","AZITHROMYCIN 250MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"42.00","92212894","MYCOPHENOLATE 250MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"42.00","92213748","AZITHROMYCIN 250MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"42.00","92213776","DOPAMINE HCL 160MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"42.00","92213946","CLOPIDOGREL HSO4 75MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"42.00","92214835","ACETIC ACID 0.25% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"42.00","92215166","DONEPEZIL HCL 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"42.00","92215292","BACITRACIN 50000U INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"42.00","92215647","HEPARIN 25000U/D5W 500ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"42.00","92215851","CYCLOSPORINE MOD 100MG SGL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"42.00","92216159","AMINOCAPROIC ACID 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"42.00","92216247","HEPARIN 25000U/D5W 250ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"42.00","92216340","OCTREOTIDE ACET 100MCG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"42.00","92216357","AZITHROMYCIN 250MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"42.00","92216363","AZITHROMYCIN 250MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"42.00","92216480","AZITHROMYCIN 250MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"42.00","92216566","AZITHROMYCIN 250MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"42.00","92217715","AZITHROMYCIN 250MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"42.00","92217775","DONEPEZIL HCL 10MG ODT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"42.00","92218114","GLYCERIN 99.5% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"42.00","92218977","AZITHROMYCIN 250 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"42.00","92219021","DONEPEZIL 5 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"42.00","92219116","AZITHROMYCIN 250 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"42.00","92219297","DONEPEZIL HCL ODT 5 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"42.00","92219361","AZITHROMYCIN 250 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"42.00","92219466","ALOGLIPTIN BENZOATE 25 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"42.00","92219539","AZITHROMYCIN 250 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"42.00","92219659","AZITHROMYCIN 250 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"42.00","92219660","AZITHROMYCIN 250 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"42.00","92219684","RALOXIFENE HCL 60 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"42.00","92219951","BUPROPION ER 150 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"42.00","92220013","MAGNESIUM SULFATE 2GM/50ML SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"42.00","92220097","AZITHROMYCIN 250 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"42.00","92220239","MAGNESIUM SULFATE 40MG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"42.00","92220470","ALOGLIPTIN BENZOATE 12.5MGTAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"42.00","92220471","ALOGLIPTIN BENZOATE 6.25MGTAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"42.20","92216473","ROSIGLITAZONE MALEATE 8MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"42.30","92216088","IBUPROFEN 100MG/5ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"42.35","38303217","MANGANESE ","83785",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"42.40","38203585","URINE VOLUME MEASUREMENT ","81050",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"42.50","92203084","ORALS 84 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"42.50","92210079","TETRACYCLINE HCL 250MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"42.50","92210577","HYDROCORTISONE 1% LOT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"42.50","92210960","VECURONIUM BROMIDE 10MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"42.50","92212057","OMEPRAZOLE 10MG ECC "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"42.50","92213114","VALSARTAN 40MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"42.50","92216402","CEFOXITIN NA 1GM INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"42.50","92217558","CLOTRIMAZOLE 1% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"42.50","92219368","CARBAMIDE PEROXIDE 6.5% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"42.50","92219482","PROPAFENONE HCL 425 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"42.50","92219859","AMLODIPINE/VALSARTN10-320MGTAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"42.60","92214243","BUPIVACAINE/EPI 0.25%/0.0005 I"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"42.90","92216551","HEPARIN 12500U/D5W 250ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"420.00","92216345","LEVALBUTEROL TARTRATE 45MCG AR"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"420.46","38000940","COMPREHENSIVE REVIEW ","88325",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"420.50","33106425","KIT PEG CORFLO MAX CONICL 20FR"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"420.50","33142188","SPLINT FOOTHOLD WAFFLE AFO LG "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"420.70","38300180","ANTIBODY IDENT EA PANEL ","86870",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"420.70","72000020","ANTIBODY IDENT EACH PANEL ","86870",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"420.90","92211598","DOLASETRON MESYLATE 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"420.90","92212352","DOLASETRON MESYLATE 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4203.74","76000190","NM ABSCESS LOCAL LIMITED STUDY","78805",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4204.93","74010002","VENOGRAM SUPERIOR CAVAL ","75827",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"421.00","33103840","DRAIN BLAKE FLAT FULL FLUT7MM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"421.00","92218076","PREZISTA 800MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"421.00","92219093","DIANEAL 2.5% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"421.40","92216390","AMINO ACIDS 8% IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"421.50","33103579","ORTHOSIS HAND REST LG LT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"421.50","33103580","ORTHOSIS HAND REST LG RT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"421.50","33103586","ORTHOSIS HAND REST MD LT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"421.50","33103588","ORTHOSIS HAND REST MD RT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"421.50","33139915","COLLAR CERV ADJ WIRE FRAME MED"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"421.50","92218065","GRISEOFULVIN 125MG/5ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4217.97","76000250","NM BRAIN SPECT ","78607",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"422.00","92216155","ELECTROLYTE SOLUTION 6% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"422.06","38303650","RESPIRATORY VIRUS 3-5 TARG ","87631",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"422.50","33103784","BRACE ORTHOPEDIC AFO ADULT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4223.99","77000280","CT UPPER EXT W/O CONTRAST BIL ","7320050",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4223.99","77010013","CT UPPER EXT W/O CONTRAST RT ","73200RT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4223.99","77010014","CT UPPER EXT W/O CONTRAST LT ","73200LT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"42269.00","92218223","SOLIRIS 10MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"423.50","33190902","COLLAR MIAMI J XTRA PAD SM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"423.50","33190903","COLLAR MIAMI J XTRA PAD MD "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"423.50","33190904","COLLAR MIAMI J XTRA PAD LG "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4231.80","92215850","PEGINTERFERON ALFA-2B 150MCG K"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"424.51","72000305","RETICULOCYTE SEPARATION ","86972",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"425.00","33111510","KIT ABD PARACENTESIS LG RX VOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"425.00","33152427","DRAIN PLEURVAC PED/ADULT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"425.36","38307029","HLA I A PHENOTYPING ","81373",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"425.36","38307030","HLA I B PHENOTYPING ","81373",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"425.36","38307031","HLA I C PHENOTYPING ","81373",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"426.38","73500325","NRV COND STUDIES 1-2 STUDIES ","95907",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"426.50","92214846","BENZOCAINE BUTA TETRA 14-2-2 S"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"426.50","92218481","CETACAINE 14%-2%-2% TOP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4262.50","74200412","MRA HEAD WITH CONTRAST ","70545",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4262.81","74200070","MRI CHEST WO CONTRAST ","71550",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"427.00","33103108","SUPPORT SKATEBOARD FOREARM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"427.00","92218131","FLUOCINOLONE ACET 0.01% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"427.50","33100862","SLING HEMI "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"427.50","33108750","SLING HEMI GIVMOHR LARGE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"427.50","33171887","SLING GIVMOHR XL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"427.50","33177675","TUBE TRACHEAL JACKSON #7 ADP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"427.50","33199922","TUBE TRACH - JACKSON 6 FEN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"428.00","33100819","TUBE JEJUNAL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4285.17","39200257","ECHO 2-D&M-MODE W/DOPPLER ","93306",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4285.17","75000052","US 2D ECHO DOPPLER/COLOR FLOW ","93306",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"429.50","33170515","HELMET SOFT TOP GREY SM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"429.50","92210469","HALOBETASOL PROP 0.05% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"429.50","92215687","UREA 40% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4291.00","11600090","SIGMOIDOSCOPY "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4295.50","92217794","ACYCLOVIR 5% OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4296.50","33110283","KIT CATH PLEURX W4 1000ML BTLS"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"43.00","92203100","ORALS 100 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"43.00","92210870","GRISEOFLUVIN 250MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"43.00","92211515","PIPERONYL BUTO PYRETHRUN EXT L"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"43.00","92211978","SODIUM CL 0.9% IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"43.00","92213250","DEXTROSE 5%/WATER IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"43.00","92213407","RANITIDINE HCL 15MG/10ML SYR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"43.00","92215488","RALOXIFENE HCL 60MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"43.00","92216073","TELMISARTAN 80MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"43.00","92216081","TELMISARTAN 40MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"43.00","92216146","CEFTAZIDIME 500MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"43.00","92217117","NISOLDIPINE 25.5MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"43.00","92217251","SODIUM CL 0.9% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"43.00","92217420","LEVETIRACETAM 1000MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"43.00","92217451","KCL 20MEQ/NS 1000ML IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"43.00","92217896","TIAGAINE HCL 4MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"43.00","92217979","PASER 4GM PKT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"43.00","92219916","FLUCONAZOLE 100 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"43.07","38300300","TETANUS AB IGG ","86774",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"43.10","92215955","RANITIDINE HCL 15MG/10ML SYR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"43.50","92212708","FENTANYL 50MCG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"43.50","92213082","HYPROMELLOSE 0.3% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"43.50","92214641","RAMIPRIL 10MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"43.50","92215252","OLMESARTAN MEDOXOMIL 40MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"43.50","92217410","FENOFIBRATE 200MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"43.50","92217759","PRADAXA 150MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"43.50","92217760","PRADAXA 150MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"43.50","92219081","FENOFIBRATE 200 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"43.50","92219185","MORPHINE SULFATE 0.5 MG/ML SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"43.50","92219202","LEVETIRACETAM 100 MG/MLSOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"43.50","92220511","ERGOLOID MESYLATES 1 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"43.51","38393923","INTRINSIC FACTOR ANTIBODY ","86340",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"43.60","92214244","FLEET PREP KIT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"43.70","92212835","DOBUTAMINE HCL 12.5MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"43.90","38302539","VITAMIN B1 (THIAMINE) ","84425",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"43.93","38301710","LIDOCAINE ","80176",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"43.99","38300124","LIPOPROTEIN ELECTROPHORESIS ","82664",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"43.99","38386443","BLASTOMYCES AB ","86612",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"430.00","92215201","EPOETIN ALFA 4000U/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"430.46","34000030","NON-SELECTIVE DEBRIDEMENT ","97602GP ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"430.50","33102174","BRACE WRIST W/BOA LEFT LARGE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"430.50","33117515","TRAY CENTRAL VENOUS AKP1A "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"430.50","92215777","TALDALFIL 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"430.50","92216314","AZTREONAM 2GM INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"431.50","33109807","HELMET SOFTSHELL TAN SMALL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"431.50","33109870","HELMET SOFTSHELL TAN LARGE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"431.50","33112141","HELMET SOFTSHL TAN MD22-22.751"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"431.50","33113094","HELMET SFSHLL PINK SM21-21 3/4"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"431.50","33113095","HELMET SFSHLL SM RYBL21-21 3/4"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"431.50","33187061","HELMET SOFT SHELL MEDIUM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"431.50","33187062","HELMET SOFT SHELL LARGE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"431.50","92216449","INSULIN DETEMIR 100U/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"431.59","73570057","EMG EA EXTREM COMP 5 OR> MUSC ","95886",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"431.62","38000501","SURGICAL PATH LEVEL II ","88302",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4313.63","77000091","CT LOWER EXT W/O CONTRAST BIL ","7370050",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4313.63","77010005","CT LOWER EXT W/O CONTRAST RT ","73700RT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4313.63","77010006","CT LOWER EXT W/O CONTRAST LT ","73700LT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4318.15","74200414","MRA NECK WITHOUT CONTRAST ","70547",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"432.00","33189545","CORGRIP NG/NI TUBE RETN 8FR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"432.00","33189546","CORGRIP NG/NI TUBE RETN 10FR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"432.00","33189547","CORGRIP NG/NI TUBE RETN 12FR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"432.00","33189548","CORGRIP NG/NI TUBE RETN 14FR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"432.00","33189549","CORGRIP NG/NI TUBE RETN 16FR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"432.00","33189550","CORGRIP NG/NI TUBE RETN 18FR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"432.00","92212165","AZTREONAM 2GM/50ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"432.00","92216316","AZTREONAM 2GM/50ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"433.00","33131091","WALKER ROM LG "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"433.00","36000121","ARTERIAL BLOOD GAS ","82803",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"433.05","38201155","ERYTHROPOIETIN ","82668",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4330.11","74200180","MRI PELVIS W/O CONTRAST ","72195",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"434.50","92218184","DOLUTEGRAVIR SOD 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"434.50","92218266","NOXAFIL 100MG DR TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"435.00","92216433","FLUTICASONE PROP 50MCG NASAL S"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"436.00","92213828","CICLOPIROX 0.77% GEL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"436.50","33110582","BOOT PODUS AMB ATCH STD "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"437.00","92210400","TRIAMCINOLONE 0.1% PAS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"437.00","92212375","TIMOLOL MALEATE 0.5% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"437.50","33103542","PROTECTOR PALM WR SPT LT 1IN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"437.50","33178917","SPLINT FUNCTIONAL HAND "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4375.00","92215393","LINZOLID 100MG/5ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"438.20","92216589","ACTIQ 800MCG LOZ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"438.50","33142187","SPLINT FOOTHOLD WAFFLE AFO MED"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4383.50","92213574","BECAPLERMIN 0.01% GEL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"439.00","92217727","ENOXAPARIN NA 100MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"439.50","33105807","BOOT CASTING XL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"439.50","33152500","RADIO JAW 4 PULMONARY "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"439.50","92211715","AZTREONAM 2GM INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"439.50","92215506","IPRATROPIUM BR 0.06% SPR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"439.77","38000141","IMPRXDSE-INTRP 1 STAIN ","88342",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"439.77","38000545","IMMUNOHISTOCHEMISTRY EA AB ","88342",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"439.77","38000546","IMMUNOHISTO AB INITIAL SLIDE ","88342",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"44.00","92210955","ACETYLCYSTEINE 20% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"44.00","92213552","AMOXICILLIN CLV K 875-125 TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"44.00","92213974","MERCAPTOPURINE 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"44.00","92215369","VORICONAZOLE 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"44.00","92215571","MONTELUKAST NA 4MG PKT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"44.00","92215767","MEMANTINE HCL 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"44.00","92215770","MEMANTINE HCL 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"44.00","92215772","MEMANTINE HCL 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"44.00","92218567","LAMIVUDINE 150 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"44.00","92218635","DOFETILIDE 500 MCG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"44.00","92219805","PERMETHRIN 1% LOT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"44.20","92216379","ISORETINOIN 20MG SGL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"44.30","92214333","PIPERACILLIN NA 2GM INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"44.30","92214931","INDIGODISULFONATE NA 8MG/ML IN"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"44.40","92213370","IODINE STRONG TIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"44.40","92217283","DEXTROSE 2.5%-1/2NS IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"44.50","92210498","BACITRACIN/POLYMYXIN B OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"44.50","92211202","BSS EYE SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"44.50","92211629","TIAGAINE HCL 16MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"44.50","92211765","TOPIRAMATE 200MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"44.50","92212865","KETAMINE HCL 50MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"44.50","92213591","AMINOCAPROIC ACID 25% SYR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"44.50","92214397","VALACYCLOVIR HCL 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"44.50","92216226","PREGABALIN 225MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"44.50","92216233","PREGABALIN 300MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"44.50","92216236","PREGABALIN 50MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"44.50","92217536","CASTOR/PERU BALSAM/TRYPSIN GEL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"44.50","92217575","AMYLASE/LIPASE/PROTEASE ECC "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"44.50","92218186","CLINDAMYCIN 600MG/50ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"44.50","92218623","CYANOCOBALAMIN 1000 MCG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"44.50","92219171","ROSUVASTATIN CALCIUM 10 MGTAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"44.50","92219177","BROMOCRIPTINE MESYLAT2.5MGTAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"44.50","92220301","NACL 0.45%/KCL 20MEQ SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"44.58","38302576","WEST NILE VIRUS AB IGM ","86788",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"44.61","38303290","MYELIN BASIC CSF ","83873",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"440.00","33116015","BRACE KNEE COMFYPRENE CHILD LG"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"440.50","92212818","ALBUMIN HUMAN 5% IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"440.50","92218775","DESCOVY 200 MG-25 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"440.82","38200685","T CELLS CD4 & CD8 W/RATIO ","86360",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"440.82","38201545","T-CELLS-CD4COUNT ","86361",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"441.00","33103009","KIT FEEDINGTUBE MICPULLPEG20FR"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"441.50","33110006","SPLINT HAND PROG MED/LG "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"441.50","92217267","AMINO ACIDS 4.25% D25W IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"441.85","75000132","US PREG UTERUS <14 WEEKS ADD G","76802",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"442.00","92216050","PANTOPRAZOLE NA 40MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"442.41","38000650","FINE NEEDLE ASP INTERPRET ","88173",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"442.50","92218982","TOFACITINIB CITRATE 5 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4424.00","11600512","EGD W/ PEG TUBE INSERTION "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"443.00","33106263","CUSHION W/C ANTI THRUST 18X16 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"443.00","92212092","ADENOSINE 3MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"443.00","92213067","FLUCYTOSINE 250MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"443.50","33111282","BOOT ANK CONTRACT MED "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"443.50","33111676","BOOT ANK CONTRACT W/SOLE XL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"443.50","33112050","BOOT ANK CONTRACT LG "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"443.50","33142186","SPLINT FOOTHOLD WAFFLE AFO SM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"444.00","92216607","POSACONAZOLE 40MG/ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"444.50","33171345","RASP SMALL TEAR 11X5MM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"445.00","92214421","TRIAMCINOLONE 40MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"445.20","92211136","GRANISETRON HCL 1MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"445.50","92214976","CICLOPIROX 0.77% SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"445.50","92215669","BUPROPION HCL 300MG T24 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4451.43","76000180","NM ABSCESS LOCAL WHOLE BODY ","78806",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"446.10","92212090","CEFADROXIL 500MG/5ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"446.25","72099983","BLOOD LEUKORED CMV NEG IRR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"446.50","33103316","PROTECTOR PALM WR SPT RT 1IN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"446.50","92220339","CHLOROTHIAZIDE 250MG/5ML SUSP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"447.30","92212680","BETAXOLOL HCL 0.5% EYE SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"447.50","33103540","PROTECTOR PALM WR SPT RT 2IN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"447.50","33111735","CUTTER PROX LIN RELD 100MM GRN"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"447.50","33131155","PROTECTR PALM W/WRIST SPT LT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4471.00","92218767","DESMOPRESSIN ACETATE 0.15MGINH"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4473.18","77000320","CT SOFT TISSUE NECK WO CONT ","70490",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"448.00","92210572","LEVOBUNOLOL 0.5% EYE SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"448.00","92218050","FIRST-OMEPRAZOLE 2MG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"448.00","92218809","LANSOPRAZOLE 3 MG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"448.50","92215540","AMOXICILLIN CLV K 600-42.9/5 S"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"449.00","92210857","TRETINOIN 0.025% GEL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"449.50","92217263","AMINO ACIDS 4.25% D5W IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"45.00","92210587","SODIUM CL 0.9% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"45.00","92211409","TUBERCULIN 5TU/0.1ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"45.00","92212844","WATER STERILE SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"45.00","92213227","BENZOIN COMPOUND TIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"45.00","92214411","BUPIVACAINE HCL 0.25% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"45.00","92214541","LEUCOVORIN CALCIUM 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"45.00","92214798","TERBINAFINE HCL 1% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"45.00","92214848","CELECOXIB 100MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"45.00","92214960","ENTACAPONE 200MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"45.00","92215385","ATORVASTATIN CALCIUM 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"45.00","92215993","FLUCONAZOLE 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"45.00","92216216","LOTREL 2.5/10MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"45.00","92216527","AMIKACIN SULF 250MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"45.00","92216732","ALISKIREN 300MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"45.00","92217441","PHENYTOIN NA 50MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"45.00","92217516","GENTIAN VIOLET 1% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"45.00","92217669","DEXTROSE 10%/WATER IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"45.00","92217939","DOXERCALCIFEROL 2GM/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"45.00","92218335","VIOKACE 20880-78300-78300U TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"45.00","92219504","GLYCOPYRROLATE 0.2 MG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"45.00","92219695","BURPRENORPHINE/NALOXONE8MG-2MG"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"45.00","92220369","FERRIC CITRATE 210 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"45.04","38399313","HERPES SIMPLEX NON-SPEC TYPE ","86694",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"45.10","92214213","ROSIGLITAZONE MALEATE 8MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"45.20","38303585","URINE VOLUME MEASUREMENT ","81050",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"45.33","38301639","LAMICTAL/LAMOTRIGINE ","80175",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"45.43","34000070","HOT/COLD PACKS APPLICATION ","97010GP ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"45.43","34200055","HOT/COLD PACKS APPLICATION ","97010GO ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"45.50","92210503","TRIAMCINOLONE 0.1% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"45.50","92210521","CALCIUM GLUCONATE 10% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"45.50","92211242","VANCOMYCIN HCL 500MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"45.50","92211252","CEFPODOXIME PROXETIL 200MG TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"45.50","92211320","CEFPODOXIME PROXETIL 200MG TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"45.50","92211778","CROMOLYN NA 4% SPR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"45.50","92212051","VALPROATE NA 500MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"45.50","92212753","SODIUM CL 0.9% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"45.50","92213659","PANTOPRAZOLE NA 40MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"45.50","92213861","CAMPHOR MENTHOL 0.5%-0.5% LOT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"45.50","92214343","LEUCOVORIN CALCIUM 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"45.50","92215570","LIDOCAINE HCL 2% GEL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"45.50","92216556","FLUCONAZOLE 400MG/200ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"45.50","92216675","MICONAZOLE NITRATE 2% OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"45.50","92217340","CARBIDOPA/ENTACAPONE/LEVO TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"45.50","92217479","MILNACIPRAN HCL 12.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"45.50","92217480","MILNACIPRAN HCL 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"45.50","92217932","ZIPRASIDONE HCL 40MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"45.50","92217938","ZIPRASIDONE HCL 20MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"45.50","92218119","KRISTALOSE 10GM/PKT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"45.50","92218212","ELIQUIS 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"45.50","92218246","DULOXETINE 30MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"45.50","92218260","OXYCONTIN 15MG ER TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"45.50","92219216","CYCLOSPORINE MOD 100 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"45.50","92219375","SUCRALFATE 1 GM SUSP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"45.50","92219521","VANCOMYCIN 500 MG PWD "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"45.50","92219647","MIN OIL/WHITE PETRO20%-80%OINT"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"45.50","92220303","DIPHENHYDRAMINE 12.5MG/5ML SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"45.53","38200021","HCG SERUM QUALITATIVE ","84703",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"45.60","92212706","AMPICILLIN-SULBACTAM 15GM INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"45.67","38303370","PORPHOBILINOGEN URINEQUAL ","84106",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"45.80","92214181","BUPIVACAINE/EPI 0.5%/0.0005 IN"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"450.00","33110645","COLLAR CERV VISTA XTRA PAD "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"450.40","92210805","CROMOLYN NA 0.8MG ARO "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"450.50","33115280","FUNNEL FISTULA "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"450.50","33152529","PICC NV IR 5F "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"450.50","92216456","TALDALFIL 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4505.00","33103464","VENA CAVA FILTER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"451.00","92213226","LEVOFLOXACIN 0.5% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"451.50","92215181","GASTROGRAFIN 66/10 SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"451.50","92216697","AZITHROMYCIN 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4511.09","75000260","US TEE 2D W/PROBE PLACE COMP ","93312",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"452.30","92215965","BETAMETHASONE DP 0.05% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4520.16","77000145","CT LOWER EXT W/WO CONTRAST BIL","7370250",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4520.16","77010007","CT LOWER EXT W/WO CONTRAST RT ","73702RT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4520.16","77010008","CT LOWER EXT W/WO CONTRAST LT ","73702LT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4520.50","92214481","INTERFERON BETA-1A 44MCG/0.5 S"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"453.40","34600440","EVAL SPEECH DEVICE 1ST HR ","92607GN ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"453.50","92218094","LIORESAL INTRATHECAL SCRN KIT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"453.50","92220200","HYDROCORTISONE 0.025 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4536.00","92217618","BACLOFEN 10MG/20ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"454.00","92218053","SILVER NITRATE 0.5% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"454.00","92219498","IODINE/POTASSIUM IODIDE SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"454.20","92211920","NEOSTIGMINE MS 0.5MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"454.50","33117517","KIT MULTI-LUMEN CVC 7FR 16CM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4544.50","92215499","CALCIUM GLUCONATE 10% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4552.26","76000370","NM INTESTINAL IMAGING ","78290",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4559.27","77000374","CT GUIDANCE NEEDLE BIOPSY ","77012",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"456.40","38303310","VITAMIN D 1 25-DIHYDROXY ","82652",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"456.50","33118476","BOOT MULT PODUS SYS AD MD "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"456.50","33118477","BOOT MULT PODUS SYS AD LG "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"456.50","92213570","ALBUMIN HUMAN 25% IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4562.50","92215346","CALCIPOTRIENE 0.005% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"457.00","92217258","AMINO ACIDS 4.25% D10W IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"457.48","38303326","OPIATES 1 OR MORE ","80361",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"457.48","38307039","HEROIN METABOLITE CONFIRM ","80356",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"457.50","33112625","CATH DIAL Q MAHUR 13.5FR16CM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"457.50","92216959","FLUTICASONE PROP 50MCG NASAL S"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"457.50","92219617","LURASIDONE HCL 120 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4577.50","92210845","IMMUNE GLOBULIN 5% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"45776.50","92220143","INTERFERON BETA-1A30MCG/0.5ML "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"458.30","92213502","SINCALIDE 5MCG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"458.50","92212468","BETAMETHASONE DP 0.05% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"458.50","92213463","TESTOSTERONE ENAN 200MG/ML OIL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"458.91","38200141","POSACONAZOLE ","80299",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"459.50","33117531","KIT INTAKE PULL PEG 20FR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4590.50","92217651","EXENATIDE 250MCG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"46.00","92210172","SULFAMETHOXAZOLE/TMP SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"46.00","92213125","STAVIDOME 20MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"46.00","92213535","GLYCOPYRROLATE 0.2MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"46.00","92214062","HEPARIN 2500U/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"46.00","92214350","CELECOXIB 200MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"46.00","92215227","LIDOCAINE 2%/EPI 1:100000 INJ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"46.00","92215395","ESOMEPRAXOLE MG 40MG ECC "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"46.00","92215584","METOPROLOL TART 1MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"46.00","92215765","MICONAZOLE NITRATE 2% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"46.00","92215807","VENLAFAXINE HCL 75MG CER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"46.00","92216029","DULOXETINE HCL 60MG ECC "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"46.00","92216381","ISORETINOIN 20MG SGL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"46.00","92216422","NITROGLYCERIN 0.4MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"46.00","92217668","WATER STERILE SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"46.00","92217937","TICAGRELOR 90MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"46.00","92218121","TERBINAFINE HCL 1% CREAM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"46.00","92218218","BRILINTA 90MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"46.00","92218594","MORPHINE SULFATE45 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"46.00","92218828","TICAGRELOR 60 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"46.00","92218984","CALCITRIOL 1 MCG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"46.00","92219936","CLINDAMYPHOS300MG/50ML-0.9%SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"46.00","92220126","LANOLIN 50% CRM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"46.20","92213088","PIOGLITAZONE HCL 45MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"46.33","38301580","INSULIN ","83525",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"46.40","92217383","SODIUM BICARB 8.4% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"46.50","92204001","IV ADMIXTURE 02 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"46.50","92204005","IV ADMIXTURE 06 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"46.50","92211189","HYDROCORTISONE NA SUCC 250MG I"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"46.50","92212118","BENZOCAINE 20% GEL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"46.50","92212255","EUCERIN CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"46.50","92212640","HYDROCORTISONE NA SUCC 250MG I"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"46.50","92213424","MAGNESIUM SULF 1GM/100ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"46.50","92213753","MAGNESIUM SULF 50% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"46.50","92214340","RANITIDINE HCL 15MG/10ML SYR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"46.50","92214448","CYANOCOBALAMIN 1000MCG/ML INJ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"46.50","92214607","BENZOCAINE 20% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"46.50","92214638","ETIDRONATE DISODIUM 400MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"46.50","92215000","DONEPEZIL HCL 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"46.50","92215223","PHENYTOIN 100MG/4ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"46.50","92216229","PREGABALIN 75MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"46.50","92216250","BUPROPION HCL 150MG T24 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"46.50","92216524","TELMISARTAN 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"46.50","92217468","SUCRALFATE 1GM/10ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"46.50","92217688","OXYCODONE HCL 5MG/5ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"46.50","92219214","TELMISARTAN 80 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"46.50","92219376","SORBITOL 70% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"46.50","92219755","DABIGATRAN ETEXILATE 75MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"46.50","92219979","AL/CAMPH/METH/PHEN/SALIC OINT"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"46.63","38301541","HERPES SIMPLEX TYPE 2 ABY ","86696",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"46.68","38303683","PHOSPH NEUTRALIZE PLATELET ","85597",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"46.73","38300498","CH50 TOTAL COMPLEMENT ","86162",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"46.87","38203816","FLUROCHROME STAIN ","87206",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"46.95","38301724","LIPOPROTEIN ELECTROPHORESIS ","83700",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"460.00","33100946","SPLINT HAND DYNAPRO FLEX LEFT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"460.00","33100948","SPLINT HAND DYNAPRO FLEX RIGHT"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"460.00","92217473","NITROGLYCERIN 2% OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"460.20","72060005","RED BLOOD CELL-PROC ONLY "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"460.50","92210772","FLUOROMETHOLONE 0.1% SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"460.81","38293950","C DIFFICILE TOXIN A/B ","87324",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"461.50","33111207","SHOE PRESSURE RELIEF SML "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"461.50","33111208","SHOE PRESSURE RELIEF XL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"461.50","33152382","COLLAR CERVICAL MIAMI JR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4612.55","74210028","MRA ABDOMEN W/O CONT ","74185",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4613.50","92211027","LEUPROLIDE ACET 7.5MG KIT SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4617.41","74200022","MRI UP EXT JOINT W/CONT RT ","73222RT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4617.41","74200023","MRI UP EXT JOINT W/CONT LT ","73222LT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4617.41","74200024","MRI UP EXT JOINT W/CONT BIL ","7322250",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"462.00","33170454","BOOT WALK II BDY ARM DARCO LG "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"462.00","33170455","BOOT WALK II BDY ARM DARCO XL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"462.50","92211303","METRONIDAZOLE 0.75% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4626.29","74200010","MRI ABDOMEN W/O CONT ","74181",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"463.50","92216400","HEPATITIS A VACC 1440U/ML SUS"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4637.50","33102675","FILTER VENA CAVA TRAPEASE 55CM"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"464.42","76020013","TC-99M SULFUR COLLOID <20MCI "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"464.50","92211191","PROCAINAMIDE HCL 500MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"464.91","38302206","INFLUENZA AB PCR ","87502",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4644.00","92218652","LIORESAL INTRATHECAL 0.5MG/ML "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"465.90","38300950","CULTURE STOOL ","87045",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4650.10","74200411","MRA HEAD WITHOUT CONTRAST ","70544",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4650.35","77000070","CT THORAX W/O CONTRAST ","71250",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4661.50","92216972","ACITRETIN 25MG KIT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4663.00","61010203","REMOVE CENT VEN CATH TUNNELED ","36589",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"467.00","33102545","TRAY PNEUMOTHORAX 8FRX3.5IN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"467.00","33103307","SPLING ORTHO FING FLX RT MD "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"467.00","33161401","TUBE 100MM9.2MM6MM KNK RST HLW"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"467.00","33161402","TUBE 110MM10.6MM7MM X LGTH KNK"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4678.50","92213447","INTERFERON BETA-1A 30MCG KIT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"469.00","92216372","PNEUMOVAX 23 INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"469.40","92210921","CHOLESTYRAMINE 4GM/5.7GM PDR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"469.50","33195300","KIT CVC 3L 7FR X 20CM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"469.75","92216049","BECLOMETHASONE DIPRO 40MCG AER"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4695.50","92217839","IMMUNE GLOBULIN 100MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"47.00","92211836","FLURBIPROFEN NA 0.03% EYE SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"47.00","92212645","CHLORPROMAZINE HCL 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"47.00","92212841","OMEPRAZOLE 20MG ECC "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"47.00","92212919","DISULFIRAM 250MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"47.00","92213046","HEPARIN 10000U/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"47.00","92213306","AMINOCAPROIC ACID 250MG/ML INJ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"47.00","92213365","CR CU MN ZN TRACE ELEMENT INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"47.00","92214042","LIDOCAINE 1.5%/EPI 1:200000 I"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"47.00","92214211","PAROXETINE HCL 10MG/5ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"47.00","92216027","DULOXETINE HCL 30MG ECC "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"47.00","92216033","DULOXETINE HCL 20MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"47.00","92216076","ESMOLOL HCL 10MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"47.00","92216264","METHOTREXATE 25MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"47.00","92216643","ESTRADIOL 0.05MG/DAY TDM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"47.00","92217673","D5W-1/4NS/KCL 20MEQ/L IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"47.00","92217867","LANOLIN MINERAL OIL PETROLAT O"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"47.00","92220220","AMPHETAMINE SULFATE 10MG "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"47.12","38307026","MACROSCOPIC EXAM ARTHROPOD ","87168",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"47.20","38300686","SACCHAROMYCES CEREVISIAE AB ","86671",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"47.20","92216671","MESNA 400MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"47.36","38301928","TOPUMAX-TOPIRAMATE ","80201",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"47.38","38300229","ANTI STREP O SCREEN ","86063",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"47.50","92210030","TESTOSTERONE CYPI 100MG/ML OIL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"47.50","92211092","ERYTHROMYCIN 250MG ECT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"47.50","92212561","MAGNESIUM SULF 4% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"47.50","92213855","LORAZEPAM 4MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"47.50","92215541","ESMOLOL HCL 10MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"47.50","92215843","CYCLOSPORINE MOD 100MG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"47.50","92215999","FLUCONAZOLE 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"47.50","92218813","BUPRENOR/NALOXONE 4MG-1MG FILM"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"47.50","92219369","ERYTHROMYCIN DR 250 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"47.60","92216694","MEPERIDINE 10MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"47.70","92215047","SODIUM BUPHENYL 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"47.71","38305068","VITAMIN C (ASCORBIC ACID) ","82180",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"47.80","92213733","LIDOCAINE HCL 1.5% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"47.80","92214453","NITROGLYCERIN 50MG/500ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"47.88","38301475","HEPATITIS BE ANTIGEN EIA ","87350",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"47.90","92215161","CEFPROZIL 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"47.90","92215603","OLANZAPINE 7.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"47.91","38380030","THYROGLOBULIN LEVEL ","84432",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"470.50","92215535","GATIFLOXACIN 0.3% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4704.42","77000195","CT MAXILLOFACIAL W/O CONTRAST ","70486",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"471.50","33114976","TRAY PICC 2L NITINOL 5FR-55CM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"471.50","33198609","KIT TRIPLE LUMEN ARROWGARD BLU"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"471.50","92217261","AMINO ACIDS 4.25% D20W IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"472.00","33198081","STK JOB KNEE 20-30MMHG US LG "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"472.00","33198082","STK JOB KNEE 20-30MMHG US XL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"472.50","92217259","AMINO ACIDS 5% D25W IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4728.21","77000201","CT THORACIC SPINE W/O CONTRAST","72128",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4729.90","74200100","MRI LOWER EXT W/O CONTRAST BIL","7371850",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4729.90","74200303","MRI LOWER EXT W/O CONTRAST RT ","73718RT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4729.90","74200304","MRI LOWER EXT W/O CONTRAST LT ","73718LT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"473.50","92215507","IPRATROPIUM BR 0.03% SPR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4737.50","92211770","AMOXICILLIN CLV K 250-62.5 SUS"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"475.24","38202456","VITAMIN D 25 HYDROXY ","82306",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"475.50","33112259","BOOT ORTHOSIS COMFY UNIVERSAL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"475.50","33139789","PICC BIOFLOMST45VALVED5FDL20CM"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4750.23","74200120","MRI LOW EXT JOINT W/O CONT BIL","7372150",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4750.23","74210011","MRI LOW EXT JOINT W/O CONT RT ","73721RT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4750.23","74210012","MRI LOW EXT JOINT W/O CONT LT ","73721LT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4752.19","77000160","CT INTRACRANIAL STRUC WO CON ","70480",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4757.39","77000202","CT THORACIC SPINE W/WO CONT ","72130",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4769.77","74200240","MRI UP EXT JOINT W/O CONT BIL ","7322150",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4769.77","74210019","MRI UP EXT JOINT W/O CONT RT ","73221RT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4769.77","74210020","MRI UP EXT JOINT W/O CONT LT ","73221LT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4769.80","77000030","CT ABDOMEN W/O CONTRAST ","74150",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"477.00","33103167","SET GASTRO INITPLCMT ENTUIT LG"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"477.00","33103751",""ISOLATOR STR FISTULA14X1.1X13""""," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"477.00","33112136","KIT DRAIN PLEURAL COMPLETE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"477.00","33113082","SET GSTRM 16-18FR 18-20FR SYR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"477.00","33152478","SET GASTRO 1ST PLCMT 16&18FR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"477.00","33198505","TRACH BIV TTS HYPRF 6MMX9.2MM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"477.00","33198506","TRACH BIV TTS HYPRF 7MMX10.6MM"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"477.00","33198507","TRACH BIV TTS HYPRF 8MMX10.6MM"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"477.00","92216850","INSULIN GLARG RECMB 100U/ML IN"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4777.69","77000024","CTA PELVIS W/WO CONTRAST ","72191",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"478.00","92217717","VITAMIN A/D OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"478.50","92211225","BRIMONIDINE TARTRATE 0.2% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"479.00","38000660","CYTOPATH FILTER METHOD ","88106",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"479.00","92210898","DESOXIMETASONE 0.25% OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"479.50","92217346","DORZOLAMIDE HCL TIMOLOR MAL SO"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4795.00","92214895","CIDOFOVIR 75MG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"48.00","92210943","SEVELAMER HCL 800MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"48.00","92211105","MORPHINE 25MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"48.00","92211448","ZINC OXIDE 20% OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"48.00","92212247","RISPERIDONE 3MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"48.00","92212764","MORPHINE 1MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"48.00","92212913","MEPIVACAINE HCL 2% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"48.00","92213300","LIDOCAINE 2%/EPI 1:200000 INJ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"48.00","92213720","RISEDRONATE NA 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"48.00","92214854","LIDOCAINE HCL 0.8% D5W INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"48.00","92216398","MICONAZOLE NITRATE 2% POW "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"48.00","92216457","PRAMIPEXOLE DIHCL 0.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"48.00","92216460","PRAMIPEXOLE DIHCL 0.25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"48.00","92216461","PRAMIPEXOLE DIHCL 1MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"48.00","92217481","MILNACIPRAN HCL 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"48.00","92218179","XYLOCAINE MPF W/EPI 1% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"48.00","92220290","SEVELAMER CARBONATE 800MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"48.00","92220420","FLUCONAZOLE 200 MG/100 ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"48.09","38386449","HISTOPLASMA AB ","86698",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"48.20","92210919","SUFENTANIL CITRATE 50MCG/ML IN"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"48.24","34000155","THERAPEUTIC PROCEDURE-GROUP ","97150GP ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"48.24","34000156","THER PROCEDURE-GROUP 30 MIN ","97150GP ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"48.24","34000157","THER PROCEDURE-GROUP 45 MIN ","97150GP ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"48.24","34000158","THER PROCEDURE-GROUP 60 MIN ","97150GP ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"48.24","34200050","THERAPEUTIC PROCEDURE-GROUP ","97150GO ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"48.24","34200056","THER PROCEDURE-GROUP 15 MIN ","97150GO ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"48.24","34200057","THER PROCEDURE-GROUP 45 MIN ","97150GO ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"48.24","34200058","THER PROCEDURE-GROUP 60 MIN ","97150GO ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"48.38","38300221","INFLUENZA A&B ","86710",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"48.38","38305602","INFLUENZA A IGG & IGM ","86710",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"48.38","38305603","INFLUENZA AB IGG & IGM ","86710",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"48.38","38305604","INFLUENZA B IGG & IGM ","86710",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"48.38","38393900","INFLUENZA A AB ","86710",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"48.38","38393905","INFLUENZA B AB ","86710",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"48.40","92211810","SODIUM CL 0.9% IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"48.45","38303375","PORPHOBILINOGEN URINEQNT ","84110",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"48.48","38301012","CHLAMYDIA. PNEUMONIA (IGM) ","86632",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"48.48","38301019","C TRACHOMATIS IGM ","86632",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"48.48","38301021","C PNEUMONIAE IGM ","86632",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"48.48","38301022","C PSITTACI IGM ","86632",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"48.48","38305067","VITAMIN B6 LEVEL ","84207",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"48.50","38303055","GROWTH HORMONE ","83003",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"48.50","92210649","NAPHAZOLINE HCL 0.025%-0.3% SO"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"48.50","92211246","VITAMIN A/D OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"48.50","92211795","MAGNESIUM SULF 8% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"48.50","92213417","ESOMEPRAXOLE MG 20MG ECC "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"48.50","92214272","LABETALOL HCL 5MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"48.50","92214640","SILVER SULFADIAZINE 1% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"48.50","92214755","ZIPRASIDONE HCL 40MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"48.50","92215638","ROSUVASTATIN CA 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"48.50","92217515","AMYLASE/LIPASE/PROTEASE ECC "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"48.50","92217825","LEVOFLOXACIN D5W 500MG/100ML I"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"48.50","92217956","ZIPRASIDONE HCL 20MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"48.50","92218535","ZIPRASIDONE HCL 40 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"48.50","92219479","ROSUVASTATIN CA 10 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"48.50","92220022","ROSUVASTATIN 40 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"48.50","92220330","AML/LIP/PROT84000-20000-63000U"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"48.94","38300471","BETA 2 GLYCOPROTEIN AB ","86146",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"480.50","92214269","SILDENAFIL CITRATE 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4801.36","92214136","GEMCITABINE HCL 1GM INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4802.69","77000270","CT UPPER EXT W/ CONTRAST BIL ","7320150",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4802.69","77010011","CT UPPER EXT W/CONTRAST RT ","73201RT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4802.69","77010012","CT UPPER EXT W/CONTRAST LT ","73201LT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"481.00","92218505","PREZCOBIX 150 MG-800 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"481.50","33116016","BRACE KNEE COMFYPRENE LG "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"481.50","92217281","AMINO ACIDS 4.25% D25W W/E IVS"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"481.76","76020015","XENON XE-133 GAS PER 10 MCI "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"481.90","38205088","CULTURE- EYE ","87070",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"482.00","33103760","DRAIN BLAKE FLAT3/4FLUT3/16TRO"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"482.00","33107082","PEG SAFETY 16FR DOBBHOFF ENFIT"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"482.00","33107083","PEG SAFETY 20FR DOBBHOFF ENFIT"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"482.00","92212480","PRAMOXINE HCL HC 1%-2.5% LOT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"482.50","33113027","KIT PEG 20FR SIL PUL FEN DRP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"482.50","33160006","TRAY JEJUNAL WILSON COOK "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"482.50","33161421","KIT TRCH 80MM10MM7MM PRTX BVN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"482.50","33161422","KIT TRCH 88MM11MM8MM PRTX BVN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"482.50","33176579","KIT PEG 20FR BASIC O-T-W "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"483.00","33108865","DRAIN PLEUREVAC AD/PED WATER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"483.00","38204121","D-DIMER SEMI QUANT ","85378",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"483.50","92210924","HYDROCORTISONE VAL 0.2% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4834.00","92216790","ETANERCEPT 25MG/0.5ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4834.34","74210029","MRA ABDOMEN W/WO CONTRAST ","74185",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4839.83","10600018","SEMI PRIVATE ROOM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"484.00","33117546","SYSTEM FECAL MGMT/DIGNISHIELD "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"484.00","92217286","AMINO ACIDS 4.25% D5W W/E IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"484.50","33101763","TUBE FEED MIC-KEY 5.0CM 18FR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"484.50","33107199","TUBE FDG GAS MIC-KY 1.7CM 14F "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"484.50","33113980","TUBE FDG GAS MIC-KEY 3.0CM 24F"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"484.50","33114260","KIT GAST MIC-KEY LP 4CM 16F "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"484.50","33118458","TUBE FDG GAST MIC-KY 3.5CM 20F"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"484.50","33170465","KIT GASTROS MIC-KY 2.3CM 18FR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"484.50","33198515","TUBE FDG GAS MIC-KY 2.5CM 20FR"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"484.50","92219484","PRAZIQUANTEL 600 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"485.00","38000665","HEMAPATH ENZYMES ","88319",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"486.00","92210369","TRIAMCINOLONE 0.1% LOT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"486.00","92220480","TIOTROP BR/OLOD2.5-2.5/MCG SPR"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"486.50","92218571","INCRUSE ELLIPTA 62.5 MCG/ACTU "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4862.00","36000940","VENTILATOR INITIAL DAILY ","94002",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4867.00","92210095","IMMUNE GLOBULIN 10GM INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4869.52","74210037","MRA CHEST W/O CONT. "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4869.84","77000120","CT BRAIN/HEAD WO CONTRAST ","70450",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4869.94","74210038","MRA CHEST W/O FOL W/CONT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"487.00","33110332","TRAY SHOULDER ARTHROSCOPY 4576"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"487.00","92217287","AMINO ACIDS 5% D15W IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"487.00","92219745","BUPRENORPHINE TRNSDRM7.5MCG/HR"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"487.50","92216955","LEVOFLOXACIN 1.5% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4872.43","77000180","CT PELVIS W/O CONTRAST ","72192",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"488.50","92213731","DEXAMETHASONE 0.1% SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4887.79","76078834","NM TUMOR LOC WHOLE BODY 2+DAYS","78804",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4888.99","77000260","CT UPPER EXT W/WO CONTRAST BIL","7320250",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4888.99","77010009","CT UPPER EXT W/WO CONTRAST RT ","73202RT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4888.99","77010010","CT UPPER EXT W/WO CONTRAST LT ","73202LT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"489.00","92214803","APRACLONIDINE 0.5% EYE SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"49.00","92211174","STAVIDOME 30MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"49.00","92211180","DANAZOL 200MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"49.00","92213031","PIPERACIL TAZOBACT 4.5GM INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"49.00","92213850","QUINIDINE GLUC 324MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"49.00","92214431","PARICALCITOL 5MCG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"49.00","92215084","METFORMIN HCL 500MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"49.00","92217447","SILODOSIN 8MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"49.00","92217907","URSODIOL 300MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"49.00","92217920","TAPENTADOL HCL 75MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"49.00","92218227","RALTEGRAVIR 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"49.00","92218472","REYATAZ 50 MG POW "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"49.00","92218688","TAPENTADOL 50 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"49.00","92218900","FLUCONAZOLE 400 MG/200 ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"49.00","92219172","ROSUVASTATIN CALCIUM 20 MGTAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"49.01","38302795","CHLORIDE OTHER SOURCE ","82438",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"49.05","38303270","MURAMIDASE ","85549",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"49.29","38343616","PARAINFLUENZA VIRUS (IFA) ","87279",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"49.50","92212143","ERYTHROMYCIN 250MG ECC "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"49.50","92212483","COAL TAR 0.5% SHA "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"49.50","92213350","AMOXICILLIN 200MG/5ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"49.50","92213393","MORPHINE 100MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"49.50","92213730","MONTELUKAST NA 5MG CTB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"49.50","92213905","PIOGLITAZONE HCL 15MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"49.50","92214446","SODIUM BICARB 4% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"49.50","92215159","RISPERIDONE 3MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"49.50","92215614","CARBIDOPA/ENTACAPONE/LEVO TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"49.50","92215625","CARBIDOPA/ENTACAPONE/LEVO TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"49.50","92216966","CARBIDOPA/ENTACAPONE/LEVO TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"49.50","92217339","CARBIDOPA/ENTACAPONE/LEVO TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"49.50","92217678","TORSEMIDE 20MG/2ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"49.50","92218628","DOFETILIDE 250 MCG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"49.50","92219765","DABIGATRAN ETEXILATE 150MGCAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"49.50","92219815","MULTIVITAMIN AND MINERALSLIQ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"49.50","92220337","CARBAMIDE PEROXIDE 10% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"49.52","38300006","17 OH PROGESTERONE 17-D ","83498",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"49.70","92211818","THEOPHYLLINE 400MG/500ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"49.70","92215133","METHOTREXATE 25MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"49.74","38302211","SODIUM NON-URINE/NON-BLOOD ","84302",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"49.93","34010075","WHEELCHAIR TRAINING 15 MIN ","97542GP ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"49.93","34210075","WHEELCHAIR TRAINING 15 MIN ","97542GO ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"49.97","38200810","GLUCOSE BODY FLUID ","82945",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"490.40","92217947","ECHOTHIOPHATE IODIDE 0.13% SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"490.56","38300850","CULTURE ANAEROBIC ","87075",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"490.56","38300885","C. DIFF. CULTURE (STOOL) ","87075",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"490.74","34610010","EVAL OF PROSTH COMM DEVICE ","92597GN ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"490.74","34610020","E/T ONE WAY SPK VLV W/CUFF DEF","92597GN ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4902.42","74200220","MRI THORACIC WO CONTRAST ","72146",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"491.00","33103304","SPLINT ORTHO FING FLX RT LT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"491.00","33103305","SPLINT ORTHO FING FLX LT LG "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"491.00","33103306","SPLING ORTHO FING FLX LT MD "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"491.00","33103308","SPLINT ORTHO FING FLX LT SM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"491.00","33114180","SPLINT FINGER RT ADLT SMD "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"491.00","33153644","BOOT ANKLE CONTRACTURE SMALL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"491.00","33153645","BOOT ANKLE CONTRACTURE LARGE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"491.30","38300125","ABG ANALYSIS ","82803",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"491.50","92217289","AMINO ACIDS 4.25% D10W W/E IVS"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"492.00","92211668","FLUOCINONIDE 0.05% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"492.00","92216843","LATANOPROST 0.005% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"492.90","92212798","PROPRANOLOL HCL 1MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"493.00","92213127","FOSCARNET NA 24MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"493.00","92217974","BUTRANS 5MCG/HR ER TDM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"493.50","33102766","KIT DRSG VAC SIMP EX GRNFM MED"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"493.50","33111084","TUBE TRACH FOAM CUFF 7MM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"493.50","33111086","TUBE TRACH FOAM CUFF 9MM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"493.50","33111921","TUBE TRACH BIV FMCUF ADL9.5MM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"493.50","92217268","AMINO ACIDS 5% D20W IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"493.72","38300248","DONOR SPECIFIC HLA AB CLASS 2 ","86833",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"493.72","38301302","HLA AB CL2 HI-3 ","86833",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"494.50","92213701","VALGANCICLOVIR HCL 450MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4942.85","77000100","CT BRAIN/HEAD W/CONTRAST ","70460",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4944.91","74210100","MRI CHEST W/WO CONTRAST ","71552",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"49461.50","92218460","GAMUNEX-C 1 GM/10 ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4948.75","74200281","MRI ABDOMEN W/CONTRAST ","74182",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"495.00","33130929","DRAIN CHEST 14FR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"495.50","92214090","TRAVOPROST 0.004% EYE SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"496.00","33105623","BRACE KNEE DEF PO COOL XL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"496.00","33105626","BRACE KNEE DEF PO COOL REG "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"496.50","92215874","CINACALCET HCL 90MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4970.00","76080027","PET TUMOR IMAG LIMITED AREA ","78811",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4972.61","74200014","MRI LUMBAR SPINE WO CONTRAST ","72148",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4976.91","74200060","MRI CERVICAL WO CONTRAST ","72141",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4977.58","77000377","CT INTRACRANIAL STRUC W CONT ","70481",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"498.00","92217280","AMINO ACIDS 5% D25W W/E IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"498.50","33103688","INTRO HEMOSTASIS VLV16.5FR13CM"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"499.02","76020001","I-123 PER 100MCI DX USE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"499.10","92216282","CEFTRIAXONE NA 2GM INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"499.70","92212893","TRETINOIN 0.05% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4992.89","76020005","TC-99M CERETEC <25 MCI "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"4996.00","92219403","IMMUNE GLOB 10% 100 MG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"5.00","38302643","AMPHETAMINES SCRN 5+ ","80326",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"5.75","74020006","LOCM >400MG/ML IODINE/1ML "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"50.00","34010195","WHIRLPOOL HUBBARD TANK 15MIN ","97036GP ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"50.00","34210260","WHIRLPOOL HUBBARD TANK 15MIN ","97036GO ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"50.00","92210933","TOPIRAMATE 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"50.00","92211088","STAVIDOME 40MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"50.00","92211418","MORPHINE 25MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"50.00","92214097","GANCICLOVIR 500MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"50.00","92214508","LIDOCAINE HCL 1% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"50.00","92215243","HEPARIN 1000U/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"50.00","92215556","ALPRAZOLAM 1MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"50.00","92215636","EPINEPHRINE HCL 1MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"50.00","92216160","ITRACONAZOLE 100MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"50.00","92216692","ITRACONAZOLE 100MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"50.00","92217465","HEPARIN 100U/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"50.00","92217529","TAPENTADOL HCL 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"50.00","92217666","DEXTROSE 5%-NS-KCL 40MEQ IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"50.00","92218703","SACUBITRIL/VALSART24MG26MGTAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"50.00","92218728","LAMIVUDINE 150 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"50.00","92218793","CIPROFLOXACIN 0.2% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"50.00","92218981","SACUBITRIL/VALSART49MG51MGTAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"50.00","92219225","SACUBTRL/VALSRTN97MG-103MGTAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"50.00","92219567","PEPPERMINT OIL MG (3.5ML) BTL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"50.00","92219947","BACITRA/POLY B 500U-10000U/GM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"50.01","38301315","GLUCAGON ","82943",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"50.10","92211634","PREDNISONE 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"50.10","92213995","CEFUROXIME NA 750MG/50ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"50.31","38306028","URINALYSIS NONAUTO W/MICROSCOP","81000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"50.50","92213029","FLUOXETINE HCL 10MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"50.50","92213708","SPIRONOLACTONE 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"50.50","92214425","BROMOCRIPTINE MESYLATE 5MG CAP"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"50.50","92214432","BROMOCRIPTINE MESYLATE 5MG CAP"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"50.50","92214561","LEUCOVORIN CALCIUM 100MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"50.50","92214978","LIDOCAINE HCL 0.4% D5W INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"50.50","92217436","LEVETIRACETAM 500MG/5ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"50.50","92217723","DONEPEZIL HCL 23MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"50.50","92218454","CYCLOPHOSPHAMIDE 25 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"50.50","92218983","CALCITROL 1 MCG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"50.50","92219078","DABIGAT ETEXIL MESYL 150MGCAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"50.50","92219857","TACROLIMUS 1 MG PKT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"50.51","38302776","STONE QUANT ","82360",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"50.69","92218328","DALIRESP 500MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"50.80","92214858","ISORETINOIN 20MG SGL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"5002.00","11600381","O.R. RM 2-3HR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"5003.29","77000090","CT LOWER EXT W/CONTRAST BIL ","7370150",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"5003.29","77010003","CT LOWER EXT W/CONTRAST RT ","73701RT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"5003.29","77010004","CT LOWER EXT W/CONTRAST LT ","73701LT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"501.00","92203059","ORALS 59 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"501.98","38300247","DONOR SPECIFIC HLA AB CLASS 1 ","86832",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"501.98","38301301","HLA AB CL1 HI-1 ","86832",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"5015.50","92215335","DARBEPOETIN A 100MCG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"5015.50","92215577","DARBEPOETIN A 100MCG/0.5ML INJ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"502.40","92212358","PENTAMIDINE ISETHIONATE 300 IN"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"502.80","92217209","ERYTHROMYCIN 2% PAD "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"5029.18","74200415","MRA NECK WITH CONTRAST ","70548",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"503.50","33103831","LARYNGOSC OPTICALAIRTRAQ SZ 3 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"503.50","33103832","LARYNGOSC OPTICALAIRTRAQ SZ 2 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"504.00","92216075","ERLOTINIG 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"504.50","92214057","SILDENAFIL CITRATE 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"5040.50","92216332","EXENATIDE 250MCG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"505.46","38300087","EVAL IRREG AB INTERP ","86077",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"505.50","92215512","CICLOPIROX 1% SHA "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"5050.87","74200040","MRI BRAIN W/O CONTRAST ","70551",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"506.00","92211196","CEFTRIAXONE NA 2GM INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"506.00","92213578","STREPTOMYCIN SULF 1GM INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"506.21","38380047","METABOLIC PANEL IONIZED CA ","80047",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"506.24","34010210","APPLY SPLINT FINGER STATIC ","29130GP ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"506.24","34210275","APPLY SPLINT FINGER STATIC ","29130GO ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"506.50","33102985","TRAY CATH MAHURKAR 3L 12F 20CM"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"506.50","33103046","TRAY CATH MAHRKR 3LUM12FRX13CM"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"506.50","33103048","TRAY CATH MAHRKR 3LUM12FRX20CM"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"506.50","33111840","TUBE TRACH JACKSON SZ4 8ODX5.8"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"506.50","33113051","TRAY CATH GRN 16CM12.5FR MHRKR"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"506.50","33113052","TRAY CATH GRN 16CM12.5FR MHRKR"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"506.50","33152350","TRAY CATH MAHKAR 3LUM12FRx16CM"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"506.90","92214487","PILOCARPINE HCL 4% EYE GEL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"5067.00","92219113","COLLAGENASE 250 UNITS/GM POW "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"507.91","74076012","EYE FOR FOREIGN BODY ","70030",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"5091.29","74200413","MRA HEAD W/WO CONTRAST ","70546",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"5092.16","77000130","CT LUMBAR SPINE W/O CONTRAST ","72131",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"51.00","92204006","IV ADMIXTURE 07 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"51.00","92212285","OXAPROZIN 600MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"51.00","92212860","CARBOXYMETHYLCELL NA 0.5% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"51.00","92214653","PYSLLIUM 3.4GM PDR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"51.00","92214697","CARBOXYMETHYLCELLULOSE NA 1% G"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"51.00","92215421","ESOMEPRAXOLE MG 40MG ECC "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"51.00","92216652","ONDANSETRON HCL 2MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"51.00","92217039","TRIAMCINOLONE 0.1% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"51.00","92217368","DIDANOSINE 250MG ECC "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"51.00","92217415","BUDESONIDE 0.25MG/2ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"51.00","92217629","METHYLPREDNISOLONE NA 125MG IN"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"51.00","92217842","OCTREOTIDE ACET 100MCG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"51.00","92218244","LIDOCAINE 5% TDM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"51.00","92219088","BUDESONIDE 0.25 MG/2 ML INH "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"51.13","92215428","ESOMEPRAXOLE MG 20MG ECC "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"51.26","38302090","RBC COUNT AUTO ","85041",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"51.40","92214155","BUPIVACAINE/EPI 0.75%/0.0005 I"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"51.50","92210764","IRBESARTAN 300MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"51.50","92212124","ATROPINE SULF 0.4MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"51.50","92213595","CEFUROXIME AXETIL 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"51.50","92213646","DOFETILIDE 0.5MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"51.50","92214279","DOFETILIDE 0.25MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"51.50","92214414","MORPHINE 1MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"51.50","92214470","ZIPRASIDONE HCL 40MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"51.50","92214611","DEXTROSE 20%/WATER IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"51.50","92215632","DUTASTERIDE 0.5MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"51.50","92215641","ROSUVASTATIN CA 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"51.50","92216405","CEFTRIAXONE NA 1GM INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"51.50","92216557","RIFAMPIN 200MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"51.50","92217595","METOCLOPRAMIDE 10MG ODT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"51.50","92217696","LACOSAMIDE 10MG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"51.50","92217745","SCOPOLAMINE HBR 0.4MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"51.50","92218059"," SUBOXONE 8MG-2MG FILM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"51.50","92218187","DOFETILIDE 0.5MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"51.50","92218564","TIKOSYN 0.125 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"51.55","38303110","HERPES SIMPLEX TYPE 1 ABY ","86695",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"51.70","92216487","SODIUM CL 5% IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"51.82","38307001","ENZYME DETECTION PER ENZYME ","87185",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"51.90","92216683","PETROLATUM 71.5%OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"510.00","92213945","CIPROFLOXACIN 0.3% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"510.50","92216255","CIPROFLOXACIN 0.3% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"510.50","92218445","CYCLOGYL 0.5% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"511.00","33133950","SYS ENT ACC SET TELE 24FR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"511.50","92216439","PROCAINAMIDE HCL 100MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"511.50","92217311","DANTROLENE NA 20MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"511.50","92220491","DEXMEDETOMIDINE MDV 100MCG/1ML"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"512.50","33155906","TRACH VALVE PASSY MUIR INLINE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"512.50","33155911","TRACH VALVE PASSY MUIR NONVENT"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"515.00","92213113","VANCOMYCIN HCL 5GM INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"516.00","33167610","KIT PASS PEG SAF-T ENTRIS 16F "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"516.00","33167611","KIT PASS PEG SAF-T ENTRIS 20F "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"516.50","92211746","PILOCARPINE HCL 1% EYE SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"516.50","92220176","DELAFLOXACIN 450MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"5164.50","92217059","IMMUNE GLOBULIN 10% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"517.00","33153648","SET SUTURE GASTROINTEST ADJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"517.50","33112788","KIT FECAL MGT SYS FLEXSEAL FMS"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"517.69","74000540","MANDIBLE PARTIAL<4 VIEWS ","70100",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"517.80","92216113","CLINDAMYCIN PHOS 2% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"518.00","33122954","DRSG VAC VERAFLOW MED "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"518.00","92212638","NYSTATIN 100000U/GM POW "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"518.50","92219724","DEXMEDETOMIDINE/NACL4MCG/MLINJ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"518.50","92220163","DEXMEDETOM HCL400MCG/100ML SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"518.50","92220189","DEXMEDETOMIDINE 400MCG/100ML "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"5182.10","74200400","MRI PELVIS W/ CONTRAST ","72196",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"5185.50","92219292","HEPATITIS B IMMUNE GLOB . SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"519.00","33161389","TUBE 110MM9.2MM 6MM UNCF FX NK"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"519.00","33161390","TUBE 120MM10.6MM7MM UNCF FX NK"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"519.00","33161391","TUBE 130MM11.7MM8MM UNCF FX NK"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"519.00","33161392","TUBE 140MM12.9MM9MM UNCF FX NK"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"519.00","33161410","TUBE 100MM9.2MM6MM FXNKFLNGWRE"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"519.00","33161411","TUBE 110MM10.6MM7MM FXNK FLNG "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"519.00","33161412","TUBE 120MM11.7MM8MM FX NK FLNG"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"519.00","33161413","TUBE 130MM12.9MM9MM CLIPIN OBT"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"519.00","92212231","VASOPRESSIN 20U/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"519.00","92217284","AMINO ACIDS 5% D15W W/E IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"519.50","92214217","EPOETIN ALFA 3000U/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"5193.44","74200030","MRI BRAIN W/CONTRAST ","70552",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"52.00","92212195","SIMVASTATIN 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"52.00","92213057","PIOGLITAZONE HCL 15MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"52.00","92213121","PROPRANOLOL HCL 1MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"52.00","92213190","SIMVASTATIN 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"52.00","92213266","SIMVASTATIN 40MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"52.00","92214651","HEPARIN 25000U-1/2NS 500ML IN"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"52.00","92214779","SIMVASTATIN 80MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"52.00","92215140","OLMESARTAN MEDOXOMIL 40MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"52.00","92217634","RITONAVIR 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"52.03","38343628","ETHYLENE GLYCOL ","82693",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"52.08","34010280","COMM/WORK REINTEG 15 MIN ","97537GP ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"52.08","34210090","COMM/WORK REINTEG 15 MIN ","97537GO ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"52.08","34600525","COMM/WORK REINTEG 15 MIN ","97537GN ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"52.19","38201415","HELICOBACTER PYLORI AB ","86677",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"52.23","92214761","SIMVASTATIN 80MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"52.35","38386437","APOLIPOPROTEIN ","82172",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"52.38","38201480","HEPATITIS C AB ","86803",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"52.38","38393953","ESTRONE ","82679",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"52.42","38302304","REVERSE T3 ","84482",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"52.50","92211962","CHLORPROMAZINE HCL 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"52.50","92212172","AZITHROMYCIN 500MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"52.50","92213358","CEFAZOLIN 500MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"52.50","92215253","CEVIMELINE HCL 30MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"52.50","92216522","VARENICLINE 0.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"52.50","92216523","VARENICLINE 1MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"52.50","92217654","WATER STERILE INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"52.50","92217670","CA CL/KCL/NA CL IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"52.50","92218271","MIRABEGRON 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"52.50","92218780","METHYLPHENIDATE HCL 18MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"52.50","92219830","MIN OIL/PETROLATUM 31.9%-57.7%"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"52.50","92219831","LACTULOSE 10 GM PKT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"52.50","92219998","PROPAFENONE 225 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"52.50","92220454","ESOMEPRAZOLE MAGNESIUM 40MGPKT"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"52.60","92213123","CIPROFLOXACIN 10MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"52.80","92211757","TOBRAMYCIN 60MG/0.9% NACL INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"52.80","92214887","ISORETINOIN 20MG SGL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"520.00","38303470","MUSCLE FIBER-FECES ","89160",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"520.00","92210306","BUTORPHANOL 10MG/ML SPR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"520.00","92212908","FLUOCINONIDE 0.05% EMO "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"520.00","92213141","BUTORPHANOL 10MG/ML SPR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"520.00","92218211","PRECEDEX 4MCG/ML-0.9% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"520.50","33101665","KIT FECAL MGMT FLEXI-SEAL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"520.50","92215674","NYSTATIN 100000U/GM POW "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"521.00","92215539","AMOXICILLIN CLV K 600-42.9/5 S"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"521.50","33117510","TRAY CVC 3 LUMEN 12FRX16CM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"5214.66","77000040","CT CERVICAL SPINE W/O CONTRAST","72125",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"5225.00","77000015","CTA LOWER EXT W/WO CONTRAST ","73706",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"523.50","92217454","SUMATRIPTAN SUCC 6MG/0.5ML SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"523.80","92217139","SULFACETAMIDE NA S 10%-5% SOA "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"524.42","74000030","A-C JOINTS BILATERAL ","73050",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"524.50","92218120","ZYTIGA 250MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"524.56","74001422","CHOLANGIOGRAM INTRAOP ADDL SET","74301",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"525.00","38203767","CLOTTING FACTOR XI ","85270",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"525.00","38203769","CLOTTING FACTOR IX ","85250",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"525.00","92215534","OXYBUTYNIN CL 3.9MG/24HR TDM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"525.50","33102943","ORTHOSISFOOTMPO2000 ACTIVEMED "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"525.50","33108370","STPLR MULTIFIRE PREM 35W SKIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"525.50","33194447","ORTHOSIS FOOT MPO 2000 ACT LG "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"5254.00","92214712","FLUVESTRANT 250MG/5ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"526.00","38000548","IMMUNOHISTO AB EA MULTIPLEX AB","88344",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"526.50","92210332","CLARITHROMYCIN 250MG/5ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"527.00","92217266","AMINO ACIDS 5% D20W W/E IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"527.00","92217725","ENOXAPARIN NA 120MG/0.8ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"527.17","38300022","HCG SERUM QUANTITATIVE ","84702",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"527.30","38301740","HEPATIC FUNCTION PANEL ","80076",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"527.50","33117505","TRAY PNEUMOTHORAX "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"527.50","92210614","AMOXICILLIN CLV K 250-62.5 SUS"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"528.00","38200249","HIV-1 PROBE&REVERSE TRANSCRIPT","87535",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"528.00","92219293","MICONAZOLE NITRATE 2% OINT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"528.50","33153002","STENT INLAY OPTIMA 6FRx28CM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"528.50","33171337","STENT INLAY OPTIMA 6FRX20CM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"528.50","33171338","STENT INLAY OPTIMA 6FRX22CM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"528.50","33171339","STENT INLAY OPTIMA 6FRX24CM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"5283.00","33114970","GRAFT MATRIX DUREGEN PLUS 2X2 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"5284.41","77000311","CT SOFT TISSUE NECK W/WO CONT ","70492",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"529.50","92210838","FLUNISOLIDE 0.25MG ARO "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"5295.53","77000300","CT MAXILLOFACIAL W/ CONTRAST ","70487",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"5295.55","77000310","CT SOFT TISSUE NECK W/CONTRAST","70491",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"53.00","92203001","ORALS 01 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"53.00","92207002","IRRIGATIONS 02 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"53.00","92210047","VANCOMYCIN HCL 500MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"53.00","92210203","DICLOFENAC NA MISOPRO 50-0.2 E"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"53.00","92211258","ERYTHROMYCIN ES 200MG/5ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"53.00","92211578","ETOMIDATE 2MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"53.00","92212010","PHENYLEPHRINE HCL 0.25%-3% OIN"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"53.00","92213178","ESCITALOPRAM OXALATE 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"53.00","92213681","PERMETHRIN 1% LOT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"53.00","92214602","KETOROLAC 30MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"53.00","92215178","CLARITHROMYCIN 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"53.00","92215640","ROSUVASTATIN CA 40MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"53.00","92215938","LEVALBUTEROL 0.63MG/3ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"53.00","92215940","LEVALBUTEROL 1.25MG/3ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"53.00","92216034","DULOXETINE HCL 30MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"53.00","92216227","PREGABALIN 100MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"53.00","92217443","QUETIAPINE FUMARATE 50MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"53.00","92217444","QUETIAPINE FUMARATE 50MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"53.00","92217620","HYDROCORTISONE 1% OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"53.00","92217661","D5W/NACL 0.45%/KCL 30MEQ IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"53.00","92218000","CLEOCIN 300MG/50ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"53.00","92220236","FLUTICASONE FUROATE 200MCG/INH"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"53.00","92220298","MINERAL OIL/PETROLAT 3%-94%OIN"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"53.00","92220332","AMOXICILLIN 400 MG/5 ML SUSP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"53.00","92220393","METAXALONE 800 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"53.10","92214089","POTASSIUM CL 2MEQ/ML IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"53.38","38305091","THYROXINE BINDING GLOBULIN ","84442",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"53.40","92210221","BACITRACIN 500U/GM OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"53.50","92203022","ORALS 22 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"53.50","92210367","ATRACURIUM BESYLATE 10MG/ML IN"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"53.50","92212679","SODIUM CL 0.9% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"53.50","92213355","BUPIVACAINE/EPI 0.25%/0.0005 I"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"53.50","92214067","LIDOCAINE HCL 4% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"53.50","92214527","RIBAVIRIN 200MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"53.50","92214534","RIBAVIRIN 200MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"53.50","92215942","MULTIVATAMIN INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"53.50","92216799","LISDEXAMFETAMINE DIM 70MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"53.50","92217667","VANCOMYCIN HCL 500MG/100ML INJ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"53.50","92218371","DESVENLAFAXINE 50 MG TABLET "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"53.50","92218884","MICONAZOLE NITRATE 0.02 CRM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"53.50","92219101","SEVELAMER CARBONATE 800MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"53.50","92219914","HEPARIN 25000U/250ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"53.50","92219993","HYDRO/APAP 7.5MG-325MG/15ML "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"53.50","92220296","SODIUM CHLORIDE 0.9% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"53.60","38303415","REDUCING SUBSTANCES (GLUCOSE) ","84376",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"53.62","38302610","ADENOVIRUS AB ","86603",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"53.64","92214332","RIBAVIRIN 200MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"53.70","92215361","ROPIVACAINE HCL 10MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"53.73","34210054","THER INT COG FUNC EAADDL 15MI ","97130GO ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"53.73","34600014","THER INT COG FUNC EAADDL 15MIN","97130GN ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"53.92","38300093","ALPHA I ANTITRYPSIN LEVEL ","82103",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"530.00","33102905","HELMET SOFTSHELL FULL COVG MED"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"530.00","33103761","HELMET SOFT SHELL BLUE LARGE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"530.00","33152834","HELMET PROT BLU SFTSHL SM FULL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"530.00","33170615","HELMET SOFT SHELL FULL CVG XL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"530.50","33101126","BIVONA HYPERFLEX ADJUST TRACH "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"530.50","33105370","TRACHEAL AIRTUBE BIVONA "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"530.50","33108555","TUBE TRACH BIVONA #8 8X11MM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"530.50","33108737","TRACH BIV9 HYPFLX 9MMIDX12.3MM"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"530.50","33108738","TRACH BIV6 HYPFLX 6MMIDX11MMOD"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"530.50","33110020","TUBE TRACH TTS 7.0MM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"530.50","33177593","TUBE TRACHEAL AIR BIVONA "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"532.00","92216981","SODIUM POLYSTYRENE SULF SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"532.46","74000513","MAMMOGRAM SCREEN UNILATERAL ","7706752",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"532.46","74000515","MAMMOGRAM SCREEN BILATERAL ","77067",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"533.00","92211867","GENTAMICIN SULF 0.1% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"533.00","92211939","GENTAMICIN SULF 0.1% OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"533.50","33120110","TRAY CVC FLXTP ARD BLUE+ 7FR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"534.00","33193973","TRAY CVC MULTI LUMEN 30CM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"534.00","92217610","INSULIN LISPRO RCMB 100U/ML IN"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"534.00","92218490","M.V.I.ADULT . INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"534.00","92219395","INSUL LISPROREC100UNITS/MLSOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"5347.82","74210101","MRI UPPER EXT W/WO CONT LEFT ","73220LT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"5347.82","74210102","MRI UPPER EXT W/WO CONT RT ","73220RT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"5347.82","74210103","MRI UPPER EXT W/WO CONT BILAT ","7322050",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"535.15","76020006","TC-99M DISOFENIN <15 MCI "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"535.50","33103278","SYSTEM CASTING TCC-EZ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"535.50","33106340","SYS TOT CON TCC-EZ NO BOOT 3IN"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"5356.04","74075950","IMAGE CATH PERI/RETRO ","49406",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"536.00","33108651","TRAY CVC W/12FR-20CM 3LUM CATH"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"536.00","92215481","ENOXAPARIN NA 300MG/3ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"536.10","74010079","MAMMOGRAM DIAG UNIL RT ","77065RT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"536.10","74010080","MAMMOGRAM DIAG UNIL LT ","77065LT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"536.50","92216280","AMINO ACIDS 15% IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"536.50","92218784","AMINO ACIDS 15% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"536.70","92210849","FLUOCINOLONE ACET 0.025% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"536.70","92210969","FLUOCINOLONE ACET 0.025% OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"537.50","33106307","KIT CATH CV 7FR 18GA 6IN 3 LUM"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"537.50","92213713","ERYTHROMYCIN LAC 500MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"539.00","33198237","TRAY CHEST TUBE INSERTION "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"539.50","92220131","BARICITINIB 2 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"54.00","92210295","CLOTRIMAZOLE 1% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"54.00","92210701","TROPICAMIDE 0.5% EYE SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"54.00","92212850","KETAMINE HCL 100MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"54.00","92213309","DPT TOX-PED SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"54.00","92213492","ABACAVIR SULF 20MG/ML "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"54.00","92213530","DOBUTAMINE HCL D5W 250-250ML I"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"54.00","92213958","ATROPINE SULF 0.1MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"54.00","92214071","DILTIAZEM HCL 5MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"54.00","92214763","HEPARIN 12500U-1/2NS 250ML IN"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"54.00","92215206","MAGNESIUM SULF 4% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"54.00","92215487","CEFEPIME HCL 1GM INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"54.00","92217331","VENLAFAXINE HCL 75MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"54.00","92217795","INFLUENZA VACC 2011-2012 SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"54.00","92218156","METHYLIN 5MG CHW TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"54.00","92218320","ABACAVIR 300MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"54.00","92219593","ABACAVIR 300MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"54.00","92219898","MICONAZOLE 2% OINT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"54.00","92220276","HEPARIN 25000U/250 ML IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"54.10","92214462","HYDROXYZINE HCL 50MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"54.18","38200985","CYCLOSPORINE ","80158",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"54.50","92212245","TRIAMCINOLONE 0.5% OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"54.50","92212403","BUPIVACAINE HCL 0.25% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"54.50","92212578","CEFUROXIME AXETIL 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"54.50","92213868","ABACAVIR SULF 300MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"54.50","92214167","ERYTHROMYCIN 5MG/GM OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"54.50","92214459","ZIPRASIDONE HCL 20MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"54.50","92215683","RISPERIDONE 0.25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"54.50","92216232","PREGABALIN 25MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"54.50","92216397","TRAMADOL HCL 300MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"54.50","92218398","HURRICAINE ONE 20% TOPICAL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"54.50","92220117","PERMETHRIN 1% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"540.00","92212410","TOBRAMYCIN 1.2GM INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"540.50","33118478","BOOT MULT PODUS SYS AD XL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"540.58","39200210","EKG TRACING ONLY ","93005",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"540.58","74001015","EKG TRACING ONLY (RAD) ","93005",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"5402.00","92219256","VALGANCICLOVIR HCL 50MG/ML SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"541.00","33189599",""CUSHION CMFRTSTRTEQUAGEL22X18""""," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"541.00","92213154","TOBRAMYCIN 1.2GM INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"541.30","92212944","GADOTERIDOL 279.3MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"541.50","92218833","EMTRIC/RILPIV/TEN 200-25-300MG"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"5413.64","76080039","MYOCARD PERF SGL SPECT ","78451",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"542.50","33113036","AMNIOBAND MEMBRANE 4CMX4CM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"542.50","92218337","LANSOPRAZOLE 3MG/ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"542.50","92218526","FIRST-OMEPRAZOLE 2 MG/ML SUSP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"5428.50","92216021","CLOBETASOL PROP 0.05% SHA "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"5428.87","77000369","CT CERVICAL SPINE W/CONTRAST ","72126",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"543.50","92211121","NEOMYCIN SULF/POLYMYX B/HC SUS"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"5433.54","77000010","CT ABDOMEN W/CONTRAST ","74160",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"544.00","33117518","KIT CVC PRESSURE INJECTABLE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"544.50","92212079","DICYCLOMINE HCL 10MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"544.59","73700050","EMG 1 EXTERMITY ","95860",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"544.90","92210903","DIMERCAPROL 100MG/ML OIL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"546.00","11600130","WOUND DEBRIDEMENT CLOSUR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"546.00","33113046","KIT PEG 20FR4.47MM FDTB INSWRE"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"546.00","33122417","KIT PEG 20FR PULL METHOD "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"5468.75","74200210","MRI THORACIC W CONTRAST ","72147",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"547.00","33149606","PACK BASIC "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"547.00","92210122","DESOXIMETASONE 0.25% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"548.00","92214953","INSULIN LISO/LISO PROT 75/25 I"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"5483.13","10600310","INTERMEDIATE CCU ROOM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"549.00","33117150","SLING KNEE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"549.20","92212437","VARICELLA VIRUS 1350PFU PDS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"55.00","92210736","OPTHALMIC LUBRICANT 3.5GM OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"55.00","92210810","METHYLENE BLUE 1% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"55.00","92212453","METHAZOLAMIDE 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"55.00","92213829","ENOXAPARIN NA 30MG/0.3ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"55.00","92215134","SALIVA SUBSTITUTES SPR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"55.00","92216435","VALACYCLOVIR HCL 1GM TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"55.00","92216554","CEFAZOLIN 10GM INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"55.00","92218340","FLUVOXAMINE 100MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"55.00","92218545","POTASSIUM CHLORIDE 20 MEQ PKT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"55.00","92218899","LIFITEGRAST 5% OPHTH "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"55.00","92219474","TRIAMCINOLONE ACE 40MG/ML SUSP"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"55.00","92219802","FENTANYL 50 MCG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"55.00","92220430","FLUTICAONE FUROATE 200MCG POW "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"55.10","38302985","FECAL FAT DIFFERENTIAL QUAN ","82715",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"55.20","38202774","CHEMILUMINES ","82397",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"55.39","38302095","FOLIC ACID RBC ","82747",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"55.50","92211153","CALCIUM GLUCONATE 10% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"55.50","92211680","BARRIER SKIN PROTECTANT OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"55.50","92213346","DANAZOL 200MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"55.50","92213632","MORPHINE D5W 1MG/100ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"55.50","92213759","LIDOCAINE HCL 1% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"55.50","92215092","RITONAVIR 100MG SGL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"55.50","92215639","ROSUVASTATIN CA 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"55.50","92216047","PENICILLIN VK 250MG/5ML PDS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"55.50","92216158","RITONAVIR 100MG SGL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"55.50","92216333","LOPINAVIR RITONAVIR 200-50MG T"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"55.50","92217636","MICONAZOLE NITRATE 2% OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"55.50","92217913","MORPHINE 5MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"55.50","92218159","RAPAFLO 4MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"55.50","92218830","MYCOPHENOLATE SOD DR 360MGTAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"55.50","92219445","RITONAVIR 100 MG PWD "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"55.50","92219977","LIDOCAINE 5% PATCH "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"55.52","38300094","ALPHA I ANTITRYPSIN PHENO ","82104",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"55.60","38302855","COXSACKIE B ","86658",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"55.60","38302860","COXSACKIE A ","86658",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"55.65","38303495","TEICHOIC ACID ","86329",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"55.73","38302940","EBV ANTIBODY EARLY ANT (EA) ","86663",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"55.80","92213960","ALFENTANIL HCL 500MCG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"55.90","92217565","INFLUENZA A H1N1 VACC 2009 INJ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"550.50","92211649","AMINO ACIDS 8% IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"5505.94","76020003","IN-111 PENTETATE PER .5 MCI "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"5506.50","92219486","PETROLATUM GEL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"551.00","92218979","PROCAINAMIDE HCL1000MG/10MLSOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"551.07","75000011","US BLADDER POSTVOID RESIDUAL ","51798",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"551.80","92211218","CEFPODOXIME PROSETIL 100MG SUS"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"552.50","92211211","RIMEXOLONE 1% SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"552.50","92214821","RISEDRONATE NA 35MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"5527.33","76080035","PET MYOCARD METABOLIC EVAL ","78459",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"554.35","38301498","HEPATITIS PANEL (ACUTE) ","80074",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"554.50","33112087","SPLINT HAND REST AIR RT MED "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"554.50","33112240","SPLINT HAND REST RIGHT LG "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"554.50","33112241","SPLINT HAND REST LEFT LG "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"554.50","33131158","SPLINT AIRSOFT REST HAND SM LT"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"554.50","33131159","SPLINT AIRSOFT REST HAND SM RT"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"554.50","33195410","KIT PNEUMOTHORAX NO HEIML VALV"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"554.50","92220207","PHYTONADIONE 5MG "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"555.50","92216804","TIOTROPIUM BROMIDE 18MCG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"5558.31","74001051","AORTOGRAM THORACIC W/O SERIAL ","75600",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"556.50","33139776","PICC BIOFLO HY PG 6F TL-55cm "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"556.50","92215262","IOPAMIDOL 61% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"557.00","33109917","CUTTER PROX LINEAR W/LOCK 75MM"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"557.00","33110333","TRAY RC SPINE 4576 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"557.00","92212499","CLOBETASOL PROP 0.05% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"557.00","92213509","CLOBETASOL PROP 0.05% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"557.36","72000915","BLOOD PROD FREEZE & THAW ","86932",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"557.50","33102530","WEDGE VALU-FORM 10X20/22 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"557.50","34010245","STRAPPING HIP ","29520GP ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"557.50","92220121","THROMBIN HUM RECOM 5000U PWD "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"5570.91","74210104","MRI UP EXT JOINT W/WO CON LT ","73223LT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"5570.91","74210105","MRI UP EXT JOINT W/WO CON RT ","73223RT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"5570.91","74210106","MRI UP EXT JOINT W/WO CON BIL ","7322350",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"558.50","92213892","DILTIAZEM HCL 360MG C24 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"5581.97","73700190","MULTIPLE SLEEP LATENCY ","95805",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"5581.97","73700195","MAINT WAKEFULNESS TEST(MVT) ","95805",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"559.50","92214988","GANCICLOVIR NA 500MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"559.50","92217924","UREA 40% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"5592.68","77000200","CT THORACIC SPINE W/CONTRAST ","72129",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"5593.58","77000170","CT PELVIS W/CONTRAST ","72193",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"56.00","92210455","BELLADONNA/PHENOBARB TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"56.00","92211401","CHLORPROMAZINE HCL 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"56.00","92211882","ENALAPRILAT 1.25MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"56.00","92212066","ANAGRELIDE HCL 0.5MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"56.00","92213198","AMOXICILLIN CLV K 200-28.5/5 S"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"56.00","92214344","GELATIN SPONGE SPG "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"56.00","92216077","MULTIVATAMIN MINERALS 10ML INJ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"56.00","92217889","CLINDAMYCIN PHOS 300MG/50ML IN"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"56.00","92217978","VALACYCLOVIR 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"56.00","92218046","DEXLANSOPRAZOLE 60MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"56.00","92218154","LIALDA DR 1.2GM TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"56.00","92218209","DONEPEZIL 23MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"56.00","92218791","IVABRADINE 5 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"56.00","92219049","TESTOSTERONE 25 MG/2.5 GM GEL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"56.00","92219325","IVABRADINE 7.5 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"56.00","92219330","RIVAROXABAN 2.5 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"56.00","92219389","DAPAGLIFLOZ/METFORM XR5-1000MG"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"56.00","92220427","RIVAROXABAN 2.5 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"56.16","38302960","ESTROGEN ","82672",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"56.17","38300522","LIPOPROTEIN PARTICLE QUANT ","83704",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"56.20","92214098","LEUCOVORIN CALCIUM 15MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"56.20","92217082","OXYCODONE HCL 60MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"56.27","38300600","COLD AGGLUTININ ","86156",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"56.27","72000827","COLD AGGLUTIN SCREEN ","86156",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"56.50","92210373","NIMODIPINE 30MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"56.50","92213569","ABACAVIR SULF 300MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"56.50","92213638","BUDESONIDE 0.25MG/2ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"56.50","92215347","BUPRENORPHINE NAOLXONE 8-2MG T"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"56.50","92215637","ROSUVASTATIN CA 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"56.50","92215642","ROSUVASTATIN CA 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"56.50","92215764","EPLERENONE 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"56.50","92215766","EPLERENONE 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"56.50","92216953","CHLORHEXIDINE GLUC 0.12% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"56.50","92219986","GUANFACINE 1 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"56.50","92220188","SODIUM BICARBONATE 8.4% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"56.50","92220336","BUPRENOR/NALOXONE 8MG-2MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"56.60","92211695","PILOCARPINE HCL 2% EYE SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"56.63","38202011","PROTEIN TOTAL OTHER SOURCE ","84157",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"56.87","38300696","VASOACTIVE INTESTINAL PEPTIDE ","84586",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"56.91","38300436","CATECHOLAMINES BLOOD FRACT ","82384",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"56.91","38300671","TEGRETOL-FREE ","80157",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"560.40","38301041","DIGOXIN FREE ","80163",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"560.50","92210379","KETOCONAZOLE 2% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"560.60","74001153","PHARYNX W/FLUORO ","70370",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"561.00","33112541","HELMET HARD SHELL BLUE LG "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"561.00","33157040","HELMET HARDSHELL BLUE XL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"561.00","33157041","HELMET HARD SHELL BLUE MED "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"561.00","33157042","HELMET HARDSHELL BLUE SM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"561.85","38200223","NT-PRO BNP ","83880",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"5615.00","92214729","PEGINTERFERON ALFA-2A 180MCG K"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"562.00","92220501","NIMODIPINE 6 MG/1 ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"5628.60","92215752","INTERFERON BETA-1A 30MCG/0.5 K"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"563.00","33112086","SPLINT HAND REST AIR LEFT MED "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"563.10","92213866","CICLOPIROX 0.77% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"563.10","92215257","IOPAMIDOL 41% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"5637.15","74200013","MRI LOW EXT W/WO CONTRAST RT ","73720RT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"5637.15","74200407","MRI LOW EXT W/WO CONTRAST BIL ","7372050",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"5637.15","74210014","MRI LOW EXT W/WO CONTRAST LT ","73720LT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"564.50","92212384","HYDROCORTISONE 2.5% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"5644.88","77000386","CT CERVICAL SPINE W&W/O CONT ","72127",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"565.00","92210350","CREAM MULTI INGREDIENT CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"565.00","92216344","IMATINIB MESYLATE 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"565.50","33109647","SPLINT ELBOW KNEE MED "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"565.50","92213870","PRAMOXINE HC 1%-2.5% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"566.00","92216414","FONDAPARINUX NA 5MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"566.00","92217488","LACOSAMIDE 10MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"566.50","33103699","TURN POSITION PREVALON 2.0 PAD"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"566.50","92215528","NEOMYCIN SULF/POLYMYX B/HC SUS"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"5661.00","92215284","INTERFERON ALFA-2B 10MMU/0.2 I"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"567.00","33113090","TRAY CATH 20CM14FR PU 2FLW 400"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"567.00","33113091","TRAY CATH 24CM14FR2FLW400XL IJ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"567.00","33177272","TRAY HEMOD MUHURKAR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"567.50","33112229","CATH NIAGARA SLIM STR DL 20CM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"567.50","33112895","CATH DIAL NIAG STR DL 20CM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"567.50","33112896","CATH DIAL NIAG/SUT DL 135FRX24"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"5676.00","11600382","O.R. RM 3-4HR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"568.50","33105675","KIT TRACH CFFD AD 5.6MM ID "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"5688.32","74200130","MRI LUMBAR SP W/CONTRAST ","72149",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"569.00","33152384","KIT PERTRACH 5.6MMx6.8CM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"569.40","92216588","ACTIQ 1200MCG LOZ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"569.94","74071010","CHEST 1 VIEW FRONTAL ","71045",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"57.00","92210438","TETRACAINE HCL 0.5% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"57.00","92210948","CALCIUM GLUCONATE 10% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"57.00","92213633","CEFOTAXIME NA 1GM INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"57.00","92214345","RIBAVIRIN 200MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"57.00","92216220","OCTREOTIDE ACET 100MCG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"57.00","92218134","ELIQUIS 2.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"57.00","92218549","EEXTROSE 0.7 SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"57.00","92218597","APIXABAN 2.5 MG% TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"57.00","92218752","ALFENTANIL HCL 1000MCG/2ML SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"57.00","92218882","APIXABAN 5 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"57.00","92219247","APIXABAN 5 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"57.00","92219575","SODIUM ACETATE 4 MEQ/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"57.00","92219626","MEFLOQUINE HCL 250 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"57.00","92219772","MEFLOQUINE 250 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"57.00","92220087","CHLORHEXIDINE GLUC 0.12% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"57.09","38300155","ANDROSTENEDIONE LEVEL ","82157",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"57.14","38302115","RENIN-PLASMA ","84244",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"57.50","92213467","CELECOXIB 100MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"57.50","92213997","AMINOPHYLLINE 500MG/20ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"57.50","92214479","TOLTERODINE TARTRATE 2MG CER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"57.50","92215218","ACETYLCYSTEINE 10% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"57.50","92215398","EZETIMIBE 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"57.50","92217365","DEMECLOCYCLINE HCL 150MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"57.50","92217663","D5W-1/2NS/KCL 10MEQ/L IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"57.50","92217757","OXYCODONE HCL 20MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"57.50","92218070","PIOGLITAZONE HCL 30MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"57.50","92218323","FLUCONAZOLE 200MG/100ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"57.63","34210053","THER INT COG FUNC 1ST 15 MIN ","97129GO ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"57.63","34600013","THER INT COG FUNC 1ST 15 MIN ","97129GN ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"57.79","38301750","LYME DISEASE TITER ","86618",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"57.79","38305591","LYME DISEASE ANTIBODY ","86618",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"57.95","38303140","HLA-B27 ","86812",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"570.00","92211678","AMOXICILLIN CLV K 400-57/5 SUS"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"570.50","92210534","PILOCARPINE HCL 4% EYE SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"570.50","92210985","NEOMYCIN SULF/POLYMYX B/HC SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"570.50","92210999","BETAMETHASONE DP 0.05% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"570.89","38302625","ALUMINUM ","82108",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"5701.29","77000050","CT THORAX W/CONTRAST ","71260",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"571.00","92215396","IOPAMIDOL 61% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"571.20","92210744","AMPICILLIN NA 10GM INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"5741.17","74200410","MRI ORBIT-FACE-NECK W/WO CONTR","70543",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"5757.59","77000035","CT MAXILLOFACIAL W/WO CONTRAST","70488",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"576.50","33112702","COLLAR CERV ASPEN ADULT 3IN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"576.50","38301005","HLA CLASS II TYPING LOW RES ","81375",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"577.00","92211419","HYDROQUINONE 4% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"577.50","33114996","KIT CATH PWRGLD PRO RT18Gx10CM"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"5770.42","77000384","CT LUMBAR SPINE W/CONTRAST ","72132",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"578.00","33106365","TRAY CVC 3LUMEN 7FR VANTEX "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"578.00","33138341","DRSG MEPITEL AG 8x20 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"578.00","92215304","EPOPROSTENOL NA 1.5MG PDS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"578.00","92218169","SOD THIOSULFATE 250MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"578.66","74000290","FACIAL BONES < 3 VIEWS ","70140",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"5793.38","74200292","MRI ORBIT-FACE-NECK W/CONT ","70542",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"5796.93","74200050","MRI CERVICAL W/CONTRAST ","72142",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"58.00","92213508","PIOGLITAZONE HCL 30MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"58.00","92214415","ZIPRASIDONE HCL 80MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"58.00","92214946","DEMECLOCYCLINE HCL 150MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"58.00","92215112","RABEPRAXOLE NA 20MG ECT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"58.00","92217665","D5W/NACL 0.45%/KCL 40MEQ IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"58.00","92217674","KCL 20MEQ/NS 1000ML IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"58.00","92217789","EPINEPHRINE/LIDOCAINE HCL INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"58.00","92217859","D5W/NACL 0.9%/KCL 20MEQ IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"58.00","92218547","POTASSIUM CHLORIDE 20 MEQ PKT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"58.00","92218858","COBICISTAT 150 MGTAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"58.00","92219541","PEG400/PROPY GLY 0.4%-0.3% SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"58.00","92219733","MESALAMINE 800 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"58.10","92211728","NEOSTIGMINE MS 1MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"58.20","92212592","METHYLPREDNISOLONE 4MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"58.30","92214454","ACTIV CHARCOAL 15GM SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"58.50","92210028","TRIAMCINOLONE 0.5% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"58.50","92210804","PROCHLORPERAZINE EDI 5MG/ML IN"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"58.50","92211609","IODINE 4.7% OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"58.50","92213055","FAMOTIDINE 10MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"58.50","92215266","OLMESARTAN MEDOXOMIL 40MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"58.50","92215476","LEVALBUTEROL 0.31MG/3ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"58.50","92216562","HYDROCORTISONE 2.5% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"58.50","92216627","HYALURONATE NA POVIDONE GEL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"58.50","92216733","ESOMEPRAZOLE MG 40MG PKT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"58.50","92217394","FENOFIBRIC ACID 135MG ECC "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"58.50","92217398","HALOPERIDOL DEC 100MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"58.50","92217477","FLUCONAZOLE 200MG/100ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"58.50","92218448","ROPIVACAINE HCL 2 MG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"58.50","92219742","VANCOMYCIN 500 MG/100 ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"58.50","92219902","MINERAL OIL/PETROL 20%-80% SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"58.80","38300061","HALOPERIDOL ","80173",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"58.80","92211164","CA CL/KCL/NA CL SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"58.86","38343613","PROINSULIN ","84206",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"580.50","33103759","HEMOSTAT SRGCLABS FIBRILLAR2x4"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"580.73","38203776","HEPARIN INDUCED ANTIBODY ","86022",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"5803.80","74200307","MRI LOW EXT JNT W/WO CONT LT ","73723LT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"5803.80","74200424","MRI LOW EXT JNT W/WO CONT BIL ","7372350",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"5803.80","74200551","MRI LOW EXT JNT W/WO CONT RT ","73723RT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"581.10","92215790","SULFACETAMIDE NA 10% GEL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"581.10","92215791","SULFACETAMIDE NA 10% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"5819.46","74000582","MYELOGRAM CERVICAL ","72240",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"582.00","92215337","HALOPERIDOL DEC 100 INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"582.00","92215340","NEDOCROMIL NA 2% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"582.07","38399305","OXYGEN SATURATION CHECK ","82805",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"582.50","92215756","TRETINOIN 0.1% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"582.95","38200004","PROCALCITONIN ","84145",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"583.00","33139795","PICC BIOFLOMST45VLVDLD3FSL55CM"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"583.00","92210404","FLUOROMETHOLONE ACET 0.1% SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"583.00","92216496","ANIDULAFUNGIN 50MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"583.16","74000688","SACROILIAC JOINTS < 3 VIEWS ","72200",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"583.50","33199565","SET G TUBE ANCHOR W/T FASTNR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"583.50","92217779","BUPRENORPHINE 10MCG/HR TDM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"584.00","92213507","PODOFILOX 0.5% TOPICAL SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"584.00","92218904","FOSFOMYCIN TROMETHAMINE3GM PWD"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"5852.02","74200416","MRA NECK W/WO CONTRAST ","70549",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"5855.81","77000181","CT PELVIS W/WO CONTRAST ","72194",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"586.00","92212759","BETAMETHASONE DP 0.05% OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"586.50","92213816","CLINDAMYCIN PHOS 2% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"587.00","36201211","PULMONARY STRESS TESTING ","94618",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"587.00","92212114","ECONAZOLE NITRATE 1% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"587.00","92212423","VARICELLA VIRUS 1350PFU PDS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"587.50","33130409","HELMET HARD TOP COMFY CAP MD "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"587.50","33130410","HELMET HARD TOP COMFY CAP LG "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"587.50","92215299","IOHEXOL 64.7% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"587.50","92218405","TARCEVA 25 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"588.50","92217347","AZELASTINE HCL 137MCG NASAL SP"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"5881.56","76020020","TC-99M EXAMET LAB WBC PER DOSE"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"5884.27","77000135","CT LUMBAR SPINE W/WO CONTRAST ","72133",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"5888.43","76020021","IN-111 INDIUM AUTO WBC "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"589.00","92219460","PENICI G BENZ600000UNITS/MLPWD"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"589.50","33113035","AMNIOBAND GRFT 16MM 2SQ CM DSC"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"589.50","92212425","CLINDAMYCIN PHOS 1% GEL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"5895.33","76080029","PET TUMOR IMAG WHOLE BODY ","78813",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"59.00","92210139","CLOTRIMAZOLE 1% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"59.00","92210850","TRIAMCINOLONE 0.025% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"59.00","92211742","CALCIUM CL 10% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"59.00","92212171","AMPICILLIN-SULBACTAM 3GM INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"59.00","92212898","MORPHINE 1MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"59.00","92213837","NEVIRAPINE 200MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"59.00","92215168","DEXTROSE 5%/WATER IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"59.00","92217831","VORICONAZOLE 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"59.00","92218216","LUVOX CR 150MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"59.00","92218525","BUDESONIDE 0.5 MG/2 ML INH "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"59.10","92213581","HYDROCORTISONE BUTYR 0.1% OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"59.10","92215314","DOPAMINE HCL 400MG/D5W 250ML I"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"59.10","92216908","CEFUROXIME NA 750MG/50ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"59.37","38307019","METHEMOGLOBIN QUANT ","83050",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"59.46","38307006","CHROMIUM ","82495",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"59.50","92210461","PIROXICAM 20MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"59.50","92210665","CAPSAICIN 0.025% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"59.50","92210681","MICONAZOLE NITRATE 2% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"59.50","92211036","METHYLPREDNISOLONE ACET 40MG I"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"59.50","92211669","ACYCLOVIR 1000MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"59.50","92211735","OINTMENT BASE OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"59.50","92211820","TETRACAINE HCL 0.5% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"59.50","92213402","ESOMEPRAXOLE MG 40MG ECC "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"59.50","92213482","HYDROCORTISONE 2.5% OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"59.50","92214000","METHOTREXATE 2.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"59.50","92215280","EZETIMIBE 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"59.50","92215951","SUCRALFATE 1GM/10ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"59.50","92216099","DARIFENACIN HBR 15MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"59.50","92216789","TEMOZOLOMIDE 5MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"59.50","92216899","RANOLAZINE 1000MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"59.50","92217033","DICLOFENAC EPOLAMINE 1.3% TDM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"59.50","92218709","FLUCONAZOLE 100 MG/50 ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"59.50","92219492","MEPIVACAINE HCL 1.5% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"59.50","92219764","COLCHICINE 0.6 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"59.50","92220495","HEP SOD/D5W 25000U-5%/500 ML "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"59.51","38301155","ERYTHROPOIETIN ","82668",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"59.90","92212691","THEOPHYLLINE 800MG/D5W INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"59.93","38301547","PROTOZOA AB ","86753",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"590.00","38312025","HLA CLASS I SEMI QUANT ","86834",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"590.00","38312026","HLA CLASS II SEMI QUANT ","86835",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"590.00","92211991","GENTAMICIN SULF 3MG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"590.25","74000800","STERNOCLAVICULAR 3+ VIEWS ","71130",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"590.50","33102166","BRACE KNEE HINGED EXTRA LARGE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"591.70","92212047","BENZOYL ERYTHROMYCIN 5%-3% GEL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"5912.00","11100018","ICU "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"592.60","92213934","CHOLESTYRAMINE 4GM/5GM PDR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"593.50","33168140","SET GSTJEJ 200CM12FRPEG24 60CM"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"593.50","92219899","APREPITANT 40 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"594.30","92215505","CIPROFLOXACIN 5% SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"595.77","38000502","SURGICAL PATH LEVEL III ","88304",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"596.30","92217293","AMINO ACIDS 8% IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"598.50","33103844","CEMENT BONE BIOMET GREEN 1x40 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"599.00","33102631","TRAY CATH MAHURKER 12FR 20CM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"599.00","33102873","KIT CATH MAHURKER 12FR 13CM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"599.00","33102874","KIT CATH MAHURKER 12.5FR 16CM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"599.00","92218257","LEVEMIR FLEXTOUCH 100U/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"599.00","92220428","INSULIN DETEMIR 100UNITS/MLPEN"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"6.04","74000029","CYSTOGRAFIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"60.00","38303723","SPEC STAIN FOR O & P ","87209",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"60.00","92210087","THEOPHYLLINE 80MG/15ML LIQ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"60.00","92210666","TRIAMCINOLONE 40MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"60.00","92211118","TRIAMCINOLONE 0.025% OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"60.00","92211697","METHYLPREDNISOLONE ACET 40MG I"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"60.00","92215516","OCTREOTIDE ACET 50MCG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"60.00","92215682","RISPERIDONE 0.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"60.00","92215755","METAXALONE 800MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"60.00","92217011","LIDOCAINE HCL 2% GEL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"60.00","92217417","BUDESONIDE 0.5MG/2ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"60.00","92217506","TIAGAINE HCL 12MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"60.00","92217513","AMMONIUM LACTATE 12% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"60.00","92217518","ERGOCALCIFEROL 50000U/6.25ML "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"60.00","92217534","SAXAGLIPTIN HCL 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"60.00","92219654","COLCHICINE 0.6 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"60.00","92219818","CARBOXMETHCELL/GLY0.5%/0.9%SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"60.00","92219844","CEFAZOLIN/D5W 2 GM/100 ML IVPB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"60.00","92219984","BUDESONIDE 0.5 MG/2 ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"60.30","92214937","ANTIPYRINE/BENZOCAINE EAR SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"60.45","92219302","METHYLPHENIDATE HCL ER54MGTAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"60.50","38302550","LEUKOCYTE WBC AUTO ","85048",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"60.50","38399357","Q FEVER AB COXIELLA BURNETII ","86638",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"60.50","92210661","ACETYLCYSTEINE 10% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"60.50","92210961","CLOMIPRAMINE HCL 50MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"60.50","92211840","CLOMIPRAMINE HCL 75MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"60.50","92213445","OLANZAPINE 2.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"60.50","92214923","ASPIRIN DIPYRIDAMOLE ER 25-200"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"60.50","92215162","DEXTROSE 5%/WATER IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"60.50","92215174","FLUCONAZOLE 200MG/100ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"60.50","92216278","CLOMIPRAMINE HCL 25MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"60.50","92216279","CLOMIPRAMINE HCL 50MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"60.50","92218175","TOPOSAR 20MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"60.50","92218473","PATANASE 0.6% SPRAY "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"60.54","38300205","ANTI-THYROGLOBIN ","86800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"60.56","38300472","LEVITIRACETAM ","80177",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"60.60","92213924","K CL/NABCRB/NACL/NASULF/PEG PD"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"60.66","38302207","INFLUENZA SUBTYPES PCR ","87503",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"60.83","38301499","HEPATITIS DELTA VIRUS AB ","86692",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"600.00","38202575","WEST NILE VIRUS TITER ","86789",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"600.00","38243624","HEPATITIS C VIRUS AB RNA ","87522",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"6015.17","74200401","MRI PELVIS W/WO CONTRAST ","72197",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"6016.50","92217719","CONIVAPTAN HCL 20MG/100ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"602.00","92211387","TRIAMCINOLONE 0.1% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"6028.67","76080028","PET TUMOR IMAG SKULL-MIDTHIGH ","78812",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"603.16","38000630","BONE MARROW SMEAR INTERP ","85097",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"603.50","33115294","TRAY CVC 7FR20CM TL W OLIGON "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"604.50","33112678","TRAY CATH DIALYSIS CRV 20 CM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"604.50","92212567","NYSTATIN/TRIAMCINOLONE CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"604.50","92216072","FONDAPARINUX NA 7.5MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"604.75","72060012","PLATELETS PHER IRRAD-PROC ONLY"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"605.40","92217165","RISEDRONATE NA 150MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"6059.35","77000022","CTA HEAD WO/W CONTRAST ","70496",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"606.00","92216188","MICAFUNGIN NA 50MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"606.50","92210731","BACITRACIN 500U/GM OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"6067.15","77000028","CTA ABDOMEN W/WO CONTRAST ","74175",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"607.00","33112285","CUTTER LIN PROX W/LOCK 75MM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"607.50","92211791","PHENYLEPHRINE HCL 2.5% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"608.50","92210383","FLUTICASONE PROP 0.05MG SPR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"6088.00","92212598","RITUXAMAB 10MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"609.50","33110594","CARTRIDGE SNAP 125MMHG W/RESET"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"609.50","33189790","TUBE GAST PONSK NONBLN REP 20F"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"61.00","92215952","SUCRALFATE 1GM/10ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"61.00","92217407","SODIUM POLYSTYRENE SULF SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"61.00","92217423","DONEPEZIL HCL 10MG ODT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"61.00","92217497","MESALAMINE 800MG TCP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"61.00","92217664","D5W/KCL 5%/20MEQ IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"61.00","92217966","TRIGLYCERIDES 2400ML OIL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"61.00","92218078","UREA 20% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"61.00","92219301","DOXERCALCIFEROL 2 MCG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"61.00","92219599","SILDENAFIL20 MGTAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"61.00","92219699","RITONAVIR 100 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"61.00","92219858","ESTRADIOL 0.0375MG/24HR PATCH "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"61.00","92220048","SODIUM HYPOCHLORITE 0.0125 SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"61.08","38200436","CATECHOLAMINES BLOOD FRACT ","82384",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"61.09","38399354","CYCLIC CITRULLINATD PEPTIDE AB","86200",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"61.32","38300037","CITRATE ","82507",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"61.40","92212251","CR CU MN ZN TRACE ELEMENT INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"61.50","33100150","CATH ADP DRAINAGE 24-507 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"61.50","92210133","BELLADONNA/PHENOBARB TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"61.50","92210466","TRIAMCINOLONE 40MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"61.50","92212219","LAMOTRIGINE 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"61.50","92212807","CHLORPROMAZINE HCL 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"61.50","92213469","OLANZAPINE 2.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"61.50","92213536","DEFEROXAMINE MESYLATE 500MG IN"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"61.50","92214315","DOFETILIDE 0.125MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"61.50","92214537","DOFETILIDE 0.25MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"61.50","92214842","LIDOCAINE HCL 1% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"61.50","92216038","MORPHINE 60MG CER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"61.50","92216218","BUPRENORPHINE HCL 0.3MG/ML INJ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"61.52","34000290","CONTRAST BATH 15 MIN ","97034GP ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"61.52","34210385","CONTRAST BATH 15 MIN ","97034GO ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"61.70","92216835","METHOTREXATE 25MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"61.70","92217484","ARMODAFINIL 250MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"61.74","38307010","ENCEPHALITIS ST. LOUIS ","86653",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"61.89","92213332","RABEPRAXOLE NA 20MG ECT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"610.00","92218829","IOHEXOL 75.5% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"610.30","92212524","GADOTERIDOL 279.3MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"610.50","92214633","ALCLOMETASONE DIPRO 0.05% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"610.63","38307025","DRUG TEST PRSMV INSTRMNT ","80306",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"611.00","92215415","INSULIN HUM ISOP 100U/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"611.00","92215436","INSULIN HUM ISOP/REG 70U-30U I"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"612.00","92214106","PAMIDRONATE DISOD 9MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"613.50","33117521","KIT CATH MULTI-LUMEN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"6131.50","92218161","NULOJIX 250MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"614.50","92216545","EFAVIRENZ EMTRICITABINE TENO T"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"614.50","92218753","AMINO ACIDS 15% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"6143.02","77000378","CT INTRACRANIAL STRUC W/WO CON","70482",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"6145.42","73510003","EEG W/VIDEO EA 24HRS ","95951",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"6145.91","77000110","CT BRAIN/HEAD W/WO CONTRAST ","70470",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"6148.34","77000060","CT THORAX W/WO CONTRAST ","71270",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"615.50","33118482","BOOT MULT PODUS ACT 2000 LG "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"616.28","76020011","TC-99M PENTETATE <25 MCI "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"6176.65","77000023","CTA NECK WO/W CONTRAST ","70498",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"618.00","33112179","TRAY CATH 3LUM CENT VENOUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"619.00","92218573","IODIXANOL 270 MG/ML "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"619.50","33103575","WALKER CAM II SMALL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"6199.00","92218739","DICLOFENAC SODIUM 0.03 GEL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"62.00","92210024","PREDNISONE 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"62.00","92210450","BETAMETHASONE VA 0.1% LOT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"62.00","92211084","CHLORPROMAZINE HCL 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"62.00","92213080","EPINEPHRINE HCL 0.1MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"62.00","92215493","TRIAMTERENE 100MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"62.00","92217921","TAPENTADOL HCL 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"62.00","92220049","FLUCONAZOLE 200 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"62.10","38201830","OVA AND PARASITES ","87177",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"62.10","92210263","WATER STERILE SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"62.10","92214242","MILRINONE LACTATE 1MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"62.50","92210978","TOBRAMYCIN 80MG/0.9% NACL INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"62.50","92211961","HEPARIN 25000U/D5W 250ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"62.50","92212709","FLUPHENAZINE HCL 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"62.50","92213490","PIOGLITAZONE HCL 45MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"62.50","92215545","RISPERIDONE 0.5MG ODT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"62.50","92215972","RIFAXIMIN 200MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"62.50","92216202","PARICALCITOL 1MCG SGL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"62.50","92217012","ENOXAPARIN NA 30MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"62.50","92217708","MEROPENEM 500MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"62.50","92217923","ROPIVACAINE HCL 2MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"62.50","92218613","VORTIOXETINE HYDROBROM 10MGTAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"62.60","92217115","NISOLDIPINE 17MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"62.70","92211648","TRIENTINE HCL 250MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"62.79","38300133","TTG TISSUETRANSGLUTAMINASE IGG","83516",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"62.79","38300691","TISSUE TRANSGLUTAMINASE AB ","83516",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"62.79","38300697","GASTRIC PARIETAL CELL AB ","83516",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"62.79","38301929","GLIADIN ANTIBODIES ","83516",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"62.79","38399303","ANALYTE QUAL/SEMI QNT MULTI ","83516",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"620.00","33110079","TRAY CATH 3LUMEN 12FRX20CM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"620.00","33117502","KIT PNEUMOTHORAX "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"621.00","33113047",""KIT CATH 40CM 18GA .38"" J OVL ""," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"621.00","33113048",""KIT CATH 40CM 18GA .38"" J OVL ""," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"621.50","33103618","DRSG VERAFLO CLEANSE CHOICE MD"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"621.50","33163062","BOOT MULTIPOD W/REMV AMB SM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"622.00","33110078","TRAY CATH 3LUMEN 12FRX16CM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"622.50","92213936","PENCICLOVIR 1% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"622.55","34020001","SELECTIV DEBRIDE 1ST 20 SQ CM ","97597GP ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"622.55","34220001","SELECTIV DEBRIDE 1ST 20 SQ CM ","97597GO ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"6225.50","92219341","ENTECAVIR 0.05 MG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"623.50","92220071","AMINO ACIDS 8%-10% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"624.34","38380053","COMPREHEN METABOLIC PANEL ","80053",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"624.54","72060002","RBC LEUKOREDUCED-PROC ONLY "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"625.69","38300045","*BASIC METABOLIC PROFILE ","80048",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"625.69","38380048","METABOLIC PANEL TOTAL CA ","80048",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"625.69","38380049","MET PANEL TTL CA CHEM 8+ ","80048QW ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"626.00","92212703","FLUOCINONIDE 0.05% GEL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"626.50","92215213","FLUTICASONE PROP 0.005% OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"626.50","92219295","MICONAZOLE NITRATE 2% CREAM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"626.50","92219602","VALGANCICLOVIR 450 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"627.00","92211748","FLUOCINONIDE 0.05% OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"6278.31","77000019","CTA CHEST (NONCORONARY) WO/W ","71275",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"628.00","92213896","ANTHRALIN 1% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"628.50","92214740","BIMATOPROST 0.03% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"629.00","92216045","BECLOMETHASONE DIPRO 80MCG AER"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"63.00","38203695","HEMOGLOBIN ","85018",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"63.00","92211008","BUPIVACAINE HCL 0.5% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"63.00","92212402","MAGNESIUM SULF 50% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"63.00","92213993","METHOTREXATE 2.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"63.00","92214577","HEPARIN 25000U-1/2NS 250ML IN"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"63.00","92215127","METHOTREXATE 25MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"63.00","92216101","EXZOPICLONE 3MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"63.00","92216243","EXZOPICLONE 1MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"63.00","92217440","FEBUXOSTAT 80MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"63.00","92218166","DESVENLAFAXINE ER 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"63.00","92218699","DRONABINOL 5 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"63.00","92219031","METHYLPRED NA SUCC 125 MG SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"63.05","38300148","TETANUS ANTIBODY ","86317",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"63.05","38300149","DIPTHERIA ANTIBODY ","86317",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"63.05","38301477","HEP B SURF ANTIBODY QUANT ","86317",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"63.05","38302055","IMMUNO OTHER INFECT AGENT AB ","86317",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"63.10","38300132","STRONGYLIODES ANTIBODY ","86682",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"63.10","38300175","ANTIBODY CYSTICERCOSIS ","86682",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"63.29","38280020","BLOOD CNT MAN (RBCWBCPLT)EA","85032",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"63.50","92211135","ATORVASTATIN CALCIUM 40MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"63.50","92211676","ITRACONAZOLE 100MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"63.50","92212266","TESTOSTERONE 5MG/24HR TDM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"63.50","92212282","CHLORHEXIDINE GLUC 4% LIQ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"63.50","92213957","METHYLENE BLUE 1% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"63.50","92214983","RISPERIDONE 4MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"63.50","92215352","BUDESONIDE 3MG ECC "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"63.50","92218370","DESVENLAFAXINE 50 MG TABLET "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"63.50","92219279","LISDEXAMFETAMINE DIMES20MGCAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"63.60","34010090","ULTRASOUND 15 MIN ","97035GP ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"63.60","34210040","ULTRASOUND 15 MIN ","97035GO ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"63.60","92211219","CAFFEINE SOD BENZOATE 500MG IN"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"63.60","92211893","ETHANOL 98% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"63.90","92214157","LIDOCAINE HCL 1% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"630.50","33195308","KIT CVC N RX M LUM BLTP 7FRX16"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"6319.45","76020002","IN-111 OXYQUINOLINE PER.5MCI "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"632.50","33174525","KIT CVC 3L PRES INJ 7FRX20CM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"633.50","92215374","IOPAMIDOL 76% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"634.00","92216281","CALCITONIN 200U SPR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"634.50","33111717","DRSG ASSEMBLY EXTRA LARGE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"634.50","33113073","KIT DRSG 60X30CM GRANUFOAM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"634.50","92219483","PROCARBAZINE HCL 50 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"6340.32","74200301","MRI LOWER EXT W/CONTRAST LT ","73719LT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"6340.32","74200406","MRI LOWER EXT W/CONTRAST BIL ","7371950",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"6340.32","74200422","MRI LOWER EXT W/CONTRAST RT ","73719RT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"635.00","33106270","SUPPORT BACK M-BRC LUM BLK LG "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"635.00","92220372","ERAVACYCLINE 100 MG SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"636.00","92211562","BLEOMYCIN SULF 30U INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"636.00","92214568","AMINO ACIDS 6.5% IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"637.00","92216408","FONDAPARINUX NA 10MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"6376.49","74001011","ANGIO SPINAL SELECTIVE ","75705",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"638.05","74000440","HAND 2 VIEWS BILATERAL ","7312050",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"638.05","74010065","HAND 2 VIEWS RT ","73120RT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"638.05","74010066","HAND 2 VIEWS LT ","73120LT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"639.50","33111466","TRAY CATH MAHUR 3L 12FR20CM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"64.00","92203037","ORALS 37 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"64.00","92203063","ORALS 63 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"64.00","92210132","ATROPINE SULF 1% EYE OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"64.00","92212041","OLANZAPINE 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"64.00","92212457","LAMOTRIGINE 200MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"64.00","92213637","DEXTROSE 40% GEL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"64.00","92216361","THIAMINE 100MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"64.00","92216778","PREGABALIN 100MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"64.00","92216779","PREGABALIN 150MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"64.00","92216781","PREGABALIN 50MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"64.00","92216782","PREGABALIN 75MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"64.00","92217612","MICONAZOLE NITRATE 400MG KIT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"64.00","92217690","SIROLIMUS 0.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"64.00","92218133","FULYZAQ 125MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"64.00","92218243","VANCOMYCIN HCL 10GM INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"64.00","92218375","GLUTOSE 45 0.4 GEL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"64.40","34000100","MASSAGE 15 MIN ","97124GP ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"64.40","34200070","MASSAGE 15 MIN ","97124GO ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"64.40","38302778","PLASMINOGEN ","85420",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"64.50","92210292","ANTIPYRINE/BENZOCAINE EAR SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"64.50","92211737","METHYLPREDNISOLONE 40MG/ML INJ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"64.50","92212696","METHYLPREDNISOLONE 125MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"64.50","92214040","MICONAZOLE NITRATE 2% POW "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"64.50","92215370","DESMOPRESSIN ACET 0.2MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"64.50","92215376","CALCITRIOL 1MCG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"64.50","92216506","FUROSEMIDE 10MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"64.50","92216780","MORPHINE 5MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"64.50","92217123","DESVENLAFAXINE SUCC 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"64.50","92220459","MENTHOL 4% GEL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"64.50","92220537","SMX/TMP 800MG-160MG/20ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"64.60","92215291","POTASSIUM CL 30MEQ/100ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"64.70","38303413","INHIBIN A ","86336",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"64.90","92212897","SODIUM CL 0.9% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"64.93","38303365","PORPHYRIN (QUANTITATIVE) ","84120",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"640.50","33151841","CUSHION ROHO MOSAIC 18X18 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"640.50","33176683","ORTHOSIS ELBOW "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"641.00","75000265","US TEE 2D W/O PROBE PLACEMENT ","93314",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"641.80","38280048","METABOLIC PANEL TOTAL CA ","80048",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"642.00","33112826","TRAY CATH MAHUR 3L 24FRX20CM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"642.00","92214152","OCTREOTIDE ACET 1000MCG/ML IN"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"642.50","92218455","ESTROGEL 0.06% GEL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"643.00","33113033","AMNIOBAND MTRX TISS 4X2CMPLCNT"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"644.36","74001301","SPINE-ENTIRE 1 VIEW ","72081",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"644.50","33111541","BOOT AFO GONIOMETER SPRINGLD "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"645.50","92211974","PREMETHRIN 5% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"6452.00","92219489","ORITAVANCIN 400 MG PWD "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"646.50","33163063","BOOT MULTIPOD W/REMV AMB MD "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"646.50","33163064","BOOT MULTIPOD W/REMV AMB LG "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"646.50","33163065","BOOT MULTIPOD W/REMV AMB XL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"646.50","92212769","DIDANOSINE 10MG/ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"646.50","92218646","GEMCITABINE 2 GM INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"6460.87","77000020","CT ABDOMEN W/WO CONTRAST ","74170",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"6467.30","92218202","BARIUM SULFATE 60% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"647.00","33112369","KIT CVC MULTILUMEN 7FR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"647.50","92217207","COSYNTROPIN 0.25MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"65.00","92210053","POTASSIUM CL 20MEQ/15ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"65.00","92212414","PENTOSAN POLYSULFATE NA 100 CA"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"65.00","92212813","ATROPINE SULF 0.1MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"65.00","92213585","CEFOXITIN NA 2GM INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"65.00","92214774","TEMOZOLOMIDE 5MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"65.00","92215079","POTASSIUM CL 20MEQ PDS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"65.00","92216121","SAQUINAVIR MESYLATE 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"65.00","92217626","FLUCONAZOLE 100MG/50ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"65.00","92218263","HYDROMORPHONE 3MG SUPP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"65.00","92218451","LEUCOVORIN 50 MG SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"65.00","92218693","CEFOXITIN 2 GM INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"65.00","92218909","CAPSAICIN 0.033% CRM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"65.00","92219784","TOLTERODINE TARTRATE ER 4MGCER"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"65.00","92219816","NALOXONE0.4 MG/MLSOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"65.00","92219862","TOLTERODINE 2 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"65.06","38303580","URINE MICRO ","81015",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"65.10","92214662","DIDANOSINE 400MG ECC "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"65.18","34000702","PROSTHETIC TRAIN 15 MIN ","97761GP ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"65.18","34210360","PROSTHETIC TRAIN 15 MIN ","97761GO ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"65.50","92210816","PIPERACIL TAZOBACT 2.25GM INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"65.50","92213214","ERYTHROMYCIN 250MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"65.50","92213235","HYDROCORTISONE 100MG/60ML NMA "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"65.50","92213613","DEXTROSE 50%/WATER INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"65.50","92214313","TERBINAFINE HCL 1% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"65.50","92214321","HYDROCORTISONE 100MG/60ML NMA "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"65.50","92215909","NELFINAVIR MESYLATE 625MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"65.50","92216107","EXZOPICLONE 2MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"65.50","92217580","VANCOMYCIN HCL 750MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"65.50","92217646","DIANEAL 1.5% PD-2 DEXTROSE IVS"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"65.50","92217672","KCL 40MEQ/NS 1000ML IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"65.50","92218329","LACOSAMIDE 10MG/ML "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"65.55","38300361","CALCITONIN ","82308",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"65.60","92217660","D5W-1/4NS/KCL 40MEQ/L IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"65.84","38303315","OLIGOCLONAL BANDS ","83916",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"650.36","38000540","ELECTRON MICROSCOPY ","88348",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"650.38","74000749","SINUSES < 3 VIEWS ","70210",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"6513.09","74200425","MRI ABDOMEN W/WO CONTRAST ","74183",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"652.00","33183995","TUBE TRACH JACK FEN SS SZ 6 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"652.50","92216610","PEG ELCTROLYTE LAVAGE PDS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"6526.57","76080033","PET BRAIN METABOLIC EVAL ","78608",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"653.00","92219400","INSU LIS REC CRT100UNITS/MLSOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"653.40","92210508","BETAXOLOL HCL 0.5% EYE SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"653.50","92213406","CICLOPIROX 0.77% GEL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"654.50","92218781","ISAVUCONAZONIUM SUL 186MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"655.00","33180021","CUSHION W/C AMPUT RT 16X16 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"655.50","92216429","OMEPRAZOLE NA BICARB 20MG PKT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"655.50","92216432","OMEPRAZOLE NA BICARB 20-1100 C"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"658.50","92217724","ENOXAPARIN NA 150MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"658.50","92219309","NICARDIPINE/D5W 20MG/200ML SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"658.50","92219310","NICARDIPINE/NACL 20MG/200MLSOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"658.50","92220161","NICARDIPIN/NACL 20MG/200ML SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"659.00","92220140","DEGLUDEC 100 UNITS/ML PEN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"6590.50","92215782","RISPERIDONE 50MG GER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"66.00","92210964","PROCHLORPERAZINE MAL 25MG SUP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"66.00","92211315","ATROPINE SULF 0.1MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"66.00","92213867","LACTATED RINGERS SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"66.00","92213916","LORAZEPAM 2MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"66.00","92214356","DEXTROSE 50%/WATER IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"66.00","92215297","LIDOCAINE 1%/EPI 1:200000 INJ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"66.00","92215894","MYCOPHENOLATE 360MG ECT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"66.00","92218393","SUCRALFATE 1 GM/10 ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"66.00","92219454","BUPIVACAI/EPI0.75%-1:200000SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"66.25","38301501","RUSSELL VIPER VNM TIME-DIL ","85613",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"66.30","92213184","SODIUM ACETATE 2MEQ/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"66.30","92214980","AMINO ACIDS W/E IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"66.40","92214128","PIPERACILLIN NA 3GM INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"66.50","92203050","ORALS 50 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"66.50","92211745","ANTIPYRINE/BENZOCAINE EAR SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"66.50","92213053","LIDOCAINE 1%/EPI 1:200000 INJ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"66.50","92213338","BUPIVACAINE/EPI 0.25%/0.0005 I"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"66.50","92213624","BUDESONIDE 0.5MG/2ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"66.50","92217853","TESTOSTERONE 2MG/24HR TDM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"66.50","92219604","TETRACAINE OPHTH 0.5% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"660.74","34000031","STRAPPING UNNA BOOT ","29580GP ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"661.00","92215569","LIDOCAINE HCL 2% GEL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"662.01","34010290","NEG PRESS WOUND THER >50SQCM ","97606GP ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"662.50","33103028","TRAY CATH DIAL DUGLIDE13FR30CM"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"662.50","33106481","TRAY CATH DIAL DUGLDST13FR24CM"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"662.50","33139757","MIDLINE MAXDFNIT PG 3FSL20CM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"662.50","33139759","MIDLINE MAXDFNIT PG 4FSL20CM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"662.50","33139760","MIDLINE MAXDFNIT PG 4FSL20CMGW"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"662.50","33139763","MIDLINE MAXDFNIT PG 5FSL20CM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"662.50","33139775","MIDLINE MAX PGDF5FSL20CM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"662.50","33152530","MIDLINE MAX BARRIER 4F SL-20CM"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"662.50","33152532","MIDLINE MAX BARRIER 3F SL-20CM"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"662.50","33152534","MIDLINE MAX BARRIER PG 3F SL-2"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"662.50","33152536","MIDLINE MAX FENDRP SL 4F20CM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"662.50","33180041","TRAY DIAL DUOGLD STR 13FR 20CM"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"662.50","92212683","CEFUROXIME NA 750MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"662.50","92218306","TRIAMCINOLONE 55MCG/ACT INH "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"663.00","92216071","FONDAPARINUX NA 5MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"664.00","74000390","FOOT 2 VIEWS BILATERAL ","7362050",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"664.00","74010057","FOOT 2 VIEWS RT ","73620RT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"664.00","74010058","FOOT 2 VIEWS LT ","73620LT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"664.00","92210061","BETAMETHASONE DP 0.05% OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"664.00","92217854","SODIUM POLYSTYRENE SULF PDR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"664.00","92217955","IMMUNE GLOBULIN 1GM/10/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"665.50","33118480","BOOT MULT PODUS ACT 2000 SM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"666.00","33113043","KIT CATH CV 7FR 18GA 20CM 3LUM"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"666.00","33113076","KIT CVC BUNDLE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"667.00","92218782","ODEFSEY 200-25-25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"667.79","34010285","NEG PRESS WOUND THER<=50SQCM ","97605GP ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"668.50","92213344","GADOTERIDOL 279.3MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"668.72","34200135","APPLY SPLINT LONG LEG ","29505GO ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"6692.99","77000025","CTA ABD AORTA/FEMORAL W/WO CON","75635",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"67.00","92211571","QUETIAPINE FUMARATE 200MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"67.00","92213902","HALOPERIDOL LAC 5MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"67.00","92213917","METHOTREXATE 25MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"67.00","92214347","HYDROCORTISONE 100MG/60ML NMA "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"67.00","92215028","FLUCONAZOLE 400MG/200ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"67.00","92218035","HURRICAINE ONE 20% SPRAY "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"67.00","92219162","OSELTAMIVIR PHOSPHATE 30MGCAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"67.00","92219373","SUCCINYLCHOLINE CL 20MG/ML SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"67.00","92219917","EZETIMIBE 10 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"67.00","92219952","FLUTICA/UMECLIDIN/VILANTEROL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"67.01","38300092","ALDOSTERONE SERUM ","82088",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"67.11","38303265","MUMPS ANTIBODY ","86735",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"67.50","92212998","SODIUM BICARB 8.4% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"67.50","92213090","K CL/NABCRB/NACL/NASULF/PEG PD"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"67.50","92213475","ROPIVACAINE HCL 5MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"67.50","92214192","POTASSIUM ACET 2MEQ/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"67.50","92217300","MEGESTROL ACET 40MG/ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"67.50","92217345","THEOPHYLLINE 80MG/15ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"67.50","92217824","LEVOFLOXACIN D5W 750MG/150ML I"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"67.50","92218629","DOFETILIDE 500 MCG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"67.50","92218636","DOFETILIDE 125 MCG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"67.50","92218707","SACUBITRIL/VALSART49MG51MGTAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"67.50","92218712","SACUBITRIL/VALSART24MG26MGTAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"67.50","92219344","SACUBITRIL/VALSART97-103MGTAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"67.50","92220378","ATROPINE SULFATE .01 MG/ML SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"67.50","92220411","BRIMONIDINE TARTRATE 0.2% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"67.56","38303533","MICROSOMAL ANTIBODIES ","86376",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"67.63","34000120","PARAFFIN BATH ","97018GP ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"67.63","34200083","PARAFFIN BATH ","97018GO ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"67.73","38202216","LEUKOCYTE COUNT FECAL ","89055",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"67.80","34050015","INFRARED ","97026GP ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"67.80","34210330","INFRARED ","97026GO ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"67.80","92215616","AMINO ACIDS 3.5% IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"670.00","33110072","KIT PERMACATH 14.5FRX23CM MAX "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"670.00","33113200","KIT CATH MAHUR 14.5F 23/40CM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"670.00","33113826","TRAY CATH MAHUR MAXID 14FR 38C"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"670.00","33160869","KIT CATH MAHUR MAXID14.5FR28CM"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"670.50","92214714","RIFAMPIN 600MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"671.00","92220069","AMINO ACIDS 8%-10% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"672.23","74000023","SHOULDER 1 VIEW BILATERAL ","7302050",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"672.23","74010092","SHOULDER 1 VIEW RT ","73020RT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"672.23","74010093","SHOULDER 1 VIEW LT ","73020LT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"673.50","92220070","AMINO ACIDS 8%-14% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"674.00","36000610","PULSE OXIMETRY-CONTINUOUS ","94762",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"674.29","38000080","TISSUE BLOCK-FROZEN SECTION ","88331",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"6749.19","74001096","VENOGRAM INFERIOR CAVAL ","75825",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"675.00","92217041","BARIUM SULF 2.1% SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"675.50","33118481","BOOT MULT PODUS ACT 2000 MD "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"675.50","33118483","BOOT MULT PODUS ACT 2000 XL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"675.50","92217180","METHYLNALTREXONE 12MG/0.6ML IN"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"675.80","74000835","TOE(S) 2+ VIEWS BILATERAL ","7366050",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"675.80","74010100","TOE(S) 2+ VIEWS LT ","73660LT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"675.80","74010105","TOE(S) 2+ VIEWS RT ","73660RT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"676.00","92219334","DOLUTEGRAVIR/RILP50MG-25MGTAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"676.29","74000060","ANKLE 2 VIEWS BILATERAL ","7360050",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"676.29","74010003","ANKLE 2 VIEWS RT ","73600RT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"676.29","74010004","ANKLE 2 VIEWS LT ","73600LT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"678.40","92215325","BENZOYL ERYTHROMYCIN 5%-3% GEL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"678.58","34010200","APPLY SPLINT SHORT ARM STATIC ","29125GP ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"678.58","34210265","APPLY SPLINT SHORT ARM STATIC ","29125GO ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"679.00","92215531","ACYCLOVIR 5% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"679.00","92217957","PHENTOLAMINE MESYLATE 5MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"68.00","92210761","LIDOCAINE HCL 0.5% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"68.00","92215774","PROCHLORPERAZINE MAL 25MG SUP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"68.00","92217006","ENOXAPARIN NA 60MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"68.00","92217442","FEBUXOSTAT 40MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"68.00","92217893","VILAZODONE HCL 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"68.00","92218138","VIIBRYD 40MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"68.00","92218346","VIIBRYD 20 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"68.00","92218697","EDOXABAN 30 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"68.00","92218957","RISPERDONE 0.5 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"68.00","92219691","MESALAMINE 800 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"68.07","38200119","VON WILLEBRAND ANTIGEN ","85246",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"68.19","38301051","FREE DILANTIN ","80186",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"68.21","38307008","ENCEPHALITIS CALIFORNIA ","86651",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"68.24","38301695","LEUKOCYTE ALK.PHOS ","85540",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"68.50","92210953","HYDROCORTISONE 100MG/60ML NMA "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"68.50","92216968","DEXTROSE 70%/WATER IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"68.50","92219189","VORAPAXAR 2.08 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"68.84","38200093","ALPHA I ANTITRYPSIN LEVEL ","82103",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"680.00","33103018","TUBE JEJUNAL 24FR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"680.00","33111898","TUBE TRANSGAST JEJUN 18FR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"680.00","33111899","TUBE TRANSGAST JEJUN 16FR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"680.00","33131300","TUBE FDG JEJUNAL 20FR 28CC "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"680.00","33131301","TUBE FDG JEJUNAL 22FR 28CC "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"680.00","33199758","TUBE JEJUNOSTOMY 14FR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"680.50","92213387","AMPHOTERICIN B LIPID 5MG/ML IN"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"682.50","92203036","ORALS 36 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"683.50","92210504","SUMATRIPTAN SUCC 6MG/0.5ML INJ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"683.50","92217848","LEVOTHYROXINE NA 100MCG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"6837.00","92218026","GAMUNEX-C 1GM/10ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"685.50","33112131","TUBE TRACH BIV HYPERFLX 7.0MM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"6859.00","92214587","NESIRITIDE 1.5MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"686.00","92211501","AMOXICILLIN CLV K 250-62.5 SUS"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"686.50","92212249","CORTROSYN 0.25MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"686.50","92216070","FONDAPARINUX NA 10MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"6864.71","74200270","MRI THORACIC W/WO CONTRAST ","72157",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"687.50","92216391","INSULIN LISO/LISO PROT 50/50 I"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"687.50","92218574","IODIXANOL 32O MG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"6879.08","74200020","MRI BRAIN W/WO CONTRAST ","70553",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"688.00","92212424","NEOMYIN SULF/POLYMYX B/HC CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"688.50","33152370","KIT CRICOTHYROIDOTOMY EMERGNCY"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"688.60","38302045","PARATHYROID HORMONES INTACT ","83970",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"688.60","38302049","PARATHYROID HORMONE ","83970",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"689.00","33102908","KIT BRIDEL NG TUBE 14FR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"689.00","33139761","MIDLINE MAXDFNIT PG 5F DL20CM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"689.00","33139762","MIDLINE MAXDFNIT PG 5F DL20CMG"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"689.00","33139774","MIDLINE MAX PGDF5F DL20CM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"689.00","33152537","MIDLINE MAX BARR DL 5F 20CM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"689.00","92210880","TRETINOIN 0.025% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"689.50","92212711","BETAMETHASONE DP 0.05% OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"6899.56","73700200","POLYSOMNOGRAPHY ","95810",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"69.00","92210646","METHYLPREDNISOLONE 40MG/ML INJ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"69.00","92213401","DOPAMINE HCL 200MG/D5W 250ML I"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"69.00","92214084","CLINDAMYCIN PHOS 150MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"69.00","92214762","ZIPRASIDONE HCL 20MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"69.00","92217466","LACOSAMIDE 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"69.00","92217692","LEVOFLOXACIN D5W 250MG/50ML IN"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"69.00","92218152","VYVANSE 30MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"69.00","92219828","TADALAFIL 5 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"69.10","92215618","AMINO ACIDS 7% IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"69.16","38303741","METHYLMALONIC ACID ","83921",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"69.20","92216856","TERBINAFINE HCL 250MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"69.21","38300400","CANDIDA AB ","86628",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"69.40","38300230","ANTI STREP O TITER ","86060",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"69.50","92212609","CROMOLYN NA 5.2MG SPR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"69.50","92214718","LEUCOVORIN CALCIUM 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"69.50","92215200","FAMCICLOVIR 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"69.50","92217191","CYCLOSPORINE 0.05% EYE EMU "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"69.50","92217679","TORSEMIDE 50MG/5ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"69.57","38307011","ENCEPHALITIS WESTERN EQUINE ","86654",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"690.65","38201555","HIV VIRAL LOAD QUANT (DNA) ","87536",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"691.50","33134455","MASK COMF GEL W/HDGR LG "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"691.50","33195070","MASK NASAL COM GEL HDGR SM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"6917.16","74200250","MRI CERVICAL W/WO CONTRAST ","72156",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"692.50","92210696","CLOBETASOL PROP 0.05% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"692.50","92214200","EPOETIN ALFA 4000U/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"6927.00","92213073","EPOETIN ALFA 40000U/ ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"693.50","92217633","VALGANCICLOVIR HCL 50MG/ML PDS"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"694.50","33177305","CVC W/ HICKMAN CATH 9FR 2 LMN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"695.50","33101707","ORTHOSIS ELBOW TERRYCOVER ADLT"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"696.33","34020002","SELECTIV DEBRIDE EA AD 20SQ CM","97598GP ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"696.33","34220002","SELECTIV DEBRIDE EA AD 20SQ CM","97598GO ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"696.50","92214280","INSULIN ASPART RECMB 100U/ML I"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"696.50","92220322","INSULIN ASPART RECOMB 100U/ML "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"697.00","92218799","ANORO ELLIPTA 62.5MCG-25MCGPWD"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"697.09","72060009","PLT LR & IRRAD-PROC ONLY "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"699.47","74000006","ABDOMEN SINGLE AP VIEW ","74018",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"699.50","92213279","MYCOPHENOLATE 500MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"70.00","92210917","BUPIVACAINE/EPI 0.5%/0.0005 IN"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"70.00","92210994","TRIAMCINOLONE 0.1% OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"70.00","92211487","SODIUM BICARB 8.4% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"70.00","92212193","QUETIAPINE FUMARATE 200MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"70.00","92212741","SODIUM BICARB 4.2% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"70.00","92213092","DEXTROSE 50%/WATER INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"70.00","92214031","NIFEDIPINE 60MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"70.00","92214486","FLUVASTATIN NA XL 80MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"70.00","92216440","PROPOFOL 1% EMULSION INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"70.00","92216714","POLYETHYLENE GLYCOL 3350 POW "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"70.00","92217396","ENLON-PLUS INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"70.00","92217448","OINTMENT BASE OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"70.00","92217535","SAXAGLIPTIN HCL 2.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"70.00","92217537","SAXAGLIPTIN HCL 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"70.00","92219042","ZENPEP218000-40000-136000UCAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"70.00","92219826","PENTAFLUOROPROPANE/NORFLURANE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"70.02","34010156","OTHOTIC FIT/TRAIN SUBSEQ15MIN ","97763GP ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"70.02","34250051","ORTHOTIC FIT/TRAIN SUBSEQ15MIN","97763GO ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"70.13","38303779","HIV WESTERN BLOT ","86689",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"70.16","38307009","ENCEPHALITIS EASTERN EQUINE ","86652",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"70.20","92215024","AMINO ACIDS 10% IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"70.30","92212797","ALUMINUM ACETATE SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"70.40","92211594","PREDNISONE 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"70.46","38300136","FREE KAPPA LT CHAINS S ","83883",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"70.46","38300137","FREE LAMBDA LT CHAINS S ","83883",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"70.46","38300315","NEPHELOMETRY ","83883",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"70.50","92211176","MYCOPHENOLATE 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"70.50","92213566","PIOGLITAZONE HCL 30MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"70.50","92213754","DOPAMINE HCL 200MG/D5W 250ML I"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"70.50","92214331","TERBINAFINE HCL 250MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"70.50","92214822","EFAVIRENZ 200MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"70.50","92218627","DOFETILIDE 250 MCG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"70.50","92218630","DOFETILIDE 125 MCG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"70.80","38302990","FECAL FAT TOTAL QUANT ","82710",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"701.00","92214728","CROMOLYN NA 0.8MG ARO "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"702.00","92216416","FONDAPARINUX NA 7.5MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"702.00","92219709","ENZALUTAMIDE 40 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"7023.24","92216808","ZOLEDRONIC ACID 5MG/100ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"7028.50","92215588","OMALIZUMAB 150MG PDS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"703.00","92211996","ALBUMIN HUMAN 25% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"705.50","92219447","IOHEXOL 64.7% 300 MG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"7053.83","74200260","MRI LUMBAR SPINE W/WO CONTRAST","72158",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"706.00","92215998","FLUCONAZOLE 40MG/ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"706.38","38301558","HLA ABC TYPING ","86813",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"706.50","92214814","AMINO ACIDS 15% IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"7076.00","92218204","ERBITUX 200 MG VIAL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"708.00","33113065",""TRAY CATH 16CM12FR18GA .035"" J""," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"708.00","33164110","TRAY CATH MAH TLC CDC CE 12F "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"708.00","33174140","TRAY MAHUR 3L 12FR 24CM CDC "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"708.00","33190694","TRAY MAHUR TL HI PRS 12FRX20CM"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"708.00","92220529","CHOLESTYRAMINE 4GM/9GM PDR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"7084.50","92219817","ROMIPLOSTIM125 MCGPWD "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"709.50","92215841","ANAKINRA 100MG/0.67ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"709.75","74000421","HIP 1 VIEW UNILATERAL RT ","73501RT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"709.75","74001411","HIP 1 VIEW UNILATERAL LT ","73501LT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"7090.00","11604990","AMPUTATION (AKA) "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"71.00","92211473","CEFTAZIDIME 2GM INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"71.00","92212203","MICONAZOLE NITRATE 2% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"71.00","92213877","DRONABINOL 2.5MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"71.00","92217586","DRONEDARONE HCL 400MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"71.00","92218215","DEXILANT 30MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"71.00","92218936","LANTHANUM CARBONATE 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"71.17","92212525","MORPHINE 25MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"71.20","38301360","GLUCOSE TOL EACH ADD SPEC ","82952",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"71.20","92213333","ANTIBACTERIAL/ANESTHETIC OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"71.30","92216540","DEXTROSE 50%/WATER IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"71.40","34050220","ELEC STIM NOT WOUND UNATTENDED","97014GP ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"71.40","34200043","ELEC STIM NOT WOUND UNATTENDED","97014GO ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"71.41","38303500","TESTOSTERONE FREE ","84402",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"71.44","38300060","ACTH ","82024",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"71.50","92210659","PILOCARPINE HCL 6% EYE SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"71.50","92212413","MORPHINE 25MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"71.50","92213799","LIDOCAINE HCL 2% VISCOUS SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"71.50","92214514","OLANZAPINE 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"71.50","92217295","WATER STERILE INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"71.50","92218908","CAPSAICIN 0.1% CRM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"71.50","92219430","FLUCONAZOLE 200 MG/100 ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"71.50","92220455","ERYTHROMYCIN 250 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"71.54","72000920","HEMOLYSIN AGGLUTIN AUTO SCREEN","86940",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"71.75","38303813","CYANIDE ","82600",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"711.15","74000510","MAMMOGRAM DIAG BILATERAL ","77066",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"711.70","92210766","HYALURONATE NA 10MG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"712.50","33112827","MASK TOTAL FACE BIPAP/CPAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"714.50","92216421","OMEPRAZOLE NA BICARB 20MG PKT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"714.50","92219969","EPOETIN ALFA-EPBS 10000U/MLSOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"715.00","33109067","TROCAR ENDO BLADELESS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"715.50","33131180","TRAY CATH BREV ST DL 20CM 11FR"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"715.50","33139860","PICC MAX NSG NV PG 4F SL-55cm "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"715.50","33139861","PICC MAX NSG NV PG 5F DL-55cm "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"715.50","33139862","PICC MAXNSGNVPG5FDL55CMGW "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"715.50","33139869","PICC MAXNSGNVPGDFDRP4FSL55CM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"715.50","33139870","PICC MAXNSGNVPGDFDRP4FSL55CM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"715.50","33139871","PICC MAXNSGNVPGDFDRP5FDL55CM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"715.50","33139872","PICC MAXNSGNVPGDFDRP5FSL55CM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"715.50","33139873","PICC MAXNSGNVPGDFDRP5FSL55CM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"715.50","33152526","PICC BIOFLO MAX BARR 5FDL-55CM"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"715.50","33152535","PICC MAX BARRIER SL DF DRP 3F "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"716.75","34010240","APPLY SPLINT SHORT LEG ","29515GP ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"717.00","33168059","AIRCAST AIRSELECT STD "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"718.50","92219887","LEVOTHYROXINE 100MCG/5ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"719.00","92220068","AMINO ACIDS 8% D14W W/E IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"719.50","33103191","KIT CVC QL 8.5 FR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"719.50","92218659","OXACILLIN SODIUM 10 GM INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"72.00","92212012","VECURONIUM BROMIDE 20MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"72.00","92212302","AMIKACIN SULF 250MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"72.00","92212785","BELLADONNA/PHENOBARB ELI "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"72.00","92212808","ERYTHROMYCIN ES 400MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"72.00","92214262","MILRINONE LACTATE 1MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"72.00","92214302","LACTATED RINGERS SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"72.00","92215655","OLANZAPINE 2.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"72.00","92215715","OLANZAPINE 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"72.00","92219134","FUROSEMIDE 40 MG/4 ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"72.00","92220457","DOCUSATE SODIUM 50 MG/5 ML LIQ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"72.10","92215606","AMINO ACIDS 10% IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"72.17","38203777","ALBUMIN FLUID ","82042",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"72.24","38301015","DHEA-S ","82627",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"72.33","34010020","MANUAL THERAPY 15 MIN ","97140GP ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"72.33","34200061","MANUAL THERAPY 15 MIN ","97140GO ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"72.40","38306700","CARDIOLIPIN ANTIBODY ","86147",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"72.42","38300293","RETICULATED PLT ASSAY ","85055",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"72.50","92210727","BACITRACIN 50000U INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"72.50","92212789","TEMAZEPAM 7.5MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"72.50","92213382","LIDOCAINE HCL 1% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"72.50","92213524","CEFTRIAXONE NA 1GM INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"72.50","92214226","DEXTROSE 40% GEL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"72.50","92216518","CEFOXITIN NA 1GM INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"72.50","92217860","D5LR KCL 1000 ML IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"72.58","34000050","GAIT TRAINING 15 MIN ","97116GP ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"72.82","38300760","CREATINE ","82540",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"72.91","38300215","PROTEIN C ANTIGEN ","85302",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"720.09","74000900","WRIST 2 VIEWS BILATERAL ","7310050",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"720.09","74010110","WRIST 2 VIEWS RT ","73100RT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"720.09","74010111","WRIST 2 VIEWS LT ","73100LT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"720.16","74001207","ENTEROCLYSIS TUBE PLACEMENT ","74355",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"720.74","76020004","TC-99M ALBUMIN AGGR <10 MCI "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"7206.38","74000581","MYELOGRAM THORACIC ","72255",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"721.00","92218426","TRIUMEQ 600MG-50MG-300MGTAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"722.00","92210776","FLUOCINOLONE ACET 0.01% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"723.50","33133105","SPLINT ELB DYNAPRO AD MED "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"723.50","33133106","SPLINT ELB DYNAPRO AD LG "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"723.50","33189030","SPLINT ELBOW SUPT DYNPRO AD SM"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"7239.50","92215977","DARBEPOETIN A 150MCG/0.75ML IN"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"724.00","92215351","INSULIN AS/AS PROT 70-30U/ML I"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"724.00","92215485","INSULIN ASPART RECMB 100U/ML I"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"724.50","33100890","ORTHOSIS ELBOW COMFY ADULT SML"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"725.00","92218054","DERMA PHOR OINT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"726.00","33113039","ALLOPATCH PLBL 8.0CMX0.4-0.8MM"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"726.00","92220496","HYDROCOD/APAP 7.5-325MG/15 ML "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"728.50","92217968","GQBAPNTIN 300MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"729.00","92215490","PHENOXYBENZAMINE HCL 10MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"7290.00","92218528","HARVONI 90 MG-400MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"7299.50","92216469","RHO D IMMUNE GLOBULIN 5000U I"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"73.00","92212407","POLYMYXIN B SULF 500000U INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"73.00","92212440","VALACYCLOVIR HCL 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"73.00","92215543","RISPERIDONE 1MG ODT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"73.00","92215957","ADENOSINE 3MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"73.00","92217650","SALIVA SUBSTITUTES SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"73.00","92217736","ANASTROZOLE 1MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"73.00","92219405","SODIUM POLYSTYRENE SULF SUSP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"73.10","92213518","CANDIN ALBICANS ANTIGEN INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"73.30","92213275","LIDOCAINE 1%/EPI 1:200000 INJ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"73.50","92211833","AMPICILLIN NA 2GM INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"73.50","92213441","AMINOPHYLLINE 250MG/10ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"73.50","92214954","MELPHALAN 2MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"73.50","92215400","DILTIAZEM HCL 5MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"73.50","92215992","FLUCONAZOLE 200MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"73.50","92216009","FLUCONAZOLE 200MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"73.50","92216105","SOLIFENACIN SUCC 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"73.50","92216914","CEFAZOLIN 1GM-DEXTROSE INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"73.50","92218269","CREON 180000-36000-14000U CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"73.66","38300134","TREPONEMA PALLIDUM ANTIBODY ","86780",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"73.66","38301256","TREPONEMA PALLIDUM ","86780",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"73.67","38300020","PURKINJE CELL CYTOPLASMA ","86255",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"73.67","38300196","ANTI NEUTROPHILIC ANTIBODY ","86255",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"73.67","38300198","ANTI-MITOCHONDRIAL ANTIB ","86255",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"73.67","38300199","ANTI-SMOOTH MUSCLE ANTIBODY ","86255",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"73.67","38301790","FLUORESCENT AB SCREEN ","86255",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"73.67","38301850","PARIETAL CELL ANTIBODY ","86255",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"73.67","38302118","RETICULIN ANTIBODY ","86255",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"73.67","38303823","IGA ENDOMYSIAL AB ","86255",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"73.67","38304200","ANTI PROTEINASE-3 ","86255",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"73.67","38380045","GBM-GLOMERULAR BASEMENT (IFA) ","83516",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"73.88","38300096","ALPHA 2 ANTIPLASMIN ","85410",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"73.98","38302213","BLOOD SMR W/O MAN DIFF WBC CNT","85008",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"730.00","33100767","BOOT 3D ROM SH WALKER LG "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"730.00","33199962","MULTIBOOT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"730.26","74000350","FINGER(S) 2+ VIEWS BILATERAL ","7314050",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"730.26","74010051","FINGER(S) 2+ VIEWS LT ","73140LT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"730.26","74010052","FINGER(S) 2+ VIEWS RT ","73140RT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"730.82","76020007","TC-99M LABELED RBC <30 MCI "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"733.30","74077000","KNEE STANDING-BOTH KNEES ","73565",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"734.09","74000260","ELBOW 2 VIEWS BILATERAL ","7307050",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"734.09","74010039","ELBOW 2 VIEWS RT ","73070RT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"734.09","74010040","ELBOW 2 VIEWS LT ","73070LT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"735.00","92212521","CLARITHROMYCIN 125MG/5ML PDR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"735.11","34200134","APPLY SPLINT LONG ARM ","29105GO ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"736.00","92212338","CLOBETASOL PROP 0.05% EMO "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"736.00","92214161","TRIAMCINOLONE 55MCG SPR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"736.50","33158310","CATH DRAIN NAV LCK PIGTL 10FR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"736.50","33158311","CATH DRAIN NAV LCK PIGTL 12 FR"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"736.50","33158313","CATH DRAIN NAV LCK PIGTL 6FR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"7366.86","74001052","AORTOGRAM THORACIC W/SERIAL ","75605",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"737.00","33199109","BOOT PRAFO "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"737.00","92212745","CICLOPIROX OLAMINE 0.77% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"737.87","74000480","KNEE 1-2 VIEWS BILATERAL ","7356050",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"737.87","74010073","KNEE 1-2 VIEWS RT ","73560RT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"737.87","74010074","KNEE 1-2 VIEWS LT ","73560LT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"738.35","74000610","CALCANEUS 2+ VIEWS BILATERAL ","7365050",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"738.35","74010029","CALCANEUS 2+ VIEWS RT ","73650RT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"738.35","74010030","CALCANEUS 2+ VIEWS LT ","73650LT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"739.00","92211494","LINDANE 1% SHA "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"739.00","92211530","LINDANE 1% LOT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"7393.50","33105676","EPIFIX MESH 4CM X 4.5 CM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"74.00","38300056","ACID PHOS SERUM TOTAL ","84060",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"74.00","92212327","CEFAZOLIN 10GM INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"74.00","92213899","QUETIAPINE FUMARATE 300MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"74.00","92216315","KETAMINE HCL 100MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"74.00","92217622","MULTIVATAMIN INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"74.00","92218241","LUBRIDERM LOTION "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"74.25","38203705","SED RATE (MANUAL) ","85651",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"74.50","38303832","MUCIN CLOT TEST ","83872",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"74.50","92212719","AMPICILLIN-SULBACTAM 3GM INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"74.50","92215247","LIDOCAINE 1.5%/EPI 1:200000 I"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"74.50","92215390","EZETIMIBE 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"74.50","92215438","VENLAFAXINE HCL 37.5MG CER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"74.50","92216452","RISPERIDONE 3MG ODT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"74.50","92219133","EZETIMIBE 10 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"74.59","38301011","CHLAMYDIA. PNEUMONIA (IGG) ","86631",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"74.59","38301013","CHLAMYDIA PNEUMONIAE (IGA) ","86631",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"74.59","38301014","C TRACHOMATIS IGG ","86631",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"74.59","38301016","C PNEUMONIAE IGG ","86631",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"74.59","38301017","C PSITTACI IGG ","86631",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"74.59","38301018","CHLAMYDIA ANTIBODIES IGG ","86631",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"74.75","38202530","VDRL QUANTITATIVE ","86593",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"740.00","92218543","CADEXOMER-IODINE 0.9% TOP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"740.50","33109974","BOOT MULTIPODUS XLARGE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"741.60","92215661","APREPITANT TRIFOLD PACK CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"742.00","33113077","TRANSTRACH SCOOP CATHETER 9 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"742.00","33114805","CATH TRANS TRACH SCOOP 9FRX9CM"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"742.00","33119977","CATH TRANS SCOOP 9 FRX11CM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"744.57","34010215","APPLY SPLINT FINGER DYNAM ","29131GP ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"744.57","34210280","APPLY SPLINT FINGER DYNAM ","29131GO ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"745.00","92219585","NAFCILLIN SODIUM 10 GM SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"746.50","92210407","SILVER SULFADIAZINE 1% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"747.00","92218085","COMBIVENT RESPIMAT INH "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"747.50","92215922","AZELASTINE HCL 137MCG NASAL SP"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"748.00","33164050","SUPPORT KNEE DYNAPRO FLX SM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"748.00","33164051","SUPPORT KNEE DYNAPRO FLX MD "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"748.40","38000030","CELL BLOCK INTERP COMPLETE ","88305",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"748.40","38000095","BONE MARROW BX INTERP ","88305",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"748.40","38000503","SURGICAL PATH LEVEL IV ","88305",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"748.50","92218894","IOHEXOL 75.5% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"748.50","92219913","IRON SUCROSE 20 MG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"748.50","92220479","IOHEXOL 75.5% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"7484.50","92215225","VITAMIN A 50000U/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"749.00","92218969","IBANDRONATE SODIUM 150 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"749.50","92212076","NAFCILLIN 10GM INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"749.50","92212393","OXACILLIN NA 10GM INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"749.88","34210370","EVAL OF SWALLOWIN-RADIO-OPA ","92611GO ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"749.88","34600181","EVAL OF SWALLOWING-RADIO-OPA ","92611GN ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"75.00","92214355","TERBINAFINE HCL 250MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"75.00","92214861","DAKINS 0.25% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"75.00","92214866","DAKINS 0.5% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"75.00","92216604","DAKINS 0.125% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"75.00","92218938","LANTHANUM CARBONATE 750 MGTAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"75.20","92218089","SEROMYCIN 250MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"75.32","38303560","TOXOPLASM AB (IGM) ","86778",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"75.50","92210952","SUCRALFATE 1GM/10ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"75.50","92213653","AMMONIUM LACTATE 12% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"75.50","92214559","DEXTROSE 30%/WATER IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"75.50","92214603","DEXTROSE 20%/WATER IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"75.50","92214657","PROCHLORPERAZINE EDI 5MG/ML IN"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"75.50","92215052","AMINO ACIDS 8.5% IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"75.50","92215301","MORPHINE D5W 1MG/250ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"75.50","92215716","CYCLOSPORINE 100MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"75.50","92215986","FLUCONAZOLE 150MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"75.50","92216001","FLUCONAZOLE 150MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"75.50","92216476","DIGOXIN 50MCG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"75.50","92217125","DESVENLAFAXINE SUCC 50MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"75.50","92218792","SODIUM HYPOCHLORITE 0.062% SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"75.60","92217291","HYDROCODONE APAP 5-163/7.5ML S"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"75.70","92213846","FAMOTIDINE 10MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"75.79","38300217","PARASITE ID - SKIN SCRAPING ","87169",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"750.00","92212330","ESTRADIOL CYPIONATE 5MG/ML OIL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"750.00","92216376","ALBUMIN HUMAN 25% IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"7509.50","92217522","FERUMOXYTOL 520MG/17ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"751.50","74001189","SPINE-SINGLE VIEW-SPECIFY LEVL","72020",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"751.50","92212086","CLINDAMYCIN PHOS 1% LOT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"751.50","92212313","AZELASTINE HCL 0.05% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"751.50","92218407","PROSOL 20% IV SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"752.00","92217989","ASTEPRO 205.5MCG/ACTUATION SPR"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"752.15","74000139","CHEST SPECIAL VIEWS ","71046",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"752.15","74000140","CHEST 2 VIEWS FRONTAL & LAT ","71046",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"752.90","39200302","PACEMAKER CHECK DUAL LEAD ","93280",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"7523.50","92216115","DARBEPOETIN A 150MCG/0.3ML INJ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"7530.00","92219201","RIMABOTULINUMB 5000UNITS/MLSOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"754.00","92216795","MAFENIDE ACET 85MG/GM CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"755.50","33119967","TRAY UROLOGIST HEYMAN SYS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"756.50","92219843","AZITHROMYCIN 500 MG TABLET "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"7567.50","92215256","INFLIXIMAB 100MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"757.00","92215155","BENZTROPINE MESYLATE 2MG/2ML I"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"757.50","92210790","PREDNISOLONE ACETATE 1% SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"757.50","92217239","NICARDIPINE/NACL 20MG/200ML IV"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"758.00","33103429","TRAY HEMODIALYSIS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"758.50","92216378","PNEUMOVAX 23 INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"758.50","92219048","PNEUMOCOCCAL VAC POLYVALNT SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"758.55","74001321","FEMUR 1 VIEW BILATERAL ","7355150",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"758.55","74001322","FEMUR 1 VIEW RT ","73551RT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"758.55","74001323","FEMUR 1 VIEW LT ","73551LT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"759.00","92212806","LACTIC ACID UREA 5%-10% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"76.00","92210460","AMPICILLIN NA 250MG/5ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"76.00","92211055","ENOXAPARIN NA 40MG/0.4ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"76.00","92215964","HYDROCORTISONE BUTYR 0.1% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"76.00","92216711","OXYCODONE HCL 80MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"76.00","92217058","ETRAVIRINE 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"76.00","92217797","SODIUM CL 4MEQ/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"76.00","92218551","LACOSAMIDE 50 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"76.00","92218868","MICONAZOLE NITRATE 2% TOP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"76.00","92220441","LAMOTRIGINE ER 100 MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"76.14","38201580","INSULIN ","83525",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"76.28","38303527","ANTIPSYCHOTICS NOS 1-3 ","80342",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"76.30","92216448","GLYCOPYRROLATE 0.2MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"76.34","34000790","NEUROMUSCULAR RE-ED 15 MIN ","97112GP ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"76.34","34200030","NEUROMUSCULAR RE-ED 15 MIN ","97112GO ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"76.50","92217124","DESVENLAFAXINE SUCC 50MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"76.50","92219570","CEFACLOR 125MG/5ML (150ML) BTL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"76.50","92219586","OSELTAMIVIR 30 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"76.85","38399301","URINALYS QUAL/SEMIQNT XCPT IA ","81005",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"76.89","38300572","CMV IGG ANTIBODY ","86644",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"76.93","34010105","ELEC STIM ATTENDED 15 MIN ","97032GP ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"76.93","34210215","ELEC STIM ATTENDED 15 MIN ","97032GO ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"76.93","34699980","DYS TXT W/E-STIM ATTEND 15MIN ","97032GN ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"76.93","34699981","E-STIM ATTENDED 15MIN ","97032GN ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"760.00","92217234","INFLUENZA VACC 2008-09 INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"762.50","92214271","IPRATROPIUM BR 0.06% SPR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"763.00","92219679","ZOLMITRIPTAN 5 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"764.50","33177387","TRAY PNEUMOTHORAX "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"765.00","92216541","APREPITANT 40MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"766.50","92214512","OFLOXACIN 0.3% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"767.00","92220415","PRAMOXINE/HC 1%-2.5% TOP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"7676.77","74001018","ANGIO PELVIC SELECTIVE ","75736",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"768.30","92217276","LIPIDS 20% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"769.00","33112468","SPLINT KNEE THERAPLUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"769.00","92218075","STRIBILD TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"769.50","92216471","NALOXONE HCL 0.4MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"769.50","92219157","NALOXONE HYDROCHL 0.4MG/MLSOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"77.00","92211600","CEFTAZIDIME 1GM INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"77.00","92214110","ATOMEXETINE HCL 25MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"77.00","92214731","POTASSIUM PH 3MM/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"77.00","92215317","FAMCICLOVIR 250MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"77.00","92215595","PROMETHAZINE HCL 25MG SUP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"77.00","92217219","OLANZAPINE 5MG ODT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"77.00","92217847","OLANZAPINE 5MG ODT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"77.00","92218465","CIALIS 5 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"77.00","92218815","OLANZAPINE ODT 5 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"77.00","92218866","HYDROGEN PEROXIDE SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"77.00","92219781","PYRIDOSTIG BROM 60MG/5ML SYR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"77.50","92213930","POTASSIUM CL 20MEQ PDS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"77.50","92215521","LAMIVUDINE 300MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"77.50","92215553","HYDROMORPHONE 10MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"77.50","92218816","LEVOMILNACIPRAN 120 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"77.50","92219703","OXANDROLONE 10 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"77.68","34010130","HOME MGT TRAINING 15 MIN ","97535GP ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"77.68","34210130","SELF CARE/HOME MGT 15 MIN ","97535GO ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"77.68","34600141","SELF CARE/HOME MGT 15 MIN ","97535GN ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"77.73","38201390","GRAM/GIESMA SMEAR ","87205",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"77.90","38303806","AMINO ACID QUANT EA ","82131",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"771.00","92218682","TETRA/BENZOCAINE/BUTAMBEN18%SP"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"772.00","92212851","HYDROCORTISONE BUTYR 0.1% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"774.00","92218706","GENVOYA150MG200MG10MGTAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"774.00","92219304","BIKTARVY 50MG-200MG-25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"774.02","38300242","INFECT AGENT PHENOTYPE HIV1 ","87903",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"774.50","92218029","OPTIRAY 320 120ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"775.00","33168134","SET SUT 12CM ENTUIT SCR 3 ADJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"7761.10","73700210","POLYSOMNOGRAPHY/C-PAP ","95811",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"7789.00","92217999","BOTOX 200 UNITS INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"779.00","33101732","CATH DIAL TRIALYSIS 13FRX30CM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"779.00","33118105","CATH HEMO ST PWRTRL 13FX15CM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"779.00","33118106","CATH HEMO ST PWRTRL 13FX20CM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"779.50","33138334","HELMET SOFT SHELL PINK X-LARGE"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"779.50","92214805","ESTRADIOL VALERATE 20MG/ML OIL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"78.00","92213050","HYDROCORTISONE ACET 25MG SUP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"78.00","92213851","LEVOCARNITINE 1GM/5ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"78.00","92215753","MORPHINE 1MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"78.00","92216206","SUCCINYLCHOLINE CL 20MG/ML INJ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"78.00","92216241","RAMELTEON 8MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"78.00","92216560","LANTHANUM CARBONATE 500MG CTB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"78.00","92216563","LANTHANUM CARBONATE 1000MG CT"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"78.00","92216626","LANTHANUM CARBONATE 750MG CTB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"78.00","92217018","FENTANYL 25MCG/HR TDM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"78.00","92217023","MINERAL OIL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"78.00","92217393","LANSOPRAZOLE 30MG TDR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"78.00","92217523","DRONEDARONE HCL 400MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"78.00","92218710","LANTHANUM CARBONATE 750 MG PWD"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"78.00","92218711","LANTHANUM CARBONATE 1000MG PWD"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"78.00","92218937","LANTHANUM CARBONATE 1000MGTAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"78.00","92219043","ROFLUMILAST 500 MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"78.00","92219414","ROFLUMILAST 250 MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"78.00","92219415","ROFLUMILAST 250 MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"78.00","92219571","DOXERCALCIFEROL 1MCG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"78.00","92219584","MORPHINE SULFATE 1 MG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"78.00","92220065","VANCOMYCIN 750 MG/150 ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"78.00","92220111","HYDROCORTISONE ACETATE25MGSUPP"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"78.00","92220381","HYDROCORTISONE 25 MG SUPP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"78.15","38300131","DNA SINGLE STRAND ANTIBODY ","86226",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"78.19","38302623","ALK PHOS HEAT STABLE ","84078",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"78.26","38300005","17-HYDROXYPREGNENOLONE ","84143",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"78.50","92210546","SILVER SULFADIAZINE 1% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"78.50","92211279","ACETYLCYSTEINE 10% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"78.50","92213330","TESTOSTERONE 1% GEL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"78.50","92214339","TRIAMCINOLONE 10MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"78.50","92215179","SODIUM FLORIDE 1.1% GEL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"78.50","92216100","SOLIFENACIN SUCC 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"78.50","92217799","VANCOMYCIN HCL 750MG/150ML INJ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"78.50","92218689","VANCOMYCIN 500 MG/150 ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"78.50","92218883","ACETYLCYSTEINE 0.2 SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"78.50","92219087","BUPRENORPHINE HCL 0.3MG/ML SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"78.50","92219305","VANCOMYCIN/D5W 750MG/150ML SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"78.50","92220225","LIDOCAINE 4% "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"78.69","74200031","CONTRAST GADOLINIUM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"78.69","74200035","GADOLINIUM PER ML "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"78.69","76020023","MAGNEVIST PER ML "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"78.75","38200070","ALDOLASE ","82085",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"78.84","38201883","CHLORIDE URINE ","82436",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"78.84","38202215","RETICULOCYTE (AUTO) ","85045",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"78.84","38293920","HEPB CORE AB IGM (HBCIGM) ","86705",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"78.84","92214266","TOLTERODINE TARTRATE 4MG CER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"781.00","33103608","KIT PULSAVAC PLUS FAN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"782.00","92214997","DORNASE ALFA 2.5MG/2.5ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"783.50","92212060","KETOCONAZOLE 2% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"78385.50","92219337","TREPROSTINIL 10 MG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"784.00","92204021","IV ADMIXTURE 22 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"784.20","92216106","LOTEPREDNOL ETAB TOBY .5-.3% S"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"785.50","92219359","ESMOLOL HCL 2500 MG/250 ML SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"786.00","92219204","VARICELLA VIRUS VACC1350PFUSOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"786.00","92219227","HYDROCORTISONE/PRAMOX1%-1%CRM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"787.10","72060014","RBC IRRADIATED-PROC ONLY "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"787.50","92215072","PIMECROLIMUS 1% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"788.50","33103151","SET CATH MULT DRAIN 8.5 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"788.50","33113029",""SET DRN 40CM10.2FRMCLC.038""BIL""," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"788.50","33113030","SET DRN 25CM 12FR MC LC .038IN"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"789.50","92217988","HEPARIN LOCK 100U/ML "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"79.00","92210492","TESTOSTERONE CYPI 200MG/ML OIL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"79.00","92211024","NAFCILLIN 1GM INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"79.00","92211265","OXACILLIN NA 1GM INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"79.00","92212766","PETROLATUM ZINC OXIDE 51-20% P"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"79.00","92213085","CIPROFLOXACIN 200MG/100ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"79.00","92213322","PROPOFOL 10MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"79.00","92214441","TOLTERODINE TARTRATE 4MG CER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"79.00","92214445","TOLTERODINE TARTRATE 4MG CER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"79.00","92214450","TOLTERODINE TARTRATE 2MG CER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"79.00","92214471","TOLTERODINE TARTRATE 2MG CER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"79.00","92215408","ACETYLCYSTEINE 20% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"79.00","92216353","PROPAFENONE HCL 225MG CER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"79.03","38300569","CLOZAPINE/CLOZARIL ","80159",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"79.37","38300013","BETA 2 MICROGLOBULIN ","82232",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"79.37","38305525","BETA 2 MICROGLOBULIN URINE ","82232",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"79.40","92217366","DIDANOSINE 400MG ECC "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"79.50","92203002","ORALS 02 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"79.50","92211064","HYDROCORTISONE NA SUCC 100MG I"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"79.50","92211625","POLYMYXIN B SULF 500000U INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"79.50","92213679","CR CU MN ZN TRACE ELEMENT INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"79.50","92214258","TOLTERODINE TARTRATE 4MG CER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"79.50","92214320","DEXTROSE 50%/WATER IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"79.50","92214460","TOLTERODINE TARTRATE 2MG CER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"79.50","92215971","FLUCONAZOLE 400MG/200ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"79.50","92216783","SODIUM BICARB 8.4% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"79.50","92217830","GENTIAN VIOLET 2% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"79.50","92218143","MORPHINE SULFATE 20MG SUP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"79.50","92218572","NALOXEGOL 25 MG "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"79.50","92218642","EPOPROSTENOLNA 94MG-73MG/50ML "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"79.50","92218956","RISPERDONE 1 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"79.50","92219222","TOLTERODINE TARTRATE 4 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"79.50","92219223","TOLTERODINE TARTRATE 2 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"79.63","38300302","PROSTATE SPECIFIC ATG (FREE) ","84154",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"79.89","34010040","THERAPEUTIC EXERCISE 15 MIN ","97110GP ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"79.89","34200110","THERAPEUTIC EXERCISE 15 MIN ","97110GO ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"79.95","38201460","HEPATITIS B SURFACE AB ","86706",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"79.95","38201470","HEPATITIS B SURFACE AG (HBSAG)","87340",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"790.20","92217237","PIRBUTEROL ACETATE 0.2MG ARO "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"7922.64","74200302","MRI UPPER EXT W/CONTRAST RT ","73219RT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"7922.64","74200402","MRI UPPER EXT W/CONTRAST BIL ","7321950",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"7922.64","74200419","MRI UPPER EXT W/CONTRAST LT ","73219LT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"793.00","92211127","NEOMYCIN SULF/POLYMYX B/HC SUS"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"793.50","92214273","ERTAPENEM NA 1GM INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"794.00","33111771","CAM II WALKER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"795.00","33102811","TRAY PEG 000331 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"795.00","33113026","KIT PEG 20FR SIL PSH METH "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"795.00","92205002","TPN/TNA 2 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"7950.00","33102881","KIT FILTER VENACAVA FEM DENALI"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"796.00","92217967","TRESPROSTINIL 1MG/ML 20ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"797.50","92210890","MENINGOCOCCAL POLY VACC INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"797.50","92218756","DALTEPARIN SOD15000IU/0.6MLINJ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"798.53","74000420","GALLBLADDER W/ ORAL CONTRAST ","74290",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"80.00","92214699","SODIUM CL 5% EYE OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"80.00","92218172","POT PHOS 3MMOLE/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"80.00","92220297","CLIN PHOS/DEX 600MG/50ML-5%SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"80.30","92217455","RISPERIDONE 4MG ODT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"80.37","38302530","VDRL QUANTITATIVE ","86593",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"80.48","38300088","P-ANCA ATYPICAL TITER ","86256",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"80.48","38300089","PERINUCLEAR AB TITER ","86256",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"80.48","38305590","ANTISMOOTH MUSCLE TITER ","86256",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"80.48","38306680","FLUORESCENT ANTIBODY TITER ","86256",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"80.50","92211237","CHLORPROMAZINE HCL 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"80.50","92211551","UREA 10% LOT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"80.50","92212058","LEVOFLOXACIN 250MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"80.50","92212401","ATROPINE SULF 1MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"80.50","92213471","GLYCOPYRROLATE 0.2MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"80.50","92216238","TIPRANAVIR 250MG SGL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"80.50","92217754","OXYCODONE HCL 30MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"80.50","92218800","NALOXEGOL 12.5 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"80.50","92220299","VIT B COMP/IRON/VIT C CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"80.59","38303220","METANEPHRINES (FRACTION) ","83835",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"80.85","38200076","ACHR BINDING AB SERUM ","83519",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"801.00","92214319","FLUMAZENIL 0.1MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"801.50","92220186","DIMETHYL FUMARATE 240MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"801.59","72060007","PLATELETS LR-PROC ONLY "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"801.60","92215322","SULFACETAMIDE NA UREA KIT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"802.00","33112893","CATH DIAL DL CVC POLY 12FRX16C"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"802.00","92213258","CLOTRIMAZOLE BETAMETH 1-0.05 L"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"8027.48","74010041","ANGIO EXTREMITY RT ","75710RT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"8027.48","74010042","ANGIO EXTREMITY LT ","75710LT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"803.50","92216415","BROMFENAC 0.09% EYE SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"805.50","33108546","KIT PEG 20FR PONSKY PULL DELX "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"805.50","33113028","KIT PEG 20FR XLCN SIL PUL METH"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"805.50","33113044","KIT PEG 20FR13.8FR SIL PUL PLC"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"805.50","33168400","KIT PEG 24FR XLCN SIL PUL METH"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"805.50","33176581","KIT PEG 20FR BASIC PULL NE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"805.50","33190045","WIRE GUIDE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"808.00","33180040","TRAY DIAL DUOGLD STR 13FR 15CM"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"809.27","74001307","THORACOLUMBAR MIN 2 VIEWS ","72080",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"809.34","74000596","NECK SOFT TISSUE ","70360",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"809.70","92214737","SULFACETAMIDE NA 10% LOT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"81.00","92211917","SILVER SULFADIAZINE 1% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"81.00","92217382","SODIUM BICARB 8.4% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"81.00","92220253","MESALAMINE 1.2 GM TCP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"81.00","92220392","BRIMONIDINE TARTRATE 0.20% SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"81.15","38301415","HELICOBACTER PYLORI AB ","86677",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"81.34","34010155","ORTHOTIC FIT/TRAIN 15 MIN ","97760GP ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"81.34","34250050","ORTHOTIC FIT/TRAIN 15 MIN ","97760GO ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"81.37","34010160","THER ACT DIRECT 15 MIN ","97530GP ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"81.37","34210150","THER ACT DIRECT 15 MIN ","97530GO ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"81.40","92214219","LIDOCAINE 2%/EPI 1:200000 INJ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"81.50","92210029","SULFAMETHOXAZOLE/TMP INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"81.50","92211427","ESTRADIOL 0.05MG/DAY TDM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"81.50","92213876","NIMODIPINE 30MG SGL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"81.50","92215768","EPLERENONE 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"81.50","92216631","CYCLOSPORINE 100MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"81.50","92217430","FESOTERODINE FUMARATE 4MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"81.50","92217431","FESOTERODINE FUMARATE 8MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"81.50","92217709","MEROPENEM 1GM INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"81.50","92219284","QUETIAPINE FUMARATE 400MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"81.60","92210250","ERYTHROMYCIN 2% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"81.97","38300571","CMV IGM ANTIBODY ","86645",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"81.97","38301399","POST GLUCOSE DOSE (GTT) ","82950",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"81.98","34000176","SENSORY STIMULATION 15 MIN ","97533GP ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"81.98","34200011","SENSORY STIMULATION 15 MIN ","97533GO ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"81.98","34600019","SENSORY STIMULATION 15 MIN ","97533GN ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"810.00","92213145","SODIUM CL 4MEQ/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"810.93","72060016","RBC LR IRRADIATED-PROC ONLY "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"811.50","92218466","ZERBAXA 1 GM-0.5 GM PDS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"812.43","74000780","SKULL < 4 VIEWS ","70250",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"816.50","92214778","DEFEROXAMINE MESYLATE 2GM INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"817.00","33164055","TRAY INSERT PERM CATH DL 40CM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"817.50","33116188","HELMET SOFTSHELL FULL TAN LG "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"817.59","74000710","SACROILIAC JOINTS 3+ VIEWS ","72202",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"818.68","74000825","TMJ BILATERAL ","70330",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"819.00","92218041","DUREZOL 0.05% EYE SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"819.50","92219803","HEP B VACCINE 20MCG/0.5ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"819.90","92212281","TRIAMCINOLONE 100MCG ARO "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"82.00","92210058","HYDROCORTISONE 2.5% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"82.00","92213603","ONDANSETRON HCL 2MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"82.00","92216507","ZINC OXIDE 20% OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"82.00","92216528","AMINO ACIDS 8.5% IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"82.00","92216621","CASTOR/PERU BALSAM/TRYPSIN SPR"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"82.00","92216842","SCOPOLAMINE 0.33MG/24HR TDM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"82.00","92219025","RISPERIDONE 4 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"82.40","92216488","AZITHROMYCIN 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"82.40","92217598","DEFEROXAMINE MESYLATE 500MG PD"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"82.50","92213166","DOBUTAMINE HCL D5W 500-250ML I"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"82.50","92213228","CEFOXITIN NA 2GM INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"82.50","92214092","DEXTROSE 70%/WATER IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"82.50","92214608","ATORVASTATIN CALCIUM 80MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"82.50","92215180","FIBER PDR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"82.50","92216095","DARIFENACIN HBR 7.5MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"82.50","92216680","MICONAZOLE NITRATE 2% OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"82.50","92217127","DESVENLAFAXINE SUCC 100MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"82.50","92217128","DESVENLAFAXINE SUCC 50MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"82.50","92217900","CEFAZOLIN 2GM-D5W INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"82.50","92219282","MGCL/KCL/NAAC/NACL/NAGLUC.SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"82.50","92219437","ROFLUMILAST 250 MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"82.50","92219811","PENICILLIN G POTASSIUM 5MU INJ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"82.50","92220134","MEMANTINE 14 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"82.58","38300211","PLASMINOGEN ACTIVATOR ","85415",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"82.70","92210574","ATRACURIUM BESYLATE 10MG/ML IN"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"82.83","38300213","PROTEIN S ANTIGEN (TOTAL) ","85305",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"82.94","38303215","INCLUSION_BODY/PARASITE STAIN ","87207",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"82.97","38300128","HANTAVIRUS IGG ","86790",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"82.97","38300129","HANTAVIRUS IGM ","86790",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"82.97","38320001","CRYPTOCOCCUS AG SERUM TITER ","86406",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"820.00","92219517","DASATINIB 20 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"823.50","33170064","STENT BIL10FR10CM DDNL BND "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"823.50","33170065","STENT BIL10FR7CM DDNL BND "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"823.50","33170066","STENT BIL7FR7CM DDNL BND "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"823.50","33170067","STENT BIL7FR10CM DDNL BND "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"824.00","92218515","DIANEAL LOW CA W/DEXT 2.5% SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"8258.36","77010015","CT ABD & PELVIS WO CONTRAST ","74176",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"826.80","92211771","HYALURONATE NA 10MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"827.50","92211630","TOBRAMYCIN DEX 0.3-0.1% SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"828.00","33110343","LARYNGOSCOPE ASCOPE4RHINO SLIM"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"83.00","92203025","ORALS 25 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"83.00","92211832","PENICILLIN GK 5MMU INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"83.00","92218732","CETAPHIL COMPND VEHICLE TOP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"83.00","92219540","ACETYLCYSTEINE 20% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"83.00","92220500","NALOXEGOL 25 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"83.14","38303455","SEROTONIN ","84260",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"83.30","92216482","LIPIDS 10% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"83.50","92210137","MORPHINE 50MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"83.50","92211936","SODIUM CL 5% EYE SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"83.50","92212191","RISPERIDONE 4MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"83.50","92213171","CEFUROXIME NA 1.5GM INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"83.50","92214357","OSELTAMIVIR PHOSPHATE 75MG CAP"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"83.50","92215414","NICARDIPINE HCL 20MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"83.50","92215612","CAPECITABINE 150MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"83.50","92216103","SOLIFENACIN SUCC 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"83.50","92216108","SOLIFENACIN SUCC 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"83.50","92216109","SOLIFENACIN SUCC 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"83.50","92217445","FOSPHENYTOIN NA 75MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"83.50","92217808","ROFLUMILAST 500MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"83.50","92219064","OSELTAMIVIR PHOSPHATE 75MGCAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"83.50","92219509","ESTRADIOL 0.025 MG/24HR PATCH "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"83.50","92220149","MENTHOL 4% SPR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"83.70","38300790","REPTILASE TIME TEST ","85635",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"83.78","34000090","VASOPNEUMATIC DEVICES ","97016GP ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"83.78","34210380","VASOPNEUMATIC DEVICES ","97016GO ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"830.00","92218390","TOBI 300 MG/5 ML INH "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"8307.63","76080038","MYOCARD PERF MULTI SPEC ","78452",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"832.00","92213174","IOPAMIDOL 61% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"832.10","92216362","VERAPAMIL HCL 2.5MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"832.80","92215423","DESOXIMETASONE 0.05% GEL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"833.00","92216962","OFLOXACIN 0.3% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"835.01","39299994","2D ECHO WITH DOPPLER ","93321",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"835.73","74000310","FEMUR 2+ VIEWS BILATERAL ","7355250",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"835.73","74010045","FEMUR 2+ VIEWS RT ","73552RT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"835.73","74010046","FEMUR 2+ VIEWS LT ","73552LT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"836.50","92216010","IMMUNE GLOBULIN 5% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"839.00","92213584","ALBUMIN HUMAN 5% IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"839.00","92215513","OCTREOTIDE ACET 500MCG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"839.50","92210775","ERYTHROMYCIN 2% GEL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"839.50","92211040","CLOBETASOL PROP 0.05% OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"839.50","92218776","TOUJEO 300 UNITS/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"839.97","74000590","NASAL BONES 3+ VIEWS ","70160",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"84.00","92212822","LAMIVUDINE ZIDOVUDIN 150-300 T"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"84.00","92212833","WATER STERILE SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"84.00","92215190","FAMCICLOVIR 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"84.00","92216004","AMIODARONE HCL 50MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"84.00","92216359","AZITHROMYCIN 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"84.00","92216368","AZITHROMYCIN 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"84.00","92219105","AZITHROMYCIN 500 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"84.00","92219662","AZITHROMYCIN 500 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"84.39","38202410","TRIGLYCERIDES ","84478",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"84.50","92211363","ATROPINE SULF 0.05MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"84.50","92213261","CR CU MN SE ZN TRACE ELEMENT I"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"84.50","92213380","DOPAMINE HCL 400MG/D5W 250ML I"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"84.50","92219935","CLINDAMYPHOS900MG/50ML-0.9%SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"84.52","38300513","MICROALBUMIN 24 HOUR URINE ","82043",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"84.52","38300514","MICROALBUMIN/CREATININE RATIO ","82043",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"84.52","38301770","MICROALBUMIN URINE QUANT ","82043",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"84.60","38343604","PHOSPHOROUS URINE ","84105",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"84.60","92212559","ERYTHROMYCIN ES/SULFISOX SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"84.75","38300002","THERAP DRUG ASSAY QUANT NEC ","80299",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"84.75","38300112","AMIODARONE ","80299",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"84.75","38300141","POSACONAZOLE ","80299",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"84.75","38300158","ITRACONAZOLE SERUM/PLASMA ","80299",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"84.75","38300804","PREGABALIN ","80299",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"84.75","38301030","DIGITOXIN ","80299",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"84.75","38301992","PROLIXIN LEVEL ","80299",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"84.75","38302533","VENLAFAXINE LEVEL ","80299",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"84.75","38302536","VORICONAZOLE QNT ","80285",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"84.75","38302800","CLOMIPRAMINE ","80299",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"84.75","38302920","DISOPYRAMIDE ","80299",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"84.75","38303000","FLECAINIDE ","80299",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"84.75","38303010","FLUOXETINE- PROZAC ","80299",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"84.75","38303170","KANAMYCIN ","80299",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"84.75","38303206","LIBRIUM (CHLORDIAZEPOXIDE) ","80299",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"84.75","38303207","CHLORPROMAZINE ","80299",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"84.75","38303208","FLUOXETINE ","80299",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"84.75","38303209","PENTOBARBITAL AND THIOPENTAL ","80299",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"84.75","38303240","METHOTREXATE ","80299",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"84.75","38303245","MEXILETINE ","80299",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"84.75","38303742","NEURONTIN (GABAPENTIN) ","80299",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"84.75","38303900","CARBIDOPA ","80299",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"84.75","38305076","FELBAMATE ","80299",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"84.75","38343617","ALPROZOLAM (XANAX) ","80299",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"84.75","38343619","SULFAMETHOSAZOLE HPLC ","80299",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"84.75","38399309","DEPAKOTE ","80299",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"84.75","38399351","DILANTIN ASSAY ","80299",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"84.93","38306434","CLOTTING FACTOR XIII ","85291",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"840.00","74000190","CLAVICLE BILATERAL ","7300050",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"840.00","74010035","CLAVICLE RT ","73000RT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"840.00","74010036","CLAVICLE LT ","73000LT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"8414.50","92220508","BRIVARACETAM 10 MG/ML IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"844.00","33113034","AMNIOBAND MTRX TISS 18MM PLCNT"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"845.90","34010205","APPLY SPLINT SHORT ARM DYNAM ","29126GP ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"845.90","34210270","APPLY SPLINT SHORT ARM DYNAM ","29126GO ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"847.50","92211645","METRONIDAZOLE 0.75% GEL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"848.00","33139867","PICC MAX NSG NV PG 6F TL-55cm "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"848.00","33139877","PICC MAXNSGNVPGNITDFDRP4FSL55C"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"848.00","33139878","PICC MAXNSGNVPGNITDFDRP5FDL55C"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"848.00","33139883","PICC MAXNSGVLVPG4FSL55CM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"848.00","33139884","PICC MAXNSGVLVPG4FSL55CMGW "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"848.00","33139893","PICC MAXNSGVLVPGDFDRP3FSL55CM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"848.00","33139895","PICC MAXNSGVLVPGDFDRP6FDL55CM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"848.00","33152525","PICC BIOFLO MAX VLV 4FSL-55CM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"848.00","33152527","PICC BIOFLO MAX VLV 5FDL-55CM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"848.00","33161995","CATH HICKMAN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"848.50","92214547","PRAMOXINE HCL HC 1%-1% FOA "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"8484.00","92218510","AVONEX 30 MCG/0.5 ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"849.00","92217108","TOBRAMYCIN 300MG/5ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"85.00","92210199","TETRACYCLINE HCL 500MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"85.00","92212121","LEVOFLOXACIN 250MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"85.00","92212684","LEVOFLOXACIN 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"85.00","92213702","DOPAMINE HCL 400MG/D5W 250ML I"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"85.00","92213923","LIDOCAINE HCL 4% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"85.00","92215366","LIDOCAINE 2%/EPI 1:200000 INJ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"85.00","92218355","NEVIRAPINE 50MG/5 ML SUSP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"85.00","92220468","LANSOPRAZOLE 30 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"85.10","38303737","PLASMA HEMOGLOBIN ","83051",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"85.38","38306818","PHOSPHOLIPID NEUT HEX PHOS ","85598",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"85.50","92212331","LEVOBUNOLOL 0.25% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"85.50","92213095","FAMOTIDINE 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"85.50","92214297","ATOMEXETINE HCL 10MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"85.50","92214552","ANAGRELIDE HCL 1MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"85.50","92219327","SODIUM POLYSTYRENE SUL PWD "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"85.60","92213751","CEFUROXIME NA 1.5GM/50ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"85.66","38303645","5 NUCLEOTIDASE ","83915",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"85.87","38301545","T-CELLS-CD4COUNT ","86361",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"851.00","33106974","CUTTER PROX LIN W/LOCK 100MM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"851.00","92215615","DIHYDROERGOTAMINE 1MG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"853.50","33112404","TRAY MAHURKAR 3LUM 12FRX20CM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"853.50","92220306","SODIUM POLYSTYRENE SULFON PDR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"856.00","92217984","OMNIPAQUE 300 INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"856.50","92212432","SEVOFLURANE LIQ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"8568.31","74000008","FISTULOGRAM DIALYSIS CIRCUIT ","36901",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"857.50","92218132","FLUCYTOSINE 500 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"858.50","33152379","HELMET HARD SHELL TAN MED "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"858.50","33152380","HELMET HARD SHELL TAN LG "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"859.00","33113040","ALLOPATCH PLBL 4.0CMX0.4-0.8MM"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"86.00","38301565","HYDROXYPROLINE URINE (FREE) ","83500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"86.00","92211431","BENZOYL PEROXIDE 5% GEL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"86.00","92211576","CAPSAICIN 0.075% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"86.00","92213845","RANITIDINE HCL 25MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"86.00","92213878","CR CU MN SE ZN TRACE ELEMENT I"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"86.00","92216687","MAGNESIUM SULF 2GM/50ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"86.00","92216695","MESALAMINE 4GM/60ML NMA "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"86.00","92219406","KETOTIFEN FUMARATE 0.025% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"86.33","38300516","CHLAMYDIA DNA PROBE (DIRECT) ","87490",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"86.40","92210876","TERCONAZOLE 80MG SUP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"86.41","72000828","COLD AGGLUTIN TITER ","86157",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"86.45","38301977","PREGNENOLONE LEVEL ","84140",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"86.46","38300693","HISTAMINE URINE 24HR ","83088",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"86.50","92210611","TICARCILLIN CLV K 3.1GM INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"86.50","92213297","GABAPENTIN 800MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"86.50","92214101","ATOMEXETINE HCL 40MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"86.50","92216273","FENTANYL 25MCG/HR TDM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"86.50","92216349","RIFAMPIN 200MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"86.50","92218986","ACYCLOVIR SODIUM 500MG/10MLSOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"86.53","38301171","ESTRIOL ","82677",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"86.55","38302146","RUBEOLA ANTIBODY ","86765",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"86.70","92213187","BENZOYL PEROXIDE 10% GEL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"86.77","38302935","EBV NUCLEAR ANTIGEN IGM (VCA) ","86664",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"86.77","38302955","EBV NUCLEAR ANTIGEN IGG (EBNA)","86664",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"860.00","92214797","ESTRADIOL VALERATE 10MG/ML OIL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"860.55","74000630","PELVIS 1-2 VIEWS ","72170",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"861.00","72000910","AUTOLOGOUS BLOOD COLLECTION ","86890",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"861.50","92210110","NYSTATIN/TRIAMCINOLONE OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"861.50","92211684","NYSTATIN/TRIAMCINOLONE CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"862.00","92211069","CEFIXIME 100MG/5ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"862.00","92211169","PREDNISOLONE ACETATE 1% SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"862.00","92214162","FLUMORMETHOLONE 0.25% SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"862.37","74000410","FOREARM 2 VIEWS BILATERAL ","7309050",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"862.37","74010061","FOREARM 2 VIEWS RT ","73090RT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"862.37","74010062","FOREARM 2 VIEWS LT ","73090LT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"863.45","38380069","RENAL FUNCTION PANEL ","80069",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"863.50","92210291","CEFUROXIME AXETIL 125MG/5ML SU"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"8644.50","92217837","IMMUNE GLOBULIN 100MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"865.08","74001183","LUMBAR SPINE BEND ONLY 2-3 VWS","72120",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"866.00","33106404","POSITIONER PATNT TRTS ADULT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"866.00","33112367","KIT GASTRFEED24FR JEJUN 57.9CM"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"866.00","33167517","TUBE FDG GASTRO 26FR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"866.00","33170650","TUBE FDG GAST ENT 22FR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"866.00","33170651","TUBE FDT GAST ENT 28FR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"866.25","38286601","ANTI 1-A2 (ISLET CELL AB) ","86341",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"8664.62","92217544","PALIPERIDONE PALMITATE 117MG S"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"8670.00","92204014","IV ADMIXTURE 15 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"868.50","92216682","MAFENIDE ACET 50GM PDS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"869.00","33152455","TRAY TROCAR 24 FR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"869.00","33152482","TRAY 20 FR TROCAR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"869.50","92215315","UREA 40% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"869.50","92219542","UREA 40% CRM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"87.00","92202009","TOPICALS 09 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"87.00","92210835","SUCROSE SYR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"87.00","92215551","DILTIAZEM HCL 100MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"87.00","92216794","GLYCINE NACL 94-73.3MG/50ML I"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"87.00","92216969","INFLUENZA VACC 2011-2012 INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"87.00","92217085","PROTAMINE SULF 10MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"87.00","92220295","GLYCINE 1.5% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"87.00","92220493","DOLUTEGRAVIR SODIUM 10 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"87.00","92220504","SUVOREXANT 10 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"87.10","38300162","COVID-19 ANTIBODY IGM ","86769",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"87.10","38300163","COVID-19 ANTIBODY IGG ","86769",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"87.10","38300164","COVID-19 ANTIBODY IGA ","86769",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"87.10","38300165","SARS COV-2 AB QUAL ","86769",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"87.20","92213933","LIDOCAINE 1.5%/EPI 1:200000 I"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"87.50","92211377","HYDRALAZINE HCL 20MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"87.50","92211990","CYCLOSPORINE 100MG SGL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"87.50","92212845","CALCIUM GLUCONATE 10% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"87.50","92214742","POTASSIUM PH 3MM/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"87.50","92218750","MULTIVITAMIN FOR INVUSION SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"87.50","92220447","BUDESONIDE EC 3 MG ECC "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"872.50","92217063","NITAZOXANIDE 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"874.29","38307024","DRUG TEST PRSMV CHEM ANLYZR ","80307",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"874.50","33139868","PICC MAXNSGNVPG6FTL55CMGW "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"874.50","33139876","PICC MAXNSGNVPGDFDRP6FTL55CM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"874.50","33152528","PICC BIOFLO MAX BARR 5FTL-55CM"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"874.50","92212422","MUPIROCIN 2% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"8781.00","92220093","LEUPROLIDE 22.5 MG KIT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"88.00","92216677","PETROLATUM 71.5%OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"88.00","92216839","QUETIAPINE FUMARATE 400MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"88.37","38300035","ANTIDIURETIC HORMONE ","84588",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"88.50","92211220","SODIUM PHOSPHATE 3MM/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"88.50","92211442","ACTIV CHARCOAL 25GM SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"88.50","92213735","ROCURONIUM BROMIDE 10MG/ML INJ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"88.50","92214003","ACTIV CHARCOAL 25GM SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"88.50","92214074","PIPERACILLIN NA 4GM INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"88.50","92216358","LEFLUNOMIDE 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"88.50","92217733","ACTIV CHARCOAL SORBITOL 25GM S"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"88.50","92217798","INFLUENZA VACC 2011-2012 SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"88.70","92216858","LIPIDS 10% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"88.72","72000360","RBC SERUM PRETREAT INCUB DRUGS","86975",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"88.89","38000735","FLOW CYTOMETRY-EA ADD MKR-TECH","88185",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"88.90","92214477","OLANZAPINE 15MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"880.00","92211221","ALBUMIN HUMAN 25% IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"880.09","74000700","SCAPULA BILATERAL ","7301050",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"880.09","74010090","SCAPULA RT ","73010RT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"880.09","74010091","SCAPULA LT ","73010LT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"881.50","92217277","SEVOFLURANE LIQ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"8823.90","92215387","DROTRECOGIN ALFA 20MG PDS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"883.18","75000033","US BREAST UNIL RT LIMITED ","76642RT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"883.18","75000034","US BREAST UNIL LT LIMITED ","76642LT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"8837.00","74001042","FLUORESCENT VASC ANGIO NONOPTH"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"884.00","33113038","AMNIOBAND GRFT 3X2CM 6SQ CM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"885.00","33189562","KIT PWRCATH MID DLMAXBARR4FR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"885.50","33112164","TRAY CATH CENT VENOUS 3LUMEN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"887.50","92219013","HYDROCRTNA SUCCINATE1000MG/8ML"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"8877.50","33189565","KIT VENA CAVA JUGLR SUBCLAVIAN"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"888.00","36000675","INTUBATION ","31500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"889.50","92214502","IPRATROPIUM BR 0.03% SPR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"89.00","92210786","ALPRAZOLAM 2MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"89.00","92211845","ERYTHROMYCIN 5MG/GM OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"89.00","92212288","DEXAMETHASONE NA PH 4MG/ML INJ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"89.00","92213284","ANASTROZOLE 1MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"89.00","92214667","NISOLDIPINE 20MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"89.00","92217113","HEPARIN 1000U/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"89.00","92219104","DESVENLAFAXINE 25 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"89.00","92219985","PRASUGREL 5 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"89.00","92220340","CLEANSER LOTION "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"89.30","92210873","MEPIVACAINE HCL 1% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"89.30","92212924","HALOPERIDOL DEC 50MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"89.32","38343621","SOMATOMEDIN ","84305",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"89.43","38300700","C-PEPTIDE ","84681",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"89.44","38000930","PAP SMEAR THIN PREP ","88142",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"89.50","92216579","BUPROPION HCL 200MG T12 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"89.70","38303555","TOXOPLASM AB (IGG) ","86777",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"89.81","38302892","CYCSTATIN C ","82610",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"89.90","38303303","MYELOPEROXIDAST (MPO) AB ","83876",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"890.70","92215509","APREPITANT 125MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"891.50","92218998","ATROPINE SULFATE 1% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"892.50","33152456","TRAY TROCAR 28 FR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"892.77","74008000","DEXA BONE DENSITY HIP/PELV/SP ","77080",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"8922.31","74001023","ANGIO VISCERAL SELECT ","75726",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"894.50","92213283","ALBUMIN HUMAN 25% IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"894.90","74000605","ORBITS COMP 4+ VIEWS ","70200",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"894.93","75000199","US EXT ARTERY SINGLE LEVEL BIL","93922",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"894.94","74000830","TIBIA/FIBULA 2 VIEWS BILATERAL","7359050",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"894.94","74010096","TIBIA/FIBULA RT ","73590RT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"894.94","74010097","TIBIA/FIBULA LT ","73590LT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"896.50","33161403","TUBE 110MM9.2MM6MM ADJ NK FLNG"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"896.50","33161404","TUBE 120MM10.6MM7MM ADJNK FLNG"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"896.50","33161405","TUBE 130MM11.7MM8MM ADJNK FLNG"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"896.50","33161414","TUBE 110MM9.2MM6MM ADJ NK FLNG"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"896.50","33161415","TUBE 120MM10.6MM7MM ADJNK FLNG"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"896.50","92215373","VORICONAZOLE 200MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"896.55","74001311","HIP 2-3 VIEWS UNILATERAL RT ","73502RT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"896.55","74001312","HIP 2-3 VIEWS UNILATERAL LT ","73502LT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"8961.00","33114971","SEALANT SPINE DURASEAL 5ML "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"897.10","38303651","RESPIRATORY VIRUS 6-11 TARG ","87632",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"898.00","92211549","ALBUMIN HUMAN 5% IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"898.00","92213251","CLOBETASOL PROP 0.05% GEL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"898.00","92217835","IMMUNE GLOBULIN 100MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"898.46","74010086","RIBS UNILATERAL 2 VIEWS RT ","71100RT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"898.46","74010087","RIBS UNILATERAL 2 VIEWS LT ","71100LT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"898.50","33103817","GONIOMETER ELBOW ORTHOSISCOMFY"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"899.50","92211372","INSULIN HUM REGULAR 100U/ML IN"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","34000565","ULTRAVIOLET ","97028GP ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92202004","TOPICALS 04 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92202018","TOPICALS 18 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92203007","ORALS 07 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92203008","ORALS 08 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92203018","ORALS 18 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92203021","ORALS 21 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92203038","ORALS 38 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92203039","ORALS 39 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92203045","ORALS 45 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92203047","ORALS 47 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92203057","ORALS 57 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92203060","ORALS 60 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210001","BISACODYL 10MG SUP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210003","THIORIDAZINE HCL 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210004","CYANOCABALAMIN 100MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210005","MULTIVITAMIN MULTIMINERAL TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210007","FERROUS SULF 325MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210008","NAPROXEN 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210012","BISACODYL 5MG ECT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210014","TRIMETHOPRIM 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210015","DIPHENHYDRAMINE HCL 12.5MG/5 E"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210016","THEOPHYLLINE 300MG T12 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210020","DICLOFENAC NA 75MG ECT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210021","THYROID 60MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210022","MORPHINE 20MG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210025","VITAMIN E 100U SGL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210026","TETRACYCLINE HCL 250MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210027","NITROGLYCERIN 0.3MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210031","GUANFACINE HCL 1MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210033","THIORIDAZINE HCL 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210034","ACETAMINOPHEN COD 120-12/5 SO"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210035","THIOTHIXENE 1MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210036","TRAZODONE HCL 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210038","ATENOLOL 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210039","SODIUM CL 3% INH SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210040","TRAZODONE HCL 150MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210041","ENALAPRIL MALEATE 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210042","SPIRONOLACTONE 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210043","AMYLASE/LIPASE/PROTEASE ECC "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210045","TRIHEXYPHENIDYL HCL 2MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210046","DOCUSATE CAL 240MG SGL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210049","BACLOFEN 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210050","ACETAMINOPHEN 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210051","DOCUSATE NA 100MG SGL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210055","CITRIC ACID NA CITRATE SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210056","NAPROXEN NA 220MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210057","NA PHOS DIBASIC/MONOBASIC NMA "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210059","ASPIRIN 81MG CTB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210060","CALCIUM CARB 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210063","TOLMETIN NA 400MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210064","VITAMIN B COMPLEX TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210065","ASPIRIN 325MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210066","PROPOXYPHEN APAP 100-650MG TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210067","BETA CAROTENE 10000U SGL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210068","INDAPAMIDE 2.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210072","DIMENHYDRINATE 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210075","SULFASALAZINE 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210076","GLIPIZIDE 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210080","THIORIDAZINE HCL 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210081","ASPIRIN 325MG ECT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210083","ACETAMINOPHEN 80MG CTB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210085","PRAZOSIN HCL 5MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210089","CHROMIUM PICO 200MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210091","SORBITOL 70% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210092","DIPHENHYDRAMINE HCL 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210096","HYDROXYZINE HCL 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210097","ESTRADIOL 1MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210098","BENZTROPINE MESYLATE 0.5MG TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210099","THIORIDAZINE HCL 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210100","PHENDIMETRAZINE 35MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210101","ACETAMINOPHEN 160MG/5ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210103","ASCORBIC ACID 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210104","PHENAZOPYRIDINE 95MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210106","GLIPIZIDE 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210108","SALSALATE 750MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210109","GLYCERIN SUP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210111","ACETAMINOPHEN 100MG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210113","CLONAZEPAM 0.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210115","ACETAMINOPHEN 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210116","DIPYRIDAMOLE 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210118","DESIPRAMINE HCL 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210119","ACETAMINOPHEN ASPIRIN CAFF TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210121","TEMAZEPAM 30MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210124","DICYCLOMINE HCL 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210125","MULTIVITAMIN MULTIMINERAL TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210126","VERAPAMIL HCL 120MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210127","ACETAMINOPHEN 325MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210130","CALCIUM CARB 500MG CTB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210131","ALPRAZOLAM 0.25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210134","DOXYCYCLINE HYCLATE 100MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210135","GUAIFENESIN DM 100-10MG/5ML SY"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210136","CAPTOPRIL 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210138","BUTALB CAFF APAP 50-40-325 TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210141","SULFAMETHOXAZOLE/TMP 400/80 TA"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210142","GUAIFENESIN 600MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210145","TEMAZEPAM 30MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210148","CAPTOPRIL 12.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210150","PREDNISONE 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210151","ALAMAG SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210153","BUMETANIDE 1MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210155","HCTZ TRIAMTERENE 25-50MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210156","PSEUDOEPHEDRINE HCL 30MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210157","WARFARIN NA 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210158","SIMETHICONE 20MG/0.3ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210159","DICLOFENAC NA 50MG ECT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210160","ATENOLOL 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210163","AMILORIDE HCL HCTZ 5-50 TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210165","ACETAMINOPHEN 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210166","MULTIVITAMIN SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210167","ACETAMINOPHEN 325MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210171","LEVOTHYROXINE NA 200MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210175","GLIPIZIDE 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210176","MINOCYCLINE HCL 50MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210178","TRAZODONE HCL 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210181","LEVOTHYROXINE NA 75MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210182","TEMAZEPAM 30MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210183","MULTIVITAMIN ZINC SULF TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210185","LEVOTHYROXINE NA 200MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210186","LABETALOL HCL 200MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210187","CLOZAPINE 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210190","IBUPROFEN 200MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210191","THIORIDAZINE HCL 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210192","GLYBURIDE 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210196","METOCLOPRAMIDE 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210197","VITAMIN E 400U SGL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210198","ASPIRIN 325MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210201","ACETAMINOPHEN 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210202","HYDROXYZINE HCL 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210205","TRAZODONE HCL 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210207","BUTALB CAFF APAP 50-40-325 TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210210","IBUPROFEN 200MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210211","IBUPROFEN 800MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210214","VITAMIN E 200U SGL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210215","LORAZEPAM 1MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210217","THEOPHYLLINE 200MG T12 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210226","CEPHALEXIN 500MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210227","ACETAMINOPHEN 325MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210228","THIORIDAZINE HCL 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210231","TETRACYCLINE HCL 500MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210232","CYANOCABALAMIN 1000MCG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210233","ISOSORBIDE DN 40MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210234","LEVOTHYROXINE NA 150MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210235","BUTALB CAFF APAP 50-40-325 TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210237","THIORIDAZINE HCL 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210239","HALOPERIDOL 0.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210240","QUINIDINE GLUC 324MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210241","WARFARIN NA 7.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210242","NIFEDIPINE 10MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210243","BACLOFEN 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210244","LORAZEPAM 2MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210247","BISACODYL 10MG SUP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210249","ACETAMINOPHEN COD 300MG-60MG T"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210252","ACETAMINOPHEN COD 300MG-30MG T"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210254","CARBAMAZEPINE 100MG CTB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210255","CHLORPHENIRAMINE PSE 8-120MG C"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210256","TRAZODONE HCL 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210258","PYRIDOXINE 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210259","ALMACONE-2 SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210260","TRIFLUOPERAZINE HCL 2MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210261","PROPOXYPHEN APAP 100-650MG TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210262","ACETAMINOPHEN 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210264","VITAMIN E 400U SGL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210269","ASCORBIC ACID 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210271","CLINDAMYCIN HCL 150MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210272","SODIUM CL 1GM TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210274","DIPHENHYDRAMINE HCL 12.5MG/5 E"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210275","LABETALOL HCL 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210276","LITHIUM CARBONATE 300MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210278","GLIPIZIDE 10MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210279","FAMOTIDINE 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210280","GLIPIZIDE 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210282","ASPIRIN 325MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210283","BISACODYL 5MG ECT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210287","VITAMIN E 400U SGL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210288","SULFAMETHOXAZOLE/TMP 400/80 TA"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210289","ACETAMINOPHEN 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210297","LEVOTHYROXINE NA 100MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210298","DIPHENOXYLATE HCL ATROPINE TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210299","HYDROCODONE APAP 5-500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210302","METOPROLOL TART 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210303","ALENIC ALKA SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210304","CEPHALEXIN 500MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210305","AMOXICILLIN 250MG CTB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210307","BETA CAROTENE 25000U SGL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210308","THYROLAR-3 STRENGTH TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210309","MORPHINE 20MG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210319","METOCLOPRAMIDE 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210320","ENALAPRIL MALEATE 2.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210323","LOPERAMIDE HCL 2MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210325","RANITIDINE HCL 150MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210326","PHENOBARBITAL 30MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210327","THEOPHYLLINE 100MG T12 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210328","AMITRIP PERPHEN 10-4 TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210330","HCTZ TRIAMTERENE 25-50MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210331","VALPROIC ACID 250MG SGL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210333","THEOPHYLLINE 300MG T12 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210334","ATENOLOL 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210336","MEDROXYPROGESTERONE 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210337","IBUPROFEN 100MG/5ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210338","CALCIUM CARB 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210339","ASPIRIN 325MG ECT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210340","BISACODYL 10MG SUP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210342","ETODOLAC 400MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210343","ALMACONE SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210344","PHENOBARBITAL 15MG/ML TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210345","LOPERAMIDE HCL 2MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210347","THYROID 30MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210349","MAGNESIUM HYDROXIDE 400MG SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210351","ESTROPIPATE 1.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210352","BENZTROPINE MESYLATE 1MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210353","TEMAZEPAM 15MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210354","BENZTROPINE MESYLATE 1MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210355","GUAIFENESIN DM 100-10MG/5ML SY"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210357","ASPIRIN 81MG ECT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210358","CARBAMAZEPINE 200MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210360","FLUPHENAZINE HCL 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210363","HYDROXYZINE PAM 50MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210365","VITAMIN B COMPLEX CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210366","ASCORBIC ACID 250MG CTB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210370","GUAIFENESIN 100MG/5ML SYR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210375","ACYCLOVIR 200MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210376","ACETAMINOPHEN 160MG/5ML ELI "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210377","MISOPROSTOL 100MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210380","BISACODYL 5MG ECT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210382","LORAZEPAM 0.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210386","ASCORBIC ACID 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210387","ERGOCALCIFEROL 50000U CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210389","SODIUM BICARB 325MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210390","CIMETIDINE 200MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210393","AMOXICILLIN 250MG CTB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210394","ASPIRIN 325MG ECT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210397","CHLORPHENIRAMINE MALEATE 4MG T"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210398","IBUPROFEN 800MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210399","TRAZODONE HCL 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210402","CARBAMAZEPINE 200MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210403","MULTIVITAMIN MINERALS TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210406","NAPROXEN NA 275MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210408","TEMAZEPAM 15MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210411","HYDROCODONE APAP 5-500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210412","AMANTADINE HCL 100MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210413","GLYBURIDE 2.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210414","TRIHEXYPHENIDYL HCL 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210415","CALCIUM CARB 500MG CTB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210416","FUROSEMIDE 40MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210418","GUAIFENESIN DM 100-10MG/5ML LI"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210420","VITAMIN E 1000U SGL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210421","DOCUSATE NA 100MG SGL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210422","DIAZEPAM 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210425","LEVOTHYROXINE NA 25MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210426","LEVOTHYROXINE NA 125MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210427","ETODOLAC 400MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210428","PYRIDOXINE 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210431","AMITRIPTYLINE HCL 75MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210432","DOCUSATE NA 250MG SGL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210435","THEOPHYLLINE 450MG T12 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210436","ASCORBIC ACID 500MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210437","DIGOXIN 125MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210439","THIOTHIXENE 2MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210441","METHYLPHENIDATE HCL 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210442","OXYCODONE/ASA 4.88/325 TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210444","THIORIDAZINE HCL 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210445","DIPHENHYDRAMINE HCL 12.5MG/5 S"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210446","CALCIUM CARB 250 W/D 125U TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210447","OXYCODONE APAP 5-325MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210449","ATENOLOL 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210452","MULTIVITAMIN MULTIMINERAL TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210453","SULINDAC 200MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210454","ASPIRIN 81MG ECT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210456","NAPROXEN NA 220MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210457","QUINIDINE SULF 300MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210458","THEOPHYLLINE 200MG T12 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210459","IPRATROPIUM BR 0.02% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210462","ASCORBIC ACID 250MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210463","TRAZODONE HCL 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210465","TRAZODONE HCL 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210468","HYDROCODONE APAP 7.5-650MG TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210472","THIORIDAZINE HCL 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210474","CALCIUM CITRATE 950MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210478","HCTZ TRIAMTERENE 50-75MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210480","DILTIAZEM HCL 60MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210481","MEDROXYPROGESTERONE 2.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210482","METOCLOPRAMIDE 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210483","SALSALATE 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210485","LEVOTHYROXINE NA 125MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210491","CASTOR OIL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210494","METOCLOPRAMIDE 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210495","WARFARIN NA 4MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210499","VERAPAMIL HCL 180MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210500","WARFARIN NA 2.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210502","ATENOLOL 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210506","FLURBIPROFEN 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210507","CALCIUM CARB 600 W/D 200U TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210509","NAPROXEN 375MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210510","ACETAMINOPHEN 650MG SUP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210511","PSEUDOEPHEDRINE HCL 30MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210513","MECLIZINE HCL 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210514","POTASSIUM CL 8MEQ TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210515","GUANFACINE HCL 2MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210516","CALCIUM GLUCONATE 650MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210517","ASCORBIC ACID 1000MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210519","DIFLUNISAL 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210522","ASPIRIN 325MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210524","OXYBUTYNIN CL 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210525","VERAPAMIL HCL 240MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210526","BISACODYL 10MG SUP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210528","BENZONATATE 100MG SGL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210529","SULFAMETHOXAZOLE/TMP 800/160 T"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210530","ASPIRIN 325MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210532","ESTRADIOL 2MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210533","MAGNESIUM CITR 1.75GM/30ML LIQ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210538","PROPRANOLOL HCL 40MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210539","CHLORPHENIRAMINE MALEATE 4MG T"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210540","PROMETHAZINE COD 6.25-10/5ML S"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210541","INDAPAMIDE 1.25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210542","CYANOCABALAMIN 1000MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210543","TRAMADOL HCL 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210545","NAPROXEN 250MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210548","BUPROPION HCL 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210549","ALPRAZOLAM 0.25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210551","OXYBUTYNIN CL 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210552","HYOSCYAMINE SULF 0.125MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210553","BENZTROPINE MESYLATE 2MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210554","POTASSIUM IODIDE 1GM/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210556","AMPICILLIN NA 500MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210558","LEVOTHYROXINE NA 25MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210559","LITHIUM CARBONATE 300MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210560","CYCLOBENZAPRINE HCL 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210562","IMIPRAMINE HCL 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210563","TRIHEXYPHENIDYL HCL 2MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210566","METHYLPHENIDATE HCL 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210567","ISOSORBIDE DN 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210570","ATENOLOL 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210573","ACETAMINOPHEN 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210575","THIAMINE 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210576","ACETAMINOPHEN 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210578","AMITRIPTYLINE HCL 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210582","DILTIAZEM HCL 180MG C24 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210584","BISACODYL 10MG SUP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210589","ACETAMINOPHEN 160MG/5ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210591","VITAMIN A 10000U CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210592","LEVOTHYROXINE NA 88MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210594","ACETAMINOPHEN 160MG/5ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210596","AMITRIP PERPHEN 25-2 TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210597","ESTAZOLAM 1MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210598","NAPROXEN NA 220MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210599","SULFAMETHOXAZOLE/TMP 800/160 T"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210600","TRAZODONE HCL 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210601","ASPIRIN 325MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210604","ISOSORBIDE DN 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210605","GLIPIZIDE 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210606","DIPYRIDAMOLE 75MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210608","TRIHEXYPHENIDYL HCL 2MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210610","HCTZ TRIAMTERENE 50-75MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210613","VALPROIC ACID 250MG/5ML SYR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210615","CLONIDINE HCL 0.2MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210616","BISACODYL 10MG SUP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210617","LORAZEPAM 1MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210618","NIFEDIPINE 30MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210619","TRAMADOL HCL 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210620","LOPERAMIDE HCL 2MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210621","ALPRAZOLAM 2MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210622","NICARDIPINE HCL 30MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210625","THYROLAR-2 STRENGTH TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210628","MORPHINE 15MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210631","FERROUS SULF 325MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210634","PYRIDOXINE 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210635","TEMAZEPAM 15MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210638","ATENOLOL CHLORTHAL 100-25 TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210639","PYRIDOXINE 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210641","CALAMINE LOT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210642","THIAMINE 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210643","WARFARIN NA 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210644","IBUPROFEN 400MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210648","NAPROXEN 375MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210650","GEMFIBROZIL 600MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210652","THEOPHYLLINE 200MG T12 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210653","IMIPRAMINE HCL 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210657","CHLORDIAZEPOXIDE HCL 5MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210660","GUAIFENESIN 600MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210662","SULINDAC 150MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210663","ISOSORBIDE DN 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210664","CIMETIDINE 300MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210667","ZINC CHELATED 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210669","LOPERAMIDE HCL 2MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210670","NITROGLYCERIN 0.6MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210672","NORTRIPTYLINE HCL 25MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210673","ASCORBIC ACID 500MG CER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210676","PROMETHAZINE COD 6.25-10/5ML S"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210680","PYRIDOXINE 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210682","DOCUSATE NA 250MG SGL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210684","ZINC GLUCONATE 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210685","DIPHENHYDRAMINE APAP 25-500 TA"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210686","IMIPRAMINE HCL 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210687","METHADONE HCL 10MG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210688","BISMUTH SUBSALICYLATE 262MG SU"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210689","LEVOTHYROXINE NA 150MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210690","ASCORBIC ACID 1000MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210692","ASCORBIC ACID 500MG CTB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210695","PENICILLIN VK 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210697","LEVOTHYROXINE NA 300MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210698","GLIPIZIDE 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210700","VERAPAMIL HCL 80MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210702","DIPHENOXYLATE HCL ATROPINE TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210703","DICYCLOMINE HCL 10MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210704","MEDROXYPROGESTERONE 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210706","SENNOSIDES A B 8.6MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210708","OXYBUTYNIN CL 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210709","LACTULOSE 10GM/15ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210711","ETODOLAC 300MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210712","ACETAMINOPHEN 160MG/5ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210713","IMIPRAMINE HCL 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210715","CARBIDOPA/LEVO 25/250 TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210717","VERAPAMIL HCL 80MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210719","PENICILLIN VK 250MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210720","ACETAMINOPHEN COD 300MG-60MG T"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210721","AMITRIP PERPHEN 10-2 TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210725","RANITIDINE HCL 150MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210728","BUSPIRONE HCL 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210732","ENALAPRIL/HCTZ 10-25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210733","PROBENECID 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210735","CLONIDINE HCL 0.1MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210737","MEGESTROL ACET 40MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210742","ASPIRIN 81MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210745","CALCIUM CARB 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210749","PYRIDOXINE 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210750","VERAPAMIL HCL 180MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210753","CHLORDIAZEPOXIDE HCL 10MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210756","HYDROXYZINE HCL 10MG/5ML SYR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210757","ALLOPURINOL 300MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210758","CYANOCABALAMIN 500MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210759","BUTALB CAFF APAP 50-40-325 CAP"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210762","LEVOTHYROXINE NA 75MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210765","MULTIVITAMIN MINERALS TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210767","BISACODYL 5MG ECT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210768","CALCIUM CARB 750MG CTB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210770","ESTROPIPATE 0.75MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210771","CARBAMAZEPINE 200MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210773","CARBIDOPA/LEVO 25/100 TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210774","AMPICILLIN NA 500MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210779","AMOXICILLIN 500MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210781","HCTZ TRIAMTERENE 50-75MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210782","CYPROHEPTADINE 4MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210784","PROMETHAZINE HCL VC/COD SYR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210785","GUAIFENESIN 600MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210787","COENZYME Q10 30MG SGL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210788","NICARDIPINE HCL 20MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210789","CALCIUM GLUCONATE 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210791","METHOCARBAMOL 750MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210792","HCTZ 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210793","ENALAPRIL MALEATE 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210795","CYANOCABALAMIN 1000MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210797","CARBIDOPA/LEVO 10/100 TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210798","PYRIDOXINE 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210800","CEPHALEXIN 250MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210803","MULTIVITAMIN W/F 0.5MG/ML LIQ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210807","TRIFLUOPERAZINE HCL 1MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210812","METOPROLOL TART 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210814","GUAIFENESIN DM 100-10MG/5ML LI"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210815","ACETAMINOPHEN 160MG/5ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210819","IBUPROFEN 200MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210820","HYDROXYZINE PAM 50MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210821","ACETAMINOPHEN COD 300MG-15MG T"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210823","SULINDAC 200MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210825","ACETAMINOPHEN 160MG/5ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210826","FOSINOPRIL NA 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210829","HYOSCYAMINE SULF 0.375MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210830","THIORIDAZINE HCL 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210831","SPIRONOLACTONE 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210832","ASCRIPTIN 325MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210833","VITAMIN E 1000U SGL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210836","MELATONIN 3MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210839","THEOPHYLLINE 300MG T12 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210840","LEVOTHYROXINE NA 50MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210841","TRIHEXYPHENIDYL HCL 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210842","THYROLAR-1/2 STRENGTH TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210843","BETHANECHOL CL 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210844","BUPROPION HCL 75MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210846","POTASSIUM CL 10MEQ TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210848","NYSTATIN 100000U/ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210851","PHENOBARBITAL 30MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210852","ACETAMINOPHEN COD 120-12/5 SO"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210855","NAPROXEN 375MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210856","ATENOLOL 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210858","SULFASALAZINE 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210859","VERAPAMIL HCL 80MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210861","INDOMETHACIN 25MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210863","PROPRANOLOL HCL 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210864","CALCIUM CARB 500 W/D 125U TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210865","PSEUDOEPHEDRINE HCL 30MG/5ML S"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210866","LEVOTHYROXINE NA 88MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210868","HYDROXYZINE PAM 25MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210871","DOCUSATE NA SENNO A B 50-8.6 T"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210872","GLIPIZIDE 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210874","MULTIVITAMIN MINERALS CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210875","MULTIVITAMIN MINERALS TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210878","BUMETANIDE 1MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210881","LISINOPRIL 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210884","THIAMINE 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210885","ALPRAZOLAM 1MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210886","NAPROXEN 375MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210887","MEGESTROL ACET 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210888","DOXEPIN HCL 25MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210893","LYSINE 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210896","LORAZEPAM 2MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210900","SULINDAC 150MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210902","METHYLPHENIDATE HCL 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210905","DIPHENHYDRAMINE HCL 25MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210906","HYDROCODONE APAP 5-500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210907","FUROSEMIDE 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210912","CYCLOBENZAPRINE HCL 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210913","ETODOLAC 200MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210918","INDOMETHACIN 25MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210920","CEPHALEXIN 250MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210922","NIACIN 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210926","LOPERAMIDE HCL 2MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210928","HYDROCODONE APAP 7.5-650MG TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210930","PYRIDOXINE 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210932","RANITIDINE HCL 150MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210937","DYPHYLLINE GG 200-200 TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210938","DILTIAZEM HCL 240MG C24 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210939","AMOXICILLIN 500MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210945","HYDROXYZINE PAM 25MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210950","DOXEPIN HCL 50MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210951","DILTIAZEM HCL 60MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210954","METRONIDAZOLE 250MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210956","POTASSIUM CL 10MEQ TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210957","CYANOCABALAMIN 500MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210962","ACETAMINOPHEN 325MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210965","PENTOXIFYLLINE 400MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210966","CARBIDOPA/LEVO 25/250 TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210967","NAPROXEN 250MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210968","LEVOTHYROXINE NA 100MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210970","DOCUSATE CAL 240MG SGL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210972","TIMOLOL MALEATE 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210974","LACTASE 30MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210975","CALCIUM CARB 250 W/D 125U TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210977","MEGESTROL ACET 40MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210979","PENTOXIFYLLINE 400MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210981","GLYCERIN SUP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210983","SULFAMETHOXAZOLE/TMP 800/160 T"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210984","BENZTROPINE MESYLATE 2MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210986","ISOSORBIDE DN 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210988","MORPHINE 20MG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210989","ACETAMINOPHEN 325MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210990","IMIPRAMINE HCL 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210992","ACETAMINOPHEN 120MG SUP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210995","MICONAZOLE NITRATE 100MG SUP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92210998","NIACINAMIDE 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211001","CETIRIZINE HCL 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211004","TOLMETIN NA 200MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211005","FUROSEMIDE 40MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211006","AMOXICILLIN 250MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211009","DIMENHYDRINATE 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211010","ENALAPRIL MALEATE 2.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211015","BUSPIRONE HCL 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211016","SPIRONOLACTONE 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211018","DICLOFENAC NA 75MG ECT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211025","ACETAMINOPHEN COD 300MG-30MG T"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211026","HYDROCODONE APAP 7.5-500MG TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211028","CLONAZEPAM 2MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211029","SUCRALFATE 1GM TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211030","ALBUTEROL SULF 2MG/5ML LIQ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211031","CARBIDOPA/LEVO 10/100 TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211032","HCTZ 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211034","MULTIVITAMIN TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211038","AMYLASE/LIPASE/PROTEASE ECC "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211039","POTASSIUM CL 10MEQ TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211041","DILTIAZEM HCL 30MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211042","IBUPROFEN 200MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211044","HCTZ TRIAMTERENE 25-37.5MG TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211046","CALCIUM CITRATE 950MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211047","POTASSIUM CL 10MEQ TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211051","IBUPROFEN 400MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211052","CLOMIPRAMINE HCL 25MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211053","SULFASALAZINE 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211054","DIMENHYDRINATE 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211056","HYDROCODONE APAP 10-650MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211058","MULTIVITAMIN TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211059","CYANOCABALAMIN 250MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211061","DOCUSATE NA 100MG SGL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211062","MISOPROSTOL 100MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211063","CAPTOPRIL 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211065","HYDROCODONE APAP 10-500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211070","VERAPAMIL HCL 120MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211071","FISH OIL VITAMIN E SGL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211073","IMIPRAMINE HCL 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211075","DICLOFENAC NA 50MG ECT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211076","CALCIUM CARB 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211077","METHYLPHENIDATE HCL 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211080","ASCORBIC ACID 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211082","METHYLDOPA 250MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211083","DOXEPIN HCL 10MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211089","BREWERS YEAST 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211091","VERAPAMIL HCL 120MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211093","HYDROCODONE APAP 7.5-500MG TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211098","SPIRONOLACTONE 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211099","CLONAZEPAM 0.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211103","HYDRALAZINE HCL 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211104","METRONIDAZOLE 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211106","NIACIN 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211110","FLURBIPROFEN 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211112","IBUPROFEN 600MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211113","GLYCERIN SUP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211116","HYOSCYAMINE SULF 125MCG/5ML EL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211120","CARBAMAZEPINE 200MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211122","VERAPAMIL HCL 40MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211123","ACETAMINOPHEN COD 300MG-30MG T"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211125","TIMOLOL MALEATE 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211128","SODIUM BICARB 325MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211129","ALPRAZOLAM 0.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211130","BACITRACIN 500U/GM OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211131","OXYCODONE APAP 5-325MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211134","BENZTROPINE MESYLATE 0.5MG TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211137","GUAIFENESIN COD 100-10MG/5ML S"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211140","VERAPAMIL HCL 80MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211143","CLONIDINE HCL 0.3MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211144","FISH OIL 1000MG SGL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211148","CLONAZEPAM 1MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211149","GUAIFENESIN 100MG/5ML SYR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211150","DIGOXIN 250MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211152","DOXEPIN HCL 100MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211155","BISACODYL 10MG SUP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211156","MULTIVITAMIN MINERALS LIQ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211157","ALBUTEROL SULF 0.83MG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211158","AMYLASE/LIPASE/PROTEASE TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211160","HYDROCODONE APAP 7.5-750MG TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211166","CLINDAMYCIN HCL 150MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211167","HYOSCYAMINE SULF 0.125MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211173","COENZYME Q10 60MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211179","DEXTROSE 4GM CTB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211181","CLONIDINE HCL 0.2MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211182","TROPICAMIDE 1% EYE SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211184","METOPROLOL SUCC 50MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211192","ACETAMINOPHEN 325MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211194","IBUPROFEN 600MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211197","PROMETHAZINE HCL 6.25MG/5ML SY"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211198","ACETAMINOPHEN COD 300MG-30MG T"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211199","POTASSIUM CL 8MEQ TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211203","ACYCLOVIR 400MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211208","TETRACYCLINE HCL 500MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211212","CARBIDOPA/LEVO 25/250 TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211215","MEDROXYPROGESTERONE 2.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211217","IBUPROFEN 800MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211222","ATENOLOL 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211223","BISMUTH SUBSALICYLATE 262MG CT"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211226","DICYCLOMINE HCL 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211228","GLYCERIN SUP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211229","IPRATROPIUM BR 0.02% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211231","HYDROCODONE APAP 7.5-750MG TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211232","METHYLPHENIDATE HCL 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211236","DOXEPIN HCL 10MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211239","SODIUM BICARB 650MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211240","ALPRAZOLAM 0.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211243","IBUPROFEN 200MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211245","HALOPERIDOL 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211247","BACITRACIN 500U/GM OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211253","HALOPERIDOL 0.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211254","BISACODYL 5MG ECT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211255","GUAIFENESIN 100MG/5ML LIQ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211256","CLONIDINE HCL 0.2MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211259","NIACIN 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211260","HCTZ TRIAMTERENE 25-37.5MG CAP"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211261","PROMETHAZINE DM 6.25-15MG/5 SY"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211268","DIPHENHYDRAMINE HCL 12.5MG/5 S"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211271","ACETAMINOPHEN COD 120-12/5 SO"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211272","THIAMINE 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211273","HYDROXYZINE HCL 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211274","WARFARIN NA 3MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211276","DICLOXACILLIN NA 250MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211277","SULINDAC 200MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211278","POTASSIUM CL 8MEQ TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211280","THYROID 90MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211281","ALPRAZOLAM 0.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211283","BENZTROPINE MESYLATE 2MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211284","OXYCODONE APAP 5-325MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211288","BISMUTH SUBSALICYLATE 262MG LI"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211289","THIOTHIXENE 10MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211290","POTASSIUM CL 10MEQ CER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211291","HYDROXYZINE HCL 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211292","HYDRALAZINE HCL 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211293","DOCUSATE CAL 240MG SGL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211295","HCTZ SPIRONOLACT 25-25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211296","CARBAMAZEPINE 200MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211299","LECITHIN 19GR SGL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211304","CHLORDIAZEPOXIDE HCL 10MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211305","ACETAMINOPHEN 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211308","TERAZOSIN HCL 2MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211312","GUAIFENESIN 200MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211313","PROPRANOLOL HCL 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211314","ESTRADIOL 1MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211318","HALOPERIDOL 2MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211319","DOCUSATE CAL 240MG SGL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211321","DICLOFENAC NA 75MG ECT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211323","NAPROXEN 250MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211324","OXYBUTYNIN CL 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211325","HYDROXYZINE HCL 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211326","SIMETHICONE 125MG CTB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211330","HALOPERIDOL 1MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211332","ASPIRIN 325MG ECT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211334","SELENIUM 50MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211335","TERAZOSIN HCL 10MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211336","NORTRIPTYLINE HCL 10MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211337","MULTIVITAMIN MULTIMINERAL LIQ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211338","PREDNISONE 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211339","DICYCLOMINE HCL 10MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211341","WARFARIN NA 6MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211343","TERAZOSIN HCL 1MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211344","HCTZ TRIAMTERENE 50-75MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211346","OXYCODONE APAP 5-500MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211347","CLONIDINE HCL 0.2MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211353","AMOXICILLIN 500MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211354","METOCLOPRAMIDE 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211357","CALCIUM GLUCONATE 975MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211359","MEDROXYPROGESTERONE 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211361","BENAZEPRIL HCL 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211364","ASPIRIN 325MG ECT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211365","CIMETIDINE 300MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211366","IBUPROFEN 800MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211368","TERAZOSIN HCL 2MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211370","OXYCODONE APAP 5-500MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211371","GLYBURIDE 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211373","SENNOSIDES A B 8.6MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211374","BENZTROPINE MESYLATE 1MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211375","PROPRANOLOL HCL 80MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211378","GUAIFENESIN DM 100-10MG/5ML SY"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211379","TRIHEXYPHENIDYL HCL 2MG/5ML EL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211381","CYCLOBENZAPRINE HCL 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211382","MULTIVITAMIN MULTIMINERAL LIQ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211388","SIMETHICONE 80MG CTB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211392","WARFARIN NA 2.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211393","METOPROLOL TART 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211394","IBUPROFEN 200MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211395","CHOLINE MAG TRISAL 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211402","THIOTHIXENE 5MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211404","CHLORPHENIRAMINE MALEATE 4MG T"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211405","NABUMETONE 750MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211407","CARBIDOPA/LEVO 25/100 TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211408","DIPHENHYDRAMINE HCL 12.5MG/5 E"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211410","OXYCODONE HCL 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211422","PENICILLIN VK 250MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211428","MEDROXYPROGESTERONE 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211434","PRIMIDONE 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211435","MULTIVITAMIN TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211436","DOXEPIN HCL 10MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211437","WARFARIN NA 6MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211438","ENALAPRIL MALEATE 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211439","VALPROIC ACID 250MG/5ML SYR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211441","PROPYLTHIOURACIL 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211446","DIPHENHYDRAMINE HCL 25MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211447","METHYLDOPA 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211450","POTASSIUM CL 10MEQ CER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211451","GLIPIZIDE 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211453","WARFARIN NA 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211454","WARFARIN NA 2MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211455","CARISOPRODOL 350MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211459","ACETAMINOPHEN 325MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211460","MULTIVITAMIN MINERALS CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211461","MULTIVITAMIN MINERALS TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211465","NAPROXEN 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211467","DILTIAZEM HCL 240MG C24 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211468","TERAZOSIN HCL 1MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211470","CALCIUM CARB 250 W/D 125U TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211471","ESTRADIOL 0.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211474","HCTZ 12.5MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211475","MECLIZINE HCL 12.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211476","CHONDROITIN GLUCOSAMINE CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211478","FERROUS SULF 160MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211480","POTASSIUM CL 8MEQ TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211481","CHLORPROPAMIDE 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211483","MORPHINE 20MG/5ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211484","ALLOPURINOL 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211485","PROMETHAZINE HCL 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211486","SORBITOL 70% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211488","ACYCLOVIR 200MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211491","IMIPRAMINE HCL 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211495","ALPRAZOLAM 0.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211497","CYCLOBENZAPRINE HCL 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211498","ACETAMINOPHEN 650MG SUP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211499","TERAZOSIN HCL 5MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211502","PHENYTOIN NA 100MG CER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211503","VITAMIN D 400U SGL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211508","PHENYTOLOXAMINE CIT APAP TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211513","HCTZ 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211516","BELLADONNA/PHENOBARB TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211520","ISONIAZID 300MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211521","ACETAMINOPHEN 120MG SUP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211523","HYDROXYZINE HCL 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211524","COLCHICINE 0.6MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211527","LORAZEPAM 1MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211528","NAPROXEN 250MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211529","PENICILLIN VK 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211531","DIAZEPAM 2MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211532","CYPROHEPTADINE 4MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211534","BISMUTH SUBSALICYLATE 262MG SU"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211535","FERROUS SULF 325MG ECT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211537","DOXEPIN HCL 25MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211539","THEOPHYLLINE 100MG T12 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211542","DOXYCYCLINE HYCLATE 100MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211543","FUROSEMIDE 80MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211546","DOCUSATE NA 100MG/10ML LIQ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211548","HCTZ TRIAMTERENE 25-37.5MG TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211550","TRAMADOL HCL 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211552","CALCIUM CARB 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211554","LEVOTHYROXINE NA 50MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211556","PENICILLIN VK 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211560","ACYCLOVIR 200MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211561","CLONAZEPAM 1MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211563","ALPRAZOLAM 1MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211564","FERROUS GLUCONATE 325MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211566","NORTRIPTYLINE HCL 10MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211567","CALCIUM POLYCARBOPHIL 625MG TA"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211573","NICARDIPINE HCL 30MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211574","AMOXICILLIN 250MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211580","LABETALOL HCL 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211581","MAGNESIUM HYDROXIDE 400MG SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211582","METRONIDAZOLE 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211583","CHLORPHENIRAMINE MALEATE 4MG T"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211585","ISOSORBIDE MN 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211586","PROCHLORPERAZINE MAL 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211587","PROPOXYPHEN APAP 100-650MG TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211588","WARFARIN NA 6MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211589","MORPHINE 30MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211593","MAGNESIUM OXIDE 400MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211599","DIAZEPAM 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211606","FA CYAN IRON POLYSACCHARIDE CA"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211612","ACETAMINOPHEN 120MG SUP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211613","GLYBURIDE 1.25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211616","LOPERAMIDE HCL 1MG/5ML LIQ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211618","ALLOPURINOL 300MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211620","CHLORPROPAMIDE 250MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211622","LORAZEPAM 0.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211626","METOCLOPRAMIDE 5MG/5ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211627","DIAZEPAM 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211632","ALPRAZOLAM 1MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211633","LEVOTHYROXINE NA 175MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211636","PROMETHAZINE HCL 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211637","ERYTHROMYCIN ST 250MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211639","MELATONIN 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211647","LABETALOL HCL 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211650","WARFARIN NA 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211657","CARBAMAZEPINE 100MG/5ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211658","METHYLPHENIDATE HCL 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211660","METOPROLOL TART 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211665","DOXEPIN HCL 50MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211666","VITAMIN E 400U SGL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211667","CLONIDINE HCL 0.1MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211670","HYDRALAZINE HCL 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211673","ASPIRIN 325MG ECT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211674","PROCHLORPERAZINE MAL 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211677","FLURAZEPAM HCL 15MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211681","ALLOPURINOL 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211685","LORAZEPAM 0.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211686","HYDROXYZINE HCL 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211692","THYROLAR-1/4 STRENGTH TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211696","IBUPROFEN 800MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211698","METHYLPREDNISOLONE 4MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211699","AMITRIPTYLINE HCL 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211700","LOXAPINE SUCCINATE 10MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211704","CHLORPHENIRAMINE MALEATE 4MG T"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211708","METRONIDAZOLE 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211714","AMITRIP PERPHEN 25-4 TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211716","ASPIRIN 325MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211719","NALOXONE PENTAXOCINE 0.5-50 TA"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211720","PRIMIDONE 250MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211721","NA PHOS DIBASIC/MONOBASIC NMA "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211722","MECLIZINE HCL 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211724","THYROLAR-1 STRENGTH TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211725","CHOLINE MAG TRISAL 500MG/5ML L"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211726","ACARBOSE 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211729","CALCIUM CARB 650MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211733","DIPYRIDAMOLE 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211736","NIACIN 500MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211738","MORPHINE 10MG/5ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211740","ISOSORBIDE DN 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211744","HYDROMORPHONE 2MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211747","FUROSEMIDE 80MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211751","INDOMETHACIN 25MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211752","NORTRIPTYLINE HCL 25MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211759","CETIRIZINE HCL 1MG/ML SYR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211760","AMPHETAMINE SALTS 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211761","TETRACYCLINE HCL 250MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211763","AMPICILLIN NA 250MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211768","HYDROXYZINE HCL 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211769","PROMETHAZINE DM 6.25-15MG/5 SY"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211772","DOCUSATE NA 100MG SGL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211774","NAPROXEN 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211777","IBUPROFEN 100MG/5ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211779","INDOMETHACIN 50MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211780","DIPHENHYDRAMINE HCL 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211785","BUSPIRONE HCL 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211788","METOCLOPRAMIDE 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211790","CLONIDINE HCL 0.1MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211792","HALOPERIDOL 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211797","ASPIRIN 81MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211799","BISACODYL 10MG SUP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211800","MULTIVITAMIN SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211801","DIAZEPAM 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211804","CYCLOBENZAPRINE HCL 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211808","CHLORAL HYDRATE 500MG/5ML SYR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211812","MEGESTROL ACET 40MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211817","ACETAMINOPHEN 500MG/5ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211819","LORAZEPAM 2MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211821","PSEUDOEPHEDRINE HCL 60MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211822","BISOPROLOL FUMARATE/HCTZ TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211831","CASTOR OIL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211835","OXYBUTYNIN CL 5MG/5ML SYR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211837","FAMOTIDINE 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211838","ACETAMINOPHEN 120MG SUP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211846","LISINOPRIL 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211850","AMITRIPTYLINE HCL 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211852","BISACODYL 10MG SUP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211853","ACETAMINOPHEN 325MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211855","MIDODRINE HCL 2.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211858","ISOSORBIDE DN 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211859","SUCRALFATE 1GM TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211860","INDAPAMIDE 2.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211862","DILTIAZEM HCL 120MG C24 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211866","METRONIDAZOLE 250MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211870","METHYLDOPA 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211874","ISOSORBIDE DN 30MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211878","CALCIUM CARB 250 W/D 125U TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211880","FLURAZEPAM HCL 30MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211884","ACETAMINOPHEN 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211885","METOPROLOL TART 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211887","PREDNISONE 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211888","VITAMIN B COMPLEX W/C TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211889","BUMETANIDE 0.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211890","RANITIDINE HCL 150MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211892","PINDOLOL 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211895","FUROSEMIDE 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211897","IBUPROFEN 600MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211899","CLONIDINE HCL 0.1MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211900","BISOPROLOL/HCTZ 2.5/6.25 TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211904","DICYCLOMINE HCL 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211909","DILTIAZEM HCL 180MG C24 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211912","FAMOTIDINE 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211922","CHLORDIAZEPOXIDE HCL 25MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211923","VITAMIN E 400U SGL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211924","DICLOFENAC NA 25MG ECT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211925","LOXAPINE SUCCINATE 5MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211926","DOXAZOSIN MESYLATE 8MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211928","HYDROXYZINE PAM 25MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211930","LOPERAMIDE HCL 2MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211931","FOLIC ACID 0.8MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211932","BUMETANIDE 2MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211940","METHADONE HCL 10MG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211941","THIAMINE 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211942","DOXEPIN HCL 25MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211944","CYANOCABALAMIN 100MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211945","LEVOTHYROXINE NA 112MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211948","GUAIFENESIN COD 100-10MG/5ML S"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211953","HYDROCODONE APAP 10-660MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211955","GLYBURIDE 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211963","SODIUM BICARB 650MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211964","DICLOFENAC NA 75MG ECT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211965","PIROXICAM 10MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211966","MULTIVITAMIN W/F 0.25MG/ML LIQ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211968","ISOSORBIDE DN 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211969","ACETAMINOPHEN COD 120-12/5 SO"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211980","FERROUS SULF 325MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211981","PREDNISONE 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211982","AMLODIPINE BESYLATE 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211983","AMYLASE/LIPASE/PROTEASE ECC "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211985","BUSPIRONE HCL 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211987","GUAIFENESIN DM 600MG-30MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211989","MINTOX MAXIMUM STRENGTH SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211993","METRONIDAZOLE 250MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211994","SODIUM CL 1GM TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211995","GLYBURIDE MICRO 3MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211997","HYDROXYUREA 500MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92211998","MAGNESIUM HYDROXIDE 400MG SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212000","HYDROCODONE APAP 10-500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212001","NIACIN 500MG CER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212002","PSEUDOEPHEDRINE HCL 30MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212004","RANITIDINE HCL 150MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212006","CHLORDIAZEPOXIDE HCL 25MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212007","FOLTRIN CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212011","LEVOTHYROXINE NA 112MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212013","MEGESTROL ACET 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212014","CARBIDOPA/LEVO 25/100 TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212015","POTASSIUM CL 8MEQ CER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212021","GLYBURIDE 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212022","DICYCLOMINE HCL 10MG/5ML SYR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212023","QUINIDINE SULF 300MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212024","DILTIAZEM HCL 90MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212025","VITAMIN B COMPLEX W/C TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212026","ATROPINE SULF 0.4MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212028","PRIMIDONE 250MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212030","MECLIZINE HCL 12.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212031","NIACIN 1000MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212032","THEOPHYLLINE 400MG T24 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212035","ISONIAZID 300MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212036","CLONAZEPAM 1MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212038","QUINAPRIL HCL 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212039","ALLOPURINOL 300MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212042","CARBAMAZEPINE 100MG/5ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212043","HYDROXYUREA 500MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212044","PENTOXIFYLLINE 400MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212048","HCTZ 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212049","HYDROXYZINE HCL 10MG/5ML SYR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212050","CHLOROPHYLLIN COPPER 100MG TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212052","FERROUS SULF 325MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212053","ACETAMINOPHEN 325MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212055","CHLORDIAZEPOXIDE HCL 25MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212056","NIACIN 250MG CER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212062","GLYBURIDE 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212063","VITAMIN B COMPLEX TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212065","DILTIAZEM HCL 30MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212070","FERROUS SULF 325MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212071","ERYTHROMYCIN ST 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212073","GUAIFENESIN DM 600MG-30MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212077","HYDROCODONE APAP 7.5-500MG TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212080","METHOCARBAMOL 750MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212082","BENZTROPINE MESYLATE 0.5MG TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212087","FLAVOXATE HCL 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212095","FUROSEMIDE 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212098","LORAZEPAM 1MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212099","ALPRAZOLAM 0.25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212102","PHENOBARBITAL 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212106","IBUPROFEN 600MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212107","CARISOPRODOL 350MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212108","METOPROLOL TART 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212112","IMIPRAMINE HCL 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212113","BIOTIN 1000MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212119","TRIPLE ANTIBIOTIC OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212122","VALPROIC ACID 250MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212126","PROPRANOLOL HCL 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212127","ALMACONE CTB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212128","CLONAZEPAM 2MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212131","ATENOLOL 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212133","GLIPIZIDE 10MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212134","PROMETHAZINE HCL 6.25MG/5ML SY"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212135","ISOSORBIDE DN 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212138","CHLOROTHIAZIDE 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212139","GLYBURIDE 1.25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212140","ACETAMINOPHEN 120MG SUP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212142","PROMETHAZINE HCL 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212145","CHLORZOXAZONE 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212151","GLYBURIDE 2.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212153","LORATADINE 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212155","CHLORPROMAZINE HCL 200MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212156","METOPROLOL TART 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212159","NIACIN TD 250MG CER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212160","PREDNISONE 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212162","OXYCODONE HCL 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212163","BUSPIRONE HCL 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212167","AMOXICILLIN 500MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212168","SALSALATE 750MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212169","CALCIUM GLUBIONATE 1.8GM/5ML S"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212170","MAGNESIUM GLUCONATE 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212173","CARBAMAZEPINE 100MG CTB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212175","ISONIAZID 300MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212179","CHLOROTHIAZIDE 250MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212183","ISONIAZID 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212184","MAGNESIUM CL 64MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212192","PROPRANOLOL HCL 40MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212194","ACETAMINOPHEN 325MG SUP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212199","HALOPERIDOL 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212200","CARISOPRODOL 350MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212202","MULTIVITAMIN TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212207","ENALAPRIL MALEATE 2.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212209","AMOXICILLIN 250MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212215","LABETALOL HCL 200MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212216","DIPHENHYDRAMINE HCL 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212218","ENALAPRIL MALEATE 2.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212220","GLYBURIDE 2.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212225","FEXOFENADINE HCL 180MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212228","NICARDIPINE HCL 20MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212233","GUAIFENESIN COD 100-10MG/5ML S"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212237","DIPHENHYDRAMINE HCL 50MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212238","CLONAZEPAM 0.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212242","LEVOTHYROXINE NA 200MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212244","DILTIAZEM HCL 180MG C24 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212246","BELLADONNA/PHENOBARB TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212248","PHENAZOPYRIDINE 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212250","HYDROCODONE APAP 10-325MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212252","POTASSIUM CL 10MEQ CER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212254","LORAZEPAM 0.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212256","HYDROCODONE APAP 2.5-500MG TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212259","PREDNISOLONE 15MG/5ML SYR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212260","DIPYRIDAMOLE 75MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212261","DILTIAZEM HCL 120MG C24 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212264","ASCORBIC ACID 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212265","LISINOPRIL 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212267","CARBOXYMETHYLCELLULOSE NA SYR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212268","GLYBURIDE 2.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212271","ALLOPURINOL 300MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212272","METHADONE HCL 40MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212273","LEVOTHYROXINE NA 100MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212275","CLONAZEPAM 2MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212276","LEVOTHYROXINE NA 150MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212278","FERROUS SULF 300MG/6.8ML ELI "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212279","WARFARIN NA 3MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212280","BUPROPION HCL 75MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212284","VITAMIN B COMPLEX SGL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212286","NIACIN 500MG CER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212287","PROPOXYPHEN APAP 100-650MG TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212292","DILTIAZEM HCL 30MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212294","METFORMIN HCL 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212298","METHYLDOPA 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212299","DIPHENHYDRAMINE HCL 50MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212303","THIOTHIXENE 2MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212304","MAGNESIUM CL 64MG ECT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212308","DIPYRIDAMOLE 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212309","VERAPAMIL HCL 240MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212310","MEGESTROL ACET 40MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212315","NAPROXEN 500MG ECT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212316","THIAMINE 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212318","DOCUSATE NA 100MG SGL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212319","OXAZEPAM 10MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212322","INDAPAMIDE 1.25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212324","LOXAPINE SUCCINATE 10MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212325","SUCRALFATE 1GM TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212328","PROCHLORPERAZINE MAL 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212329","NITROGLYCERIN 0.4MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212332","TRIFLUOPERAZINE HCL 1MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212335","CALCIUM CARB 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212337","NIACIN 250MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212341","FUROSEMIDE 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212343","ACETAMINOPHEN 650MG SUP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212349","DILTIAZEM HCL 30MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212351","PROMETHAZINE HCL 12.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212353","HYDROXYZINE HCL 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212354","SALSALATE 750MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212356","ASCORBIC ACID 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212360","MECLIZINE HCL 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212362","RESERPINE 0.25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212365","LEVOTHYROXINE NA 125MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212366","WARFARIN NA 2.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212367","FERROUS SULF 75MG/0.6ML LIQ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212370","CHLORDIAZEPOXIDE HCL 5MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212371","DIPYRIDAMOLE 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212372","CALCIUM CARB 500MG CTB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212373","VERAPAMIL HCL 120MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212377","IRON POLYSACCH 150MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212379","ERYTHROMYCIN 5MG/GM OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212383","METHYLDOPA 250MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212385","DOXYCYCLINE HYCLATE 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212388","ACETAMINOPHEN 325MG SUP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212392","HCTZ 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212395","ASPIRIN 325MG ECT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212396","GUAIFENESIN 600MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212397","IRON POLYSACCH 150MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212405","DOXYCYCLINE HYCLATE 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212406","ASCORBIC ACID 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212408","DIAZEPAM 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212411","HYDROCODONE IBU 7.5-200MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212417","GABAPENTIN 100MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212419","BUPROPION HCL 100MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212421","SALSALATE 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212427","CETIRIZINE HCL 1MG/ML SYR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212429","DIAZEPAM 2MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212430","PREDNISONE 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212433","CLEMASTINE FUMARATE 1.34MG TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212434","ZINC SULF 220MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212436","DEXAMETHASONE 0.5MG/5ML ELI "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212441","HOMATROP HYDROCODONE BIT TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212442","METHOCARBAMOL 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212446","LEVOTHYROXINE NA 100MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212447","LABETALOL HCL 300MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212456","BUSPIRONE HCL 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212458","DIAZEPAM 2MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212460","HYDROCODONE APAP 10-650MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212464","ACETAMINOPHEN 325MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212465","ATENOLOL 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212470","FLUPHENAZINE HCL 1MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212473","HALOPERIDOL 1MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212476","FOLIC ACID 0.8MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212477","METHOCARBAMOL 750MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212478","PHENDIMETRAZINE 35MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212479","CHLORPHENIRAMINE MALEATE 4MG T"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212484","NYSTATIN 500000U TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212485","ETODOLAC 400MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212486","DIPYRIDAMOLE 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212487","NITROGLYCERIN 6.5MG CER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212488","MORPHINE 15MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212490","SODIUM CL 1.07GM TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212492","CARBIDOPA/LEVO 25/100 TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212495","TIZANIDINE HCL 4MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212498","CLONAZEPAM 2MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212507","WARFARIN NA 4MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212508","NABUMETONE 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212510","FOLIC ACID 1MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212513","ZOLPIDEM TARTRATE 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212517","DOXYCYCLINE HYCLATE 100MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212518","MORPHINE 20MG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212519","HALOPERIDOL 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212520","SUCRALFATE 1GM TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212522","FUROSEMIDE 40MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212523","CALCIUM ACETATE 667MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212528","MULTIVITAMIN TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212529","ATENOLOL 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212530","GUAIFENESIN 600MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212536","CLONAZEPAM 1MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212541","METOPROLOL TART 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212544","HCTZ 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212550","LABETALOL HCL 300MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212551","GEMFIBROZIL 600MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212552","HYDROCODONE APAP 5-500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212555","IBUPROFEN 400MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212556","AMITRIPTYLINE HCL 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212558","BUPROPION HCL 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212560","AMANTADINE HCL 50MG LIQ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212565","METHIMAZOLE 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212566","LABETALOL HCL 200MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212571","MOEXIPRIL HCL 7.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212573","GLYBURIDE MICRO 3MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212574","ASCORBIC ACID 500MG/5ML LIQ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212577","BUMETANIDE 1MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212580","LOPERAMIDE HCL 2MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212581","FLUPHENAZINE HCL 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212582","HYDROXYZINE PAM 100MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212588","ISOSORBIDE DN 2.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212589","ENALAPRIL MALEATE 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212596","ISOSORBIDE DN 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212602","CALCIUM CARB 600MG CTB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212606","METHENAMINE MAND/NAPH BASIC TA"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212607","ALPRAZOLAM 0.25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212611","MORPHINE 20MG/5ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212616","GLIPIZIDE 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212622","FUROSEMIDE 40MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212626","DYPHYLLINE GG 100/5-100/5 LIQ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212633","FLUPHENAZINE HCL 2.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212636","POTASSIUM CL 20MEQ TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212642","FUROSEMIDE 80MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212643","PREDNISONE 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212644","PROPRANOLOL HCL 80MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212647","CARISOPRODOL 350MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212648","NIACIN 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212652","METHIMAZOLE 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212655","NIACIN 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212656","PREDNISONE 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212658","FERROUS SULF 325MG ECT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212662","PRAZOSIN HCL 1MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212668","GLYCERIN SUP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212669","CLONAZEPAM 0.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212670","PHENYLEPHRINE HCL 0.25% SUP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212678","IBUPROFEN 400MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212682","PILOCARPINE HCL 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212685","GLIPIZIDE 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212686","PREDNISONE 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212687","IBUPROFEN 100MG/5ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212690","MULTIVITAMIN LIQ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212692","ACETAMINOPHEN 120MG SUP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212695","MORPHINE 10MG/5ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212697","DOXEPIN HCL 50MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212699","LEVOTHYROXINE NA 175MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212701","SULFASALAZINE 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212702","ACEBUTOLOL HCL 400MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212704","MINOXIDIL 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212712","ASPIRIN 81MG ECT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212713","PREDNISONE 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212715","METRONIDAZOLE 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212721","DESIPRAMINE HCL 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212722","ACEBUTOLOL HCL 200MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212724","LEVOTHYROXINE NA 75MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212727","PREDNISONE 1MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212733","MEPERIDINE 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212736","METHOCARBAMOL 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212740","FUROSEMIDE 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212742","DIPHENHYDRAMINE HCL 25MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212743","CHLORTHALIDONE 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212751","RANITIDINE HCL 150MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212752","PHENYTOLOXAMINE CIT APAP TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212754","LEVOTHYROXINE NA 50MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212755","TRIAZOLAM 0.25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212757","MINTOX PLUS CTB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212760","GLYBURIDE METFORMIN 5/500MG TA"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212762","WARFARIN NA 3MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212767","ACETAMINOPHEN 325MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212771","FLUPHENAZINE HCL 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212774","FOLIC ACID 1MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212778","FOLIC ACID 0.4MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212781","HALOPERIDOL 2MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212782","DOCUSATE NA 100MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212783","FUROSEMIDE 40MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212784","SILVER NITRATE KNO3 75-25% SWA"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212786","PROPRANOLOL HCL 40MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212795","VITAMIN B COMPLEX W/C TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212796","ESTRADIOL 2MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212804","VITAMIN B COMPLEX W/C TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212809","PROCHLORPERAZINE MAL 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212810","ENALAPRIL MALEATE 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212811","INDAPAMIDE 2.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212815","METRONIDAZOLE 250MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212820","PSEUDOEPHEDRINE HCL 30MG/5ML S"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212821","GLIMEPIRIDE 4MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212823","ACETAMINOPHEN 325MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212826","ISRADIPINE 2.5MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212828","TERAZOSIN HCL 5MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212830","ASPIRIN 325MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212831","METHYLDOPA 250MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212838","PHENOBARBITAL 15MG/ML TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212840","PHENOBARBITAL 20MG/5ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212843","OXCARBAZEPINE 150MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212849","FLUPHENAZINE HCL 2.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212853","CLINDAMYCIN HCL 150MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212855","THIAMINE 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212856","DOCUSATE NA 100MG SGL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212857","MULTIVITAMIN MINERALS TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212859","SIMETHICONE 80MG CTB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212861","DILTIAZEM HCL 60MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212862","GLUCOSAMINE 500MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212866","SODIUM CL 10% INH SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212867","LITHIUM CARBONATE 450MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212874","VITAMIN B COMPLEX W/C TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212875","WARFARIN NA 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212876","ETHAMBUTOL HCL 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212877","ERGOTAMINE CAFFEINE 100/1 TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212884","MECLIZINE HCL 12.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212886","ALLOPURINOL 300MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212895","ISOSORBIDE MN 120MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212899","MECLIZINE HCL 25MG CTB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212901","CLOZAPINE 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212902","ACETAMINOPHEN 325MG SUP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212905","ACETAMINOPHEN 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212907","SULFASALAZINE 500MG ECT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212909","TRIAZOLAM 0.125MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212912","DOXAZOSIN MESYLATE 2MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212914","METFORMIN HCL 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212915","CALCIUM CARB 500 W/D 125U TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212917","LISINOPRIL 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212918","OXAZEPAM 10MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212920","HYDRALAZINE HCL 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212922","METOCLOPRAMIDE 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212930","PROPRANOLOL HCL 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212931","ZIDOVUDINE 50MG/5ML SYR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212937","CYPROHEPTADINE 4MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212939","CLONIDINE HCL 0.3MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212942","PREDNISONE 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212943","METFORMIN HCL 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212947","MAALOX SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212949","METFORMIN HCL 1000MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212953","NITROGLYCERIN 2.5MG CER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212955","LISINOPRIL 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212956","AMITRIPTYLINE HCL 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212958","HEMORRHOID SUP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212959","METRONIDAZOLE 250MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212961","METFORMIN HCL 850MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212962","ALLOPURINOL 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212964","IBUPROFEN 400MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212965","METAPROTERENOL SULF 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212966","NITROGLYCERIN 2.5MG CER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212968","PREDNISONE 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212970","OXAZEPAM 15MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212971","NEOMYCIN SULF 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212973","HYDRALAZINE HCL 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212974","NITROGLYCERIN 6.5MG CER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212975","AMITRIPTYLINE HCL 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212978","HYDROMORPHONE 4MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212981","METRONIDAZOLE 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212987","PROPRANOLOL HCL 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92212988","BISOPROLOL FUMARATE 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213001","CARBIDOPA/LEVO 25/100 TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213006","HYDRALAZINE HCL 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213018","AMOXAPINE 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213020","DOXAZOSIN MESYLATE 1MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213024","IBUPROFEN 200MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213026","DEXAMETHASONE 0.75MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213027","VERAPAMIL HCL 180MG CER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213032","HYDRALAZINE HCL 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213033","DEXAMETHASONE 0.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213037","PRAZOSIN HCL 2MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213038","DIAZEPAM 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213045","DIFLUNISAL 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213047","AMITRIPTYLINE HCL 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213048","PREDNISONE 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213051","NAPROXEN NA 220MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213061","DICYCLOMINE HCL 10MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213066","CHLORDIAZEPOXIDE HCL 10MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213068","ASPIRIN 325MG ECT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213071","DIAZEPAM 2MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213075","PHENOBARBITAL 30MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213078","CARBIDOPA/LEVO 25/100 TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213079","NYSTATIN 100000U/ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213081","FENOFIBRATE 54MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213083","ACETAMINOPHEN 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213084","MIGLITOL 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213086","FEXOFENADINE HCL 60MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213091","PHENOBARBITAL 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213094","AMITRIPTYLINE HCL 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213096","PROPYLTHIOURACIL 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213097","SALSALATE 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213098","CLONIDINE HCL 0.2MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213100","MINOXIDIL 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213102","THYROID 60MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213103","DIPHENOXYLATE HCL ATROPINE TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213106","POTASSIUM BICARB 25MEQ TEF "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213111","CARBIDOPA/LEVO 25/100 TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213112","GLIPIZIDE 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213115","INDOMETHACIN 50MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213116","FOAMING ANTACID CTB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213117","CU SE VITA VITB VITC Z TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213118","METHOCARBAMOL 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213120","OXYBUTYNIN CL 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213122","GLIMEPIRIDE 2MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213130","METAPROTERENOL SULF 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213131","MINOXIDIL 2.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213132","PYSLLIUM 3.4GM PDR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213134","PHENOBARBITAL 60MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213136","BENAZEPRIL HCL 40MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213137","AMINOPHYLLINE 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213138","HYDROCORTISONE 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213139","LIOTHYRONINE NA 50MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213143","PROPOXYPHENE HCL 65MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213144","TRANDOLAPRIL 1MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213150","PROMETHAZINE HCL 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213151","PROMETHAZINE COD 6.25-10/5ML S"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213153","AMOXICILLIN 875MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213159","POTASSIUM BICARB KCL 25MEQ TEF"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213160","DIPHENHYDRAMINE HCL 50MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213162","HOMATROP HYDROCODONE BIT SYR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213163","DOCUSATE CAL 240MG SGL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213164","TRAMADOL HCL 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213165","PHENOBARBITAL 60MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213167","CHLORTHALIDONE 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213173","LIOTHYRONINE NA 25MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213176","FLUPHENAZINE HCL 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213177","PROPRANOLOL HCL 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213179","ACETAMINOPHEN 120MG SUP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213182","CLONIDINE HCL 0.1MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213189","HYDRALAZINE HCL 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213192","HYDRALAZINE HCL 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213193","AMOXAPINE 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213195","HALOPERIDOL 1MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213202","POLYVINYL ALCOHOL POVIDONE SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213205","PROPOXYPHENE HCL 65MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213206","PRAZOSIN HCL 1MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213208","TORSEMIDE 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213210","HYDROXYUREA 300MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213212","SPIRONOLACTONE 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213216","MEPROBAMATE 200MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213217","QUINIDINE SULF 200MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213220","BUSPIRONE HCL 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213221","POLYVINYL ALCOHOL POVIDONE SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213224","PROPOXYPHENE HCL 65MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213225","MAGNESIUM OXIDE 400MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213229","NIFEDIPINE 30MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213231","ACETAMINOPHEN 650MG SUP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213232","LACTO ACIDOPH/PECTIN 25MMU TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213236","APAP/BUTALBITAL/CAFF/COD CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213237","TRAMADOL HCL APAP 37.5-325MG T"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213238","HYDRALAZINE HCL 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213240","ISONIAZID 300MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213241","AMYLASE/LIPASE/PROTEASE ECC "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213246","COLCHICINE PROBENECID .5-500 T"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213249","QUINIDINE SULF 200MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213253","BUSPIRONE HCL 15MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213255","ALLOPURINOL 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213260","FOLIC ACID 1MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213262","LISINOPRIL 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213264","PHOS K NA PDR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213268","POTASSIUM BICARB 25MEQ TEF "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213269","CHLORDIAZEPOXIDE HCL 5MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213271","DILTIAZEM HCL 180MG C24 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213276","SENNOSIDES A B 8.6MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213278","DOCUSATE NA SENNA 50MG-8.6MG T"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213281","IBUPROFEN 600MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213285","PROPOXYPHEN APAP 50-325MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213288","ISONIAZID 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213294","DIAZEPAM 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213303","DILTIAZEM HCL 180MG C24 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213304","PROPAFENONE HCL 150MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213314","AMILORIDE HCL 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213316","PREDNISOLONE NA POS 15MG/5ML S"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213319","ISONIAZID 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213326","SIMVASTATIN 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213328","CALCIUM CITRATE 315 W/D 200U T"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213337","AMITRIPTYLINE HCL CDP 25-10 TA"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213343","TERAZOSIN HCL 5MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213347","IBUPROFEN 800MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213352","PROPRANOLOL HCL 80MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213354","HALOPERIDOL 2MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213356","TERAZOSIN HCL 5MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213359","ISOSORBIDE DN 30MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213360","OXAZEPAM 15MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213372","CHLOROPHYLLIN THYMOL 3-0.6MG T"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213374","ASPIRIN 325MG ECT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213377","AMOXICILLIN 200MG CTB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213381","INDOMETHACIN 25MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213383","MAPROTILINE HCL 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213384","CYPROHEPTADINE 2MG/5ML SYR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213386","TERAZOSIN HCL 2MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213388","HCTZ 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213389","FLUPHENAZINE HCL 1MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213391","SPIRONOLACTONE 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213395","IBUPROFEN 600MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213396","ARGININE HCL 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213397","LISINOPRIL 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213399","HYDROMORPHONE 2MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213404","DIPHENHYDRAMINE HCL 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213409","ISOSORBIDE DN 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213411","LOPERAMIDE HCL 2MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213412","PROPAFENONE HCL 150MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213414","PRENATAL VITAMINS TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213416","HALOPERIDOL 0.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213420","HCTZ TRIAMTERENE 37.5-25MG CAP"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213422","FLURAZEPAM HCL 15MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213425","HYDRALAZINE HCL 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213433","METFORMIN HCL 850MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213434","ACETAMINOPHEN 325MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213436","WARFARIN NA 1MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213437","LISINOPRIL 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213440","ETHAMBUTOL HCL 400MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213442","BETAXOLOL HCL 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213443","TERAZOSIN HCL 2MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213444","MAALOX PLUS SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213450","PETROLATUM OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213455","SIMVASTATIN 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213457","PRAZOSIN HCL 2MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213460","BISOPROLOL/HCTZ 10/6.25 TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213462","ETHINYL ESTRADIOL NORGESTIM TA"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213464","METFORMIN HCL 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213466","ISOSORBIDE MN 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213473","DOXAZOSIN MESYLATE 4MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213480","LISINOPRIL 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213485","AMITRIPTYLINE HCL 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213486","NEOMYCIN SULF 125MG/5ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213489","LITHIUM CARBONATE 300MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213495","PREDNISONE 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213499","DEXTROAMPHETAMINE SULF 30/5 SE"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213503","BISOPROLOL/HCTZ 2.5/6.25 TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213510","BISOPROLOL/HCTZ 5/6.25 TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213514","METFORMIN HCL 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213517","DOCUSATE NA SENNO A B 50-8.6 T"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213520","BUTALB CAFF APAP 50-40-500 TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213521","MYLANTA SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213522","BISOPROLOL/HCTZ 2.5/6.25 TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213523","HYDROCORTISONE 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213531","DOCUSATE NA 250MG SGL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213532","IBUPROFEN 800MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213539","ASPIRIN 81MG ECT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213542","ISOSORBIDE MN 60MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213543","LISINOPRIL 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213545","ACETAMINOPHEN COD 120-12/5 SO"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213547","NYSTATIN 100000U/ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213548","CARBIDOPA/LEVO 25/250 TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213549","MAGNESIUM OXIDE 400MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213553","DIAZEPAM 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213557","NYSTATIN 100000U/ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213558","TORSEMIDE 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213562","LOVASTATIN 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213564","CALCIUM POLYCARBOPHIL 625MG TA"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213565","THYROID 30MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213568","POTASSIUM BICARB 25MEQ TEF "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213576","METFORMIN HCL 1000MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213589","METHADONE HCL 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213593","ISOSORBIDE MN 30MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213596","MAGNESIUM HYDROXIDE 400MG SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213598","LISINOPRIL 40MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213599","HYDROCODONE APAP 7.5-325MG TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213602","DEXAMETHASONE 4MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213606","NIACIN 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213614","METHADONE HCL 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213615","PHOSPHATE 133ML NMA "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213618","COD LIVER OIL CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213622","LISINOPRIL 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213625","FAMOTIDINE 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213628","INDOMETHACIN 50MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213629","NABUMETONE 750MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213631","POTASSIUM BICARB K CIT 25MEQ T"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213635","GLYCERIN SUP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213639","PROPOXYPHEN APAP 100-650MG TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213645","POTASSIUM BICARB K CIT 25MEQ T"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213649","LISINOPRIL 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213651","AMINOPHYLLINE 200MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213652","ACETAMINOPHEN 325MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213658","BENZOCAINE MENTHOL 6-10MG LOZ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213660","AMOXICILLIN 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213663","CYCLOSPORINE 25MG SGL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213672","DILTIAZEM HCL 120MG C24 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213673","AMOXICILLIN 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213677","PROBENECID 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213678","AMINO ACIDS MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213680","ERYTHROMYCIN 333MG ECT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213688","HYDROCODONE APAP 5-325MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213694","LITHIUM CARBONATE 300MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213696","NITROGLYCERIN 9MG CER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213703","DIPHENHYDRAMINE HCL 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213704","HYDROCODONE APAP 7.5-500MG TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213705","ACETAMINOPHEN 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213711","ACETAMINOPHEN COD 120-12/5 SO"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213712","IRON POLYSACCH 150MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213721","DILTIAZEM HCL 120MG C24 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213722","LACTULOSE 10GM/15ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213723","DEXAMETHASONE 4MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213725","DOCUSATE NA SENNO A B 50-8.6 T"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213726","CARBIDOPA/LEVO 10/100 TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213728","GLUTAMINE 10GM PDS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213737","FOLIC ACID 1MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213740","AMOXICILLIN 875MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213741","OXYCODONE HCL 5MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213746","TERAZOSIN HCL 1MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213755","CARBAMAZEPINE 100MG CTB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213757","MEPHOBARBITAL 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213758","MULTIVATAMIN LIQ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213760","ZINC SULF 220MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213763","ALBUTEROL SULF 0.63MG/3ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213770","OXYCODONE APAP 7.5-325MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213778","ALBUTEROL SULF 1.25MG/3ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213780","ACETAMINOPHEN 80MG SUP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213784","LIDOCAINE HCL 2% VISCOUS SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213786","AMOXICILLIN 875MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213788","AMITRIPTYLINE HCL 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213789","POTASSIUM CL 10MEQ CER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213794","SPIRONOLACTONE 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213809","DYPHYLLINE GG 100/15-100/15 EL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213822","FENOFIBRATE 67MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213830","AMOXICILLIN 250MG CTB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213831","MAGNESIUM 27MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213833","METFORMIN HCL 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213834","BISACODYL 5MG ECT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213835","MAGNEBIND 400 RX TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213839","ALUMINUM HYDROXIDE 320MG/5ML S"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213840","BUMETANIDE 1MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213841","QUINIDINE GLUC 324MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213842","POTASSIUM CL 8MEQ CER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213844","CARBAMAZEPINE 100MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213848","ALUMINUM HYDROXIDE 320MG/5ML S"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213856","ACARBOSE 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213857","ALUMINUM HYDROXIDE 320MG/5ML S"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213858","LISINOPRIL 40MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213871","ZINC OXIDE MENTHOL OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213873","HYOSCYAMINE SULF 0.125MG ODT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213874","OXYCODONE HCL 20MG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213880","QUINIDINE GLUC 324MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213881","ISOSORBIDE DN 2.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213883","ASPIRIN 81MG ECT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213884","DOCUSATE NA 250MG SGL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213885","MAGNESIUM LACTATE 84MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213886","TIZANIDINE HCL 4MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213887","TRANDOLAPRIL 2MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213889","FUROSEMIDE 10MG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213890","NABUMETONE 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213891","THYROID 15MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213893","ASPIRIN 325MG ECT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213894","TRIPLE ANTIBIOTIC OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213895","TORSEMIDE 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213901","SPIRONOLACTONE 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213904","TIZANIDINE HCL 4MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213907","HYDROCODONE APAP 5-500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213908","POTASSIUM CL 20MEQ TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213909","HYDROXYZINE HCL 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213911","NIACIN 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213918","POTASSIUM CL 25MEQ PDS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213929","MECLIZINE HCL 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213931","VITAMIN B COMPLEX W/C TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213937","NIACIN 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213939","HYDROCORTISONE ACET 25MG SUP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213942","LITHIUM CARBONATE 300MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213955","VITAMIN B COMPLEX W/C TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213959","NYSTATIN 100000U/ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213965","FUROSEMIDE 40MG/5ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213966","GENATON CTB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213967","SENNOSIDES A B 8.6MG5ML SYR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213969","RISPERIDONE 1MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213970","DILTIAZEM HCL 120MG C24 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213977","DOCUSATE NA 250MG SGL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213980","METOCLOPRAMIDE 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213983","MINOXIDIL 2.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213985","GLYCERIN SUP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213989","IBUPROFEN 200MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213991","AMYL NITRITE SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213992","ISOSORBIDE MN 60MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213994","LISINOPRIL 2.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92213996","ISOSORBIDE MN 30MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214006","LITHIUM CITRATE 8MEQ/5ML SYR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214009","LOPERAMIDE HCL 1MG/5ML LIQ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214019","METOCLOPRAMIDE 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214023","ERYTHROMYCIN 500MG ECT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214027","BUSPIRONE HCL 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214032","CALCITRIOL 0.25MCG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214043","CALCITRIOL 0.25MCG SGL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214046","CARBAMAZEPINE 200MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214047","ASPIRIN 325MG ECT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214048","VITAMIN B COMPLEX TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214049","OXYCODONE APAP 7.5-500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214050","LISINOPRIL 2.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214051","MULTIVITAMIN MINERALS LIQ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214053","DOCUSATE NA 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214055","ACETAMINOPHEN 650MG SUP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214065","LISINOPRIL 30MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214068","OXYCODONE HCL 5MG/5ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214070","LISINOPRIL 2.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214076","PSEUDOEPHEDRINE HCL 120MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214078","FOLTRIN CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214083","PHENYTOIN NA 50MG CTB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214094","MEDROXYPROGESTERONE 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214095","SPIRONOLACTONE 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214102","POTASSIUM CL 20MEQ TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214103","ALBUTEROL SULF 0.83MG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214107","TIZANIDINE HCL 2MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214109","HYDROMORPHONE 8MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214116","CHLORAL HYDRATE 500MG/5ML SYR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214118","POTASSIUM CL 20MEQ TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214119","VITAMIN B COMPLEX W/C TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214121","NIACIN 500MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214123","PHENYTOIN NA EXT 100MG CER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214134","LITHIUM CARBONATE 300MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214137","PHENYTOIN NA 100MG CER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214140","FUROSEMIDE 10MG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214141","MULTIVITAMIN MINERALS TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214143","FLUDROCORTISONE ACET 0.1MG TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214145","ETHAMBUTOL HCL 400MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214149","MEDROXYPROGESTERONE 2.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214151","LISINOPRIL 40MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214154","ESTRADIOL 0.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214156","ACETOHYDROXAMIC ACID 250MG TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214163","MEDROXYPROGESTERONE 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214166","LACTOBACILLUS ACIDOPH 100MG WA"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214168","LISINOPRIL 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214171","POTASSIUM PH 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214172","DICYCLOMINE HCL 10MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214173","ASCORBIC ACID 500MG/5ML SYR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214179","K PHOS MONO/NA PHOS MONO TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214183","MULTIVITAMIN MINERALS LIQ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214188","ASPIRIN 81MG ECT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214189","CLOZAPINE 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214202","METHIMAZOLE 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214209","CAPTOPRIL 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214220","METHIMAZOLE 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214221","ISOSORBIDE MN 30MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214222","MISOPROSTOL 200MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214224","ACETAMINOPHEN 325MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214229","DICYCLOMINE HCL 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214233","MINERAL OIL PETROLATUM OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214238","HYDROCODONE APAP 5-325MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214239","CARBIDOPA/LEVO 25/100 TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214241","LEVOCARNITINE 330MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214252","CHONDROITIN GLUCOSAMINE TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214253","IBUPROFEN 100MG/5ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214256","CHLORAL HYDRATE 500MG SGL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214261","DIGOXIN 250MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214264","OXAZEPAM 10MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214265","ACARBOSE 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214276","LORATADINE 5MG/5ML SYR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214278","OXYCODONE APAP 5-325MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214287","LITHIUM CARBONATE 300MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214288","SIMETHICONE 40 MG SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214295","ASPIRIN 325MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214299","OXYCODONE APAP 5-325MG/5ML SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214300","DOCUSATE NA SENNO A B 50-8.6 T"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214303","BIOTIN 300MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214304","MINERAL OIL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214306","CALCIUM POLYCARBOPHIL 625MG CT"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214310","PRAMIPEXOLE DIHCL 0.25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214314","OXYCODONE APAP 5-325MG/5ML SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214317","PHENYTOIN NA 30MG CER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214326","METFORMIN HCL 850MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214346","BISOPROLOL FUMARATE 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214348","PREDNISONE 2.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214351","ACETAMINOPHEN 650MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214352","CALTRATE PLUS TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214359","PREDNISONE 2.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214360","DOCUSATE NA 100MG SGL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214364","CALCIUM 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214365","DOCUSATE CAL 240MG SGL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214367","HYDROCORTISONE 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214377","PREDNISONE 1MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214381","AZATHIOPRINE 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214383","K PHOS/NA PH DB/NA PH MONO TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214384","PREDNISONE 1MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214389","QUINIDINE SULF 300MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214392","ACETAMINOPHEN 650MG SUP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214394","ASPIRIN 325MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214395","CALCIUM POLYCARBOPHIL 625MG TA"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214399","K PHOS MONO/NA PHOS MONO TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214400","PREDNISONE 5MG/5ML LIQ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214401","PYRIMETHAMINE 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214403","ASCORBIC ACID 500MG/5ML SYR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214409","DOCUSATE NA 100MG SGL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214412","ASPIRIN 81MG CTB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214417","ASPIRIN 81MG ECT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214424","DOCUSATE NA 50MG SGL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214429","VITAMIN B COMPLEX W/C TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214435","PHENYTOIN NA EXT 100MG CER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214436","CARBIDOPA/LEVO 25/100 TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214438","MAGNESIUM HYDROXIDE 400MG SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214440","VITAMIN B COMPLEX W/C TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214442","ASPIRIN 325MG ECT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214451","BACITRACIN/POLYMYXIN B OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214457","TIZANIDINE HCL 2MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214458","HCTZ LISINOPRIL 12.5-10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214463","FERROUS GLUCONATE 240MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214464","BELLADONNA OPIUM 16.2-60MG SUP"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214465","MAGNESIUM HYDROXIDE 400MG SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214468","LEVOTHYROXINE NA 137MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214476","LEVOTHYROXINE NA 137MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214478","GLIPIZIDE 2.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214480","DIVALPROEX NA 125MG ECC "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214483","SELENIUM 200MCG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214484","BIOTIN 5MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214489","OXYCODONE APAP 5-500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214491","CALCIUM ACETATE 667MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214493","DIPHENHYDRAMINE HCL 12.5MG/5 E"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214496","OLANZAPINE 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214498","DOCUSATE NA 150MG/15ML LIQ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214504","DIVALPROEX NA 125MG ECC "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214513","METOPROLOL SUCC 50MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214524","VALPROIC ACID 250MG/5ML LIQ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214526","METOPROLOL SUCC 25MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214529","DILTIAZEM HCL 180MG C24 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214531","DILTIAZEM HCL 240MG C24 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214535","DOCUSATE NA 100MG/10ML LIQ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214544","FOLIC ACID 0.4MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214546","HYDROCODONE APAP 10-400MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214548","LEVOCARNITINE 250MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214549","DILTIAZEM HCL 240MG C24 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214550","FAMOTIDINE 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214556","LEVOTHYROXINE NA 25MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214562","DILTIAZEM HCL 120MG C24 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214563","BENAZEPRIL HCL 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214564","PRENATAL VITAMINS TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214567","OCUVITE LUTEIN CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214573","HYDROCODONE APAP 10-650MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214575","ALBUTEROL SULF 0.83MG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214581","QUINAPRIL HCL 40MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214583","POTASSIUM CL 10MEQ TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214586","PREDNISONE 5MG/5ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214589","DOCUSATE NA 100MG SGL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214593","CALCIUM 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214597","BENZONATATE 200MG SGL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214598","REPAGLINIDE 1MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214600","HYDROCODONE APAP 10-500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214605","CHONDROITIN GLUCOSAMINE CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214606","ALAMAG PLUS SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214610","LOPERAMIDE HCL 1MG/5ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214612","CA CL/KCL/NA CL SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214624","REPAGLINIDE 0.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214631","VITAMIN B COMPLEX W/C SGL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214647","PYSLLIUM 3.4GM PDR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214648","LACTULOSE 10GM/15ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214669","PROPOXYPHEN APAP 100-650MG TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214671","DOCUSATE CAL 240MG SGL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214676","VITAMIN B COMPLEX W/C TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214678","PROPRANOLOL HCL 40MG/5ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214681","FOLIC ACID 1MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214687","ATTAPULGITE 600MG/15ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214691","DIPHENHYDRAMINE HCL 12.5MG/5 E"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214694","PROPOXYPHEN APAP 100-650MG TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214695","GEMFIBROZIL 600MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214700","ACETAMINOPHEN COD 120-12/5 SO"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214702","CODEINE SULF 60MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214703","FA CYANCOBA PYRIDOXINE TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214704","PROPRANOLOL HCL 20MG/5ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214705","HYDRALAZINE HCL 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214708","MINOCYCLINE HCL 100MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214711","BACLOFEN 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214715","LISINOPRIL 40MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214724","BENZTROPINE MESYLATE 1MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214726","DIAZEPAM 5MG/5ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214730","DIGOXIN 125MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214733","WARFARIN NA 4MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214738","CALCIUM CARB 500MG CTB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214739","DIAZEPAM 5MG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214743","AMYLASE/LIPASE/PROTEASE ECC "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214750","HYDROCODONE APAP 10-500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214757","AMYLASE/LIPASE/PROTEASE CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214759","METFORMIN HCL 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214764","FERROUS FUMARATE 324MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214765","CALCIUM CARB 600MG CTB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214768","BENAZEPRIL HCL 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214776","CALCIUM 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214782","HYDROCODONE APAP 10-325MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214786","CALCIUM 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214789","FELODIPINE 5MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214793","FELODIPINE 5MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214795","METFORMIN HCL 1000MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214800","CALCIUM 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214809","METOPROLOL SUCC 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214811","GLUCOSAMINE 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214812","ALBUTEROL SULF 0.83MG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214818","HYDROCODONE APAP 10-325MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214831","NAPROXEN 125MG/5ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214833","BENZTROPINE MESYLATE 1MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214836","TRAMADOL HCL APAP 37.5-325MG T"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214845","DOCUSATE NA 100MG SGL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214847","BISACODYL 5MG KIT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214862","DOCUSATE NA SENNO A B 50-8.6 T"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214863","FUROSEMIDE 80MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214865","HYDROCODONE APAP 2.5-167/5ML S"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214871","LISINOPRIL 40MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214872","GLUTAMINE 15GM PKT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214874","LISINOPRIL 40MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214875","CODEINE SULF 30MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214880","LISINOPRIL 30MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214883","CALCIUM LACTO ACIDOPHILUS CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214884","BACLOFEN 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214889","MULTIVITAMIN MINERALS CTB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214893","BALSALAZIDE DISODIUM 750MG CAP"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214894","IRON POLYSACCH 100MG/5ML ELI "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214897","CODEINE SULF 15MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214898","IBUPROFEN 200MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214899","DOCUSATE NA SENNO A B 50-8.6 T"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214900","LISINOPRIL 30MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214904","CALCIUM 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214907","LISINOPRIL 2.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214909","ALAMAG CTB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214913","ATENOLOL 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214915","TERAZOSIN HCL 10MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214918","LISINOPRIL 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214920","ALLOPURINOL 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214925","LISINOPRIL 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214927","HCTZ 12.5MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214933","PSEUDOEPHEDRINE HCL 30MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214935","SIMETHICONE 80MG CTB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214952","VITAMIN B COMPLEX W/C CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214961","FA CYANCOBA PYRIDOXINE TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214963","WARFARIN NA 1MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214964","MULTIVITAMIN TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214969","TRAMADOL HCL 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214971","VALPROIC ACID 250MG SGL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214974","VITAMIN B COMPLEX W/C CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214989","NABUMETONE 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92214995","PREDNISONE 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215001","MORPHINE 10MG/5ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215003","ETHINYL ESTRADIOL NORT 35 .5 T"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215008","TRIAZOLAM 0.25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215009","AMPHETAMINE SALTS 10MG CER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215017","MULTIMINERAL VIT B ELI "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215021","METHADONE HCL 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215026","CHLORPHENIRAMINE MALEATE 4MG T"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215027","QUINAPRIL HCL 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215029","METHADONE HCL 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215035","MULTIVITAMIN MINERALS TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215046","METHADONE INTENSOL 10MG/ML SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215050","HYDROCODONE APAP 5-500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215056","METHADONE HCL 10MG/5ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215059","DEXAMETHASONE 2MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215063","LITHIUM CARBONATE 150MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215064","METHADONE HCL 5MG/5ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215066","FOSINOPRIL NA 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215067","DEXAMETHASONE 2MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215070","SENNA 8.8MG/5ML SYR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215071","LITHIUM CARBONATE 150MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215075","PYSLLIUM 6GM PDR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215077","HYDROMORPHONE 2MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215082","NIFEDIPINE 30MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215083","COLESTIPOL HCL 1GM TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215085","DEXAMETHASONE 1MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215090","DEXAMETHASONE 1MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215095","MULTIVATAMIN CTB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215097","DEXAMETHASONE 0.75MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215102","LACTOBACILLUS ACIDOPH 250MM CA"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215104","COLCHICINE 0.6MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215111","METHIMAZOLE 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215115","FERROUS SULF 160MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215116","DILTIAZEM HCL 60MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215123","FERROUS SULF 160MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215125","LEVOTHYROXINE NA 112MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215137","ALUMINUM ACETATE PDR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215139","ACETAMINOPHEN 325MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215151","SPIRONOLACTONE 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215152","FA CYANCOBA PYRIDOXINE TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215153","TRIMETHOBENZAMIDE HCL 300MG CA"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215154","PRENATAL VITAMINS TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215158","EPIDRIN CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215184","METFORMIN HCL 850MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215185","CALCIUM POLYCARBOPHIL 625MG TA"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215189","LORAZEPAM INTENSOL 2MG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215196","CLINDAMYCIN PHOS 1% PAD "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215214","POTASSIUM CL 20MEQ TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215217","ACETAMINOPHEN 325MG SUP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215221","POTASSIUM CL 40MEQ/15ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215231","FOLIC ACID 1MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215236","FEXOFENADINE HCL 60MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215237","DEXAMETHASONE 0.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215244","DEXAMETHASONE 1MG/1ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215248","FISH OIL 500MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215251","MAGNESIUM OXIDE 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215255","LORATADINE 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215264","DEXAMETHASONE 0.5MG/5ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215265","ACETAMINOPHEN COD 300MG-30MG T"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215269","CARBAMAZEPINE 200MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215271","NORTRIPTYLINE HCL 25MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215272","DANTROLENE NA 25MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215274","GABAPENTIN 100MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215277","LORATADINE 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215285","PREPARATION H SUP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215287","TRANDOLAPRIL 1MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215289","SENNOSIDES A B 8.6MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215303","LISINOPRIL 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215309","VITAMIN B COMPLEX W/C CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215310","LISINOPRIL 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215313","SPIRONOLACTONE 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215320","LISINOPRIL 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215321","MAGNESIUM CALCIUM CHLORIDE ECT"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215323","BISOPROLOL/HCTZ 10/6.25 TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215324","LISINOPRIL 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215336","ACETAMINOPHEN 80MG SUP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215338","BISOPROLOL/HCTZ 2.5/6.25 TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215341","FEXOFENADINE HCL 60MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215344","FELODIPINE 2.5MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215357","LACTRASE 250MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215365","LEVOTHYROXINE NA 150MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215368","METHYLPHENIDATE HCL 10MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215378","DOCUSATE NA 50MG SGL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215384","GLIMEPIRIDE 1MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215402","MULTIVITAMIN W/FE TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215403","CETIRIZINE HCL 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215407","CALCIUM PHOS DIBASIC W/D TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215418","DIPHENHYDRAMINE HCL 25MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215429","FERROUS GLUC LIVER VIT B LIQ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215434","HYDROCODONE APAP 7.5-500MG TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215440","CALCIUM CARB 500 W/D 200U TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215443","CALCIUM CARB 250 W/D 125U TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215445","CALCIUM POLYCARBOPHIL 625MG TA"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215446","CALCIUM CARB 500 W/D 200U TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215457","GUAIFENESIN COD 100-10MG/5ML S"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215460","ASPIRIN 81MG ECT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215462","CYCLOBENZAPRINE HCL 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215463","ALUMINUM HYDROXIDE 600MG/5ML S"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215468","TRAMADOL HCL 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215471","TRANDOLAPRIL 4MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215478","OXYCODONE HCL 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215486","GLYCOPYRROLATE 1MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215508","POTASSIUM CL 8MEQ CER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215536","METFORMIN HCL 750MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215544","CHLORPHEN/DM/PHEN SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215546","OXYCODONE APAP 5-325MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215547","DYPHYLLINE GG 200-300 TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215548","GUAIFENESIN COD 100-10MG/5ML S"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215552","DOCUSATE NA 20MG/5ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215559","GLIPIZIDE 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215560","GLIPIZIDE 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215565","HYDROCODONE APAP 7.5-750MG TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215573","POTASSIUM CL 15MEQ TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215575","POTASSIUM CL 15MEQ TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215578","PRENATAL VITAMINS TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215582","BUPROPION HCL 75MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215583","LISINOPRIL 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215586","CRANBERRY 405MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215590","BACLOFEN 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215596","DOCUSATE NA 100MG/25ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215602","NICOTINAMIDE TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215608","LACTOBACILLUS ACIDOPH 500MM CA"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215617","RANITIDINE HCL 150MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215621","DOCUSATE NA SENNA 50MG-8.6MG T"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215630","PRENATAL VITAMINS TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215634","MULTIVITAMIN MINERALS TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215635","RANITIDINE HCL 150MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215646","AMMONIA AROMATIC SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215651","AMMONIA AROMATIC SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215652","CARBOXYMETHYLCELL NA 0.5% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215654","CARBOXYMETHYLCELLULOSE NA 1% S"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215659","ALBUTEROL SULF 5MG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215663","FOLGARD OS TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215673","MULTIVITAMIN SGL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215686","HCTZ 12.5MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215688","LACTULOSE 10GM/15ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215690","HEMATOGEN FORTE SGL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215691","NIFEREX CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215694","FERROUS SULF 160MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215696","BENZOCAINE 10% GEL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215697","FERROUS SULF 160MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215699","CLONIDINE HCL 0.2MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215702","HYDROCODONE APAP 7.5-750MG TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215703","CLONIDINE HCL 0.3MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215704","CAPTOPRIL 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215705","CAPTOPRIL 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215708","CAPTOPRIL 12.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215709","IBUPROFEN 100MG/5ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215711","VITAMIN D 400U TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215721","ENALAPRIL MALEATE 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215722","TERAZOSIN HCL 10MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215723","TERAZOSIN HCL 1MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215728","ENALAPRIL MALEATE 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215729","RANITIDINE HCL 150MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215730","ENALAPRIL MALEATE 2.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215733","TERAZOSIN HCL 5MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215735","CLONAZEPAM 0.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215736","FEROCON CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215739","CLONAZEPAM 2MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215740","CALCIUM PH W/D 105-81MG 120U T"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215742","PROPOXYPHEN APAP 100-650MG TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215743","CLONAZEPAM 1MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215744","FOLITAB 500 TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215745","NA PHOS DIBASIC/MONOBASIC NMA "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215747","CALCIUM CARB 500 W/D 200U TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215749","CETIRIZINE HCL PSE 5MG/120MG T"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215751","LOSARTAN POTASSIUM 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215757","DOCUSATE NA 100MG SGL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215760","METHADONE HCL 40MG TBS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215763","TORSEMIDE 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215769","TORSEMIDE 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215778","OCUVITE PRESERVISION TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215779","LEVOTHYROXINE NA 150MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215783","ZONISAMIDE 25MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215786","ZONISAMIDE 50MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215795","DOXAZOSIN MESYLATE 4MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215796","NAPROXEN 250MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215798","NAPROXEN 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215800","DOXAZOSIN MESYLATE 2MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215801","DIPHENHYDRAMINE HCL 25MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215802","METFORMIN HCL 1000MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215803","METFORMIN HCL 850MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215813","FUROSEMIDE 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215814","ALPRAZOLAM 1MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215815","ALPRAZOLAM 0.25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215817","LISINOPRIL 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215818","LISINOPRIL 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215821","ALPRAZOLAM 0.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215823","CLONAZEPAM 0.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215827","CLONAZEPAM 2MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215829","METOPROLOL TART 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215830","BUPROPION HCL 100MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215831","CLONIDINE HCL 0.1MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215833","METOPROLOL TART 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215835","DOCUSATE NA SENNA 50MG-8.6MG T"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215856","NICOTINE POLACRILEX 2MG GUM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215864","NICOTINE POLACRILEX 4MG GUM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215865","VITAMIN B COMPLEX FE W/C CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215866","GLIPIZIDE 10MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215867","BUPROPION HCL 100MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215869","MAGNESIUM OXIDE 400MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215870","LORATADINE 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215871","LACTOBACILLUS COMBO CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215872","SORBITOL 70% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215873","GLIPIZIDE 5MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215877","SODIUM BICARB 650MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215878","LORATADINE 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215882","GLYCERIN 1.2GM SUP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215883","ENALAPRIL MALEATE 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215885","BUPROPION HCL 150MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215890","SACCHAROMYCES BOULARDI 250MG C"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215891","METFORMIN HCL 500MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215897","IPRATROPIUM BR 0.02% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215898","TRAMADOL HCL 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215899","METFORMIN HCL 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215900","PHENYTOIN NA EXT 100MG CER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215902","ACETAMINOPHEN 325MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215910","CHLORPHEN/DM/PHEN 8-30-20MG TE"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215912","WARFARIN NA 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215913","WARFARIN NA 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215914","WARFARIN NA 3MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215915","WARFARIN NA 4MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215917","WARFARIN NA 6MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215920","WARFARIN NA 2.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215921","GLYBURIDE METFORMIN 5/500MG TA"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215923","WARFARIN NA 7.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215924","WARFARIN NA 1MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215925","WARFARIN NA 2MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215927","BENAZEPRIL HCL 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215928","BENAZEPRIL HCL 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215930","TIZANIDINE HCL 4MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215931","CALCIUM CARB 1.25GM TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215932","METFORMIN HCL 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215934","VITAMIN B COMPLEX W/C CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215935","FUROSEMIDE 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215936","PSEUDOEPHEDRINE HCL 120MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215937","CALCIUM CARB 1.25GM TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215939","CALCIUM CARB 500MG/ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215945","LORATADINE PSE SULF 10-240MG T"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215946","CYAN FA B6 2-2.5-25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215948","MAGNESIUM OXIDE 400MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215954","MULTIVITAMIN MINERALS TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215959","VALPROIC ACID 250MG/5ML SYR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215963","VALPROIC ACID 250MG/5ML SYR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215969","NORTRIPTYLINE HCL 25MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215970","RIFAMPIN 150MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215975","NORTRIPTYLINE HCL 10MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215978","FUROSEMIDE 80MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92215980","FUROSEMIDE 40MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216000","IPRATROPIUM BR 0.02% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216002","IBUPROFEN 100MG/5ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216006","IBUPROFEN 100MG/5ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216011","WARFARIN NA 2.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216012","WARFARIN NA 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216013","VITAMIN B COMPLX MINERAL W/C T"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216014","WARFARIN NA 2MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216015","LABETALOL HCL 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216018","METOPROLOL TART 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216019","ALBUTEROL SULF 1.25MG/3ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216020","LABETALOL HCL 200MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216024","CARBIDOPA/LEVO 25/100 ODT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216026","CARBIDOPA/LEVO 10/100 ODT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216028","DOCUSATE NA 100MG SGL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216030","LISINOPRIL 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216037","NAPROXEN 375MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216041","DOXAZOSIN MESYLATE 1MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216044","LACTO ACIDOPH/LACTO SPORO TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216051","ETHAMBUTOL HCL 400MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216059","GABAPENTIN 100MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216060","GABAPENTIN 300MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216062","GABAPENTIN 400MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216063","FENOFIBRATE 48MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216065","PREDNISONE 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216066","PREDNISONE 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216067","PREDNISONE 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216068","IRON 160MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216082","VITAMIN B COMPLX MINERAL W/C T"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216084","MULTIVITAMIN MINERALS CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216090","GABAPENTIN 300MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216091","DOCUSATE NA SENNO A B 50-8.6 T"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216098","NIFEDIPINE 30MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216104","OMEPRAZOLE 2OMG TCP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216116","LEVOTHYROXINE NA 25MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216119","METFORMIN HCL 1000MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216120","LITHIUM CARBONATE 300MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216122","FERROUS FUMARATE 324MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216123","FERROUS SULF 300MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216124","ASPIRIN 300MG SUP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216127","PHENOBARBITAL 32.4MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216128","FERROUS GLUCONATE 324MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216130","FERROUS GLUCONATE 324MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216131","PHENOBARBITAL 32.4MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216132","FERROUS FUMARATE 324MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216133","ASPIRIN 600MG SUP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216134","FERROUS SULF 324MG ECT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216136","FERROUS GLUCONATE 324MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216137","FERROUS SULF 324MG ECT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216138","FERROUS SULF 324MG ECT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216139","ACETAMINOPHEN 325MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216140","ACETAMINOPHEN 160MG/5ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216141","ACETAMINOPHEN 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216143","NIFEDIPINE 30MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216147","MAGNESIUM ASPRTATE HCL 615MG T"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216149","ALBUTEROL SULFATE 2.5MG "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216154","LORAZEPAM 0.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216163","COLCHICINE 0.6MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216169","TORSEMIDE 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216171","GABAPENTIN 100MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216172","GABAPENTIN 100MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216173","SENNOSIDES A B 8.6MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216174","GABAPENTIN 300MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216175","GABAPENTIN 300MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216176","TRAMADOL HCL APAP 37.5-325MG T"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216177","LITHIUM CARBONATE 300MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216178","POTASSIUM CL 20MEQ TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216180","POTASSIUM CL 10MEQ TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216181","GABAPENTIN 400MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216182","SENNOSIDES A B 8.6MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216187","BUPROPION HCL 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216189","GABAPENTIN 300MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216190","GABAPENTIN 100MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216192","GABAPENTIN 400MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216196","CLARITHROMYCIN 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216208","CYCLOSPORINE MOD 25MG SGL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216210","HCTZ 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216211","HCTZ 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216234","NUTRICEUTICAL 175-260-880MG SG"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216235","LEVOCARNITINE 330MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216239","NICOTINE POLACRILEX 2MG GUM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216240","NICOTINE POLACRILEX 4MG GUM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216252","PRENATAL VITAMINS TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216256","OMEGA 3 ETHYL ESTERS 1GM SGL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216270","GEMFIBROZIL 600MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216274","CLOMIPRAMINE HCL 75MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216276","CLOMIPRAMINE HCL 75MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216283","BUSPIRONE HCL 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216284","CLONAZEPAM 0.5MG ODT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216285","CLONIDINE HCL 0.2MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216286","CLONAZEPAM 0.125MG ODT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216288","BUSPIRONE HCL 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216289","CARBIDOPA/LEVO 10/100 TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216290","METOCLOPRAMIDE 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216291","CLONAZEPAM 0.25MG ODT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216294","CARBIDOPA/LEVO 25/250 TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216295","CARBIDOPA/LEVO 25/100 TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216296","CLONIDINE HCL 0.3MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216297","MULTIVITAMIN MINERALS CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216298","RECEPINEPHRINE HCL 2.25% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216299","CLONIDINE HCL 0.1MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216301","CLONAZEPAM 1MG ODT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216302","CLONAZEPAM 0.5MG ODT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216305","CLONAZEPAM 1MG ODT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216310","NYSTATIN 100000U/ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216319","IPRATR-ALBUTEROL 0.5-3MG/3ML S"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216320","GLIMEPIRIDE 2MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216321","GLIMEPIRIDE 4MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216324","CLONAZEPAM 0.25MG ODT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216325","MULTIVITAMIN MINERALS TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216326","CLONAZEPAM 0.125MG ODT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216327","HCTZ 12.5MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216343","LEVOCARNITINE 330MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216346","ACAMPROSATE 333MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216351","FA CYANCOBA PYRIDOXINE TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216364","METFORMIN HCL 750MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216366","PAROXETINE HCL 40MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216371","TRAMADOL HCL APAP 37.5-325MG T"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216375","GUAIFENESIN 200MG/10ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216382","LACTO ACIDOPH/LACTO BULG CTB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216383","CARBIDOPA/LEVO 25/100 TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216385","CARBIDOPA/LEVO 50/200 TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216387","DEXTROAMPHETAMINE SULF 30/5 SE"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216392","GUAIFENESIN 100MG/5ML LIQ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216399","DOCUSATE NA 100MG SGL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216404","CHLORPHEN/DM/PHEN SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216406","OXCARBAZEPINE 150MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216423","ASPIRIN 81MG ECT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216436","GUAIFENESIN 100MG/5ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216437","GUAIFENESIN 100MG/5ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216445","GLYBURIDE METFORMIN 5/500MG TA"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216446","METHADONE HCL 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216453","GLIMEPIRIDE 2MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216454","GLIMEPIRIDE 4MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216458","TERAZOSIN HCL 1MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216462","TERAZOSIN HCL 10MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216464","METHADONE HCL 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216472","LITHIUM CARBONATE 8MEQ/5ML SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216474","MEPERIDINE 50MG/5ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216483","MULTIVITAMIN MULTIMINERAL TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216485","TRAMADOL HCL APAP 37.5-325MG T"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216486","BACITRACIN 500U/GM OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216490","SELEGILINE 12MG/24HR TDM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216491","OXYCODONE ASPIRIN 4.83-325MG T"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216492","MEGESTROL ACET 40MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216494","LISINOPRIL 2.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216498","METOCLOPRAMIDE 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216500","GEMFIBROZIL 600MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216501","METFORMIN HCL 1000MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216503","METFORMIN HCL 850MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216504","VERAPAMIL HCL 120MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216505","VERAPAMIL HCL 240MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216508","VERAPAMIL HCL 180MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216509","TRAZODONE HCL 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216515","LEVOTHYROXINE NA 88MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216547","LORATADINE 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216548","GABAPENTIN 300MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216549","GABAPENTIN 100MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216552","METOPROLOL TART 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216553","METFORMIN HCL 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216569","MORPHINE 15MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216570","LACTO ACIDOPH/LACTO BULG GRA "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216583","VITAMIN B COMPLEX FE W/C CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216584","VITAMIN B COMPLEX FE W/C TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216585","VITAMIN B COMPLEX FE W/C TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216586","COENZYME Q10 W/E 100MG-10U SGL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216601","HYDROCODONE APAP 5-325MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216602","HYDROCODONE APAP 7.5-325MG TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216605","METOCLOPRAMIDE 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216608","LORATADINE 10MG ODT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216609","CARBAMAZEPINE 100MG CTB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216611","SENNOSIDES A B 8.6MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216616","GUAIFENESIN DM 100-10MG/5ML SO"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216619","GUAIFENESIN COD 100-10MG/5ML S"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216622","ACETAMINOPHEN 160MG/5ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216623","DIPHENHYDRAMINE HCL 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216624","MAGNESIUM 54MG/5ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216625","ACETAMINOPHEN 160MG/5ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216628","GUAIFENESIN 400MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216629","CHLORPHEN/DM/PHEN/APAP TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216630","GUAIFENESIN COD 100-10MG/5ML S"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216644","IBUPROFEN 100MG/5ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216645","ACETAMINOPHEN 160MG/5ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216647","LEVOTHYROXINE NA 25MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216655","GUAIFENESIN PSE 600-30MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216658","CALCIUM W/D 600MG-400U TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216664","METOPROLOL TART 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216665","TIZANIDINE HCL 4MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216668","GUAIFENESIN 100MG/5ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216669","GUAIFENESIN PSE COD SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216670","CALCIUM CARB 1250MG/5ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216690","NA PHOS DIBASIC/MONOBASIC NMA "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216691","MORPHINE 20MG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216696","NA PHOS DIBASIC/MONOBASIC NMA "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216700","VALPROIC ACID 500MG/10ML SYR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216701","VALPROIC ACID 500MG/10ML SYR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216702","CALCIUM W/D 200MG-200U TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216703","ACETYLCYSTEINE 600MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216704","CALCIUM W/D 200MG-200U TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216706","HCTZ 12.5MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216716","CHOLECALCIFEROL 1000U TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216717","RAMIPRIL 1.25MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216719","IRON 45MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216722","GABAPENTIN 100MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216724","MAGNESIUM OXIDE PYRID HCL TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216728","BETHANECHOL CL 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216734","ACYCLOVIR 200MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216735","METHYLPREDNISOLONE ACET 4MG TA"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216737","DILTIAZEM HCL 30MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216738","GLYBURIDE 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216741","HALOPERIDOL 1MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216742","IBUPROFEN 800MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216743","FUROSEMIDE 40MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216744","BUPROPION HCL 75MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216745","IBUPROFEN 400MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216747","SPIRONOLACTONE 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216748","PROMETHAZINE HCL 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216749","BACLOFEN 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216750","HALOPERIDOL 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216751","CARBAMAZEPINE 200MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216752","BENZTROPINE MESYLATE 1MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216753","GLYBURIDE 2.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216755","FUROSEMIDE 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216756","ATENOLOL 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216757","ALPRAZOLAM 1MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216758","BUPROPION HCL 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216759","PHENOBARBITAL 16.2MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216762","TEMAZEPAM 15MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216763","CARISOPRODOL 350MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216764","OXYBUTYNIN CL 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216765","BENZTROPINE MESYLATE 2MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216768","TRAZODONE HCL 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216769","NORTRIPTYLINE HCL 25MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216770","ALPRAZOLAM 0.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216772","DILTIAZEM HCL 60MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216773","ALPRAZOLAM 0.25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216774","FUROSEMIDE 80MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216775","BENZTROPINE MESYLATE 0.5MG TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216776","TORSEMIDE 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216786","AMLODIPINE BESYLATE 2.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216800","ICAPS PLUS SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216809","CALCIUM CARB 500 W/D 125U TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216818","PREDNISONE 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216819","PREDNISONE 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216820","PROPOXYPHEN APAP 100-650MG TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216821","PHENAZOPYRIDINE 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216822","PREDNISONE 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216824","POTASSIUM CL 20MEQ TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216827","DOCUSATE NA SENNO A B 50-8.6 T"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216828","SUCRALFATE 1GM TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216829","SIMETHICONE 80MG CTB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216830","PHENAZOPYRIDINE 200MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216831","POTASSIUM CL 10MEQ TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216844","THEOPHYLLINE 400MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216845","THEOPHYLLINE 600MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216867","LISINOPRIL 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216869","ASPIRIN 325MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216870","FUROSEMIDE 40MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216872","ASPIRIN 325MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216873","METOPROLOL TART 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216875","ASPIRIN 325MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216881","ZONISAMIDE 100MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216883","ZONISAMIDE 50MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216884","PRIMIDONE 250MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216885","MINOXIDIL 2.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216886","ZONISAMIDE 25MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216887","METOPROLOL SUCC 100MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216890","PRIMIDONE 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216892","GUAIFENESIN 1200MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216893","AMLODIPINE BESYLATE 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216894","AMLODIPINE BESYLATE 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216895","GUAIFENESIN DM 1200MG-60MG TE"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216901","IBUPROFEN 200MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216902","GABAPENTIN 400MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216903","GABAPENTIN 300MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216924","ASPIRIN 325MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216930","CARVEDILOL 12.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216940","DOCUSATE NA SENNO A B 50-8.6 T"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216941","DOCUSATE NA SENNO A B 50-8.6 T"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216942","CLOTRIMAZOLE 10MG LOZ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216949","ASPIRIN 81MG CTB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216950","ASPIRIN 81MG CTB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216951","SENNOSIDES A B 8.6MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216960","GUAIFENESIN DM 100-10MG/5ML SO"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216965","QUINAPRIL HCL 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216970","METOCLOPRAMIDE 5MG/5ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216977","SODIUM CL 7% INH SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216985","AMLODIPINE BESYLATE 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216986","SULFAMETHOXAZOLE/TMP 800/160 T"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216987","SPIRONOLACTONE 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216988","LITHIUM CARBONATE 450MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216990","AMLODIPINE BESYLATE 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216992","SALSALATE 750MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216993","PROPRANOLOL HCL 60MG CER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216994","HYDROCODONE IBU 7.5-200MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216995","SPIRONOLACTONE 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216996","AMLODIPINE BESYLATE 2.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92216997","CLOZAPINE 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217000","METOPROLOL TART 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217002","METOPROLOL TART 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217004","SALSALATE 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217005","METOPROLOL TART 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217022","LACTOBACILLUS COMBO 1.4MG CTB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217029","NITROFURANTOIN MCR 50MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217030","VALPROIC ACID 250MG SGL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217054","OXCARBAZEPINE 150MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217062","CETIRIZINE HCL 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217064","CETIRIZINE HCL 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217074","OMEPRAZOLE 20MG TCP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217075","PHENOBARBITAL 20MG/5ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217076","ACETAMINOPHEN 160MG/5ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217079","ACETAMINOPHEN 650MG/20.3ML SUS"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217081","PHENOBARBITAL 20MG/5ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217083","PHENOBARBITAL 20MG/5ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217087","ACETAMINOPHEN 325MG/10.15ML SU"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217090","GUAIFENESIN 100MG/5ML LIQ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217091","CALCIUM W/D 600MG-400U TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217092","NABUMETONE 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217093","ACETAMINOPHEN 160MG/5ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217094","ACETAMINOPHEN 160MG/5ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217095","CALCIUM POLYCARBOPHIL 625MG TA"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217100","LACTOBACILLUS COMBO CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217102","NYSTATIN 100000U/ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217104","CALCIUM W/D 315MG-200U TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217112","OXYCODONE HCL 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217114","OXYCODONE HCL 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217122","TERBUTALINE SULF 2.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217126","BENZONATATE 100MG SGL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217132","HYDRALAZINE HCL 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217133","HYDRALAZINE HCL 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217134","METOPROLOL SUCC 25MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217142","MIDODRINE HCL 2.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217146","CETIRIZINE HCL PSE 5MG/120MG T"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217148","BENZOCAINE MENTHOL 15-2.5MG LO"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217151","CETIRIZINE HCL 5MG CTB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217152","CETIRIZINE HCL 10MG CTB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217153","PHENYLEPHRINE HCL 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217155","FELODIPINE 2.5MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217156","FELODIPINE 5MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217157","CETIRIZINE HCL 1MG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217161","CLINDAMYCIN HCL 150MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217162","CLINDAMYCIN HCL 300MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217184","METOPROLOL TART 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217185","TERAZOSIN HCL 5MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217187","HYOSCYAMINE SULF 0.125MG CTB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217192","LORATADINE 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217194","AMITRIPTYLINE HCL 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217212","MULTIVITAMIN MINERALS CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217213","MORPHINE 15MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217214","MORPHINE 30MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217217","PRENATAL VITAMINS KIT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217218","FERROUS FUMARATE 350MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217229","DEXAMETHASONE 0.5MG/5ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217242","PHENYLEPHRINE HCL 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217249","MULTIVITAMIN MINERALS NUTRIC T"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217262","ASPIRIN 325MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217272","ASPIRIN 325MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217292","NIFEREX-150 CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217296","POLYETHYLENE GLYCOL 3350 PDS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217307","DIVALPROEX NA 125MG TCP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217308","DIVALPROEX NA 125MG TCP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217309","DIVALPROEX NA 125MG TCP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217310","DIVALPROEX NA 250MG TCP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217314","VITAMIN D 2000U SGL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217326","THEOPHYLLINE 200MG T12 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217327","WJEST DEXTRIN PKT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217330","THEOPHYLLINE 300MG T12 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217332","BENZOCAINE MENTHOL 15-4MG LOZ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217333","CARBIDOPA/LEVO 10/100 TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217343","SERTRALINE HCL 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217351","LEVETIRACETAM 250MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217353","LEVETIRACETAM 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217358","ROPINIROLE HCL 0.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217361","FLUDROCORTISONE ACET 0.1MG TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217363","GLYCOPYRROLATE 1MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217367","ROPINIROLE HCL 2MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217370","PROMETHAZINE HCL 12.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217371","GLIPIZIDE 5MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217372","ROPINIROLE HCL 1MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217374","LORATADINE 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217375","ROPINIROLE HCL 0.25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217376","GLIPIZIDE 10MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217378","GLIPIZIDE 2.5MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217384","FERROUS SULF 75MG/0.6ML LIQ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217386","ISOSORBIDE MN 60MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217389","ISOSORBIDE MN 30MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217395","ASPIRIN 81MG CTB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217401","MAGNESIUM GLUCONATE 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217403","CARVEDILOL 6.25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217404","CARVEDILOL 3.125MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217405","CARVEDILOL 12.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217408","THEOPHYLLINE 100MG T12 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217409","HYDROXYZINE HCL 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217411","HYDROXYZINE HCL 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217413","ALPRAZOLAM 0.25MG ODT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217414","LEVETIRACETAM 100MG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217425","DEXTROSE 4GM TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217433","LAMOTRIGINE 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217435","LAMOTRIGINE 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217437","HYDROCODONE APAP 5-500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217456","TOPIRAMATE 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217459","CHOLECALCIFEROL 50000U CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217462","AMANTADINE HCL 100MG SGL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217470","LIOTHYRONINE NA 5MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217476","LEVETIRACETAM 1000MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217482","CALCIUM CHOLECALCIFRL 1000U T"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217486","TOPIRAMATE 200MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217487","POLYETHYLENE GLYCOL 3350 PDS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217495","PHENOBARBITAL 32.4MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217498","MULTIVITAMIN MINERALS NUTRIC T"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217500","LACTASE 9000U CTB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217502","CALCIUM W/D 500MG-400U TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217503","MENTOHO 5.4MG LOZ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217504","CARBOCYSTEINE 750MG CTB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217514","VITAMIN E 400U SGL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217519","CALCIUM CARB 500 W/D 200U TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217521","CALCIUM CARB 500 W/D 200U TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217530","NIACIN 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217531","LOPERAMIDE HCL 1MG/5ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217540","LOPERAMIDE HCL 1MG/5ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217541","HEPARIN 10U/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217542","PROPAFENONE HCL 150MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217543","BICALUTAMIDE 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217545","HYDROCODONE APAP 10-325MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217546","LAMOTRIGINE 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217547","LAMOTRIGINE 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217548","DIAZEPAM 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217557","LANSOPRAZOLE 15MG ECC "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217560","NYSTATIN 100000U/ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217561","GUAIFENESIN 600MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217562","GUAIFENESIN DM 600MG-30MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217563","GUAIFENESIN 600MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217564","INFLUENZA A H1N1 VACC 2009 SUS"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217567","MAALOX ADVANCED SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217572","LACTOBACILLUS RHAMNOSUS GG CAP"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217576","AMYLASE/LIPASE/PROTEASE ECC "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217579","POLYETHYLENE GLYCOL 3350 PDS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217581","CALCIUM W/D 500MG-200U TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217583","FUROSEMIDE 40MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217588","GLIMEPIRIDE 2MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217589","GLIMEPIRIDE 4MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217591","CALCIUM W/D 315MG-200U TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217603","TRIHEXYPHENIDYL HCL 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217605","SUMATRIPTAN SUCC 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217614","CITRIC ACID NA CITRATE SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217621","NICOTINE POLACRILEX 4MG GUM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217625","TETRACYCLINE HCL 500MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217640","CA CL/DEX/MGCL/NACL/NALACT SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217689","LORATADINE 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217695","BUPROPION HCL 100MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217701","GLYCOPYRROLATE 1MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217710","PHENOBARBITAL 20MG/5ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217716","VITAMIN A/D OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217722","PYSLLIUM 5.8GM POW "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217738","CALCIUM W/D 500MG-200U TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217739","CALCIUM W/D 500MG-200U TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217742","HYDROXYZINE HCL 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217748","POLYETHYLENE GLYCOL 3350 PDS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217751","ERGOCALCIFEROL 50000U CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217752","CALCIUM CARB 750MG CTB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217761","LOSARTAN POTASSIUM 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217763","NICOTINE POLACRILEX 4MG LOZ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217765","METANX TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217772","DOCUSATE NA 100MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217773","DOCUSATE NA 100MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217774","CHLORHEXIDINE GLUC 0.12% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217786","CHOLECALCIFEROL 1000U TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217787","PANTOPRAZOLE NA 40MG ECT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217790","CALCIUM CARB 600MG CTB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217792","MULTIVITAMIN MINERALS TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217793","MULTIVITAMIN MINERALS TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217801","LAMOTRIGINE 150MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217815","COENZYME Q10 100MG SGL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217833","MULTIVITAMIN TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217841","NIACIN 500MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217843","NIFEDIPINE 30MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217855","BUSPIRONE HCL 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217861","PAROXETINE HCL 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217862","PAROXETINE HCL 30MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217866","MULTIVITAMIN TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217873","PHENOBARBITAL 64.8MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217878","NIACIN 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217879","MULTIVITAMIN MINERALS LIQ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217883","PHENOBARBITAL 64.8MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217884","NIACIN 250MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217885","PHENOBARBITAL 97.2MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217886","PHENOBARBITAL 97.2MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217890","PROVIDONE IODINE 10% OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217897","PYRIDOSTIBMINE BR 60MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217901","LACTOBACILLUS ACIDOPH CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217903","BELLADONNA ALK ANALGESICS ELI "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217908","VALPROIC ACID 250MG SGL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217916","LOVASTATIN 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217917","PROPAFENONE HCL 150MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217918","DOCUSATE NA 100MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217919","OMEPRAZOLE 40MG ECC "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217922","HYDROXYZINE HCL 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217927","BECLOMETHASONE DIPRO 40MCG AER"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217931","MAGNESIUM SULF INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217933","AMYLASE/LIPASE/PROTEASE ECC "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217951","SODIUM CL 3% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217964","KETOPROFEN 50MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92217996","CEPACOL LOZENGE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218004","NIFEREX-150 FORTE CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218005","ISRADIPINE 2.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218007","ACIDOPHILUS 100MIL UN CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218009","ALAVERT D 12 HR TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218012","THER-M ENHANCED TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218014","ACETAMIN/PENTAZOCIN 650-25 TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218015","GUAIFEN/PSEUDOEPHED 600-60 TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218017","FLORASTOR 250MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218020","ASPIRIN 325MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218022","DHEA 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218023","LOPERAMIDE 1MG/5ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218027","CHLORZOXAZONE 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218028","DOXEPIN HCL 10MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218033","DOXYCYCLINE HYCLATE 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218038","PHENTERMINE HCL 15MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218048","ETODOLAC 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218060","DIPYRIDAMOLE 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218061","DOXYCYCLINE MONOHYDRATE 50MG C"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218066","HYPERSAL 7% SOLN INH "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218087","EPHEDRINE SULF 25MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218097","LORATADINE-D 5MG-120MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218100","CHILDRENS LORATADINE 5MG/ML SU"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218103","NATURE THYROID 32.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218108","IBUDONE 10MG-200MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218113","NATURE'S BLEND VIT D3 5000IU/M"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218122","GABAPENTINE 300MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218123","CEPASTAT 14.5MG LOZ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218129","PROPAFENONE HCL 150MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218147","MUCINEX DM 30-800MG ER TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218148","CARBIDOP/LEVODOP 25-100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218150","CALCIUM ACETATE 667MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218157","NATURES BLEND MULTI-VIT/MIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218158","SENOKOT 8.6MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218167","LEVOTHYROXINE SOD 0.05MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218170","FLUZONE 180MCG/0.5ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218183","COENZYME Q-10 200MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218189","SOD CHLORIDE 0.9% INH "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218192","LACTOBACILLUS COMB TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218214","HYDROCHLOROTHIAZIDE 12.5MG TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218217","LISINOPRIL 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218224","DOXYLAMINE SUCCINATE 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218230","PRIMODONE 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218233","PHENOBARBITAL 15MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218235","ASPIRIN 81MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218238","LORATADINE-D 5MG-120MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218239","SYNTHROID 0.137MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218240","ACETAMIN/COD 300-50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218242","NIFEDIPINE 10MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218247","RENO MULITVITAMIN CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218249","CO-ENZYME Q10 100MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218250","CHROMAGEN FA TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218252","DEX 4 4GM TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218253","AMPHOGEL 320MG/5ML LIQ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218254","SYNTHROID 0.175MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218264","MELATONIN 1MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218273","LITHIUM CARBONATE 300MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218274","LITHIUM CARBONATE 450MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218278","SODIUM CHLORIDE 0.9% 300ML INJ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218282","HEMORRHOIDAL SUPPOSITORY "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218290","FAMOTIDINE 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218296","TRIFLUOPERAZINE 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218297","PROSIGHT TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218298","ASTRINGENT SOLUTION "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218305","ESTRADIOL 1MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218308","CHLORTHALIDONE 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218309","COPPER 2MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218316","PHENTERMINE 37.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218319","BACITRACIN 500UN/GM CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218321","METHOCARBAMOL 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218322","FLORASTOR 33-250MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218327","TRIPLE ANTIBIOTIC OINT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218332","MINOCYCLINE 100MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218338","PHENOBARBITAL 30MG TABLET "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218350","NEXIUM 24HR 20 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218353","DIVALPROEX 250 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218356","DEXAMETHASONE 1.5 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218359","LEVOTHYROXINE 25 MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218362","LEVOTHYROXINE 25MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218368","LIDOCAINE HCI 2% 0.02 SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218373","ESTRADIOL 1 MG TABLET "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218379","TRIMETHOPRIM 100 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218387","MIRALAX 17 GM/DOSE PWD "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218388","MIRALAX 17 GM/Dose PWD "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218389","NEBUSAL 3% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218391","LEVOTHYROXINE 25 MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218392","LEVOTHYROXINE 25 MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218394","FLORASTOR 250 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218397","CYCLOSPORINE 25 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218400","MULTIVITAMINS . TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218409","LEVOTHYROXINE 50 MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218410","LEVOTHYROXINE 88 MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218411","LEVOTHYROXINE 100 MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218412","LEVOTHYROXINE 112 MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218413","LEVOTHYROXINE 125 MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218414","LEVOTHYROXINE 137 MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218415","LEVOTHYROXINE 175 MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218416","SYNTHROID 75 MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218417","SYNTHROID 112 MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218418","SYNTHROID 150 MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218419","LEVOTHYROXINE 88 MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218420","LEVOTHYROXINE 112 MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218422","MILK OF MAGNESIA 1200MG/5ML SO"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218423","MILD OF MAGNESIA 1200MG/5ML SO"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218424","SYNTHROID 112MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218427","SYNTHROID 137 MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218428","LEVOTHYROXINE 200 MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218430","SYNTHROID 200 MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218431","LEVOTHYROXINE 75 MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218432","LEVOTHYROXINE 50 MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218434","LEVOTHYROXINE 125 MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218436","LEVOTHYROXINE 100 MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218437","LEVOTHYROXINE 150 MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218438","LEVOTHYROXINE 150 MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218440","LEVOTHYROXINE 300 MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218444","LEVOTHYROXINE 175 MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218450","PEG 3350 17 GM/DOSE PKT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218456","SYNTHROID 175 MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218458","LEVOTHYROXINE 100 MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218459","SYNTHROID 88 MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218462","HYDCOD/ACETAMIN10MG/325MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218469","VALPROIC ACID 250 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218476","CAFFEINE 200 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218486","KONSYL 6 GM/Dose PDR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218493","PHOS-NAK . PDR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218496","REFRESH.SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218497","REFRESH.SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218507","BAC ZN/POLY500U/GM10000U/GMONT"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218508","BACITRACIN-NEO-POLY.OINT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218513","GUAIF/DEXTROM100MG-10MG/5MLSOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218516","SELENIUM 200 MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218522","VITAMIN B12 100 MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218537","MELATONIN 3 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218554","SODIUM CHLORIDE 0.9% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218555","SODIUM CHLORIDE 0.9% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218557","ALBUTEROL SULFATE 0.083% INH "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218558","PINK BISMUTH 262 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218559","FUROSEMIDE 80 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218560","ALBUEROL SULFATE 0.083% INH "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218566","LORATADINE D 20 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218578","TRIPLE ANTIBIOTIC. OINT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218579","VITAMIN B1 100 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218581","LACTAID FAST ACT9000UNITS TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218582","CHLORHEXIDINE0.12% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218584","METAMUCIL3.4 GM/DOSE PWD "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218585","FERROUS SULFATE140 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218586","BENZOCN/MENTHOL15MG-3.6MG LOZ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218587","CHOLECALCIFEROL 5000 IU TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218589","IRON FUM/PS/FA/VITB W C . CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218599","PSEUDOPHEDRINE HCL 60 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218600","FLUDROCORT ACETATE 0.1MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218601","MECLIZIND HCL 25 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218603","SULFASALAZINE 500 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218605","CYANOCOBALAMIN 1000 MCG TABLET"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218609","BISOPROLOL FUMARATE 5MG TABLET"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218611","PANTOPRAZOLE SOD 40 MG TABLET "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218617","BUPROPION HCL 100 MG TABLET "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218619","CENTRUM SILVER TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218645","FLEET GLYCERIN SUPPOSITORIES "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218654","LISINOPRIL 20 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218667","SANI-SUPP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218668","SANI-SUPP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218669","SENEXON 8.6 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218670","SENEXON 8.6 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218671","SENNA 8.6 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218672","PINK BISMUTH 262 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218675","SANI-SUPP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218676","SANI-SUPP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218686","NICOTINE LOZENGE 2 MG LOZ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218687","POTASSIUM BI/CITRIC 20MEQ TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218695","LACTOBACILLUS 15BILL CFU CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218696","LACTOBACILLUS 10BIL CFU CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218715","VITAMIN D3 5000 IU TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218725","SENNOSIDES 8.6 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218736","ACETAMINOPHEN 160MG/5ML ELIXIR"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218737","TORSEMIDE 20 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218754","FINASTERIDE 5 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218755","FINASTERIDE 5 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218757","MELATONIN 5 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218758","GUAIFENESIN 600 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218765","CHOLECALCIFEROL 5000 IU CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218769","HYDROXYZINE HCI 10 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218772","DOCUSATE SODIUM 50 MG/5 ML SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218779","MELATONIN 5 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218787","PSYLLIUM 6 GM/PKT PWD "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218788","GLIPIZIDE 2.5 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218789","BUPROPION HCL 100 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218790","BUPROPION HCL 150 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218794","LISINOPRIL/HCTZ 20MG-25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218796","CITRIC ACID/SODBICARB10MEQTAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218797","VITAMIN B12 500 MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218801","MEGESTROL ACETATE 40 MG/ML SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218802","LIDOCAINE 2 % SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218803","CHOLECALCIFEROL 5000 IU TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218805","GLIMEPIRIDE 1 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218817","PRESERVISION AREDS CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218821","WITCH HAZEL SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218823","VITAMIN B COMPLEX TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218832","NAPROXEN 250 MGTAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218835","ISOSORBIDE DINITRATE 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218836","ASPIRIN CHEWABLE 81 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218844","LINEZOLID 600 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218846","LACTOBAC ACIDOPHIL/PECTIN CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218847","CHOLECALCIFEROL 2000 IU CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218849","CAL CARB/VIT D 500MG-200IUTAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218850","CAL CARB/VIT D 500MG-200IUTAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218851","MULTIVIT W/IRON CHILDREN TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218852","CHILD ACETAMINOPH 160MG/5MLLIQ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218853","BIOTIN 300 MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218856","POTASSIUM CHLORID ER 20MEQTAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218862","NORTRIPTYLINE 25 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218863","CEPHALEXIN 250 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218867","ISONIAZID 100 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218870","NORTRIPTYLINE HCL 10 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218871","NORTRIPTYLINE HCL 25 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218872","VIT B COMPLEX/VIT C TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218874","VALPROIC ACID 500MG/10ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218875","TORSEMIDE 20 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218878","DIALYVITE TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218879","FLECAINIDE ACETATE 50 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218880","ASPIRIN 325 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218881","ARTIFICIAL TEARS 0.2%-0.2%-1% "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218887","LISINOPRIL 2.5 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218891","NORTRIPTYLINE HCL 25 MGCAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218901","SODIUM CHLORIDE INH 3% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218902","FERR FUM/FOL ACID324MG/1MGTAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218903","MINERAL OIL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218905","GEMFIBROZIL 600 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218910","CALCIUM CARBONATE 600 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218911","CALCIUM CARBONATE 600 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218913","ASCORBICACID/CU/VITA/E/ZN TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218914","ASCORBIC ACID 500 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218915","ACETAMINOPHEN 500 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218916","ACETAMINOPHEN 325 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218917","ACETAMINOPHEN 325 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218919","LACTOBACILLUS COMBINATION TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218920","HYDROCHLOROTHIAZIDE 12.5MGCAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218922","FISH OIL/VIT E 1000MG-1IU CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218923","FERROUS SULFATE 220MG/5ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218924","FERROUS FUM/FOLIC ACID/MV CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218925","FERROUS FUM/FOLIC ACID/MV CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218926","ETHAMBUTOL HCL 400 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218927","CIT ACID/SODCIT334MG-500MG/5ML"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218933","MAGNESIUM 27 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218934","MAGNESIUM OXIDE 400 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218939","RIFAMPIN 150 MGáCAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218940","PREDNISONE 10 MGTAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218943","NIACIN 100 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218944","NIACIN 100 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218945","MULTIVIT/MINERAL/IRON TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218946","MULTIVITAMIN/MINERALS TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218947","MULTIVIT/CA/IRON/FOLIC TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218948","ZONISAMIDE 100 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218949","VITAMIN B COMPLEX CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218952","SODIUM CHLORIDE 7% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218953","SODIUM CHLORIDE 3% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218961","MULTIVIT/MINERAL/IRON TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218962","CALCIUM/VIT D 315MG-250IU TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218963","TORSEMIDE 10 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218964","PREDNISONE 50 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218968","LEVOTHYROXINE SODIUM150MCGTAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218970","HYDRCOD BIT/ACET7.5MG750MGTAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218972","FERR FUM/FOLACID/VITB/C CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218973","DIPHENHYD HYDCLORIDE 25MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218974","BUPROPION HYDROCHL 150 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218975","BENAZEPRIL HYDCHL 20 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218976","BENAZEPRIL HYDCHL 10 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218978","CL/K/NA 287MG15 MG180MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218990","DIPHENHYDRAM HCL12.5MG/5ML SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92218999","MAGNESIUM CHLORIDE 71.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219001","SUCRALFATE 1 GM TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219006","LEVOTHYROXINE SOD 112MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219009","AMLODIPINE BESYLATE 2.5 MG TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219010","DOXAZOSIN MESYLATE 4 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219018","ACETAMIN/COD 120MG-12MG/5ML "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219019","BACLOFEN 10 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219026","TIZANIDINE HCL 4 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219027","VALPROIC ACID 250 MG/5 ML SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219046","MULTIVITAMIN AND MINERALS TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219052","MELATONIN 5 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219058","THYROID 65 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219063","HYDROCORTISONE 5 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219065","GUAIFEN/DEXMTHPHN100MG-10MGLIQ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219066","TORSEMIDE 20 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219069","HYDROXYZINE HCL 25 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219080","GUAIFENESIN 100 MG/5 ML LIQ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219082","CLONAZEPAM 0.125 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219084","CLONAZEPAM 1 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219085","CLONAZEPAM 0.25 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219086","CLONAZEPAM 0.5 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219092","ACETAMINOPHEN 325 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219102","MULTIVITAMIN MIN & IRON LIQ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219112","LACTOBACILLUS RHAMNOSUS CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219115","CALCIUM POLYCARBOPHIL500MGTAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219117","CLOZAPINE 50 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219120","CARVEDILOL 6.25 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219121","CARVEDILOL 3.125 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219122","ACETAMINOPHEN 325 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219127","ASPIRIN 81 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219128","BACLOFEN 20 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219129","BENZOCAINE/MENTH15MG-3.6MGLOZ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219130","BISACODYL 10 MG SUPP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219131","BISACODYL 10 MG SUPP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219132","SERTRALINE HYDROCHLOR 50MGTAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219135","GUAIFENESIN ER 600 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219136","IBUPROFEN 200 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219137","IBUPROFEN 100 MG/5 ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219138","MIDODRINE HYROCHLOR 2.5MGTAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219139","CEPHALEXIN 250 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219144","DILTIAZEM HCL XL 120 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219145","DIPHENHYDRAMINE HCL 25 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219146","DOCUSATE/SENNO 50MG-8.6MGTAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219147","DOXYLAMINE SUCCINATE 25 MGTAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219148","PHENOBARBITAL 16.2 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219149","PHENOBARBITAL 32.4 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219150","PHENYLEPHRINE HCL 10 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219151","PHENYLEPHRINE HYDROCHL10MGTAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219152","PRIMIDONE 250 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219153","PRIMIDONE 50 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219155","MINOXIDIL 2.5 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219161","OMEPRAZOLE 20 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219165","TAMOXIFEN CITRATE 10 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219166","TRIMETHOPRIM 100 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219168","PSEUDOEPHEDRINE HCL 30 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219169","RACEPINEPHRINE HCL 2.25% INH "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219174","THEOPHYLLINE 300 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219175","THEOPHYLLINE 200 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219176","THEOPHYLLINE 100 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219178","PSEUDOEPHEDRINE HCL 120 MGTAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219180","PRIMIDONE 250 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219181","MORPHINE SULFATE 10MG/5ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219186","SODIUM CHLORIDE 1 GM TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219191","CHOLECALCIFEROL 400 UNITS TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219193","PANCREAZE 4 CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219197","COLESTIPOL HCLMICRO 1 GM TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219198","PRAMIPEXOLE DIHYDRCH 0.5MGTAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219219","CALCIUM POLYCARBOPHIL625MGTAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219220","CALCIUM POLYCARBOPHIL625MGTAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219221","FERROUS SULFATE325 MGTAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219226","OMEGA3/DHA/EPA/DPA/FISHOILCAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219231","PRAZOSIN HYDROCHLORIDE 1 MG CA"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219241","ACETAMINOPHEN 650 MG SUPP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219242","ACETAMINOPHEN 650 MG SUPP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219243","ACETAMINOPHEN 650 MG SUPP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219244","LACTOBAC RHAMN GG 10B CFU CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219248","LIDOCAINE 0.04 PATCH "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219250","BENZOCN/MENTH 15MG-3.6MG LOZ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219260","PHOSPHORUS/POTASSIUM/SOD PWD "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219266","EPHED SU GUAIF 25MG-400MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219268","POTASSIUM BI/CITRIC 25MEQ TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219269","POTASSIUM BI/CITRIC 25MEQ TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219270","POTASSIUM BI/CITRIC 25MEQ TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219271","MORPHINE SULFATE IR 15 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219272","MORPHINE SULFATE IR 30 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219278","METFORMIN HCL ER 750 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219283","FOLIC ACID 0.4 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219285","CARBOXYMETHYLCELL NA 0.5% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219288","PRENATAL VITAMINS . TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219299","CHOLECALCIFEROL 400 IU TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219303","CHILDREN'S MULTIVITAMIN W IRON"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219306","PROMETHAZINE DM6.25MG-15MG/5ML"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219307","PROMETHAZINE DM6.25MG-15MG/5ML"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219318","BUSPIRONE HCL 7.5 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219324","DOCUSATE NA/SENN50MG-8.6MGTAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219332","MELATONIN 5 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219343","PRENATAL VITAMINS . TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219347","VITAMIN A/VITAMIN D OINT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219351","CARBOXYMETHYLCELLULOSE NA1%GEL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219357","CARBOXYMETHYLCELLULO NA0.5%SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219360","CARBOXYMETHYLCELLULO NA0.5%SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219364","CRANBERRY 450 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219365","THIAMINE 100 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219367","PSYLLIUM 3.4 GM/DOSE PWD "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219371","DOXAZOSIN MESYLATE 2 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219372","CEPPHALEXIN 350 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219374","PYRIDOXINE 50 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219378","BIOTIN 1000 MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219379","CEPHALEXIN 250MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219380","GUAIFEN/CODEINE 100-10MG/5ML "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219381","CYANOCOBALAMIN 1000MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219382","UBIQUINONE 50 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219383","FISH OIL 1000 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219396","FISH OIL EC 1000 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219397","INDOMETHACIN 25 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219408","NAPROXEN/DIPHENH 25-220MG TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219412","DOCUSATE/SENNA 50MG- 8.6MG TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219416","MEMANTINE HCL 10 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219417","LEVOTHYROXINE SOD 88 MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219420","MECLIZINE HCL 12.5 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219422","FAMOTIDINE 20 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219424","METOPROLOL SUCC ER 25 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219426","CLONAZEPAM 0.25 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219427","OXYCODONE HCL IR 10 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219429","CYCLOBENZAPRINE HCL 5 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219433","METOPROLOL SUCCINATE 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219435","LEVOTHYROXINE SOD 125 MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219440","PRENATAL VITAMINS TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219444","BACLOFEN 5 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219449","LITHIUM CITRATE 8 MEQ/5 ML SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219450","SULFA/TRIMETH 400MG-80MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219468","CA CARB/VIT D3 500MG-5MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219469","CHOLECALCIFEROL 25 MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219470","DOCUS NA/SENN 50MG-8.6MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219481","TRIPR/PSEUDO 2.5mg-60mg TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219490","MULTIVITAMIN TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219491","METHADONE HYDROCHLORIDE 5MGSOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219493","MELATONIN 3 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219494","MELATONIN 1 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219501","HYDROCHLOR/SPIR 25MG-25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219511","EFFERVESCENT DENTURE TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219524","MIDODRINE 10 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219526","MEMANTINE 5 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219530","HYDRALAZINE 100 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219532","DEXTROSE 4 GM TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219535","CEPHALEXIN 500 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219537","CALCITRIOL 0.25 MCG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219538","BENZOCAINE/MEN 15MG-3.6MG LOZ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219545","CALCIUM CARBONATE 500 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219546","PREGABALIN 100 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219547","PREGABALIN 150 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219548","PREGABALIN 25 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219549","PREGABALIN 50 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219550","PREGABALIN 75 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219555","VIT B COMPLEX TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219558","CEPHALEXIN 500 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219560","ASORBICACID/CRAN 60MG-250MGCAP"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219561","PHENTERMINE HCL30 MGCAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219562","SIMETHICONE 180 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219563","CENTRUM SILV 400MCG-250MCGTAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219566","WITCH HAZEL-GLYCERIN BOTTLE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219569","BACITRACIN 500 U/GM PACKET "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219573","LANOLIN CREAM (2ML) TUBE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219580","DILTIAZEM ER 240 MG CER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219581","LACTASE CHEW 9000 UNITS CTB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219582","LACTOBAC ACIDOPHIL/PECTIN CAP"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219589","TORSEMIDE 10 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219591","ACEBUTOLOL 200 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219592","GUAIFENESIN 200 MG/10 ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219596","TRAMADOL/APAP 37.5MG-325MG TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219597","HYDROCODONE/APAP7.5MG-325MGTAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219600","MELATONIN 5 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219605","LACTOBA/HERM/BIFID112.5BILLCAP"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219606","LIDOCAINE JELLY 2 % GEL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219607","BUPROPION 150 MG XL TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219610","FERROUS FUM/FOLIC 324MG-1MGTAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219611","FERROUS FUMARATE 324 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219618","LABETALOL HCL 100 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219619","NICOTINE CHW 2 MG GUM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219620","PROPRANOLOL HCL 20 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219621","PROPRANOLOL HCL 40 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219622","CHOLECALCIFEROL 5000 UNITS TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219625","PAROXETINE HCL 10 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219631","POTASSIUM CHLORIDE 20 MEQ TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219635","HYDROCODONE/APAP 5MG-325MG TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219639","SENNOSIDES/DOCU 50MG-8.6MG TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219642","DOXAZOSIN 2MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219643","ALLOPURINOL 100 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219644","DOXAZOSIN MESYLATE 1 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219645","ALBUTEROL SULF 1.25MG/3ML INH "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219653","BUMETANIDE 0.5 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219656","APAP/CODEINE 300 MG-30 MG TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219661","BACLOFEN 10 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219664","CAFFEINE 200 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219666","DOXYLAMINE 25 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219667","DIPHENHYDRAMINE 25 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219668","FERROUS SULFATE 325 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219669","GUAIFENESIN ER 600 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219670","GUAIFENESIN ER 600 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219671","GUAIFENESIN/DM600MG-30MG ERTAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219672","GUAIFENESIN/DM30 MG-600 MG TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219673","GUAIFENESIN ER 600 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219674","LACTOBACILLUS ACIDOPHILUS CAP"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219675","NICOTINE CHW 2 MG GUM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219676","PHENYLEPHRINE 10 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219678","PSEUDOEPHEDRINE 30 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219680","VIT A PALMITATE 10000 UNITSCAP"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219683","METOPROLOL TARTRATE 37.5MG TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219685","ASCORBIC ACID 250 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219686","SULFAMETHOXAZOLE/TMP400MG-80MG"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219688","CYCLOBENZAPRINE HCL 5 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219690","ISOSORBIDE DINITRATE 5 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219697","TRIAMTERENE/HCTZ37.5MG-25MGTAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219698","CHOLECALCIFEROL 400 UNITS TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219701","FENOFIBRATE 54 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219702","GLYCERIN SUP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219711","CALCIUM POLYCARBOPHIL 625MGTAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219715","LEVOTHYROXINE SODIUM 175MCGTAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219716","FAMOTIDINE 10 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219718","BENZOCAINE/MENTH 15MG-2.6MGLOZ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219719","CALCIUM CARBONATE 500 MGTAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219720","CAPTORIL 12.5 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219726","FISH OIL1000 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219729","LIOTHYRONINE 5 MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219730","MAGNESIUM CHLORIDE DR71.5MGTAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219731","MELATONIN 5 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219734","METFORMIN HCL ER 500 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219739","PYRIDOXINE (VIT B6) 50 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219746","LEVOTHYROXINE SODIUM 25MCG TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219747","GLUCOSAMINE SULFATE 500 MG CAP"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219748","DEXTROAMPHETAMINE/AMPH 20MGCAP"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219749","MEDROXYPROGEST ACETATE 10MGTAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219750","LIOTHYRONINE SODIUM 25 MCG TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219753","DIVALPROEX SODIUM 125 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219756","DILTIAZEM HCLXL ER24120MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219758","FERROUS FUMARATE 324 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219759","FERROUS FUMARATE 324 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219760","ACETAMINOPHEN 500 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219761","BENZOCAINE/MENTH15MG-3.6MGLOZ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219767","PSEUDOEPHEDRINE ER 120 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219771","IRON POLYSACCHARIDE 150MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219779","SERTRALINE 50 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219786","BUPROPRION HCL SR 150 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219788","OMEGA3/FISHOIL 360MG/1200MGCAP"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219789","CHOLECALCIF (VITD3) 50000U TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219791","ATORVASTATIN 20 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219792","CAL CARB/VIT D 500MG-100IU TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219794","THIAMINE 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219798","SODIUM CHLORIDE 3.5% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219810","THIORIDAZINE 10 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219820","PHENOBARBITAL16.2 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219827","HYDROCODONE/APAP 5MG-325MGTAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219834","ACETAMINOPHEN 325 MG TABLET "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219836","TRAZODONE 150 MG TABLET "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219839","ACETAMINOPHEN 650 MG SUPP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219848","PREGABALIN 100 MG CAPSULE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219850","CHOLECALCIFEROL 125 MCG CAPSUL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219851","WARFARIN SODIUM 3 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219854","CYANOCOBALAMIN 1000 MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219855","MELATONIN 5 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219861","WARFARIN 6 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219866","ATORVASTATIN 40 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219870","ATORVASTATIN 10 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219875","PANTOPRAZOLE DR 40 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219888","FINASTERIDE 5 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219890","EPHEDRIN/GUAIF12.5MG-200MGTAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219891","DILTIAZEM ER 180 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219893","VITAMIN E 180 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219894","NIACIN 500 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219896","CALCIUM ACETATE 667 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219897","LEVOTHYROXINE 200 MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219900","ASCORBIC ACID 500 MG/5ML LIQ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219904","ZINC SULFATE 220 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219906","TAMSULOSIN 0.4 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219912","CHOLECALCIFEROL 25 MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219918","ASPIRIN 81 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219920","MELATONIN 5 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219921","WARFARIN 5 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219923","DIVALPROEX SODIUM DR 125MG CAP"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219924","ALLOPURINOL 300 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219925","DOCUSATE SODIUM 100MG/10ML LIQ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219926","LACTOBACILACIDOPHILUS 500M CAP"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219927","LACTOBAC/CITRUS/PECT 25M TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219928","LACTOBACILLUS/PECTIN 75M CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219929","POLYETH GLYCOL 17 GM/DOSE PKT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219931","CYANOCOBALAMIN 500 MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219932","CYANOCOBALAMIN 1000MCG-30MGTAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219933","CHOLECALCIFEROL 125 MCGCAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219934","NORTRIPTYLINE 10 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219937","ISOSORBIDE DINITRATE 10 MG TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219941","SENNOSIDES 8.6 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219945","PROCHLORPERAZINE 5 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219946","BUMETANIDE 1 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219949","FAMOTIDINE 20 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219953","BISCODYL 10 MG SUPP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219954","BISCODYL 10 MG SUPP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219957","TIZANIDINE 4 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219959","BUPROPION HYDROCHL 75 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219963","TAMSULOSIN 0.4 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219964","ASCORBIC ACID 500 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219967","FAMOTIDINE 10 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219970","ACETAMINOPHEN 160 MG/5 ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219971","BISACODYL 5 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219974","NYSTATIN SUSP 100000 U/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219976","FAMOTIDINE 20 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219978","METFORMIN ER 500 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219980","ASPIRIN 81 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219981","ASPIRIN 81 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219982","ASPIRIN 325 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219983","FAMOTIDINE 20 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219987","CHOLECALCIFEROL 125 MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219990","PHENYTOIN 50 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92219999","TORSEMIDE 5 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220002","MEMANTINE 5 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220009","KETOROLAC 30 MG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220012","CALCIUM CARBONATE 500 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220017","FAMOTIDINE 20 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220019","NORTRIPTYLINE 50 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220024","POVIDONE IODINE 10% SWAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220026","MELATONIN 3 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220034","ACARBOSE 100 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220035","HYDROCODONE/APAP 5MG-325MGTAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220040","SODIUM CHLORIDE 1 GM TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220044","WARFARIN 7.5 MGTAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220046","HYDROCODONE/APAP 5MG-325MGTAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220047","CHOLECALCIFEROL 25 MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220057","COENZYNE Q10 50 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220061","CHOLECALCIFEROL 1000UNITS TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220062","AMANTADINE 100 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220063","VIT D-CALCIUM 400IU/600MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220080","CALCIUM CITRATE 950 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220081","CHOLECALCIFEROL 25 MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220083","PREGABALIN 75 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220090","TERAZOSIN 1 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220091","CYANOCOBALAMIN 1000 MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220092","AMYLAS/LIP/PROT10850-2600-6200"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220094","PYRIDOSTIGMINE 60 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220096","CHOLECALCIFEROL 25 MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220104","CALCM/CHOLECAL250MG3.12MCGTAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220105","CARBOXYMETHYLCELLULOSE 0.5%SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220109","GLUCOSAMINE 500 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220110","GLUC/CONDROIT500 MG-400 MGCAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220113","LEVOTHYROXINE 137 MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220114","METFORMIN ER 500 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220120","PREGABALIN 25 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220123","ZINC SULFATE 220 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220124","BENZOC/DEXTROMETH 7.5MG-5MGLOZ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220127","SODIUM BICARBONATE 650 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220128","MELATONIN 5 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220129","BISMUTH SUBSALICYLATE262MGTAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220130","DILTIAZEM 30 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220145","DILTIAZEM120 MGCAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220147","NICOTINE POLACRILEX 2 MG GUM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220152","I-VITE LUTEIN TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220158","PRAMIPEXOLE 1 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220162","TERAZOSIN 5 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220179","DEXTROAMP/AMPHET SALTS 5MG CER"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220187","LEVOTHYROXINE 112MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220193","ASPIRIN 81MG "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220197","COENZYME Q10 30MG "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220198","PHENYLEPH/COCOAB 0.25%-88.44% "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220199","CRANBERRY 425MG "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220203","PRAMIPEXOLE 1MG "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220205","VITC/CHOLEC/B12/FOLIC/VITB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220210","RANOLAZINE 500MG "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220213","PYRIDOSTIGMINE 60MG "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220214","LACT ACIDOP/BULGO.05MG-0.05MG "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220215","NIACIN 250MG "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220218","METRONIDAZOLE 500MG "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220223","ONDANSETRON 4MG "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220227","ACETAMINOPHEN 325 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220228","VITAMIN A 10000 IU CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220230","ACETAMINOPHEN 160 MG/5 ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220231","ACETAMINOPHEN 500 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220232","BISMUTH SUBSALICYLATE262MGTAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220233","CETIRIZINE 10 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220234","CHOLECAL/CALC 10MCG-600MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220235","COENZYME Q10 50 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220237","GUAIFENESIN 400 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220238","LOSARTAN 50 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220245","PROPANOLOL 10 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220246","PSYLLIUM 3.5 GM/DOSE PWD "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220248","NORTRIPTYLINE 10 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220249","PYRIDOXINE 100 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220250","VITAMIN E 180 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220251","MELOXICAM 7.5 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220255","MULTIMINERAL 250 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220257","FENOFIBRATE 54 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220262","PSEUDOEPHEDRINE 30MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220271","GLIMEPIRIDE 2 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220272","BENAZEPRIL 20 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220273","ROSUVASTATIN 40 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220281","ACETAMINOPHEN 500 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220286","UBIQUINOL 200 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220287","MULTIVITAMIN W MINERALS TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220291","MAGNESIUM GLUCONATE 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220292","DOXEPIN 25 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220294","CALCIUM/CHOLE 600MG-10MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220304","BENAZEPRIL 5 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220310","FLAVOXATE 100 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220312","WITCH HAZEL 50% PAD "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220318","LACTOBAC ACIDOPHI/PECTIN TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220323","GUAIFENESIN/DM 600MG/30MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220325","DOCUSATE/SENNO 50MG-8.6MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220326","DOCUSATE/SENNO 50MG-8.6MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220329","ACYCLOVIR 200 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220334","BENAZEPRIL 10 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220342","CYANOCOBALAMIN 250 MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220350","PYRIDOSTIGMINE BROMIDE 60MGTAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220352","SACCHAROMYCES BOUL 250MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220353","WITCH HAZEL 50% "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220357","GUIFENESIN/DM 400MG-20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220362","MULTIVITAMIN TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220364","DOCUSATE NA/SEN 50MG-8.6MGTAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220366","HYDROGEN PEROXIDE 3% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220367","LACTOBACILLUS GRANULES "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220368","VITAMIN E 90 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220375","POTASSIUM BICARB 25 MEQ TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220379","CLONAZEPAM 0.125 MG ODT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220385","BISACODYL 10 MG SUPP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220397","LEVOTHY/LIOTHYR 9.2MCG-2.25MCG"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220398","LIDOCAINE 4% TDM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220400","ROPINIROLE HYDROCHLOR 1MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220414","DEXTRAN70/HYPROMELL .1%-.3%SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220416","GLYCERIN SUPP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220421","MINOCYCLINE 50 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220422","ROSUVASTATIN 20 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220423","DOXYCYCLINE 100 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220424","PYRIDOSTIGMINE 60 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220426","ASPIRIN 81 MG CTB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220429","VITAMIN E 400 UNITS CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220443","LACTOBAC RHAMNOSUS/INULIN CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220446","GLIPIZIDE 5 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220449","VALPROIC ACID 250 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220450","LACTOBAC RHAMN 15 BIL CFU CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220453","GLYCOPYRROLATE 1 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220463","METOPROLOL SUCCINATE 100MG TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220464","ACETAMINOPHEN 160 MG/5 ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220472","POTAS NIT/SILV NIT 25%-75% SWA"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220474","GLYCOPYROLATE 1 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220481","ROSUVASTATIN 10 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220482","MULTIVITAMIN CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220485","BISMUTH SUBSALICYLATE 262MGCTB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220487","BACITRACIN 500 UNITS/GM OINT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220490","CHOLECALCIFEROL 125 MCG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220494","VITC/CU/LUT/SE/VITA/VITE/ZN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220499","METHYLCELLULOSE 500 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220510","CYANOCOBALAMIN 1000 MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220514","PHENAZOPYRIDINE 95 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220518","SACCHAROMYCES BOULARDII 250MG "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220527","ACETAMINOPHEN 325MG/10.15ML "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220528","GLIPIZIDE 10 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.00","92220531","GUAIFENESIN 400 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.10","92210987","HYDROCODONE APAP 7.5-750MG TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.10","92213223","RAMIPRIL 2.5MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.20","92210603","CAPTOPRIL 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.20","92210879","CIMETIDINE HCL 300MG/5ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.20","92212503","BUTALB CAFF APAP 50-40-500 CAP"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.20","92214416","AMLODIPINE BESYLATE 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.20","92216849","AMLODIPINE BESYLATE 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.30","92210208","DISOPYRAMIDE PHOS 150MG CER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.30","92213525","ORPHENADRINE CITRATE 100MG TER"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.40","92212932","LACTULOSE 10GM/15ML SYR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.40","92213775","ETHAMBUTOL HCL 400MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.40","92215706","BETHANECHOL CL 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.40","92216348","BALSALAZIDE DISODIUM 750MG CAP"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.50","92210090","CAPTOPRIL 12.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.50","92210117","BUTALB CAFF APAP 50-40-325 TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.50","92210152","LACTULOSE 10GM/15ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.50","92210193","GLIPIZIDE 5MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.50","92210473","PINDOLOL 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.50","92210729","DICLOFENAC NA 75MG ECT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.50","92210769","MENTHOL METHYL SALICYL OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.50","92210834","DICLOFENAC NA 75MG ECT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.50","92210958","PRAZOSIN HCL 1MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.50","92211569","IPRATROPIUM BR 0.02% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.50","92211654","BUTALB CAFF APAP 50-40-325 TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.50","92211672","LOSARTAN POTASSIUM 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.50","92211750","VERAPAMIL HCL 120MG CER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.50","92211781","WARFARIN NA 1MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.50","92212120","PERPHENAZINE 2MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.50","92212129","PHENYTOIN NA 125MG/5ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.50","92212707","PERPHENAZINE 2MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.50","92212765","AMPHETAMINE SALTS 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.50","92212891","POTASSIUM CITRATE 5MEQ TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.50","92212948","NEOMYCIN SULF 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.50","92213034","PROPAFENONE HCL 150MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.50","92213042","HALOPERIDOL 2MG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.50","92213254","PROPRANOLOL HCL 60MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.50","92213451","NIFEDIPINE 30MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.50","92213644","IPRATR-ALBUTEROL 0.5-3MG/3ML S"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.50","92213944","NATEGLINIDE 120MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.50","92213949","FUROSEMIDE 40MG/5ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.50","92214022","CALCITRIOL 0.5MCG SGL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.50","92214184","CARBIDOPA/LEVO 50/200 TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.50","92214185","ACETAMINOPHEN COD 120-12/5 SO"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.50","92214499","RIFAMPIN 300MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.50","92214540","ETHAMBUTOL HCL 400MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.50","92214881","DANTROLENE NA 50MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.50","92214967","EFAVIRENZ 50MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.50","92215454","BISMUTH SUBSALICYLATE 262MG SU"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.50","92215672","NEFAZODONE HCL 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.50","92215944","HYDROCODONE APAP 7.5-325/15 EL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.50","92216025","CARBIDOPA/LEVO 25/250 ODT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.50","92216089","ACAMPROSATE 333MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.50","92216152","IPRATROPIUM BR 0.02% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.50","92216475","DIGOXIN 50MCG/ML ELI "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.50","92216478","LITHIUM CARBONATE 8MEQ/5ML SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.50","92216638","PHENYTOIN NA 100MG/4ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.50","92216791","AMLODIPINE BESYLATE 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.50","92216814","AMLODIPINE BESYLATE 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.50","92216823","COLESTIPOL HCL 1GM TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.50","92216847","AMLODIPINE BESYLATE 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.50","92216854","AMLODIPINE BESYLATE 2.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.50","92217301","DIVALPROEX NA 250MG ECT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.50","92217302","DIVALPROEX NA 125MG TCP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.50","92217304","DIVALPROEX NA 250MG TCP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.50","92218011","ADERALL 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.50","92218352","AMPHETAMINE SALT COMBINATION "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.50","92218429","SYNTHROID 50 MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.50","92218435","SYNTHROID 50 MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.50","92218457","LEVOTHYROXINE 137 MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.50","92218583","DIVALPROEX250 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.50","92218604","ZONISAMIDE 100 MG CAPSULE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.50","92218610","DIVALPROEX SODIUM 250MG TABLET"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.50","92219017","ACETAMIN/COD 300MG30MG/12.5ML "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.50","92219291","LITHIUM 8 MEQ/5 ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.50","92219296","LIDOCAINE 4% PATCH "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.50","92219453","CALAMINE/ZINC OXIDE 8%-8% LOT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.50","92219536","CALCIUM ACETATE 667 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.50","92219623","TIZANIDINE HCL 2 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.50","92219869","PROCHLORPERAZINE 10 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.50","92219991","CALCIUM ACETATE 667 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.50","92220011","PHENYTOIN 50 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.50","92220031","CAMPRAL 333 MG% TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.50","92220066","TIZANIDINE 2 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.50","92220078","AMPHETAMINE SALT COMB 15MGTAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.50","92220305","NATEGLINIDE 120 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.50","92220316","SODIUM CHLORIDE 0.9% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.50","92220387","DEXAMETHASONE 6 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.50","92220488","METOPROLOL SUCCINATE 100MG TAB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.50","92220525","HYDROCOD/ACET 7.5MG-325MG/15ML"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.56","34010275","ELECTROMAGNETIC TX ULCERS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.60","92213012","HYDROCODONE APAP 2.5-167/5ML S"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.60","92215375","AMOXICILLIN CLV K 200-28.5 CTB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.70","92211803","MEPROBAMATE 400MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.70","92215515","NICARDIPINE HCL 30MG CER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.80","92210013","CIMETIDINE HCL 300MG/5ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.80","92215549","CLONAZEPAM 0.5MG ODT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.90","92210853","TICLOPIDINE HCL 250MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.90","92211193","ISOXSUPRINE HCL 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.90","92213105","TICLOPIDINE HCL 250MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9.90","92214405","AMOXICILLIN CLV K 200-28.5 CTB"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"90.00","92214086","MIDAZOLAM HCL 5MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"90.00","92217735","ACTIV CHARCOAL SORBITOL 25GM S"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"90.06","38301505","CULTURE HERPES ","87254",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"90.30","92213791","METIPRANOLOL 0.3% EYE SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"90.43","38300521","LIPOPROTEINS FRACTION ","83701",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"90.43","38300692","TISSUE HOMOGENIZATION ","87176",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"90.50","92212469","LABETALOL HCL 5MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"90.50","92215926","METFORMIN HCL 1000MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"90.50","92217478","FLUCONAZOLE 400MG/200ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"90.50","92217525","PRASUGREL HCL 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"90.50","92217973","RIVAROXABAN 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"90.50","92218013","TAMIFLU 30MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"90.50","92218606","RIVAROXOBAN 15 MG TABLET "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"90.50","92219436","ROFLUMILAST 250 MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"90.50","92219677","OSELTAMIVIR 30 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"90.50","92219769","ROFLUMILAST 250 MCG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"90.50","92220406","BARIUM SULFATE 40% NEC "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"90.58","38302370","THROMBIN TIME ","85670",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"90.68","38380020","BLOOD CNT MAN (RBCWBCPLT)EA","85032",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"90.91","38300086","MONONUC CELL AG QUANT EA AG ","86356",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"900.00","33152378","HELMET HARD SHELL TAN SM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"900.00","92219257","BARIUM SULFATE 0.4 SUSP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"901.50","92218174","OMNIPAQUE 350 INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"903.50","92218489","MESALAMINE 4 GM/60 ML ENEMA "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"904.90","92211138","DESOXIMETASONE 0.05% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"905.00","92215988","CLOTRIMAZOLE BETAMETH 1-0.05 L"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9050.30","76080031","PET TUMOR W/CT SKULL-MIDTHIGH ","78815",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9054.87","76080032","PET TUMOR W/CT WHOLE BODY ","78816",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"907.50","92212152","INSULIN HUM ISOP 100U/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"909.00","33107283","CUTTER PROX LIN W/LOK 100MM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"909.61","74001302","SPINE-ENTIRE 2 OR 3 VIEWS ","72082",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"91.00","92210867","SODIUM BICARB 8.4% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"91.00","92211108","PHENYLEPHRINE HCL 0.25%-3% OIN"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"91.00","92212834","LIDOCAINE HCL 2% GEL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"91.00","92213379","VENLAFAXINE HCL 75MG CER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"91.00","92215129","HEPARIN 25000U/D5W 250ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"91.00","92215904","LEVOFLOXACIN 250MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"91.00","92216150","VENLAFAXINE HCL 75MG CER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"91.00","92216857","PETROLATUM 41%OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"91.00","92218888","RIVASTIGMINE 9.5MG/24HRPTCH ER"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"91.00","92219224","RIVASTIGMINE 4.6MG/24HR Patch "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"91.44","38300197","ANTI-DNA ANTIBODY ","86225",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"91.50","92211651","AZITHROMYCIN 250MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"91.50","92212019","HETASTARCH 6%/NS INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"91.50","92213910","QUETIAPINE FUMARATE 300MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"91.50","92214844","CELECOXIB 200MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"91.50","92218201","MEMANTINE 21MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"91.50","92218275","BRINTELLIX 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"910.00","33129584","TRAY CVC DRY 7FR 20CM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9109.01","74001016","ANGIO EXTREMITY BILATERAL ","75716",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"911.17","74000470","HUMERUS 2+ VIEWS BILATERAL ","7306050",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"911.17","74010071","HUMERUS 2+ VIEWS RT ","73060RT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"911.17","74010072","HUMERUS 2+ VIEWS LT ","73060LT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"912.43","74000481","KNEE 3 VIEWS BILATERAL ","7356250",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"912.43","74010077","KNEE 3 VIEWS RT ","73562RT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"912.43","74010078","KNEE 3 VIEWS LT ","73562LT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"912.50","33174135","TRAY CATH PWRPIC TL MAX 5FR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"914.00","92220137","TIMOLOL 0.5% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"914.52","74000160","CHEST 2VIEWS W/APICAL LORDOTIC","71047",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9151.00","92211646","CYTOGAM 2.5GM INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"916.00","33108700","TUBE TRACH BIVONA TTS SZ 7 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"916.00","33108701","TUBE TRACH BIVONIA TTS SZ 8 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"916.00","33109010","KIT TRACH AIRCUFF 8MMIDX11MMOD"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"916.00","33109721","TUBE TRACH MIDRNG 7MMIDX10MM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"916.00","33111316","KIT TRACHTB MIDAIRCUF9X12.3MM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"916.00","33112142","TUBE TRACH BIV TTS110MML 6X8.7"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"916.00","33116175","KIT TRACH AIRCUFF6MMIDx8.7MMOD"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"917.50","92217635","MENINGOCOCCAL VAC DIPTH CONJ S"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"918.00","33152381","HELMET HARD SHELL TAN X-LG "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"918.91","74000400","FOOT 3+ VIEWS BILATERAL ","7363050",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"918.91","74010059","FOOT 3+ VIEWS RT ","73630RT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"918.91","74010060","FOOT 3+ VIEWS LT ","73630LT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9184.07","77000033","CTA ABD & PELVIS W/WO CONTR ","74174",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"919.00","11600520","BIOPSY-SOFT TISSUE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"92.00","38303819","MICROHEMATOCRIT-SPUN ","85013",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"92.00","92202007","TOPICALS 07 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"92.00","92212549","PHENYLEPHRINE HCL 10MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"92.00","92213762","NEOSTIGMINE MS 0.5MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"92.00","92213827","PENICILLIN GK 20MMU INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"92.00","92214014","CEFTRIAXONE NA 1GM/50ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"92.00","92214672","AMIODARONE HCL 50MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"92.00","92215967","TIMOLOL MALEATE 0.5% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"92.00","92218115","SILDENAFIL CITRATE 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"92.00","92218518","PAZEO 0.7% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"92.00","92219478","SENNA LEAF EXT 176MG/5ML SYR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"92.00","92219915","LIDOCAINE/DEXTROSE 0.8%-5% SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"92.00","92220356","MUPIROCIN 2% OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"92.06","38300151","URIC ACID URINE ","84560",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"92.06","38343608","URIC ACID NON-BLOOD ","84560",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"92.09","38302780","CHLAMYDIA IFA ","87270",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"92.10","38303695","HEMOGLOBIN ","85018",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"92.16","38200218","C DIFFICILE ANTIGEN ","87449",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"92.25","92212661","HYDROCORTISONE ACET 30MG SUP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"92.50","92212130","SODIUM CL 5% EYE OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"92.50","92212739","NYSTATIN 100000U/GM OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"92.50","92213657","HYDROCORTISONE 1% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"92.50","92214684","NITROGLYCERIN 5MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"92.50","92215283","ETHACRYNIC ACID 25MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"92.50","92215685","DICYCLOMINE HCL 10MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"92.50","92215960","TINIDAZOLE 500MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"92.80","92216916","CEFUROXIME NA 1.5GM/50ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"920.50","92215510","LATANOPROST 0.005% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"922.00","33181904","TRAY CVC LINE SINGLE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"922.15","74000441","HAND 3+ VIEWS BILATERAL ","7313050",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"922.15","74010063","HAND 3+ VIEWS RT ","73130RT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"922.15","74010064","HAND 3+ VIEWS LT ","73130LT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"924.00","92218196","BUTRANS 20MCG/HR ER TDM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"925.00","92215401","LINEZOLID 600MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"925.00","92215847","INTERFERON B-1B NS 0.3-0.54% K"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"925.50","92211703","INSULIN HUM ISOP/REG 70U-30U I"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"927.00","33195360","KIT CATH PWR TRI TL CVD 15CM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"927.17","73700052","EMG 3 EXTERMITY ","95863",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"928.50","92219863","UREA 40% CRM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"93.00","92212380","CLINDAMYCIN PHOS 600MG/D5W INJ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"93.00","92217568","PIPERACIL TAZOBACT 36-4.5GM PD"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"93.00","92218268","MYRBETRIQ 25MG ER TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"93.00","92218272","MIRABEGRON 50MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"93.00","92218299","STRATTERA 60MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"93.00","92218517","CYCLOPHOSPHAMIDE 50 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"93.00","92218808","POTASSIUM CL 20 MEQ/15 ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"93.00","92219543","METFORMIN ER 500 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"93.05","38307013","HELICOBACTER PYLORI STOOL ","87338",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"93.07","38303736","OCCULT BLOOD- OTHER SOURCES ","82271",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"93.14","38302229","SPECIFIC GRAVITY (NON-URINE) ","84315",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"93.20","92218281","IODOFLEX 0.9% TOP PAD "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"93.27","38200845","AEROBIC ORGANISM ID ","87077",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"93.27","38201730","LITHIUM ","80178",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"93.50","92212409","OXACILLIN NA 1GM/50ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"93.50","92213019","PIOGLITAZONE HCL 30MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"93.50","92213941","VENLAFAXINE HCL 75MG CER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"93.50","92215106","DEMECLOCYCLINE HCL 300MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"93.50","92218464","MEDIHONEY 0.8 GEL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"93.50","92218895","LIPIDS 20% EMULSION "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"93.50","92220289","LEVOMILNACIPRAN 40 MG CER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"93.52","38301690","LEGIONELLA TITER ","86713",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"93.57","38303725","KOH PREP-HAIR-SKIN-NAILS ","87220",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"93.99","38303804","AB EXTRACT NUC ANTIGEN EACH ","86235",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"93.99","38306630","HISTONE ANTIBODY ","86235",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"930.50","33114347","CART RELD CONT STAPLR REG "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"930.50","92218720","BREO ELLIPTA 200MCG-25MCG INH "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"931.00","72060008","PLATELETS IRRAD-PROC ONLY "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"931.00","92212178","IODOQUINOL HC 1%-1% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"932.73","74001423","IVP INFUSION ","74410",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"934.30","92210527","HYALURONATE NA 10MG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"936.50","92216230","TIGECYCLINE 50MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"936.71","74000901","WRIST 3+ VIEWS BILATERAL ","7311050",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"936.71","74010112","WRIST 3+ VIEWS RT ","73110RT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"936.71","74010113","WRIST 3+ VIEWS LT ","73110LT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"937.50","92210799","CONJUCATED ESTROGENS 0.625MG C"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"937.50","92219459","BOSUTINIB 100 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"939.00","33103197","BRACE HAND/WRST SAEBOSTR LT SM"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"94.00","92210679","UREA HC 20% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"94.00","92212663","DONEPEZIL HCL 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"94.00","92215983","DOXERCALCIFEROL 0.5MCG SGL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"94.00","92218284","REQUIP XL 12MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"94.38","38201810","OSMOLALITY SERUM ","83930",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"94.50","92211844","MICONAZOLE NITRATE 200MG SUP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"94.50","92212847","POTASSIUM CL 2MEQ/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"94.50","92212992","NYSTATIN 100000U/GM CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"94.50","92219000","EPINEPHRINE 1MG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"94.50","92219091","ACYCLOVIR 800 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"94.50","92219871","DESVENLAFAXINE ER 25 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"94.54","38305657","CULTURE YEAST ONLY ","87101",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"94.54","38399328","CULTURE FUNGUS SKIN ","87101",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"94.84","38301020","BLOOD SMR W/ MAN DIFF WBC CNT ","85007",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"94.98","38343614","RHEUMATOID FACTOR QUANT ","86431",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"940.00","92215504","CIPROFLOXACIN 10% SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"940.50","92218104","RELISTOR 8MG/0.4ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"940.50","92220313","METHYNAL BROM 12MG/0.6ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"943.00","92219506","GENTAMICIN/PREDN 0.3%-0.6% SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"943.70","92214227","BETAMETHASONE VA 0.12% FOA "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9430.00","92217874","INTERFERON BETA-1A KIT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"946.00","92213488","HYDROCORTISONE BUTYR 0.1% OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"946.72","74000810","STERNUM MIN 2 VIEW ","71120",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"947.50","72060021","PLT PHER CMV NEG LR IRR-PROC "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"948.62","72060006","RBC WASHED-PROC ONLY "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"949.50","33110204","KIT CATH PERCUT CAVTY DRN CURV"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"949.50","33176586","KIT PERCUTANEOUS DRAINAGE CVD "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"95.00","92210693","METHYLENE BLUE 1% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"95.00","92212270","FENTANYL 50MCG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"95.00","92216760","CEFTAZIDIME 2GM INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"95.00","92219280","AMY/LIP/PRO168K-40K-126K UCAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"95.40","92210440","ATROPINE SULF 0.4MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"95.40","92210629","SODIUM THIOSULFATE 10% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"95.41","34600430","EVAL NONSPEECH GEN DEVICE ","92605GN ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"95.49","38202140","RPR ","86592",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"95.50","38302080","RAPAMYCIN (SIROLIMUS) ","80195",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"95.50","92210296","PROMETHAZINE HCL 25MG SUP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"95.50","92212323","PROMETHAZINE HCL 12.5MG SUP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"95.50","92212881","LAMOTRIGINE 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"95.50","92213025","SODIUM BICARB 7.5% INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"95.50","92215145","HEPARIN 25000U/D5W 500ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"95.50","92215587","ALUMINUM HYDROXIDE 0.275% OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"95.50","92217438","QUETIAPINE FUMARATE 150MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"95.50","92217439","QUETIAPINE FUMARATE 150MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"95.50","92217941","LEVETIRACETAM 5MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"95.50","92218236","ALORA 0.1MG/4HR TDM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"95.50","92218285","REQUIP XL 6MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"95.69","38300796","TB AG RESPONSE T CELL SUSP ","86481",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"95.71","92218024","ROPINIROLE ER 8MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"95.89","38301450","HEPATITIS A ANTIBODY ","86708",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"95.98","38302745","CALCIUM URINE ","82340",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"95.98","38343602","CALCIUM 24HR URINE ","82340",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"950.74","75000255","US DOPPLER COLOR FLOW ADD-ON ","93325",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9504.00","92218777","AHF VIII(RECOMBINANT)1000U INJ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"951.00","33102114","TUBE JEJUNAL 12FR ENDOVIVE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"951.00","33177557","TUBE GASTROSTOMY JEJUNAL 18FR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"951.00","33186899","TUBE JEJUNAL FEED/GASTRIC "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"951.00","33195303","TUBE FDG JEJUNAL 9FR 60CM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"951.49","74000070","ANKLE 3+ VIEWS BILATERAL ","7361050",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"951.49","74010005","ANKLE 3+ VIEWS RT ","73610RT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"951.49","74010006","ANKLE 3+ VIEWS LT ","73610LT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"952.00","92210419","CLINDAMYCIN PHOS 1% GEL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"953.50","92217990","CAPATAT SULFATE 1GM INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"953.58","38307027","GI PATHOGEN 12-25 TARGETS ","87507",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"954.00","92214663","IRINOTECAN HCL 20MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"958.00","92218439","BREO ELLIPTA 100MCG/25MCG AER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"959.00","33110802","LIGATION CLIPS 2 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"96.00","92213671","PYRIDOSTIGMINE BR 60MG/5ML SYR"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"96.00","92215472","CEFEPIME HCL 2GM INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"96.00","92216225","PARICALCITOL 2MCG SGL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"96.00","92217174","CEFTRIAXONE NA 2GM INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"96.00","92217555","SEVELAMER CARBONATE 0.8GM PDR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"96.00","92218256","BRINTELLIX 20MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"96.00","92218708","EXEMESTANE 25 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"96.00","92218713","VORTIOXETINE HYDROBROM10MGTAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"96.10","92211139","ALCLOMETASONE DIPRO 0.05% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"96.35","38302774","CHEMILUMINES ","82397",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"96.50","92210268","PHENYLEPHRINE HCL 10% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"96.50","92211541","OLANZAPINE 7.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"96.50","92215183","FLUCONAZOLE 200MG/100ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"96.50","92217959","DOCOSANOL 10% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"96.56","38399356","OCCULT BLOOD 1-3 DETERM ","82272",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"960.29","74000690","SACRUM & COCCYX MIN 2+ VIEWS ","72220",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"961.89","74000631","PELVIS 3+ VIEWS ","72190",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"963.00","92215479","BUDESONIDE 0.032MG SPR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"963.50","92213028","FLUCYTOSINE 500MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9651.05","74001025","AORTOGRAM ABD&BIL FEMORAL EXT ","75630",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"966.50","33119955","STAPLER SINGLE USE LOADING "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9668.50","92216052","ETANERCEPT 50MG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9669.00","92219401","IMMUNE GLOB 10% 100 MG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"968.28","76000471","CHEMO VIA IV UP TO 1 HOUR ","96413",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"969.26","75010029","US EXTREM LIMITED BILAT ","7688250",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"969.26","75010030","US EXTREM LIMITED RT ","76882RT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"969.26","75010031","US EXTREM LIMITED LT ","76882LT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"969.50","33111825","KIT PEG GUIDEWIRE PONS 20FR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"97.00","92210179","SODIUM CL 0.9% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"97.00","92211927","CYCLOSPORINE 100MG/ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"97.00","92213597","HETASTARCH 6%/NS INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"97.00","92214010","LEFLUNOMIDE 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"97.00","92214410","ONDANSETRON HCL 2MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"97.00","92214413","ERYTHROMYCIN 5MG/GM OIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"97.00","92214674","NOREPINEPHRINE BIT 1MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"97.00","92215018","AMINO ACIDS 10% IVS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"97.00","92217183","EPINEPHRINE 1MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"97.00","92218694","SENNA 8.8 MG/5 ML SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"97.01","38301420","HEMATOCRIT ","85014",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"97.18","38399327","CULTURE TISSUE ADDL STUDIES ","87253",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"97.21","38305622","PARASITE EXAM ","87015",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"97.21","38305623","PARASITE EXAM URINE ","87015",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"97.21","38306022","STOOL CRYPTOSPORIDIU ","87015",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"97.21","38306570","CONCENTRATION O&P/TB ","87015",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"97.40","92211558","AMMONIUM LACTATE 12% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"97.50","92211097","HYDROCORTISONE ACET 25MG SUP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"97.50","92215144","LAMIVUDINE ZIDOVUDIN 150-300 T"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"97.50","92219200","NAFCILLIN SODIUM 1 GM/50 MLSOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"97.50","92220112","LETROZOLE 2.5 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"97.71","38201439","CBC AUTO W/O DIFF ","85027",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"97.71","38201600","IRONSERUMCHEMICAL ","83540",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"97.71","38201610","IRON BINDING CAPACITY ","83550",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"970.00","33177291","TRAY CHEST TUBE INSERTION "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"971.00","33110681","CUSH WC ROHO AIRLT 18X16 "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"971.15","74000261","ELBOW 3+ VIEWS BILATERAL ","7308050",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"971.15","74010037","ELBOW 3+ VIEWS RT ","73080RT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"971.15","74010038","ELBOW 3+ VIEWS LT ","73080LT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"972.00","92215170","PHENTOLAMINE MESYLATE 5MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"973.00","33101725","DRESSING VAC VERAFLO LARGE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"973.00","33102185","ORTHOSIS KNEE SOFT ROM COMP MD"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9738.38","77010016","CT ABD & PELVIS W/CONTRAST ","74177",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"976.64","75000290","DUPLEX AORTA/IVC/GRAFT LTD ","93979",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9781.70","92218010","MELPHALAN HYDROCHL 40MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"979.50","92217250","DESFLURANE 99% LIQ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9797.00","33114968","SEALANT TISEEL FIBRIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"98.00","92211383","ERYTHROMYCIN ES 200MG/5ML SUS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"98.00","92213362","VENLAFAXINE HCL 150MG CER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"98.00","92213952","NITROGLYCERIN 100MG/250ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"98.00","92214337","ESTRADIOL 0.025MG/DAY TDM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"98.00","92214528","LAMIVUDINE 100MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"98.00","92214619","PARICALCITOL 5MCG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"98.00","92215788","VENLAFAXINE HCL 37.5MG CER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"98.00","92219534","CLINDAMYCIN/D5W 900MG/50ML SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"98.00","92219552","LEPTOSEPERMUM HONEY 0.63 DRSG "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"98.13","38300014","VARICELLA ZOSTER ANTIBODY ","86787",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"98.16","38303410","RAJI CELL ","86332",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"98.50","92212613","ESTRADIOL 0.075MG/DAY TDM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"98.50","92212621","ESTRADIOL 0.1MG/DAY TDM "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"98.50","92213392","MILRINONE D5W 0.2MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"98.50","92213590","SODIUM CL 2% EYE SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"98.50","92216334","BUPRENORPHINE HCL 0.3MG/ML INJ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"98.50","92216409","PIPERACIL TAZOBACT 2.25GM/50 I"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"98.50","92216805","TIOTROPIUM BROMIDE 18MCG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"98.50","92217130","CIPROFLOXACIN 200MG/100ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"98.50","92217743","ASENAPINE 10MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"98.50","92219206","OSELTAMIVIR PHOSPH 75 MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"98.50","92220085","TIOTROPIUM 18 MCG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"98.50","92220439","SODIUM PHOSPHATE 3MMOLE/ML SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"98.53","38300117","CA 27.29 ","86300",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"98.53","38300350","CA 15-3 ","86300",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"98.61","38200118","RISTOCETIN CO FACTOR ","85245",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"98.70","38300210","ANTITHROMBIN III ","85300",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"98.82","38200630","COMPLEMENT C-3 ","86160",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"98.82","38201820","OSMOLALITY URINE ","83935",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"983.00","92217319","ADVAIR 100-50 DSK "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"983.00","92217321","ADVAIR 250-50 DSK "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"984.00","92211257","FLUOCINONIDE 0.05% CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"984.00","92219488","OSELTAMIVIR PHOS 6 MG/ML SUSP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"984.44","75000127","US PREG UTERUS LIMITED ","76815",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"985.00","92216565","ADVAIR HFA 45-21MCG AER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"985.37","74000720","SHOULDER 2+ VIEWS BILATERAL ","7303050",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"985.37","74010094","SHOULDER 2+ VIEWS RT ","73030RT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"985.37","74010095","SHOULDER 2+ VIEWS LT ","73030LT ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9858.00","92218804","PROTHROMBIN CMPLX-HUMAN500UKIT"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"986.50","92218047","ACTIVASE 100MG INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"987.00","92215520","NITROGLYCERIN 0.4MG/ACT SPR "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"989.00","33111829","KIT JEJUNOSTOMY "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"989.50","92212181","DOXEPIN HCL 5%CRE "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"99.00","92212418","CASTOR/PERU BALSAM/TRYPSIN SPR"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"99.00","92213335","TIMOLOL MALEATE 0.5% GFS "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"99.00","92217021","MINERAL OIL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"99.00","92217532","SAXAGLIPTIN HCL 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"99.00","92217539","SAXAGLIPTIN HCL 2.5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"99.00","92217756","OXYCODONE HCL 40MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"99.00","92218213","EFFIENT 5MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"99.00","92218503","EFFIENT 5 MG Tablet "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"99.00","92220275","HYDROCORTISONE 25 MG SUP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"99.00","92220475","LINZOLID 600 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"99.10","92213197","IODINE MILD TIN "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"99.20","92213292","OXYQUINOLINE SULF 0.025% GEL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"99.30","92215219","DOLASETRON MESYLATE 20MG/ML IN"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"99.30","92215933","DOLASETRON MESYLATE 20MG/ML IN"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"99.36","38306806","CARNITINE ","82379",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"99.39","38388700","DRUG DEFIN QUAL/QUANT NOS 1-3 ","80375",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"99.40","92215812","RECEPINEPHRINE HCL 2.25% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"99.40","92215958","ADENOSINE 3MG/ML INJ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"99.50","92211348","KETOTIFEN FUMARATE 0.025% SOL "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"99.50","92213181","MORPHINE 200MG TER "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"99.50","92213685","DEXAMETHASONE NA PH 4MG/ML INJ"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"99.50","92213715","VENLAFAXINE HCL 150MG CAP "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"99.50","92215411","LAMOTRIGINE 25MG CTB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"99.50","92215727","FOSAMPRENAVIR CALCIUM 700MG TA"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"99.50","92217424","DONEPEZIL HCL 5MG ODT "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"99.50","92218036","EXALGO 16MG ER TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"99.60","92216618","FENTANYL CITRATE 200MCG LOZ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"99.60","92217639","FENTANYL CITRATE 200MCG LOZ "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"99.83","38300921","CULTURE GRP & TYP AGGL ","87147",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"99.93","38201890","PHOTHER BODY FLUIDS ","83986",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"990.00","92219505","GENTAMICIN/PREDNIS 0.3%-1% SOL"," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"990.92","73500326","NRV COND STUDIES 3-4 STUDIES ","95908",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9903.46","74001019","ANGIO PULMONARY SELECT BIL ","75743",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"991.64","75000170","US CHEST ","76604",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"992.00","92218843","LINEZOLID 600 MG TAB "," ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"993.05","75000310","US FETAL BIOPHYSICAL PROFILE ","76819",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"993.62","74075809","SHUNTOGRAM ","75809",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"996.62","74000120","CERVICAL SP 2 OR 3 VIEWS ","72040",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Charge Master","Charge Master",,,,"9973.55","76080037","PET MYOCARD PERF MULT STUDY ","78492",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"" "4602","Kindred Hospital - South Florida - Coral Gables","Choice Managed Networks FL","HD","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"[Billed Amount] <= '0'","0",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Choice Managed Networks FL","HD","I","Standard Term","PercentOfChargeRM",,,,,,,,,,,,,,"","75",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Choice Managed Networks FL","HD","Outpatient","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"[Billed Amount] <= '0'","0",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Choice Managed Networks FL","HD","Outpatient","Standard Term","PercentOfChargeRM",,,,,,,,,,,,,,"","75",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","CIGNA HealthCare of Florida Inc","HD Comm","I","Adjustment Term","AdvanceCriteriaCalculationRM",,,,,,,,,,,,,,"AND Calculated Reimbursement >= Tot Chgs - CarveOut Chgs",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"((([Tot Chgs - CarveOut Chgs] * 1.0) ) ) ", "4602","Kindred Hospital - South Florida - Coral Gables","CIGNA HealthCare of Florida Inc","HD Comm","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"[Billed Amount] <= '0'","0",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","CIGNA HealthCare of Florida Inc","HD Comm","I","Carve Out Term","UB92RM",,,,,"0350","457.00","CT Scan - General","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","CIGNA HealthCare of Florida Inc","HD Comm","I","Carve Out Term","UB92RM",,,,,"0351","457.00","CT Scan - Head","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","CIGNA HealthCare of Florida Inc","HD Comm","I","Carve Out Term","UB92RM",,,,,"0352","457.00","CT Scan - Body","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","CIGNA HealthCare of Florida Inc","HD Comm","I","Carve Out Term","UB92RM",,,,,"0359","457.00","CT Scan - Other","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","CIGNA HealthCare of Florida Inc","HD Comm","I","Carve Out Term","UB92RM",,,,,"0636","39.00","Pharmacy-Extension of 025X - Drugs Requiring Detailed Coding","Percent of Charges","100",,,,,"AND Sum of Fee Schedule Charges >= 7703",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","CIGNA HealthCare of Florida Inc","HD Comm","I","Carve Out Term","UB92RM",,,,,"0800","537.00","Inpatient Renal Dialysis - General","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","CIGNA HealthCare of Florida Inc","HD Comm","I","Carve Out Term","UB92RM",,,,,"0801","537.00","Inpatient Renal Dialysis - Inpatient Hemodialysis","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","CIGNA HealthCare of Florida Inc","HD Comm","I","Carve Out Term","UB92RM",,,,,"0802","537.00","Inpatient Renal Dialysis - Inpatient Peritoneal Dialysis (Non CAPD)","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","CIGNA HealthCare of Florida Inc","HD Comm","I","Carve Out Term","UB92RM",,,,,"0803","537.00","Inpatient Renal Dialysis - Inpatient Continuous Ambulatory Peritoneal Dialysis (CAPD)","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","CIGNA HealthCare of Florida Inc","HD Comm","I","Carve Out Term","UB92RM",,,,,"0804","537.00","Inpatient Renal Dialysis - Inpatient Continuous Cycling Peritoneal Dialysis (CCPD)","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","CIGNA HealthCare of Florida Inc","HD Comm","I","Carve Out Term","UB92RM",,,,,"0809","537.00","Inpatient Renal Dialysis - Other","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","CIGNA HealthCare of Florida Inc","HD Comm","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Detoxification Per Diem","1553.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","CIGNA HealthCare of Florida Inc","HD Comm","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Hospice Per Diem","1553.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","CIGNA HealthCare of Florida Inc","HD Comm","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"ICU CCU Per Diem","2091.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","CIGNA HealthCare of Florida Inc","HD Comm","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Intermediate ICU CCU Per Diem","1792.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","CIGNA HealthCare of Florida Inc","HD Comm","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Med Surg Per Diem","1553.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","CIGNA HealthCare of Florida Inc","HD Comm","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Override1 Per Diem","565.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","CIGNA HealthCare of Florida Inc","HD Comm","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Override2 Per Diem","646.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","CIGNA HealthCare of Florida Inc","HD Comm","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Override3 Per Diem","673.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","CIGNA HealthCare of Florida Inc","HD Comm","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Psychiatric Per Diem","1553.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","CIGNA HealthCare of Florida Inc","HD Comm","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Rehabilitation Per Diem","1553.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","CIGNA HealthCare of Florida Inc","HD Comm","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Subacute Per Diem","511.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","CorVel Corporation FL TX OK LA GA","HD","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"[Billed Amount] <= '0'","0",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","CorVel Corporation FL TX OK LA GA","HD","I","Standard Term","PercentOfChargeRM",,,,,,,,,,,,,,"","75",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","CorVel Corporation FL TX OK LA GA","HD","Outpatient","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"[Billed Amount] <= '0'","0",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","CorVel Corporation FL TX OK LA GA","HD","Outpatient","Standard Term","PercentOfChargeRM",,,,,,,,,,,,,,"","75",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Coventry Health Care FL","Workers Comp","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"[Billed Amount] <= '0'","0",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Coventry Health Care FL","Workers Comp","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"AND Calculated Reimbursement > Claim Billed Amount * 0.70","70",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Coventry Health Care FL","Workers Comp","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"ICU CCU Per Diem","2383.40",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Coventry Health Care FL","Workers Comp","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Intermediate ICU CCU Per Diem","2383.40",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Coventry Health Care FL","Workers Comp","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Med Surg Per Diem","2383.40",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Coventry Health Care FL","Workers Comp","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Rehabilitation Per Diem","2383.40",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Coventry Health Care FL","Workers Comp","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"[DRG Med/Surg ID] = 'S'",,,,,,,,"ICU CCU Per Diem","3849.16",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Coventry Health Care FL","Workers Comp","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"[DRG Med/Surg ID] = 'S'",,,,,,,,"Intermediate ICU CCU Per Diem","3849.16",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Coventry Health Care FL","Workers Comp","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"[DRG Med/Surg ID] = 'S'",,,,,,,,"Med Surg Per Diem","3849.16",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Coventry Health Care FL","Workers Comp","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"[DRG Med/Surg ID] = 'S'",,,,,,,,"Rehabilitation Per Diem","3849.16",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Employers Choice Network","Commercial","I","Adjustment Term","AdvanceCriteriaCalculationRM",,,,,,,,,,,,,,"[Facility Code] = '4628'AND Claim Billed Amount > Calculated Reimbursement + 21788",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"(([Claim Billed Amount] - ([Calculated Reimbursement] + 21788)) * (0.00 )) ", "4602","Kindred Hospital - South Florida - Coral Gables","Employers Choice Network","Commercial","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"[Billed Amount] <= '0'","0",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Employers Choice Network","Commercial","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"[Billed Amount] > '59891.34' AND [Facility Code] IN ('2137' '4269' '4508' '4559' '4602' '4611' '4640' '4645' '4652' '4674' '4812' '4876')","74.25",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Employers Choice Network","Commercial","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"[DRG Med/Surg ID] <> 'S' AND [Facility Code] IN ('2137' '4269' '4508' '4559' '4602' '4611' '4640' '4645' '4652' '4674' '4812' '4876')",,,,,,,,"ICU CCU Per Diem","2359.57",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Employers Choice Network","Commercial","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"[DRG Med/Surg ID] <> 'S' AND [Facility Code] IN ('2137' '4269' '4508' '4559' '4602' '4611' '4640' '4645' '4652' '4674' '4812' '4876')",,,,,,,,"Intermediate ICU CCU Per Diem","2359.57",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Employers Choice Network","Commercial","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"[DRG Med/Surg ID] <> 'S' AND [Facility Code] IN ('2137' '4269' '4508' '4559' '4602' '4611' '4640' '4645' '4652' '4674' '4812' '4876')",,,,,,,,"Med Surg Per Diem","2359.57",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Employers Choice Network","Commercial","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"[DRG Med/Surg ID] <> 'S' AND [Facility Code] IN ('2137' '4269' '4508' '4559' '4602' '4611' '4640' '4645' '4652' '4674' '4812' '4876')",,,,,,,,"Rehabilitation Per Diem","2359.57",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Employers Choice Network","Commercial","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"[DRG Med/Surg ID] <> 'S' AND [Facility Code] IN ('2137' '4269' '4508' '4559' '4602' '4611' '4640' '4645' '4652' '4674' '4812' '4876')",,,,,,,,"Subacute Per Diem","2359.57",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Employers Choice Network","Commercial","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"[DRG Med/Surg ID] = 'S' AND [Facility Code] IN ('2137' '4269' '4508' '4559' '4602' '4611' '4640' '4645' '4652' '4674' '4812' '4876')",,,,,,,,"ICU CCU Per Diem","3810.67",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Employers Choice Network","Commercial","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"[DRG Med/Surg ID] = 'S' AND [Facility Code] IN ('2137' '4269' '4508' '4559' '4602' '4611' '4640' '4645' '4652' '4674' '4812' '4876')",,,,,,,,"Intermediate ICU CCU Per Diem","3810.67",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Employers Choice Network","Commercial","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"[DRG Med/Surg ID] = 'S' AND [Facility Code] IN ('2137' '4269' '4508' '4559' '4602' '4611' '4640' '4645' '4652' '4674' '4812' '4876')",,,,,,,,"Med Surg Per Diem","3810.67",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Employers Choice Network","Commercial","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"[DRG Med/Surg ID] = 'S' AND [Facility Code] IN ('2137' '4269' '4508' '4559' '4602' '4611' '4640' '4645' '4652' '4674' '4812' '4876')",,,,,,,,"Rehabilitation Per Diem","3810.67",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Employers Choice Network","Commercial","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"[DRG Med/Surg ID] = 'S' AND [Facility Code] IN ('2137' '4269' '4508' '4559' '4602' '4611' '4640' '4645' '4652' '4674' '4812' '4876')",,,,,,,,"Subacute Per Diem","3810.67",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Employers Choice Network","Commercial","I","Standard Term","MedicareInpatientLTCRM",,,,,,,,,,,,"LTCH PPS/Site Neutral","111.87","[Facility Code] IN ('4268' '4510' '4614')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Employers Choice Network","Commercial","I","Standard Term","MedicareInpatientLTCRM",,,,,,,,,,,,"LTCH PPS/Site Neutral","112.86","[Facility Code] IN ('4500' '4851')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Employers Choice Network","Commercial","I","Standard Term","MedicareInpatientLTCRM",,,,,,,,,,,,"LTCH PPS/Site Neutral","178.2","[Facility Code] IN ('2143' '4662')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Employers Choice Network","Commercial","I","Standard Term","PercentOfChargeRM",,,,,,,,,,,,,,"[Facility Code] IN ('2144' '4502' '4633')","30.4545",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Employers Choice Network","Commercial","I","Standard Term","PercentOfChargeRM",,,,,,,,,,,,,,"[Facility Code] IN ('4207' '4261' '4262' '4635' '4649' '4653' '4654' '4685' '4818' '4840' '4846' '4874')","70",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Employers Choice Network","Commercial","I","Standard Term","PercentOfChargeRM",,,,,,,,,,,,,,"[Facility Code] IN ('4501' '4506' '4509')","70",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Employers Choice Network","Commercial","I","Standard Term","TieredPerDiemRM",,,,,,,,,,,,,,"[DRG Med/Surg ID] <> 'S' AND [Facility Code] = '4628'",,,,"1","7","Per Diem","1912.68",,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Employers Choice Network","Commercial","I","Standard Term","TieredPerDiemRM",,,,,,,,,,,,,,"[DRG Med/Surg ID] <> 'S' AND [Facility Code] = '4628'",,,,"8","999","Per Diem","1653.30",,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Employers Choice Network","Commercial","I","Standard Term","TieredPerDiemRM",,,,,,,,,,,,,,"[DRG Med/Surg ID] = 'S' AND [Facility Code] = '4628'",,,,"1","7","Per Diem","2323.53",,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Employers Choice Network","Commercial","I","Standard Term","TieredPerDiemRM",,,,,,,,,,,,,,"[DRG Med/Surg ID] = 'S' AND [Facility Code] = '4628'",,,,"8","999","Per Diem","2011.68",,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Employers Choice Network","Commercial","Outpatient","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"[Billed Amount] <= '0'","0",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Employers Choice Network","Commercial","Outpatient","Standard Term","PercentOfChargeRM",,,,,,,,,,,,,,"","100",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Equian HD","Auto","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"[Billed Amount] <= '0'","0",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Equian HD","Auto","I","Standard Term","PercentOfChargeRM",,,,,,,,,,,,,,"","80",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Equian HD","Group Health","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"[Billed Amount] <= '0'","0",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Equian HD","Group Health","I","Standard Term","PercentOfChargeRM",,,,,,,,,,,,,,"","80",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Equian HD","Work Comp No Fee Schedule","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"[Billed Amount] <= '0'","0",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Equian HD","Work Comp No Fee Schedule","I","Standard Term","PercentOfChargeRM",,,,,,,,,,,,,,"","80",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Evolutions Healthcare Systems","HD Commercial Non Chicago","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"[Billed Amount] <= '0'","0",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Evolutions Healthcare Systems","HD Commercial Non Chicago","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"AND Calculated Reimbursement > Claim Billed Amount","100",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Evolutions Healthcare Systems","HD Commercial Non Chicago","I","Standard Term","Combo-PercentOfChargeRM",,,,,,,,,,,,,," AND AND Accumulated Daily Charges >= 60000","75",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Evolutions Healthcare Systems","HD Commercial Non Chicago","I","Standard Term","Combo-PerDayOfServiceRM",,,,,,,,,,,,,," AND [UBRev Code] <= '0199'",,,,,,,,,,"By Service Date","750.00","Per Day of Service","30","999",,,"0",,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Evolutions Healthcare Systems","HD Commercial Non Chicago","I","Standard Term","Combo-PerDayOfServiceRM",,,,,,,,,,,,,," AND [UBRev Code] <= '0199'",,,,,,,,,,"By Service Date","800.00","Per Day of Service","21","30",,,"0",,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Evolutions Healthcare Systems","HD Commercial Non Chicago","I","Standard Term","Combo-PerDayOfServiceRM",,,,,,,,,,,,,," AND [UBRev Code] <= '0199'",,,,,,,,,,"By Service Date","850.00","Per Day of Service","1","20",,,"0",,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Evolutions Healthcare Systems","HD Commercial Non Chicago","I","Standard Term","Combo-PerDayOfServiceRM",,,,,,,,,,,,,," AND [UBRev Code] <= '0199' AND [UBRev Code] IN ('0410' '0412' '0413' '0419' '0801' '0802' '0803' '0804' '0809')",,,,,,,,,,"By Service Date","850.00","Per Day of Service","31","999",,,"0",,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Evolutions Healthcare Systems","HD Commercial Non Chicago","I","Standard Term","Combo-PerDayOfServiceRM",,,,,,,,,,,,,," AND [UBRev Code] <= '0199' AND [UBRev Code] IN ('0410' '0412' '0413' '0419' '0801' '0802' '0803' '0804' '0809')",,,,,,,,,,"By Service Date","900.00","Per Day of Service","21","30",,,"0",,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Evolutions Healthcare Systems","HD Commercial Non Chicago","I","Standard Term","Combo-PerDayOfServiceRM",,,,,,,,,,,,,," AND [UBRev Code] <= '0199' AND [UBRev Code] IN ('0410' '0412' '0413' '0419' '0801' '0802' '0803' '0804' '0809')",,,,,,,,,,"By Service Date","950.00","Per Day of Service","1","20",,,"0",,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Evolutions Healthcare Systems","HD Commercial Non Chicago","I","Standard Term","Combo-PerDayOfServiceRM",,,,,,,,,,,,,," AND [UBRev Code] >= '0199' AND [UBRev Code] <= '0219'",,,,,,,,,,"By Service Date","1000.00","Per Day of Service","1","20",,,"0",,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Evolutions Healthcare Systems","HD Commercial Non Chicago","I","Standard Term","Combo-PerDayOfServiceRM",,,,,,,,,,,,,," AND [UBRev Code] >= '0199' AND [UBRev Code] <= '0219'",,,,,,,,,,"By Service Date","900.00","Per Day of Service","31","999",,,"0",,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Evolutions Healthcare Systems","HD Commercial Non Chicago","I","Standard Term","Combo-PerDayOfServiceRM",,,,,,,,,,,,,," AND [UBRev Code] >= '0199' AND [UBRev Code] <= '0219'",,,,,,,,,,"By Service Date","950.00","Per Day of Service","21","30",,,"0",,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Evolutions Healthcare Systems","HD Commercial Non Chicago","Outpatient","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"[Billed Amount] <= '0'","0",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Evolutions Healthcare Systems","HD Commercial Non Chicago","Outpatient","Standard Term","PercentOfChargeRM",,,,,,,,,,,,,,"","65",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","FedMed Inc","HD","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"[Billed Amount] <= '0'","0",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","FedMed Inc","HD","I","Standard Term","PercentOfChargeRM",,,,,,,,,,,,,,"","80",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","FedMed Inc","HD","Outpatient","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"[Billed Amount] <= '0'","0",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","FedMed Inc","HD","Outpatient","Standard Term","PercentOfChargeRM",,,,,,,,,,,,,,"","80",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Florida Community Care ILS","HD Med Adv","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"[Billed Amount] <= '0'","0",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Florida Community Care ILS","HD Med Adv","I","Standard Term","MedicareInpatientLTCRM",,,,,,,,,,,,"LTCH PPS/Site Neutral","100","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Florida Community Care ILS","HD Medicaid","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"[Billed Amount] <= '0'","0",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Florida Community Care ILS","HD Medicaid","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"AND Calculated Reimbursement > Claim Billed Amount","100",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Florida Community Care ILS","HD Medicaid","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Detoxification Per Diem","1350.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Florida Community Care ILS","HD Medicaid","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Hospice Per Diem","1350.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Florida Community Care ILS","HD Medicaid","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"ICU CCU Per Diem","1350.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Florida Community Care ILS","HD Medicaid","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Intermediate ICU CCU Per Diem","1350.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Florida Community Care ILS","HD Medicaid","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Med Surg Per Diem","1350.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Florida Community Care ILS","HD Medicaid","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Nursery ICU Per Diem","1350.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Florida Community Care ILS","HD Medicaid","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Nursery Per Diem","1350.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Florida Community Care ILS","HD Medicaid","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Psychiatric Per Diem","1350.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Florida Community Care ILS","HD Medicaid","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Rehabilitation Per Diem","1350.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Florida Community Care ILS","HD Medicaid","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Subacute Per Diem","1350.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Friday Health Plans","HD All","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"[Total Detailed Charges] <= '0'","0",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Friday Health Plans","HD All","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"AND Calculated Reimbursement > Total Charges","100",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Friday Health Plans","HD All","I","Carve Out Term","UB92RM",,,,,"0250","35.00","Pharmacy - General","Percent of Charges","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Friday Health Plans","HD All","I","Carve Out Term","UB92RM",,,,,"0258","35.00","Pharmacy - IV Solutions","Percent of Charges","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Friday Health Plans","HD All","I","Carve Out Term","UB92RM",,,,,"0350","50.00","CT Scan - General","Percent of Charges","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Friday Health Plans","HD All","I","Carve Out Term","UB92RM",,,,,"0351","50.00","CT Scan - Head","Percent of Charges","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Friday Health Plans","HD All","I","Carve Out Term","UB92RM",,,,,"0352","50.00","CT Scan - Body","Percent of Charges","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Friday Health Plans","HD All","I","Carve Out Term","UB92RM",,,,,"0359","50.00","CT Scan - Other","Percent of Charges","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Friday Health Plans","HD All","I","Carve Out Term","UB92RM",,,,,"0419","300.00","Respiratory Services - Other","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Friday Health Plans","HD All","I","Carve Out Term","UB92RM",,,,,"0610","50.00","Magnetic Resonance Technology (MRT) - General","Percent of Charges","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Friday Health Plans","HD All","I","Carve Out Term","UB92RM",,,,,"0611","50.00","Magnetic Resonance Technology (MRT) - MRI-Brain (Including Brainstem)","Percent of Charges","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Friday Health Plans","HD All","I","Carve Out Term","UB92RM",,,,,"0612","50.00","Magnetic Resonance Technology (MRT) - MRI-Spinal Cord (Including Spine)","Percent of Charges","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Friday Health Plans","HD All","I","Carve Out Term","UB92RM",,,,,"0614","50.00","Magnetic Resonance Technology (MRT) - MRI-Other","Percent of Charges","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Friday Health Plans","HD All","I","Carve Out Term","UB92RM",,,,,"0615","50.00","Magnetic Resonance Technology (MRT) - MRA-Head and Neck","Percent of Charges","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Friday Health Plans","HD All","I","Carve Out Term","UB92RM",,,,,"0616","50.00","Magnetic Resonance Technology (MRT) - MRA-Lower Extremeties","Percent of Charges","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Friday Health Plans","HD All","I","Carve Out Term","UB92RM",,,,,"0618","50.00","Magnetic Resonance Technology (MRT) - MRA-Other","Percent of Charges","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Friday Health Plans","HD All","I","Carve Out Term","UB92RM",,,,,"0619","50.00","Magnetic Resonance Technology (MRT) - Other","Percent of Charges","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Friday Health Plans","HD All","I","Carve Out Term","UB92RM",,,,,"0636","35.00","Pharmacy-Extension of 025X - Drugs Requiring Detailed Coding","Percent of Charges","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Friday Health Plans","HD All","I","Carve Out Term","UB92RM",,,,,"0800","50.00","Inpatient Renal Dialysis - General","Percent of Charges","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Friday Health Plans","HD All","I","Carve Out Term","UB92RM",,,,,"0801","50.00","Inpatient Renal Dialysis - Inpatient Hemodialysis","Percent of Charges","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Friday Health Plans","HD All","I","Carve Out Term","UB92RM",,,,,"0802","50.00","Inpatient Renal Dialysis - Inpatient Peritoneal Dialysis (Non CAPD)","Percent of Charges","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Friday Health Plans","HD All","I","Carve Out Term","UB92RM",,,,,"0803","50.00","Inpatient Renal Dialysis - Inpatient Continuous Ambulatory Peritoneal Dialysis (CAPD)","Percent of Charges","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Friday Health Plans","HD All","I","Carve Out Term","UB92RM",,,,,"0804","50.00","Inpatient Renal Dialysis - Inpatient Continuous Cycling Peritoneal Dialysis (CCPD)","Percent of Charges","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Friday Health Plans","HD All","I","Carve Out Term","UB92RM",,,,,"0809","50.00","Inpatient Renal Dialysis - Other","Percent of Charges","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Friday Health Plans","HD All","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"ICU CCU Per Diem","1450.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Friday Health Plans","HD All","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Intermediate ICU CCU Per Diem","1450.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Friday Health Plans","HD All","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Med Surg Per Diem","1450.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Friday Health Plans","HD All","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Override1 Per Diem","193.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Friday Health Plans","HD All","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Override2 Per Diem","194.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Friday Health Plans","HD All","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Rehabilitation Per Diem","1300.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Galaxy Health Network","HD and NCD","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"[Billed Amount] <= '0'","0",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Galaxy Health Network","HD and NCD","I","Standard Term","PercentOfChargeRM",,,,,,,,,,,,,,"","80",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Galaxy Health Network","HD and NCD","Outpatient","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"[Billed Amount] <= '0'","0",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Galaxy Health Network","HD and NCD","Outpatient","Standard Term","PercentOfChargeRM",,,,,,,,,,,,,,"","80",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","HealthSmart Payors Organization LTD formerly Health Payors Organization","HD Comm","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"[Billed Amount] <= '0'","0",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","HealthSmart Payors Organization LTD formerly Health Payors Organization","HD Comm","I","Standard Term","PercentOfChargeRM",,,,,,,,,,,,,,"","75",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","HealthSmart Payors Organization LTD formerly Health Payors Organization","HD Comm","Outpatient","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"[Billed Amount] <= '0'","0",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","HealthSmart Payors Organization LTD formerly Health Payors Organization","HD Comm","Outpatient","Standard Term","PercentOfChargeRM",,,,,,,,,,,,,,"","75",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","HealthSpring of South Florida","HD MedAdv","I","Adjustment Term","AdvanceCriteriaCalculationRM",,,,,,,,,,,,,,"AND Calculated Reimbursement > Total Payments + 0.05 OR Calculated Reimbursement < Total Payments - 0.05 AND Calculated Reimbursement > 0",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"((([Calculated Reimbursement] - [835 Patient Responsibility]) * -0.02 ) ) ", "4602","Kindred Hospital - South Florida - Coral Gables","HealthSpring of South Florida","HD MedAdv","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"[Billed Amount] <= '0'","0",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","HealthSpring of South Florida","HD MedAdv","I","Standard Term","MedicareInpatientLTCRM",,,,,,,,,,,,"LTCH PPS/Site Neutral","100","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Humana Florida","HD MCR and Comm","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"[Billed Amount] <= '0'","0",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Humana Florida","HD MCR and Comm","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"AND Calculated Reimbursement > Claim Billed Amount","100",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Humana Florida","HD MCR and Comm","I","Carve Out Term","UB92RM",,,,,"0419","285.00","Respiratory Services - Other","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Humana Florida","HD MCR and Comm","I","Carve Out Term","UB92RM",,,,,"0800","300.00","RENAL DIALYSIS","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Humana Florida","HD MCR and Comm","I","Carve Out Term","UB92RM",,,,,"0801","300.00","DIALY/INPT","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Humana Florida","HD MCR and Comm","I","Carve Out Term","UB92RM",,,,,"0802","300.00","DIALY/INPT/PER","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Humana Florida","HD MCR and Comm","I","Carve Out Term","UB92RM",,,,,"0803","300.00","DIALY/INPT/CAPD","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Humana Florida","HD MCR and Comm","I","Carve Out Term","UB92RM",,,,,"0804","300.00","DIALY/INPT/CCPD","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Humana Florida","HD MCR and Comm","I","Carve Out Term","UB92RM",,,,,"0809","300.00","DIALY/INPT/OTHER","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Humana Florida","HD MCR and Comm","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Detoxification Per Diem","1175.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Humana Florida","HD MCR and Comm","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Hospice Per Diem","1175.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Humana Florida","HD MCR and Comm","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"ICU CCU Per Diem","1400.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Humana Florida","HD MCR and Comm","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Intermediate ICU CCU Per Diem","1400.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Humana Florida","HD MCR and Comm","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Med Surg Per Diem","1175.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Humana Florida","HD MCR and Comm","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Nursery ICU Per Diem","1175.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Humana Florida","HD MCR and Comm","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Nursery Per Diem","1175.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Humana Florida","HD MCR and Comm","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Psychiatric Per Diem","1175.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Humana Florida","HD MCR and Comm","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Rehabilitation Per Diem","1175.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Humana Florida","HD MCR and Comm","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Subacute Per Diem","1175.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Integra Group Inc","HD COMM","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"[Billed Amount] <= '0'","0",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Integra Group Inc","HD COMM","I","Standard Term","PercentOfChargeRM",,,,,,,,,,,,,,"","75",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Integrated Health Plan Regional Integrated Health Plans Inc","HD Commercial","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"[Billed Amount] <= '0'","0",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Integrated Health Plan Regional Integrated Health Plans Inc","HD Commercial","I","Standard Term","PercentOfChargeRM",,,,,,,,,,,,,,"","70",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Integrated Health Plan Regional Integrated Health Plans Inc","HD Commercial","Outpatient","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"[Billed Amount] <= '0'","0",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Integrated Health Plan Regional Integrated Health Plans Inc","HD Commercial","Outpatient","Standard Term","PercentOfChargeRM",,,,,,,,,,,,,,"","75",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","M Healthcare Network","HD","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"[Billed Amount] <= '0'","0",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","M Healthcare Network","HD","I","Carve Out Term","UB92RM",,,,,"0350","300.00","CT Scan - General","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","M Healthcare Network","HD","I","Carve Out Term","UB92RM",,,,,"0351","300.00","CT Scan - Head","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","M Healthcare Network","HD","I","Carve Out Term","UB92RM",,,,,"0352","300.00","CT Scan - Body","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","M Healthcare Network","HD","I","Carve Out Term","UB92RM",,,,,"0359","300.00","CT Scan - Other","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","M Healthcare Network","HD","I","Carve Out Term","UB92RM",,,,,"0419","400.00","Respiratory Services - Other","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","M Healthcare Network","HD","I","Carve Out Term","UB92RM",,,,,"0636","40.00","Pharmacy-Extension of 025X - Drugs Requiring Detailed Coding","Percent of Charges","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","M Healthcare Network","HD","I","Carve Out Term","UB92RM",,,,,"0800","450.00","Inpatient Renal Dialysis - General","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","M Healthcare Network","HD","I","Carve Out Term","UB92RM",,,,,"0801","450.00","Inpatient Renal Dialysis - Inpatient Hemodialysis","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","M Healthcare Network","HD","I","Carve Out Term","UB92RM",,,,,"0802","450.00","Inpatient Renal Dialysis - Inpatient Peritoneal Dialysis (Non CAPD)","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","M Healthcare Network","HD","I","Carve Out Term","UB92RM",,,,,"0803","450.00","Inpatient Renal Dialysis - Inpatient Continuous Ambulatory Peritoneal Dialysis (CAPD)","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","M Healthcare Network","HD","I","Carve Out Term","UB92RM",,,,,"0804","450.00","Inpatient Renal Dialysis - Inpatient Continuous Cycling Peritoneal Dialysis (CCPD)","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","M Healthcare Network","HD","I","Carve Out Term","UB92RM",,,,,"0809","450.00","Inpatient Renal Dialysis - Other","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","M Healthcare Network","HD","I","Standard Term","UB92RM",,,,,"0100","2122.00","All Inclusive Rate - Room & Board & Ancillary","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","M Healthcare Network","HD","I","Standard Term","UB92RM",,,,,"0101","2122.00","All Inclusive Rate - Room & Board","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","M Healthcare Network","HD","I","Standard Term","UB92RM",,,,,"0110","2122.00","Room and Board Private (one bed) - General","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","M Healthcare Network","HD","I","Standard Term","UB92RM",,,,,"0111","2122.00","Room and Board Private (one bed) - Medical/Surgical/GYN","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","M Healthcare Network","HD","I","Standard Term","UB92RM",,,,,"0112","2122.00","Room and Board Private (one bed) - OB","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","M Healthcare Network","HD","I","Standard Term","UB92RM",,,,,"0113","2122.00","Room and Board Private (one bed) - Pediatric","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","M Healthcare Network","HD","I","Standard Term","UB92RM",,,,,"0114","2122.00","Room and Board Private (one bed) - Psychiatric","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","M Healthcare Network","HD","I","Standard Term","UB92RM",,,,,"0115","2122.00","Room and Board Private (one bed) - Hospice","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","M Healthcare Network","HD","I","Standard Term","UB92RM",,,,,"0116","2122.00","Room and Board Private (one bed) - Detoxification","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","M Healthcare Network","HD","I","Standard Term","UB92RM",,,,,"0117","2122.00","Room and Board Private (one bed) - Oncology","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","M Healthcare Network","HD","I","Standard Term","UB92RM",,,,,"0118","1875.00","Room and Board Private (one bed) - Rehabilitation","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","M Healthcare Network","HD","I","Standard Term","UB92RM",,,,,"0119","2122.00","Room and Board Private (one bed) - Other","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","M Healthcare Network","HD","I","Standard Term","UB92RM",,,,,"0120","2122.00","Room and Board Semiprivate (two beds) - General","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","M Healthcare Network","HD","I","Standard Term","UB92RM",,,,,"0121","2122.00","Room and Board Semiprivate (two beds) - Medical/Surgical/GYN","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","M Healthcare Network","HD","I","Standard Term","UB92RM",,,,,"0122","2122.00","Room and Board Semiprivate (two beds) - OB","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","M Healthcare Network","HD","I","Standard Term","UB92RM",,,,,"0123","2122.00","Room and Board Semiprivate (two beds) - Pediatric","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","M Healthcare Network","HD","I","Standard Term","UB92RM",,,,,"0124","2122.00","Room and Board Semiprivate (two beds) - Psychiatric","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","M Healthcare Network","HD","I","Standard Term","UB92RM",,,,,"0125","2122.00","Room and Board Semiprivate (two beds) - Hospice","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","M Healthcare Network","HD","I","Standard Term","UB92RM",,,,,"0126","2122.00","Room and Board Semiprivate (two beds) - Detoxification","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","M Healthcare Network","HD","I","Standard Term","UB92RM",,,,,"0127","2122.00","Room and Board Semiprivate (two beds) - Oncology","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","M Healthcare Network","HD","I","Standard Term","UB92RM",,,,,"0128","1875.00","Room and Board Semiprivate (two beds) - Rehabilitation","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","M Healthcare Network","HD","I","Standard Term","UB92RM",,,,,"0129","2122.00","Room and Board Semiprivate (two beds) - Other","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","M Healthcare Network","HD","I","Standard Term","UB92RM",,,,,"0130","2122.00","Room and Board (3 and 4 beds) - General","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","M Healthcare Network","HD","I","Standard Term","UB92RM",,,,,"0131","2122.00","Room and Board (3 and 4 beds) - Medical/Surgical/GYN","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","M Healthcare Network","HD","I","Standard Term","UB92RM",,,,,"0132","2122.00","Room and Board (3 and 4 beds) - OB","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","M Healthcare Network","HD","I","Standard Term","UB92RM",,,,,"0133","2122.00","Room and Board (3 and 4 beds) - Pediatric","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","M Healthcare Network","HD","I","Standard Term","UB92RM",,,,,"0134","2122.00","Room and Board (3 and 4 beds) - Psychiatric","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","M Healthcare Network","HD","I","Standard Term","UB92RM",,,,,"0135","2122.00","Room and Board (3 and 4 beds) - Hospice","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","M Healthcare Network","HD","I","Standard Term","UB92RM",,,,,"0136","2122.00","Room and Board (3 and 4 beds) - Detoxification","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","M Healthcare Network","HD","I","Standard Term","UB92RM",,,,,"0137","2122.00","Room and Board (3 and 4 beds) - Oncology","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","M Healthcare Network","HD","I","Standard Term","UB92RM",,,,,"0138","1875.00","Room and Board (3 and 4 beds) - Rehabilitation","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","M Healthcare Network","HD","I","Standard Term","UB92RM",,,,,"0139","2122.00","Room and Board (3 and 4 beds) - Other","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","M Healthcare Network","HD","I","Standard Term","UB92RM",,,,,"0140","2122.00","Room and Board Deluxe Private - General","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","M Healthcare Network","HD","I","Standard Term","UB92RM",,,,,"0141","2122.00","Room and Board Deluxe Private - Medical/Surgical/GYN","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","M Healthcare Network","HD","I","Standard Term","UB92RM",,,,,"0142","2122.00","Room and Board Deluxe Private - OB","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","M Healthcare Network","HD","I","Standard Term","UB92RM",,,,,"0143","2122.00","Room and Board Deluxe Private - Pediatric","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","M Healthcare Network","HD","I","Standard Term","UB92RM",,,,,"0144","2122.00","Room and Board Deluxe Private - Psychiatric","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","M Healthcare Network","HD","I","Standard Term","UB92RM",,,,,"0145","2122.00","Room and Board Deluxe Private - Hospice","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","M Healthcare Network","HD","I","Standard Term","UB92RM",,,,,"0146","2122.00","Room and Board Deluxe Private - Detoxification","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","M Healthcare Network","HD","I","Standard Term","UB92RM",,,,,"0147","2122.00","Room and Board Deluxe Private - Oncology","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","M Healthcare Network","HD","I","Standard Term","UB92RM",,,,,"0148","1875.00","Room and Board Deluxe Private - Rehabilitation","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","M Healthcare Network","HD","I","Standard Term","UB92RM",,,,,"0149","2122.00","Room and Board Deluxe Private - Other","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","M Healthcare Network","HD","I","Standard Term","UB92RM",,,,,"0150","2122.00","Room and Board Ward - General","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","M Healthcare Network","HD","I","Standard Term","UB92RM",,,,,"0151","2122.00","Room and Board Ward - Medical/Surgical/GYN","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","M Healthcare Network","HD","I","Standard Term","UB92RM",,,,,"0152","2122.00","Room and Board Ward - OB","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","M Healthcare Network","HD","I","Standard Term","UB92RM",,,,,"0153","2122.00","Room and Board Ward - Pediatric","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","M Healthcare Network","HD","I","Standard Term","UB92RM",,,,,"0154","2122.00","Room and Board Ward - Psychiatric","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","M Healthcare Network","HD","I","Standard Term","UB92RM",,,,,"0155","2122.00","Room and Board Ward - Hospice","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","M Healthcare Network","HD","I","Standard Term","UB92RM",,,,,"0156","2122.00","Room and Board Ward - Detoxification","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","M Healthcare Network","HD","I","Standard Term","UB92RM",,,,,"0157","2122.00","Room and Board Ward - Oncology","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","M Healthcare Network","HD","I","Standard Term","UB92RM",,,,,"0158","1875.00","Room and Board Ward - Rehabilitation","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","M Healthcare Network","HD","I","Standard Term","UB92RM",,,,,"0159","2122.00","Room and Board Ward - Other","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","M Healthcare Network","HD","I","Standard Term","UB92RM",,,,,"0160","2122.00","Other Room and Board - General","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","M Healthcare Network","HD","I","Standard Term","UB92RM",,,,,"0164","2122.00","Other Room and Board - Sterile","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","M Healthcare Network","HD","I","Standard Term","UB92RM",,,,,"0167","2122.00","Other Room and Board - Self Care","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","M Healthcare Network","HD","I","Standard Term","UB92RM",,,,,"0169","2122.00","Other Room and Board - Other","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","M Healthcare Network","HD","I","Standard Term","UB92RM",,,,,"0200","2618.00","Intensive Care Unit - General","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","M Healthcare Network","HD","I","Standard Term","UB92RM",,,,,"0201","2618.00","Intensive Care Unit - Surgical","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","M Healthcare Network","HD","I","Standard Term","UB92RM",,,,,"0202","2618.00","Intensive Care Unit - Medical ","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","M Healthcare Network","HD","I","Standard Term","UB92RM",,,,,"0203","2618.00","Intensive Care Unit - Pediatric","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","M Healthcare Network","HD","I","Standard Term","UB92RM",,,,,"0206","2395.00","Intensive Care Unit - Intermediate ICU","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","M Healthcare Network","HD","I","Standard Term","UB92RM",,,,,"0207","2618.00","Intensive Care Unit - Burn care","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","M Healthcare Network","HD","I","Standard Term","UB92RM",,,,,"0208","2618.00","Intensive Care Unit - Trauma","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","M Healthcare Network","HD","I","Standard Term","UB92RM",,,,,"0209","2618.00","Intensive Care Unit - Other","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","M Healthcare Network","HD","I","Standard Term","UB92RM",,,,,"0210","2618.00","Coronary Care Unit - General","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","M Healthcare Network","HD","I","Standard Term","UB92RM",,,,,"0211","2618.00","Coronary Care Unit - Myocardial Infarction","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","M Healthcare Network","HD","I","Standard Term","UB92RM",,,,,"0212","2618.00","Coronary Care Unit - Pulmonary Care","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","M Healthcare Network","HD","I","Standard Term","UB92RM",,,,,"0213","2618.00","Coronary Care Unit - Heart Transplant","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","M Healthcare Network","HD","I","Standard Term","UB92RM",,,,,"0214","2395.00","Coronary Care Unit - Intermediate CCU","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","M Healthcare Network","HD","I","Standard Term","UB92RM",,,,,"0219","2618.00","Coronary Care Unit - Other","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Medica Health Plans of Florida Inc South Florida","HD MA","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"[Billed Amount] <= '0'","0",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Medica Health Plans of Florida Inc South Florida","HD MA","I","Carve Out Term","UB92RM",,,,,"0360","50.00",,"Percent of Charges","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Medica Health Plans of Florida Inc South Florida","HD MA","I","Carve Out Term","UB92RM",,,,,"0636","45.00","Pharmacy-Extension of 025X - Drugs Requiring Detailed Coding","Percent of Charges","100",,,,,"AND Sum of FS Line-Item Charges > 500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Medica Health Plans of Florida Inc South Florida","HD MA","I","Carve Out Term","UB92RM",,,,,"0800","391.42","Inpatient Renal Dialysis - General","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Medica Health Plans of Florida Inc South Florida","HD MA","I","Carve Out Term","UB92RM",,,,,"0801","391.42","Inpatient Renal Dialysis - Inpatient Hemodialysis","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Medica Health Plans of Florida Inc South Florida","HD MA","I","Carve Out Term","UB92RM",,,,,"0802","391.42","Inpatient Renal Dialysis - Inpatient Peritoneal Dialysis (Non CAPD)","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Medica Health Plans of Florida Inc South Florida","HD MA","I","Carve Out Term","UB92RM",,,,,"0803","391.42","Inpatient Renal Dialysis - Inpatient Continuous Ambulatory Peritoneal Dialysis (CAPD)","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Medica Health Plans of Florida Inc South Florida","HD MA","I","Carve Out Term","UB92RM",,,,,"0804","391.42","Inpatient Renal Dialysis - Inpatient Continuous Cycling Peritoneal Dialysis (CCPD)","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Medica Health Plans of Florida Inc South Florida","HD MA","I","Carve Out Term","UB92RM",,,,,"0809","391.42","Inpatient Renal Dialysis - Other","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Medica Health Plans of Florida Inc South Florida","HD MA","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Detoxification Per Diem","1174.28",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Medica Health Plans of Florida Inc South Florida","HD MA","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Dialysis Rate","391.42",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Medica Health Plans of Florida Inc South Florida","HD MA","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Hospice Per Diem","1174.28",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Medica Health Plans of Florida Inc South Florida","HD MA","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"ICU CCU Per Diem","1565.72",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Medica Health Plans of Florida Inc South Florida","HD MA","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Intermediate ICU CCU Per Diem","1174.28",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Medica Health Plans of Florida Inc South Florida","HD MA","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Med Surg Per Diem","1174.28",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Medica Health Plans of Florida Inc South Florida","HD MA","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Nursery ICU Per Diem","1174.28",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Medica Health Plans of Florida Inc South Florida","HD MA","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Nursery Per Diem","1174.28",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Medica Health Plans of Florida Inc South Florida","HD MA","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Psychiatric Per Diem","1174.28",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Medica Health Plans of Florida Inc South Florida","HD MA","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Rehabilitation Per Diem","1174.28",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Medica Health Plans of Florida Inc South Florida","HD MA","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Subacute Per Diem","1174.28",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Medica Health Plans of Florida Inc South Florida","HD MA","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"[UBRev Code] = '0419'",,,,,,,,"Detoxification Per Diem","1369.99",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Medica Health Plans of Florida Inc South Florida","HD MA","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"[UBRev Code] = '0419'",,,,,,,,"Dialysis Rate","391.42",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Medica Health Plans of Florida Inc South Florida","HD MA","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"[UBRev Code] = '0419'",,,,,,,,"Hospice Per Diem","1369.99",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Medica Health Plans of Florida Inc South Florida","HD MA","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"[UBRev Code] = '0419'",,,,,,,,"ICU CCU Per Diem","1565.72",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Medica Health Plans of Florida Inc South Florida","HD MA","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"[UBRev Code] = '0419'",,,,,,,,"Intermediate ICU CCU Per Diem","1369.99",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Medica Health Plans of Florida Inc South Florida","HD MA","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"[UBRev Code] = '0419'",,,,,,,,"Med Surg Per Diem","1369.99",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Medica Health Plans of Florida Inc South Florida","HD MA","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"[UBRev Code] = '0419'",,,,,,,,"Nursery ICU Per Diem","1369.99",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Medica Health Plans of Florida Inc South Florida","HD MA","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"[UBRev Code] = '0419'",,,,,,,,"Nursery Per Diem","1369.99",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Medica Health Plans of Florida Inc South Florida","HD MA","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"[UBRev Code] = '0419'",,,,,,,,"Psychiatric Per Diem","1369.99",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Medica Health Plans of Florida Inc South Florida","HD MA","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"[UBRev Code] = '0419'",,,,,,,,"Rehabilitation Per Diem","1369.99",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Medica Health Plans of Florida Inc South Florida","HD MA","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"[UBRev Code] = '0419'",,,,,,,,"Subacute Per Diem","1369.99",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Memorial Health System South Florida","HD","I","Standard Term","PercentOfChargeRM",,,,,,,,,,,,,,"","60",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"AND Calculated Reimbursement > Claim Billed Amount","100",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"90371","117.83","Hep b ig im","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"90375","341.48","Rabies ig im-sc","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"90376","226.80","Rabies ig heat treated","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"90586","140.34","Bcg vaccine intravesical","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"90632","59.92","Hepa vaccine adult im","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"90653","59.53","Iiv adjuvant vaccine im","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"90662","56.01","Iiv no prsv increased ag im","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"90670","230.14","Pcv13 vaccine im","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"90672","26.88","Laiv4 vaccine intranasal","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"90674","28.13","Cciiv4 vac no prsv 0.5 ml im","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"90675","286.20","Rabies vaccine im","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"90682","56.01","Riv4 vacc recombinant dna im","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"90685","20.34","Iiv4 vacc no prsv 0.25 ml im","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"90686","19.03","Iiv4 vacc no prsv 0.5 ml im","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"90687","9.40","Iiv4 vaccine splt 0.25 ml im","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"90688","17.84","Iiv4 vaccine splt 0.5 ml im","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"90691","109.19","Typhoid vaccine im","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"90714","24.21","Td vacc no presv 7 yrs+ im","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"90715","33.10","Tdap vaccine 7 yrs-> im","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"90732","119.92","Ppsv23 vacc 2 yrs+ subq-im","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"90739","131.10","Hepb vacc 2 dose adult im","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"90740","140.76","Hepb vacc 3 dose immunsup im","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"90744","28.21","Hepb vacc 3 dose ped-adol im","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"90746","69.65","Hepb vaccine 3 dose adult im","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"90747","140.76","Hepb vacc 4 dose immunsup im","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"90756","26.66","Cciiv4 vacc abx free im","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"A9575","0.18","Inj gadoterate meglumi 0.1ml","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"A9576","1.42","Inj prohance multipack","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"A9577","1.89","Inj multihance","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"A9578","1.86","Inj multihance multipack","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"A9579","1.55","Gad-base mr contrast nos1ml","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"A9581","14.74","Gadoxetate disodium inj","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"A9585","0.38","Gadobutrol injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"A9589","1173.38","Insti hexaminolevulinate hcl","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"A9606","164.38","Radium ra223 dichloride ther","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J0121","3.31","Inj. omadacycline 1 mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J0122","1.02","Inj. eravacycline 1 mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J0129","55.08","Abatacept injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J0132","1.11","Acetylcysteine injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J0133","0.07","Acyclovir injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J0153","0.62","Adenosine inj 1mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J0171","0.84","Adrenalin epinephrine inject","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J0178","938.44","Aflibercept injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J0179","317.58","Inj brolucizumab-dbll 1 mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J0180","183.78","Agalsidase beta injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J0185","2.01","Inj. aprepitant 1 mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J0202","1949.60","Injection alemtuzumab","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J0207","980.14","Amifostine","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J0221","171.21","Lumizyme injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J0222","98.21","Inj. patisiran 0.1 mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J0256","4.43","Alpha 1 proteinase inhibitor","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J0257","4.90","Glassia injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J0278","1.08","Amikacin sulfate injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J0280","7.11","Aminophyllin 250 mg inj","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J0285","38.56","Amphotericin b","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J0287","9.20","Amphotericin b lipid complex","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J0289","27.23","Amphotericin b liposome inj","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J0290","1.05","Ampicillin 500 mg inj","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J0291","3.19","Inj. plazomicin 5 mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J0295","3.58","Ampicillin sulbactam 1.5 gm","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J0348","0.52","Anidulafungin injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J0360","3.77","Hydralazine hcl injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J0401","5.69","Inj aripiprazole ext rel 1mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J0456","3.11","Azithromycin","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J0461","0.06","Atropine sulfate injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J0470","59.81","Dimecaprol injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J0475","177.65","Baclofen 10 mg injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J0476","49.12","Baclofen intrathecal trial","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J0480","3805.54","Basiliximab","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J0485","3.78","Belatacept injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J0490","45.50","Belimumab injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J0500","45.43","Dicyclomine injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J0515","17.26","Inj benztropine mesylate","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J0517","170.10","Inj. benralizumab 1 mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J0558","10.81","Peng benzathine-procaine inj","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J0561","13.83","Penicillin g benzathine inj","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J0565","39.76","Inj bezlotoxumab 10 mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J0570","1233.14","Buprenorphine implant 74.2mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J0583","0.62","Bivalirudin","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J0584","353.38","Injection burosumab-twza 1m","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J0585","6.11","Injectiononabotulinumtoxina","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J0586","8.40","Abobotulinumtoxina","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J0587","11.99","Inj rimabotulinumtoxinb","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J0588","5.03","Incobotulinumtoxin a","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J0592","4.75","Buprenorphine hydrochloride","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J0594","4.37","Busulfan injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J0595","2.53","Butorphanol tartrate 1 mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J0596","28.35","Injection ruconest","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J0597","51.27","C-1 esterase berinert","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J0598","56.13","C-1 esterase cinryze","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J0600","5594.42","Edetate calcium disodium inj","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J0610","4.22","Calcium gluconate injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J0630","2653.46","Calcitonin salmon injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J0636","0.77","Inj calcitriol per 0.1 mcg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J0637","6.54","Caspofungin acetate","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J0638","111.00","Canakinumab injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J0640","3.04","Leucovorin calcium injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J0641","0.12","Inj levoleucovorin nos 0.5mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J0642","1.94","Injection khapzory 0.5 mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J0670","2.72","Inj mepivacaine hcl-10 ml","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J0690","0.82","Cefazolin sodium injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J0692","1.82","Cefepime hcl for injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J0694","7.34","Cefoxitin sodium injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J0695","5.88","Inj ceftolozane tazobactam","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J0696","0.53","Ceftriaxone sodium injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J0697","2.13","Sterile cefuroxime injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J0698","2.33","Cefotaxime sodium injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J0702","7.32","Betamethasone acet&sod phosp","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J0712","3.18","Ceftaroline fosamil inj","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J0713","1.98","Inj ceftazidime per 500 mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J0714","92.05","Ceftazidime and avibactam","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J0717","7.99","Certolizumab pegol inj 1mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J0720","31.89","Chloramphenicol sodium injec","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J0725","21.25","Chorionic gonadotropin-1000u","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J0735","13.03","Clonidine hydrochloride","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J0740","611.07","Cidofovir injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J0743","6.04","Cilastatin sodium injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J0744","1.17","Ciprofloxacin iv","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J0770","18.16","Colistimethate sodium inj","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J0775","50.40","Collagenase clost hist inj","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J0780","7.67","Prochlorperazine injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J0795","9.36","Corticorelin ovine triflutal","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J0800","3913.09","Corticotropin injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J0834","41.17","Inj. cosyntropin 0.25 mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J0840","3174.64","Crotalidae poly immune fab","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J0841","1260.93","Inj crotalidae im f(ab)2 eq","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J0850","1334.81","Cytomegalovirus imm iv -vial","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J0875","15.02","Injection dalbavancin","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J0878","0.20","Daptomycin injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J0881","3.67","Darbepoetin alfa non-esrd","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J0882","3.67","Darbepoetin alfa esrd use","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J0885","10.02","Epoetin alfa non-esrd","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J0887","1.85","Epoetin beta esrd use","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J0888","1.85","Epoetin beta non esrd","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J0894","4.47","Decitabine injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J0895","8.28","Deferoxamine mesylate inj","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J0897","19.34","Denosumab injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J1000","21.82","Depo-estradiol cypionate inj","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J1020","3.44","Methylprednisolone 20 mg inj","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J1030","6.05","Methylprednisolone 40 mg inj","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J1040","11.63","Methylprednisolone 80 mg inj","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J1050","0.56","Medroxyprogesterone acetate","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J1071","0.03","Inj testosterone cypionate","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J1100","0.14","Dexamethasone sodium phos","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J1110","63.93","Inj dihydroergotamine mesylt","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J1120","14.60","Acetazolamid sodium injectio","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J1160","4.74","Digoxin injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J1162","3969.58","Digoxin immune fab (ovine)","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J1165","0.83","Phenytoin sodium injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J1170","3.26","Hydromorphone injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J1190","194.32","Dexrazoxane hcl injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J1200","0.84","Diphenhydramine hcl injectio","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J1205","59.76","Chlorothiazide sodium inj","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J1212","622.91","Dimethyl sulfoxide 50% 50 ml","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J1230","17.42","Methadone injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J1240","6.52","Dimenhydrinate injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J1245","2.36","Dipyridamole injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J1250","5.72","Inj dobutamine hcl-250 mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J1265","0.60","Dopamine injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J1270","0.28","Injection doxercalciferol","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J1290","496.26","Ecallantide injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J1300","230.48","Eculizumab injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J1301","19.86","Injection edaravone 1 mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J1303","226.28","Inj. ravulizumab-cwvz 10 mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J1322","241.42","Elosulfase alfa injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J1325","16.18","Epoprostenol injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J1335","38.45","Ertapenem injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J1364","73.40","Erythro lactobionate -500 mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J1380","8.73","Estradiol valerate 10 mg inj","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J1410","308.38","Inj estrogen conjugate 25 mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J1430","444.10","Ethanolamine oleate 100 mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J1439","1.10","Inj ferric carboxymaltos 1mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J1442","0.94","Inj filgrastim excl biosimil","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J1447","0.52","Inj tbo filgrastim 1 microg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J1450","12.87","Fluconazole","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J1453","1.39","Fosaprepitant injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J1454","259.75","Inj fosnetupitant palonoset","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J1458","397.86","Galsulfase injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J1459","41.22","Inj ivig privigen 500 mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J1460","40.95","Gamma globulin 1 cc inj","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J1555","13.89","Inj cuvitru 100 mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J1556","70.49","Inj imm glob bivigam 500mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J1557","55.21","Gammaplex injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J1559","10.50","Hizentra injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J1560","409.47","Gamma globulin > 10 cc inj","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J1561","40.82","Gamunex-c-gammaked","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J1566","64.09","Immune globulin powder","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J1568","40.47","Octagam injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J1569","39.75","Gammagard liquid injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J1570","14.51","Ganciclovir sodium injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J1571","58.45","Hepagam b im injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J1572","36.02","Flebogamma injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J1575","14.14","Hyqvia 100mg immuneglobulin","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J1580","2.05","Garamycin gentamicin inj","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J1602","20.17","Golimumab for iv use 1mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J1610","199.88","Glucagon hydrochloride-1 mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J1626","0.29","Granisetron hcl injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J1627","1.63","Inj granisetron xr 0.1 mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J1630","0.83","Haloperidol injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J1631","15.45","Haloperidol decanoate inj","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J1640","23.72","Hemin 1 mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J1642","0.02","Inj heparin sodium per 10 u","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J1644","0.25","Inj heparin sodium per 1000u","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J1645","11.73","Dalteparin sodium","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J1650","0.71","Inj enoxaparin sodium","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J1652","1.57","Fondaparinux sodium","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J1670","534.73","Tetanus immune globulin inj","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J1720","12.90","Hydrocortisone sodium succ i","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J1740","43.73","Ibandronate sodium injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J1742","242.01","Ibutilide fumarate injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J1743","542.89","Idursulfase injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J1745","55.70","Infliximab not biosimil 10mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J1746","58.38","Inj. ibalizumab-uiyk 10 mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J1750","14.36","Inj iron dextran","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J1756","0.21","Iron sucrose injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J1786","42.62","Imuglucerase injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J1800","3.40","Propranolol injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J1815","0.89","Insulin injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J1817","10.66","Insulin for insulin pump use","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J1885","0.55","Ketorolac tromethamine inj","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J1930","65.85","Lanreotide injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J1931","32.15","Laronidase injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J1940","0.63","Furosemide injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J1943","2.78","Inj. aristada initio 1 mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J1944","2.71","Aripirazole lauroxil 1 mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J1950","1299.24","Leuprolide acetate -3.75 mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J1953","0.10","Levetiracetam injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J1955","20.45","Inj levocarnitine per 1 gm","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J1956","0.43","Levofloxacin injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J1980","31.60","Hyoscyamine sulfate inj","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J2001","0.03","Lidocaine injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J2010","12.23","Lincomycin injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J2020","6.23","Linezolid injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J2060","0.75","Lorazepam injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J2150","2.11","Mannitol injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J2175","5.00","Meperidine hydrochl -100 mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J2182","28.76","Injection mepolizumab 1mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J2185","0.81","Meropenem","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J2210","17.93","Methylergonovin maleate inj","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J2248","1.08","Micafungin sodium injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J2250","0.11","Inj midazolam hydrochloride","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J2260","1.66","Inj milrinone lactate - 5 mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J2270","3.73","Morphine sulfate injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J2274","11.60","Inj morphine pf epid ithc","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J2278","8.24","Ziconotide injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J2280","8.83","Inj moxifloxacin 100 mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J2300","2.60","Inj nalbuphine hydrochloride","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J2310","12.36","Inj naloxone hydrochloride","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J2315","3.23","Naltrexone depot form","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J2323","20.88","Natalizumab injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J2350","57.42","Injection ocrelizumab 1 mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J2353","206.08","Octreotide injection depot","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J2354","0.85","Octreotide inj non-depot","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J2357","37.15","Omalizumab injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J2358","2.92","Olanzapine long-acting inj","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J2360","7.71","Orphenadrine injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J2400","26.40","Chloroprocaine hcl injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J2405","0.09","Ondansetron hcl injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J2407","23.27","Injection oritavancin","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J2425","21.23","Palifermin injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J2426","11.62","Paliperidone palmitate inj","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J2430","10.34","Pamidronate disodium -30 mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J2469","3.39","Palonosetron hcl","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J2501","0.83","Paricalcitol","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J2503","721.96","Pegaptanib sodium injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J2505","3983.14","Injection pegfilgrastim 6mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J2507","2590.90","Pegloticase injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J2510","29.68","Penicillin g procaine inj","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J2515","37.25","Pentobarbital sodium inj","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J2540","1.06","Penicillin g potassium inj","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J2543","1.83","Piperacillin-tazobactam","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J2545","123.31","Pentamidine non-comp unit","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J2550","1.97","Promethazine hcl injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J2560","41.93","Phenobarbital sodium inj","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J2562","347.81","Plerixafor injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J2597","11.30","Inj desmopressin acetate","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J2675","1.69","Inj progesterone per 50 mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J2680","11.21","Fluphenazine decanoate 25 mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J2690","97.32","Procainamide hcl injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J2700","1.11","Oxacillin sodium injeciton","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J2704","0.11","Inj propofol 10 mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J2720","0.92","Inj protamine sulfate-10 mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J2724","15.06","Protein c concentrate","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J2760","378.75","Phentolaine mesylate inj","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J2765","1.24","Metoclopramide hcl injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J2770","416.42","Quinupristin-dalfopristin","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J2778","343.31","Ranibizumab injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J2780","3.84","Ranitidine hydrochloride inj","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J2783","292.71","Rasburicase","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J2785","59.37","Regadenoson injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J2786","9.79","Injection reslizumab 1mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J2788","26.13","Rho d immune globulin 50 mcg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J2790","77.56","Rho d immune globulin inj","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J2791","4.75","Rhophylac injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J2792","28.74","Rho(d) immune globulin h sd","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J2794","10.05","Inj risperdal consta 0.5 mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J2795","0.08","Ropivacaine hcl injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J2796","74.66","Romiplostim injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J2798","9.77","Inj. perseris 0.5 mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J2800","7.23","Methocarbamol injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J2805","112.22","Sincalide injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J2820","46.77","Sargramostim injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J2860","113.43","Injection siltuximab","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J2916","1.97","Na ferric gluconate complex","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J2920","4.48","Methylprednisolone injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J2930","6.39","Methylprednisolone injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J2997","87.70","Alteplase recombinant","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J3000","31.30","Streptomycin injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J3010","0.79","Fentanyl citrate injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J3060","39.69","Inj taliglucerase alfa 10 u","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J3090","1.56","Inj tedizolid phosphate","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J3095","5.27","Telavancin injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J3101","125.55","Tenecteplase injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J3105","2.05","Terbutaline sulfate inj","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J3111","9.04","Inj. romosozumab-aqqg 1 mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J3121","0.05","Inj testostero enanthate 1mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J3145","1.50","Testosterone undecanoate 1mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J3230","31.16","Chlorpromazine hcl injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J3240","1700.91","Thyrotropin injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J3243","1.62","Tigecycline injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J3245","134.88","Inj. tildrakizumab 1 mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J3250","36.62","Trimethobenzamide hcl inj","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J3260","3.97","Tobramycin sulfate injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J3262","5.09","Tocilizumab injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J3285","61.64","Treprostinil injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J3300","3.83","Triamcinolone a inj prs-free","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J3301","1.50","Triamcinolone acet inj nos","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J3304","18.63","Inj triamcinolone ace xr 1mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J3315","268.43","Triptorelin pamoate","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J3357","185.77","Ustekinumab sub cu inj 1 mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J3358","11.87","Ustekinumab iv inject 1 mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J3360","9.40","Diazepam injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J3370","2.97","Vancomycin hcl injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J3380","20.17","Injection vedolizumab","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J3385","345.73","Velaglucerase alfa","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J3396","11.11","Verteporfin injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J3410","6.33","Hydroxyzine hcl injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J3411","3.04","Thiamine hcl 100 mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J3415","7.93","Pyridoxine hcl 100 mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J3420","2.26","Vitamin b12 injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J3430","4.11","Vitamin k phytonadione inj","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J3465","1.75","Injection voriconazole","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J3471","0.43","Ovine up to 999 usp units","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J3473","0.36","Hyaluronidase recombinant","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J3475","0.55","Inj magnesium sulfate","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J3480","0.13","Inj potassium chloride","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J3485","1.51","Zidovudine","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J3486","16.83","Ziprasidone mesylate","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J3489","13.29","Zoledronic acid 1mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J7030","2.59","Normal saline solution infus","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J7040","1.30","Normal saline solution infus","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J7042","1.02","5% dextrose-normal saline","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J7050","0.65","Normal saline solution infus","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J7060","1.90","5% dextrose-water","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J7070","3.77","D5w infusion","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J7120","2.41","Ringers lactate infusion","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J7170","47.31","Inj. emicizumab-kxwh 0.5 mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J7175","7.52","Inj factor x (human) 1iu","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J7177","1.09","Inj. fibryga 1 mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J7178","1.24","Inj human fibrinogen con nos","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J7179","1.85","Vonvendi inj 1 iu vwf:rco","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J7180","8.80","Factor xiii anti-hem factor","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J7181","15.32","Factor xiii recomb a-subunit","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J7182","1.29","Factor viii recomb novoeight","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J7183","1.06","Wilate injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J7185","1.26","Xyntha inj","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J7186","1.08","Antihemophilic viii-vwf comp","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J7187","1.21","Humate-p inj","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J7188","3.19","Factor viii recomb obizur","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J7189","2.17","Factor viia","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J7190","1.05","Factor viii","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J7192","1.27","Factor viii recombinant nos","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J7193","1.16","Factor ix non-recombinant","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J7194","1.51","Factor ix complex","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J7195","1.52","Factor ix recombinant nos","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J7197","3.61","Antithrombin iii injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J7198","1.93","Anti-inhibitor","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J7200","1.37","Factor ix recombinan rixubis","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J7201","3.13","Factor ix alprolix recomb","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J7202","4.45","Factor ix idelvion inj","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J7203","3.98","Factor ix recomb gly rebinyn","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J7205","2.10","Factor viii fc fusion recomb","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J7207","1.72","Factor viii pegylated recomb","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J7208","2.01","Inj. jivi 1 iu","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J7209","1.32","Factor viii nuwiq recomb 1iu","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J7210","1.36","Inj afstyla 1 i.u.","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J7211","1.23","Inj kovaltry 1 i.u.","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J7308","395.24","Aminolevulinic acid hcl top","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J7311","339.44","Inj. retisert 0.01 mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J7312","199.59","Dexamethasone intra implant","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J7313","490.80","Inj. iluvien 0.01 mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J7316","1046.93","Inj ocriplasmin 0.125 mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J7321","82.64","Hyalgan supartz visco-3 dose","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J7323","141.22","Euflexxa inj per dose","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J7324","135.03","Orthovisc inj per dose","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J7325","11.00","Synvisc or synvisc-one","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J7327","739.86","Monovisc inj per dose","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J7336","3.25","Capsaicin 8% patch","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J7340","222.05","Carbidopa levodopa ent 100ml","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J7342","29.97","Ciprofloxacin otic susp 6 mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J7345","1.44","Aminolevulinic acid 10% gel","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J7500","0.69","Azathioprine oral 50mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J7502","2.58","Cyclosporine oral 100 mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J7503","1.35","Tacrol envarsus ex rel oral","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J7504","2053.22","Lymphocyte immune globulin","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J7507","0.74","Tacrolimus imme rel oral 1mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J7508","0.48","Tacrol astagraf ex rel oral","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J7509","0.42","Methylprednisolone oral","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J7510","0.10","Prednisolone oral per 5 mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J7511","770.52","Antithymocyte globuln rabbit","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J7512","0.02","Prednisone ir or dr oral 1mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J7515","0.65","Cyclosporine oral 25 mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J7516","58.57","Cyclosporin parenteral 250mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J7517","0.52","Mycophenolate mofetil oral","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J7518","2.76","Mycophenolic acid","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J7520","5.61","Sirolimus oral","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J7525","211.75","Tacrolimus injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J7527","8.97","Oral everolimus","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J7605","10.73","Arformoterol non-comp unit","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J7606","12.02","Formoterol fumarate inh","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J7608","5.50","Acetylcysteine non-comp unit","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J7611","0.26","Albuterol non-comp con","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J7612","0.31","Levalbuterol non-comp con","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J7613","0.04","Albuterol non-comp unit","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J7614","0.06","Levalbuterol non-comp unit","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J7620","0.13","Albuterol ipratrop non-comp","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J7626","1.74","Budesonide non-comp unit","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J7631","2.14","Cromolyn sodium noncomp unit","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J7639","47.79","Dornase alfa non-comp unit","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J7644","0.21","Ipratropium bromide non-comp","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J7674","0.76","Methacholine chloride neb","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J7682","34.25","Tobramycin non-comp unit","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J7686","612.96","Treprostinil non-comp unit","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J8501","4.73","Oral aprepitant","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J8520","0.62","Capecitabine oral 150 mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J8521","2.46","Capecitabine oral 500 mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J8530","2.45","Cyclophosphamide oral 25 mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J8540","0.07","Oral dexamethasone","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J8560","74.61","Etoposide oral 50 mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J8610","0.23","Methotrexate oral 2.5 mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J8655","221.85","Oral netupitant palonosetro","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J8670","2.59","Rolapitant oral 1mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J8700","0.63","Temozolomide","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J8705","103.69","Topotecan oral","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J9000","3.00","Doxorubicin hcl injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J9017","30.23","Arsenic trioxide injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J9019","414.83","Erwinaze injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J9022","77.40","Inj atezolizumab10 mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J9023","84.24","Injection avelumab 10 mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J9025","0.89","Azacitidine injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J9027","64.58","Clofarabine injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J9030","2.81","Bcg live intravesical 1mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J9032","41.18","Injection belinostat 10mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J9033","26.21","Inj. treanda 1 mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J9034","21.18","Inj. bendeka 1 mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J9035","79.56","Bevacizumab injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J9036","20.42","Inj. belrapzo-bendamustine","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J9039","113.28","Injection blinatumomab","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J9040","25.47","Bleomycin sulfate injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J9041","45.05","Inj. velcade 0.1 mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J9042","168.90","Brentuximab vedotin inj","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J9043","176.74","Cabazitaxel injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J9044","27.35","Inj bortezomib nos 0.1 mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J9045","2.79","Carboplatin injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J9047","37.58","Injection carfilzomib 1 mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J9050","1927.69","Carmustine injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J9055","62.95","Cetuximab injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J9060","1.91","Cisplatin 10 mg injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J9065","18.64","Inj cladribine per 1 mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J9070","31.85","Cyclophosphamide 100 mg inj","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J9100","0.66","Cytarabine hcl 100 mg inj","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J9119","27.42","Inj. cemiplimab-rwlc 1 mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J9120","975.14","Dactinomycin injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J9130","4.24","Dacarbazine 100 mg inj","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J9145","54.15","Injection daratumumab 10 mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J9150","46.34","Daunorubicin injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J9153","198.08","Inj daunorubicin cytarabine","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J9155","3.87","Degarelix injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J9171","1.04","Docetaxel injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J9173","75.49","Inj. durvalumab 10 mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J9176","6.58","Injection elotuzumab 1mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J9178","1.21","Inj epirubicin hcl 2 mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J9179","116.66","Eribulin mesylate injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J9181","0.61","Etoposide injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J9185","44.74","Fludarabine phosphate inj","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J9190","1.75","Fluorouracil injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J9200","77.31","Floxuridine injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J9201","3.86","In gemcitabine hcl nos 200mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J9202","500.31","Goserelin acetate implant","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J9203","199.52","Gemtuzumab ozogamicin 0.1 mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J9204","200.87","Inj mogamulizumab-kpkc 1 mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J9205","49.78","Inj irinotecan liposome 1 mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J9206","2.49","Irinotecan injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J9207","99.37","Ixabepilone injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J9208","26.25","Ifosfamide injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J9209","0.68","Mesna injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J9211","33.11","Idarubicin hcl injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J9214","33.55","Interferon alfa-2b inj","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J9217","235.37","Leuprolide acetate suspnsion","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J9218","12.39","Leuprolide acetate injeciton","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J9225","4306.11","Vantas implant","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J9226","38257.81","Supprelin la implant","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J9228","155.23","Ipilimumab injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J9229","2273.57","Inj inotuzumab ozogam 0.1 mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J9245","521.37","Inj melphalan hydrochl 50 mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J9250","0.24","Methotrexate sodium inj","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J9260","2.35","Methotrexate sodium inj","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J9261","152.53","Nelarabine injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J9262","3.11","Inj omacetaxine mep 0.01mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J9263","0.14","Oxaliplatin","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J9264","12.72","Paclitaxel protein bound","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J9266","18010.64","Pegaspargase injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J9267","0.13","Paclitaxel injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J9268","2054.65","Pentostatin injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J9271","50.02","Inj pembrolizumab","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J9280","64.63","Mitomycin injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J9285","52.07","Inj olaratumab 10 mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J9293","29.42","Mitoxantrone hydrochl - 5 mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J9295","5.73","Injection necitumumab 1 mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J9299","28.16","Injection nivolumab","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J9301","63.48","Obinutuzumab inj","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J9302","60.02","Ofatumumab injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J9303","118.58","Panitumumab injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J9305","70.53","Pemetrexed injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J9306","12.64","Injection pertuzumab 1 mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J9307","297.18","Pralatrexate injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J9308","59.53","Injection ramucirumab","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J9309","112.42","Inj polatuzumab vedotin 1mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J9311","42.43","Inj rituximab hyaluronidase","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J9312","94.18","Inj. rituximab 10 mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J9315","300.08","Romidepsin injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J9320","351.45","Streptozocin injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J9325","51.53","Inj talimogene laherparepvec","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J9328","10.38","Temozolomide injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J9330","45.18","Temsirolimus injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J9340","440.04","Thiotepa injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J9351","0.88","Topotecan injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J9352","312.94","Injection trabectedin 0.1mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J9354","32.06","Inj ado-trastuzumab emt 1mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J9355","104.20","Inj trastuzumab excl biosimi","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J9356","77.99","Inj. herceptin hylecta 10mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J9357","1402.86","Valrubicin injection","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J9360","3.87","Vinblastine sulfate inj","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J9370","4.87","Vincristine sulfate 1 mg inj","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J9371","3075.83","Inj vincristine sul lip 1mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J9390","3.72","Vinorelbine tartrate inj","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J9395","56.46","Injection fulvestrant","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"J9400","8.45","Inj ziv-aflibercept 1mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"P9041","10.49","Albumin (human)5% 50ml","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"P9045","52.45","Albumin (human) 5% 250 ml","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"P9046","20.98","Albumin (human) 25% 20 ml","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"P9047","52.45","Albumin (human) 25% 50ml","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"Q0138","1.07","Ferumoxytol non-esrd","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"Q0139","1.07","Ferumoxytol esrd use","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"Q0162","0.03","Ondansetron oral","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"Q0164","0.24","Prochlorperazine maleate 5mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"Q0166","0.73","Granisetron hcl 1 mg oral","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"Q0167","0.78","Dronabinol 2.5mg oral","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"Q2043","47986.31","Sipuleucel-t auto cd54+","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"Q2050","304.72","Doxorubicin inj 10mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"Q3027","53.22","Inj beta interferon im 1 mcg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"Q4074","140.13","Iloprost non-comp unit dose","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"Q4081","1.00","Epoetin alfa 100 units esrd","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"Q4101","30.48","Apligraf","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"Q4102","10.78","Oasis wound matrix","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"Q4106","32.10","Dermagraft","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"Q4110","44.24","Primatrix","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"Q4111","6.97","Gammagraft","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"Q4115","19.56","Alloskin","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"Q4121","42.53","Theraskin","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"Q4132","118.21","Grafix core grafixpl core","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"Q4133","139.49","Grafix stravix prime pl sqcm","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"Q4137","71.65","Amnioexcel biodexcel 1sq cm","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"Q4145","16.27","Epifix inj 1mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"Q4151","128.35","Amnioband guardian 1 sq cm","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"Q4154","117.21","Biovance 1 square cm","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"Q4160","89.40","Nushield 1 square cm","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"Q4186","161.57","Epifix 1 sq cm","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"Q4195","113.56","Puraply 1 sq cm","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"Q4196","109.65","Puraply am 1 sq cm","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"Q5101","0.49","Injection zarxio","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"Q5103","47.78","Injection inflectra","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"Q5104","49.85","Injection renflexis","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"Q5105","0.92","Inj retacrit esrd on dialysi","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"Q5106","7.19","Inj retacrit non-esrd use","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"Q5107","62.66","Inj mvasi 10 mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"Q5108","307.52","Injection fulphila","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"Q5110","0.63","Nivestym","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"Q5111","321.85","Injection udenyca 0.5 mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"Q5114","90.67","Inj ogivri 10 mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"Q5115","87.09","Inj truxima 10 mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"Q5116","83.16","Inj. trazimera 10 mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"Q5117","81.89","Inj. kanjinti 10 mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"Q5118","63.18","Inj. zirabev 10 mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"Q9950","19.06","Inj sulf hexa lipid microsph","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"Q9956","32.37","Inj octafluoropropane micml","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"Q9957","48.55","Inj perflutren lip microsml","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"Q9958","0.08","Hocm <=149 mg-ml iodine 1ml","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"Q9960","0.20","Hocm 200-249mg-ml iodine1ml","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"Q9961","0.25","Hocm 250-299mg-ml iodine1ml","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"Q9963","0.19","Hocm 350-399mg-ml iodine1ml","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"Q9965","0.87","Locm 100-199mg-ml iodine1ml","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"Q9966","0.33","Locm 200-299mg-ml iodine1ml","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"Q9967","0.12","Locm 300-399mg-ml iodine1ml","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"Q9991","1666.10","Buprenorph xr 100 mg or less","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","CPTRM",,,,,"Q9992","1666.10","Buprenorphine xr over 100 mg","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","UB92RM",,,,,"0350","300.00","CT Scan - General","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","UB92RM",,,,,"0351","300.00","CT Scan - Head","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","UB92RM",,,,,"0352","300.00","CT Scan - Body","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","UB92RM",,,,,"0359","300.00","CT Scan - Other","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","UB92RM",,,,,"0419","400.00","Respiratory Services - Other","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","UB92RM",,,,,"0800","450.00","Inpatient Renal Dialysis - General","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","UB92RM",,,,,"0801","450.00","Inpatient Renal Dialysis - Inpatient Hemodialysis","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","UB92RM",,,,,"0802","450.00","Inpatient Renal Dialysis - Inpatient Peritoneal Dialysis (Non CAPD)","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","UB92RM",,,,,"0803","450.00","Inpatient Renal Dialysis - Inpatient Continuous Ambulatory Peritoneal Dialysis (CAPD)","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","UB92RM",,,,,"0804","450.00","Inpatient Renal Dialysis - Inpatient Continuous Cycling Peritoneal Dialysis (CCPD)","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Carve Out Term","UB92RM",,,,,"0809","450.00","Inpatient Renal Dialysis - Other","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Standard Term","UB92RM",,,,,"0100","2022.00","All Inclusive Rate - Room & Board & Ancillary","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Standard Term","UB92RM",,,,,"0101","2022.00","All Inclusive Rate - Room & Board","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Standard Term","UB92RM",,,,,"0110","2022.00","Room and Board Private (one bed) - General","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Standard Term","UB92RM",,,,,"0111","2022.00","Room and Board Private (one bed) - Medical/Surgical/GYN","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Standard Term","UB92RM",,,,,"0112","2022.00","Room and Board Private (one bed) - OB","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Standard Term","UB92RM",,,,,"0113","2022.00","Room and Board Private (one bed) - Pediatric","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Standard Term","UB92RM",,,,,"0114","2022.00","Room and Board Private (one bed) - Psychiatric","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Standard Term","UB92RM",,,,,"0115","2022.00","Room and Board Private (one bed) - Hospice","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Standard Term","UB92RM",,,,,"0116","2022.00","Room and Board Private (one bed) - Detoxification","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Standard Term","UB92RM",,,,,"0117","2022.00","Room and Board Private (one bed) - Oncology","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Standard Term","UB92RM",,,,,"0118","1639.00","Room and Board Private (one bed) - Rehabilitation","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Standard Term","UB92RM",,,,,"0119","2022.00","Room and Board Private (one bed) - Other","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Standard Term","UB92RM",,,,,"0120","2022.00","Room and Board Semiprivate (two beds) - General","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Standard Term","UB92RM",,,,,"0121","2022.00","Room and Board Semiprivate (two beds) - Medical/Surgical/GYN","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Standard Term","UB92RM",,,,,"0122","2022.00","Room and Board Semiprivate (two beds) - OB","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Standard Term","UB92RM",,,,,"0123","2022.00","Room and Board Semiprivate (two beds) - Pediatric","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Standard Term","UB92RM",,,,,"0124","2022.00","Room and Board Semiprivate (two beds) - Psychiatric","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Standard Term","UB92RM",,,,,"0125","2022.00","Room and Board Semiprivate (two beds) - Hospice","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Standard Term","UB92RM",,,,,"0126","2022.00","Room and Board Semiprivate (two beds) - Detoxification","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Standard Term","UB92RM",,,,,"0127","2022.00","Room and Board Semiprivate (two beds) - Oncology","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Standard Term","UB92RM",,,,,"0128","1639.00","Room and Board Semiprivate (two beds) - Rehabilitation","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Standard Term","UB92RM",,,,,"0129","2022.00","Room and Board Semiprivate (two beds) - Other","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Standard Term","UB92RM",,,,,"0130","2022.00","Room and Board (3 and 4 beds) - General","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Standard Term","UB92RM",,,,,"0131","2022.00","Room and Board (3 and 4 beds) - Medical/Surgical/GYN","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Standard Term","UB92RM",,,,,"0132","2022.00","Room and Board (3 and 4 beds) - OB","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Standard Term","UB92RM",,,,,"0133","2022.00","Room and Board (3 and 4 beds) - Pediatric","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Standard Term","UB92RM",,,,,"0134","2022.00","Room and Board (3 and 4 beds) - Psychiatric","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Standard Term","UB92RM",,,,,"0135","2022.00","Room and Board (3 and 4 beds) - Hospice","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Standard Term","UB92RM",,,,,"0136","2022.00","Room and Board (3 and 4 beds) - Detoxification","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Standard Term","UB92RM",,,,,"0137","2022.00","Room and Board (3 and 4 beds) - Oncology","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Standard Term","UB92RM",,,,,"0138","1639.00","Room and Board (3 and 4 beds) - Rehabilitation","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Standard Term","UB92RM",,,,,"0139","2022.00","Room and Board (3 and 4 beds) - Other","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Standard Term","UB92RM",,,,,"0140","2022.00","Room and Board Deluxe Private - General","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Standard Term","UB92RM",,,,,"0141","2022.00","Room and Board Deluxe Private - Medical/Surgical/GYN","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Standard Term","UB92RM",,,,,"0142","2022.00","Room and Board Deluxe Private - OB","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Standard Term","UB92RM",,,,,"0143","2022.00","Room and Board Deluxe Private - Pediatric","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Standard Term","UB92RM",,,,,"0144","2022.00","Room and Board Deluxe Private - Psychiatric","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Standard Term","UB92RM",,,,,"0145","2022.00","Room and Board Deluxe Private - Hospice","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Standard Term","UB92RM",,,,,"0146","2022.00","Room and Board Deluxe Private - Detoxification","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Standard Term","UB92RM",,,,,"0147","2022.00","Room and Board Deluxe Private - Oncology","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Standard Term","UB92RM",,,,,"0148","1639.00","Room and Board Deluxe Private - Rehabilitation","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Standard Term","UB92RM",,,,,"0149","2022.00","Room and Board Deluxe Private - Other","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Standard Term","UB92RM",,,,,"0150","2022.00","Room and Board Ward - General","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Standard Term","UB92RM",,,,,"0151","2022.00","Room and Board Ward - Medical/Surgical/GYN","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Standard Term","UB92RM",,,,,"0152","2022.00","Room and Board Ward - OB","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Standard Term","UB92RM",,,,,"0153","2022.00","Room and Board Ward - Pediatric","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Standard Term","UB92RM",,,,,"0154","2022.00","Room and Board Ward - Psychiatric","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Standard Term","UB92RM",,,,,"0155","2022.00","Room and Board Ward - Hospice","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Standard Term","UB92RM",,,,,"0156","2022.00","Room and Board Ward - Detoxification","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Standard Term","UB92RM",,,,,"0157","2022.00","Room and Board Ward - Oncology","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Standard Term","UB92RM",,,,,"0158","1639.00","Room and Board Ward - Rehabilitation","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Standard Term","UB92RM",,,,,"0159","2022.00","Room and Board Ward - Other","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Standard Term","UB92RM",,,,,"0160","2022.00","Other Room and Board - General","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Standard Term","UB92RM",,,,,"0164","2022.00","Other Room and Board - Sterile","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Standard Term","UB92RM",,,,,"0167","2022.00","Other Room and Board - Self Care","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Standard Term","UB92RM",,,,,"0169","2022.00","Other Room and Board - Other","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Standard Term","UB92RM",,,,,"0200","2513.00","Intensive Care Unit - General","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Standard Term","UB92RM",,,,,"0201","2513.00","Intensive Care Unit - Surgical","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Standard Term","UB92RM",,,,,"0202","2513.00","Intensive Care Unit - Medical ","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Standard Term","UB92RM",,,,,"0203","2513.00","Intensive Care Unit - Pediatric","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Standard Term","UB92RM",,,,,"0206","2295.00","Intensive Care Unit - Intermediate ICU","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Standard Term","UB92RM",,,,,"0207","2513.00","Intensive Care Unit - Burn care","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Standard Term","UB92RM",,,,,"0208","2513.00","Intensive Care Unit - Trauma","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Standard Term","UB92RM",,,,,"0209","2513.00","Intensive Care Unit - Other","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Standard Term","UB92RM",,,,,"0210","2513.00","Coronary Care Unit - General","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Standard Term","UB92RM",,,,,"0211","2513.00","Coronary Care Unit - Myocardial Infarction","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Standard Term","UB92RM",,,,,"0212","2513.00","Coronary Care Unit - Pulmonary Care","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Standard Term","UB92RM",,,,,"0213","2513.00","Coronary Care Unit - Heart Transplant","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Standard Term","UB92RM",,,,,"0214","2295.00","Coronary Care Unit - Intermediate CCU","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Mitigate Partners Fair Cost Health Plan","HD All","I","Standard Term","UB92RM",,,,,"0219","2513.00","Coronary Care Unit - Other","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD Multiplan","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"[Billed Amount] <= '0'","0",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD Multiplan","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"AND Calculated Reimbursement > Claim Billed Amount","100",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD Multiplan","I","Standard Term","PercentOfChargeRM",,,,,,,,,,,,,,"","65",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD Multiplan","I","Standard Term","PercentOfChargeRM",,,,,,,,,,,,,,"","70",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD Multiplan","I","Standard Term","PercentOfChargeRM",,,,,,,,,,,,,,"","71",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD Multiplan","I","Standard Term","PercentOfChargeRM",,,,,,,,,,,,,,"","72",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD Multiplan","I","Standard Term","PercentOfChargeRM",,,,,,,,,,,,,,"","73",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD Multiplan","I","Standard Term","PercentOfChargeRM",,,,,,,,,,,,,,"","74",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD Multiplan","I","Standard Term","PercentOfChargeRM",,,,,,,,,,,,,,"","75",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD Multiplan","Outpatient","Standard Term","PercentOfChargeRM",,,,,,,,,,,,,,"","65",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD Multiplan","Outpatient","Standard Term","PercentOfChargeRM",,,,,,,,,,,,,,"","70",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD Multiplan","Outpatient","Standard Term","PercentOfChargeRM",,,,,,,,,,,,,,"","71",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD Multiplan","Outpatient","Standard Term","PercentOfChargeRM",,,,,,,,,,,,,,"","72",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD Multiplan","Outpatient","Standard Term","PercentOfChargeRM",,,,,,,,,,,,,,"","73",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD Multiplan","Outpatient","Standard Term","PercentOfChargeRM",,,,,,,,,,,,,,"","74",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD Multiplan","Outpatient","Standard Term","PercentOfChargeRM",,,,,,,,,,,,,,"","75",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD PHCS","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"[Billed Amount] <= '0'","0",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD PHCS","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"AND Accumulated Daily Charges >= 100000","70",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD PHCS","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"AND Accumulated Daily Charges >= 101925","69",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD PHCS","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"AND Accumulated Daily Charges >= 102009","69",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD PHCS","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"AND Accumulated Daily Charges >= 102112","69",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD PHCS","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"AND Accumulated Daily Charges >= 102224","68",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD PHCS","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"AND Accumulated Daily Charges >= 102252","67",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD PHCS","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"AND Accumulated Daily Charges >= 102383","68",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD PHCS","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"AND Accumulated Daily Charges >= 102439","68",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD PHCS","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"AND Accumulated Daily Charges >= 102449","68",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD PHCS","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"AND Accumulated Daily Charges >= 102467","68",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD PHCS","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"AND Accumulated Daily Charges >= 102794","68",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD PHCS","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"AND Accumulated Daily Charges >= 102813","68",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD PHCS","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"AND Accumulated Daily Charges >= 102907","68",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD PHCS","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"AND Accumulated Daily Charges >= 103093","68",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD PHCS","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"AND Accumulated Daily Charges >= 103271","68",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD PHCS","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"AND Accumulated Daily Charges >= 103374","68",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD PHCS","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"AND Accumulated Daily Charges >= 103383","68",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD PHCS","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"AND Accumulated Daily Charges >= 103533","68",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD PHCS","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"AND Accumulated Daily Charges >= 103542","68",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD PHCS","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"AND Accumulated Daily Charges >= 103607","68",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD PHCS","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"AND Accumulated Daily Charges >= 103645","67",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD PHCS","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"AND Accumulated Daily Charges >= 103645","68",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD PHCS","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"AND Accumulated Daily Charges >= 103692","68",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD PHCS","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"AND Accumulated Daily Charges >= 103869","67",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD PHCS","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"AND Accumulated Daily Charges >= 103879","67",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD PHCS","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"AND Accumulated Daily Charges >= 103916","67",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD PHCS","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"AND Accumulated Daily Charges >= 103944","67",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD PHCS","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"AND Accumulated Daily Charges >= 103953","67",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD PHCS","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"AND Accumulated Daily Charges >= 104131","67",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD PHCS","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"AND Accumulated Daily Charges >= 104206","67",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD PHCS","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"AND Accumulated Daily Charges >= 104234","67",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD PHCS","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"AND Accumulated Daily Charges >= 104262","67",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD PHCS","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"AND Accumulated Daily Charges >= 104299","67",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD PHCS","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"AND Accumulated Daily Charges >= 104327","67",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD PHCS","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"AND Accumulated Daily Charges >= 104346","67",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD PHCS","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"AND Accumulated Daily Charges >= 104383","67",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD PHCS","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"AND Accumulated Daily Charges >= 104430","67",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD PHCS","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"AND Accumulated Daily Charges >= 104748","67",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD PHCS","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"AND Accumulated Daily Charges >= 104748","68",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD PHCS","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"AND Accumulated Daily Charges >= 104832","67",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD PHCS","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"AND Accumulated Daily Charges >= 104935","67",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD PHCS","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"AND Accumulated Daily Charges >= 104953","67",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD PHCS","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"AND Accumulated Daily Charges >= 105019","67",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD PHCS","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"AND Accumulated Daily Charges >= 105757","66",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD PHCS","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"AND Accumulated Daily Charges >= 107000","65",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD PHCS","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"AND Accumulated Daily Charges >= 107084","65",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD PHCS","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"AND Accumulated Daily Charges >= 107318","65",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD PHCS","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"AND Accumulated Daily Charges >= 115215","61",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD PHCS","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"AND Calculated Reimbursement > Claim Billed Amount * 0.70","70",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD PHCS","I","Carve Out Term","UB92RM",,,,,"0350","600.00","CT Scan - General","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD PHCS","I","Carve Out Term","UB92RM",,,,,"0351","600.00","CT Scan - Head","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD PHCS","I","Carve Out Term","UB92RM",,,,,"0352","600.00","CT Scan - Body","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD PHCS","I","Carve Out Term","UB92RM",,,,,"0359","600.00","CT Scan - Other","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD PHCS","I","Carve Out Term","UB92RM",,,,,"0800","470.00","Inpatient Renal Dialysis - General","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD PHCS","I","Carve Out Term","UB92RM",,,,,"0801","470.00","Inpatient Renal Dialysis - Inpatient Hemodialysis","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD PHCS","I","Carve Out Term","UB92RM",,,,,"0802","470.00","Inpatient Renal Dialysis - Inpatient Peritoneal Dialysis (Non CAPD)","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD PHCS","I","Carve Out Term","UB92RM",,,,,"0803","470.00","Inpatient Renal Dialysis - Inpatient Continuous Ambulatory Peritoneal Dialysis (CAPD)","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD PHCS","I","Carve Out Term","UB92RM",,,,,"0804","470.00","Inpatient Renal Dialysis - Inpatient Continuous Cycling Peritoneal Dialysis (CCPD)","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD PHCS","I","Carve Out Term","UB92RM",,,,,"0809","470.00","Inpatient Renal Dialysis - Other","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD PHCS","I","Carve Out Term","UB92RM",,,,,"0820","470.00","Hemodialysis-Outpatient or Home - General","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD PHCS","I","Carve Out Term","UB92RM",,,,,"0821","470.00","Hemodialysis-Outpatient or Home - Composite or Other Rate","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD PHCS","I","Carve Out Term","UB92RM",,,,,"0822","470.00","Hemodialysis-Outpatient or Home - Home Supplies","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD PHCS","I","Carve Out Term","UB92RM",,,,,"0823","470.00","Hemodialysis-Outpatient or Home - Home Equipment","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD PHCS","I","Carve Out Term","UB92RM",,,,,"0824","470.00","Hemodialysis-Outpatient or Home - Home Maintenance 100%","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD PHCS","I","Carve Out Term","UB92RM",,,,,"0825","470.00","Hemodialysis-Outpatient or Home - Home Support Services","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD PHCS","I","Carve Out Term","UB92RM",,,,,"0829","470.00","Hemodialysis-Outpatient or Home - Other","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD PHCS","I","Carve Out Term","UB92RM",,,,,"0830","470.00","Peritoneal Dialysis-Outpatient or Home - General","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD PHCS","I","Carve Out Term","UB92RM",,,,,"0831","470.00","Peritoneal Dialysis-Outpatient or Home - Composite or Other Rate","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD PHCS","I","Carve Out Term","UB92RM",,,,,"0832","470.00","Peritoneal Dialysis-Outpatient or Home - Home Supplies","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD PHCS","I","Carve Out Term","UB92RM",,,,,"0833","470.00","Peritoneal Dialysis-Outpatient or Home - Home Equipment","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD PHCS","I","Carve Out Term","UB92RM",,,,,"0834","470.00","Peritoneal Dialysis-Outpatient or Home - Home Maintenance 100%","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD PHCS","I","Carve Out Term","UB92RM",,,,,"0835","470.00","Peritoneal Dialysis-Outpatient or Home - Home Support Services","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD PHCS","I","Carve Out Term","UB92RM",,,,,"0839","470.00","Peritoneal Dialysis-Outpatient or Home - Other","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD PHCS","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Detoxification Per Diem","1700.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD PHCS","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Hospice Per Diem","1700.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD PHCS","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"ICU CCU Per Diem","2200.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD PHCS","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Intermediate ICU CCU Per Diem","2200.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD PHCS","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Med Surg Per Diem","1700.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD PHCS","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Nursery ICU Per Diem","1700.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD PHCS","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Nursery Per Diem","1700.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD PHCS","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Psychiatric Per Diem","1700.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD PHCS","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Rehabilitation Per Diem","1700.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD PHCS","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Subacute Per Diem","1700.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD PHCS","I","Standard Term","PercentOfChargeRM",,,,,,,,,,,,,,"[UBRev Code] IN ('0114' '0124' '0134' '0144' '0154' '1000' '1001') OR [Final DRG] IN ('880' '881' '882' '883' '884' '885' '886' '887')","73",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD PHCS","Outpatient","Standard Term","PercentOfChargeRM",,,,,,,,,,,,,,"","61",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD PHCS","Outpatient","Standard Term","PercentOfChargeRM",,,,,,,,,,,,,,"","65",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD PHCS","Outpatient","Standard Term","PercentOfChargeRM",,,,,,,,,,,,,,"","66",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD PHCS","Outpatient","Standard Term","PercentOfChargeRM",,,,,,,,,,,,,,"","67",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD PHCS","Outpatient","Standard Term","PercentOfChargeRM",,,,,,,,,,,,,,"","68",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD PHCS","Outpatient","Standard Term","PercentOfChargeRM",,,,,,,,,,,,,,"","69",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","MultiPlan","HD PHCS","Outpatient","Standard Term","PercentOfChargeRM",,,,,,,,,,,,,,"","70",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","NaphCare of Florida","HD","I","Carve Out Term","UB92RM",,,,,"0419","400.00",,"Case Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","NaphCare of Florida","HD","I","Carve Out Term","UB92RM",,,,,"0636","35.00",,"Percent of Charges","100",,,,,"AND Sum of Fee Schedule Charges > 4000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","NaphCare of Florida","HD","I","Carve Out Term","UB92RM",,,,,"0800","470.00",,"Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","NaphCare of Florida","HD","I","Carve Out Term","UB92RM",,,,,"0801","470.00",,"Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","NaphCare of Florida","HD","I","Carve Out Term","UB92RM",,,,,"0802","470.00",,"Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","NaphCare of Florida","HD","I","Carve Out Term","UB92RM",,,,,"0803","470.00",,"Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","NaphCare of Florida","HD","I","Carve Out Term","UB92RM",,,,,"0804","470.00",,"Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","NaphCare of Florida","HD","I","Carve Out Term","UB92RM",,,,,"0809","470.00",,"Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","NaphCare of Florida","HD","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"ICU CCU Per Diem","2250.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","NaphCare of Florida","HD","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Intermediate ICU CCU Per Diem","2050.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","NaphCare of Florida","HD","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Med Surg Per Diem","1850.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"[Billed Amount] <= '0'","0",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/90371","119.09","Hep b ig im--1 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/90371","126.28","Hep b ig im--1 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/90371","126.86","Hep b ig im--1 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/90375","271.37","Rabies ig im-sc--150 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/90375","273.04","Rabies ig im-sc--150 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/90375","336.55","Rabies ig im-sc--150 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/90376","237.37","Rabies ig heat treated--150 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/90376","310.58","Rabies ig heat treated--150 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/90376","331.80","Rabies ig heat treated--150 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/90586","139.63","Bcg vaccine intravesical--1 EACH","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/90586","142.50","Bcg vaccine intravesical--1 EACH","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/90586","142.79","Bcg vaccine intravesical--1 EACH","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/90632","58.44","Hepa vaccine adult im--1 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/90632","58.76","Hepa vaccine adult im--1 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/90632","60.70","Hepa vaccine adult im--1 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/90653","59.53","Iiv adjuvant vaccine im--0.5 ml","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/90653","59.53","Iiv adjuvant vaccine im--0.5 ml","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/90653","59.53","Iiv adjuvant vaccine im--0.5 ml","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/90662","60.98","Iiv no prsv increased ag im--0.5 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/90662","60.98","Iiv no prsv increased ag im--0.5 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/90662","60.98","Iiv no prsv increased ag im--0.5 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/90670","230.14","Pcv13 vaccine im--0.5 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/90670","230.14","Pcv13 vaccine im--0.5 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/90670","241.38","Pcv13 vaccine im--0.5 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/90672","26.88","Laiv4 vaccine intranasal--0.2 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/90672","26.88","Laiv4 vaccine intranasal--0.2 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/90672","26.88","Laiv4 vaccine intranasal--0.2 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/90674","29.23","Cciiv4 vac no prsv 0.5 ml im--0.5 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/90674","29.23","Cciiv4 vac no prsv 0.5 ml im--0.5 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/90674","29.23","Cciiv4 vac no prsv 0.5 ml im--0.5 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/90675","303.24","Rabies vaccine im--1 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/90675","318.06","Rabies vaccine im--1 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/90675","347.18","Rabies vaccine im--1 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/90682","60.98","Riv4 vacc recombinant dna im--0.5 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/90682","60.98","Riv4 vacc recombinant dna im--0.5 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/90682","60.98","Riv4 vacc recombinant dna im--0.5 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/90685","21.13","Iiv4 vacc no prsv 0.25 ml im--0.25 mL","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/90685","21.13","Iiv4 vacc no prsv 0.25 ml im--0.25 mL","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/90685","21.13","Iiv4 vacc no prsv 0.25 ml im--0.25 mL","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/90686","19.58","Iiv4 vacc no prsv 0.5 ml im--0.5 ml","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/90686","19.58","Iiv4 vacc no prsv 0.5 ml im--0.5 ml","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/90686","19.58","Iiv4 vacc no prsv 0.5 ml im--0.5 ml","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/90687","9.58","Iiv4 vaccine splt 0.25 ml im--0.25 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/90687","9.58","Iiv4 vaccine splt 0.25 ml im--0.25 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/90687","9.58","Iiv4 vaccine splt 0.25 ml im--0.25 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/90688","19.17","Iiv4 vaccine splt 0.5 ml im--0.5 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/90688","19.17","Iiv4 vaccine splt 0.5 ml im--0.5 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/90688","19.17","Iiv4 vaccine splt 0.5 ml im--0.5 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/90691","123.68","Typhoid vaccine im--0.5 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/90691","75.16","Typhoid vaccine im--0.5 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/90694","61.00","Vacc AIIV4 no prsrv 0.5ML IM--0.5 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/90694","61.00","Vacc AIIV4 no prsrv 0.5ML IM--0.5 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/90694","61.00","Vacc AIIV4 no prsrv 0.5ML IM--0.5 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/90714","25.10","Td vacc no presv 7 yrs+ im--0.5 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/90714","25.27","Td vacc no presv 7 yrs+ im--0.5 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/90714","25.37","Td vacc no presv 7 yrs+ im--0.5 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/90715","33.22","Tdap vaccine 7 yrs-> im--0.5 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/90715","34.06","Tdap vaccine 7 yrs-> im--0.5 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/90715","34.28","Tdap vaccine 7 yrs-> im--0.5 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/90732","119.92","Ppsv23 vacc 2 yrs+ subq-im--0.5 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/90732","119.92","Ppsv23 vacc 2 yrs+ subq-im--0.5 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/90732","125.92","Ppsv23 vacc 2 yrs+ subq-im--0.5 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/90739","131.10","Hepb vacc 2 dose adult im--1 dose","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/90739","131.10","Hepb vacc 2 dose adult im--1 dose","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/90739","137.37","Hepb vacc 2 dose adult im--1 dose","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/90740","140.76","Hepb vacc 3 dose immunsup im--40 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/90740","140.76","Hepb vacc 3 dose immunsup im--40 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/90740","140.76","Hepb vacc 3 dose immunsup im--40 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/90744","28.21","Hepb vacc 3 dose ped-adol im--1 DOSE","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/90744","28.21","Hepb vacc 3 dose ped-adol im--1 DOSE","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/90744","28.22","Hepb vacc 3 dose ped-adol im--1 DOSE","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/90746","69.65","Hepb vaccine 3 dose adult im--20 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/90746","69.65","Hepb vaccine 3 dose adult im--20 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/90746","69.65","Hepb vaccine 3 dose adult im--20 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/90747","140.76","Hepb vacc 4 dose immunsup im--40 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/90747","140.76","Hepb vacc 4 dose immunsup im--40 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/90747","140.76","Hepb vacc 4 dose immunsup im--40 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/90756","27.70","Cciiv4 vacc abx free im--0.5 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/90756","27.70","Cciiv4 vacc abx free im--0.5 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/90756","27.70","Cciiv4 vacc abx free im--0.5 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/A9575","0.16","Inj gadoterate meglumi 0.1ml--0.1 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/A9575","0.17","Inj gadoterate meglumi 0.1ml--0.1 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/A9575","0.18","Inj gadoterate meglumi 0.1ml--0.1 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/A9576","1.41","Inj prohance multipack--1 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/A9576","1.42","Inj prohance multipack--1 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/A9576","1.50","Inj prohance multipack--1 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/A9577","1.81","Inj multihance--1 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/A9577","1.81","Inj multihance--1 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/A9577","1.81","Inj multihance--1 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/A9578","1.75","Inj multihance multipack--1 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/A9578","1.76","Inj multihance multipack--1 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/A9578","1.76","Inj multihance multipack--1 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/A9579","1.53","Gad-base mr contrast nos1ml--1 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/A9579","1.53","Gad-base mr contrast nos1ml--1 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/A9579","1.55","Gad-base mr contrast nos1ml--1 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/A9581","14.74","Gadoxetate disodium inj--1 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/A9581","14.74","Gadoxetate disodium inj--1 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/A9581","14.76","Gadoxetate disodium inj--1 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/A9585","0.35","Gadobutrol injection--0.1 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/A9585","0.36","Gadobutrol injection--0.1 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/A9585","0.36","Gadobutrol injection--0.1 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/A9589","1173.51","Insti hexaminolevulinate hcl--100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/A9589","1175.77","Insti hexaminolevulinate hcl--100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/A9589","1207.87","Insti hexaminolevulinate hcl--100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/A9606","166.02","Radium ra223 dichloride ther--1 microCurie","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/A9606","169.09","Radium ra223 dichloride ther--1 microCurie","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/A9606","169.09","Radium ra223 dichloride ther--1 microCurie","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0121","3.15","Inj. omadacycline 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0121","3.27","Inj. omadacycline 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0121","3.27","Inj. omadacycline 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0122","1.02","Inj. eravacycline 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0122","1.02","Inj. eravacycline 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0122","1.04","Inj. eravacycline 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0129","56.87","Abatacept injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0129","57.83","Abatacept injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0129","58.10","Abatacept injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0132","0.94","Acetylcysteine injection--100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0132","1.06","Acetylcysteine injection--100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0132","1.33","Acetylcysteine injection--100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0133","0.03","Acyclovir injection--5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0133","0.04","Acyclovir injection--5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0133","0.05","Acyclovir injection--5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0153","0.55","Adenosine inj 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0153","0.57","Adenosine inj 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0153","0.61","Adenosine inj 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0171","0.84","Adrenalin epinephrine inject--0.1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0171","0.85","Adrenalin epinephrine inject--0.1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0171","0.88","Adrenalin epinephrine inject--0.1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0178","918.87","Aflibercept injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0178","921.76","Aflibercept injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0178","928.24","Aflibercept injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0179","311.99","Inj brolucizumab-dbll 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0179","313.32","Inj brolucizumab-dbll 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0179","314.95","Inj brolucizumab-dbll 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0180","188.99","Agalsidase beta injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0180","189.29","Agalsidase beta injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0180","189.29","Agalsidase beta injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0185","1.45","Inj. aprepitant 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0185","1.59","Inj. aprepitant 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0185","1.73","Inj. aprepitant 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0202","1984.32","Injection alemtuzumab--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0202","2017.45","Injection alemtuzumab--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0202","2022.99","Injection alemtuzumab--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0207","1135.69","Amifostine--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0207","1135.69","Amifostine--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0221","174.49","Lumizyme injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0221","174.63","Lumizyme injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0221","174.63","Lumizyme injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0222","97.54","Inj. patisiran 0.1 mg--0.1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0222","97.68","Inj. patisiran 0.1 mg--0.1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0222","97.84","Inj. patisiran 0.1 mg--0.1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0223","106.78","Inj givosiran 0.5 mg--0.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0223","106.88","Inj givosiran 0.5 mg--0.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0223","106.88","Inj givosiran 0.5 mg--0.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0256","4.36","Alpha 1 proteinase inhibitor--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0256","4.51","Alpha 1 proteinase inhibitor--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0256","4.52","Alpha 1 proteinase inhibitor--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0257","4.83","Glassia injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0257","4.87","Glassia injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0257","4.89","Glassia injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0278","1.06","Amikacin sulfate injection--100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0278","1.20","Amikacin sulfate injection--100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0278","1.30","Amikacin sulfate injection--100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0280","10.34","Aminophyllin 250 mg inj--250 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0280","9.02","Aminophyllin 250 mg inj--250 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0280","9.50","Aminophyllin 250 mg inj--250 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0285","38.91","Amphotericin b--50 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0285","38.93","Amphotericin b--50 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0285","39.92","Amphotericin b--50 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0287","9.36","Amphotericin b lipid complex--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0287","9.37","Amphotericin b lipid complex--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0287","9.37","Amphotericin b lipid complex--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0289","26.56","Amphotericin b liposome inj--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0289","27.07","Amphotericin b liposome inj--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0289","27.24","Amphotericin b liposome inj--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0290","0.89","Ampicillin 500 mg inj--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0290","0.90","Ampicillin 500 mg inj--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0290","0.92","Ampicillin 500 mg inj--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0291","3.07","Inj. plazomicin 5 mg--5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0291","3.11","Inj. plazomicin 5 mg--5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0291","3.18","Inj. plazomicin 5 mg--5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0295","2.46","Ampicillin sulbactam 1.5 gm--1.5 GM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0295","2.64","Ampicillin sulbactam 1.5 gm--1.5 GM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0295","2.75","Ampicillin sulbactam 1.5 gm--1.5 GM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0348","0.51","Anidulafungin injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0348","0.54","Anidulafungin injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0348","0.54","Anidulafungin injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0360","2.94","Hydralazine hcl injection--20 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0360","3.38","Hydralazine hcl injection--20 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0360","4.87","Hydralazine hcl injection--20 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0401","5.70","Inj aripiprazole ext rel 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0401","5.70","Inj aripiprazole ext rel 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0401","5.70","Inj aripiprazole ext rel 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0456","3.30","Azithromycin--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0456","4.03","Azithromycin--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0456","4.58","Azithromycin--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0461","0.08","Atropine sulfate injection--0.01 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0461","0.09","Atropine sulfate injection--0.01 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0461","0.09","Atropine sulfate injection--0.01 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0475","171.59","Baclofen 10 mg injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0475","177.70","Baclofen 10 mg injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0475","179.01","Baclofen 10 mg injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0476","51.21","Baclofen intrathecal trial--50 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0476","57.06","Baclofen intrathecal trial--50 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0476","77.85","Baclofen intrathecal trial--50 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0480","4005.19","Basiliximab--20 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0480","4016.82","Basiliximab--20 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0480","4019.07","Basiliximab--20 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0485","3.78","Belatacept injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0485","3.79","Belatacept injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0485","3.79","Belatacept injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0490","46.18","Belimumab injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0490","46.84","Belimumab injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0490","46.87","Belimumab injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0500","33.57","Dicyclomine injection--20 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0500","33.85","Dicyclomine injection--20 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0500","34.64","Dicyclomine injection--20 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0515","17.16","Inj benztropine mesylate--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0515","17.27","Inj benztropine mesylate--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0515","17.41","Inj benztropine mesylate--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0517","169.05","Inj. benralizumab 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0517","171.30","Inj. benralizumab 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0558","12.00","Peng benzathine-procaine inj--100000 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0558","12.01","Peng benzathine-procaine inj--100000 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0558","12.06","Peng benzathine-procaine inj--100000 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0561","15.10","Penicillin g benzathine inj--100000 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0561","15.16","Penicillin g benzathine inj--100000 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0561","15.23","Penicillin g benzathine inj--100000 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0565","39.65","Inj bezlotoxumab 10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0565","39.66","Inj bezlotoxumab 10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0565","39.67","Inj bezlotoxumab 10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0570","1204.99","Buprenorphine implant 74.2mg--74.2 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0570","1207.16","Buprenorphine implant 74.2mg--74.2 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0570","1285.78","Buprenorphine implant 74.2mg--74.2 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0583","0.45","Bivalirudin--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0583","0.48","Bivalirudin--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0583","0.60","Bivalirudin--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0584","361.90","Injection burosumab-twza 1m--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0584","361.94","Injection burosumab-twza 1m--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0584","361.95","Injection burosumab-twza 1m--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0585","6.06","Injectiononabotulinumtoxina--1 UNIT","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0585","6.06","Injectiononabotulinumtoxina--1 UNIT","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0585","6.08","Injectiononabotulinumtoxina--1 UNIT","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0586","8.15","Abobotulinumtoxina--5 Unit","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0586","8.25","Abobotulinumtoxina--5 Unit","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0586","8.27","Abobotulinumtoxina--5 Unit","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0587","11.93","Inj rimabotulinumtoxinb--100 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0587","11.97","Inj rimabotulinumtoxinb--100 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0587","11.97","Inj rimabotulinumtoxinb--100 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0588","5.02","Incobotulinumtoxin a--1 UNIT","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0588","5.06","Incobotulinumtoxin a--1 UNIT","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0588","5.06","Incobotulinumtoxin a--1 UNIT","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0592","4.32","Buprenorphine hydrochloride--0.1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0592","4.48","Buprenorphine hydrochloride--0.1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0592","4.49","Buprenorphine hydrochloride--0.1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0594","2.13","Busulfan injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0594","2.20","Busulfan injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0594","3.41","Busulfan injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0595","2.89","Butorphanol tartrate 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0595","2.96","Butorphanol tartrate 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0595","3.02","Butorphanol tartrate 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0596","28.98","Injection ruconest--10 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0596","29.09","Injection ruconest--10 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0596","29.11","Injection ruconest--10 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0597","54.13","C-1 esterase berinert--10 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0597","54.26","C-1 esterase berinert--10 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0597","54.33","C-1 esterase berinert--10 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0598","56.20","C-1 esterase cinryze--10 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0598","56.41","C-1 esterase cinryze--10 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0598","56.55","C-1 esterase cinryze--10 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0600","5592.56","Edetate calcium disodium inj--1000 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0600","5594.42","Edetate calcium disodium inj--1000 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0600","5594.42","Edetate calcium disodium inj--1000 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0610","3.63","Calcium gluconate injection--10 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0610","3.85","Calcium gluconate injection--10 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0610","3.98","Calcium gluconate injection--10 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0630","2801.01","Calcitonin salmon injection--400 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0630","2830.55","Calcitonin salmon injection--400 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0630","2839.22","Calcitonin salmon injection--400 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0636","0.74","Inj calcitriol per 0.1 mcg--0.1 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0636","0.74","Inj calcitriol per 0.1 mcg--0.1 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0636","0.75","Inj calcitriol per 0.1 mcg--0.1 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0637","6.65","Caspofungin acetate--5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0637","6.87","Caspofungin acetate--5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0637","8.80","Caspofungin acetate--5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0638","113.24","Canakinumab injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0638","113.26","Canakinumab injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0638","113.32","Canakinumab injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0640","2.73","Leucovorin calcium injection--50 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0640","2.80","Leucovorin calcium injection--50 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0640","3.22","Leucovorin calcium injection--50 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0641","0.12","Inj levoleucovorin nos 0.5mg--0.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0641","0.12","Inj levoleucovorin nos 0.5mg--0.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0641","0.28","Inj levoleucovorin nos 0.5mg--0.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0642","1.63","Injection khapzory 0.5 mg--0.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0642","1.87","Injection khapzory 0.5 mg--0.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0642","2.00","Injection khapzory 0.5 mg--0.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0670","3.00","Inj mepivacaine hcl-10 ml--10 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0670","3.01","Inj mepivacaine hcl-10 ml--10 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0670","3.36","Inj mepivacaine hcl-10 ml--10 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0690","0.82","Cefazolin sodium injection--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0690","0.82","Cefazolin sodium injection--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0690","0.97","Cefazolin sodium injection--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0691","0.72","Inj lefamulin 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0691","0.72","Inj lefamulin 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0691","0.72","Inj lefamulin 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0692","1.69","Cefepime hcl for injection--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0692","1.81","Cefepime hcl for injection--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0692","1.91","Cefepime hcl for injection--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0694","5.78","Cefoxitin sodium injection--1 GM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0694","6.79","Cefoxitin sodium injection--1 GM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0694","7.36","Cefoxitin sodium injection--1 GM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0695","6.36","Inj ceftolozane tazobactam--75mg (50mg cft-25mg taz)","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0695","6.43","Inj ceftolozane tazobactam--75mg (50mg cft-25mg taz)","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0695","6.49","Inj ceftolozane tazobactam--75mg (50mg cft-25mg taz)","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0696","0.54","Ceftriaxone sodium injection--250 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0696","0.56","Ceftriaxone sodium injection--250 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0696","0.63","Ceftriaxone sodium injection--250 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0697","1.90","Sterile cefuroxime injection--750 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0697","1.94","Sterile cefuroxime injection--750 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0697","1.99","Sterile cefuroxime injection--750 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0698","2.33","Cefotaxime sodium injection--1 GM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0698","2.33","Cefotaxime sodium injection--1 GM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0698","2.33","Cefotaxime sodium injection--1 GM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0702","6.09","Betamethasone acet&sod phosp--3 MG & 3 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0702","6.55","Betamethasone acet&sod phosp--3 MG & 3 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0702","7.21","Betamethasone acet&sod phosp--3 MG & 3 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0712","3.32","Ceftaroline fosamil inj--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0712","3.35","Ceftaroline fosamil inj--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0712","3.36","Ceftaroline fosamil inj--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0713","1.95","Inj ceftazidime per 500 mg--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0713","1.98","Inj ceftazidime per 500 mg--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0713","2.01","Inj ceftazidime per 500 mg--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0714","92.00","Ceftazidime and avibactam--.625 GM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0714","92.28","Ceftazidime and avibactam--.625 GM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0714","92.45","Ceftazidime and avibactam--.625 GM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0717","8.08","Certolizumab pegol inj 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0717","8.16","Certolizumab pegol inj 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0717","8.18","Certolizumab pegol inj 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0720","32.68","Chloramphenicol sodium injec--1 GM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0720","35.21","Chloramphenicol sodium injec--1 GM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0720","37.12","Chloramphenicol sodium injec--1 GM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0725","21.67","Chorionic gonadotropin-1000u--1000 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0725","21.81","Chorionic gonadotropin-1000u--1000 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0725","22.82","Chorionic gonadotropin-1000u--1000 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0735","22.57","Clonidine hydrochloride--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0735","23.26","Clonidine hydrochloride--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0735","23.49","Clonidine hydrochloride--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0740","590.29","Cidofovir injection--375 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0740","623.28","Cidofovir injection--375 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0740","666.25","Cidofovir injection--375 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0742","2.25","Inj imip 4 cilas 4 releb 2mg--4 MG-4 MG-2 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0742","2.26","Inj imip 4 cilas 4 releb 2mg--4 MG-4 MG-2 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0742","2.26","Inj imip 4 cilas 4 releb 2mg--4 MG-4 MG-2 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0743","6.33","Cilastatin sodium injection--250 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0743","7.03","Cilastatin sodium injection--250 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0743","7.53","Cilastatin sodium injection--250 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0744","0.99","Ciprofloxacin iv--200 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0744","0.99","Ciprofloxacin iv--200 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0744","1.00","Ciprofloxacin iv--200 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0770","13.85","Colistimethate sodium inj--150 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0770","15.62","Colistimethate sodium inj--150 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0770","16.37","Colistimethate sodium inj--150 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0775","52.39","Collagenase clost hist inj--0.01 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0775","52.62","Collagenase clost hist inj--0.01 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0775","54.44","Collagenase clost hist inj--0.01 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0780","5.06","Prochlorperazine injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0780","5.07","Prochlorperazine injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0780","5.10","Prochlorperazine injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0791","122.41","Inj crizanlizumab-tmca 5mg--5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0791","122.43","Inj crizanlizumab-tmca 5mg--5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0791","122.43","Inj crizanlizumab-tmca 5mg--5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0795","9.38","Corticorelin ovine triflutal--1 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0795","9.57","Corticorelin ovine triflutal--1 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0795","9.67","Corticorelin ovine triflutal--1 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0800","3898.63","Corticotropin injection--40 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0800","4013.24","Corticotropin injection--40 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0800","4017.74","Corticotropin injection--40 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0834","32.25","Inj. cosyntropin 0.25 mg--0.25 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0834","34.35","Inj. cosyntropin 0.25 mg--0.25 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0834","39.22","Inj. cosyntropin 0.25 mg--0.25 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0840","2908.21","Crotalidae poly immune fab--UP TO 1 GM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0840","2913.13","Crotalidae poly immune fab--UP TO 1 GM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0840","3043.75","Crotalidae poly immune fab--UP TO 1 GM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0841","1261.06","Inj crotalidae im f(ab)2 eq--120 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0841","1263.49","Inj crotalidae im f(ab)2 eq--120 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0841","1264.21","Inj crotalidae im f(ab)2 eq--120 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0850","1467.02","Cytomegalovirus imm iv -vial--PER VIAL","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0850","1479.74","Cytomegalovirus imm iv -vial--PER VIAL","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0850","1496.95","Cytomegalovirus imm iv -vial--PER VIAL","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0875","15.39","Injection dalbavancin--5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0875","15.39","Injection dalbavancin--5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0875","15.52","Injection dalbavancin--5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0878","0.09","Daptomycin injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0878","0.13","Daptomycin injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0878","0.16","Daptomycin injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0881","3.31","Darbepoetin alfa non-esrd--1 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0881","3.56","Darbepoetin alfa non-esrd--1 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0881","3.72","Darbepoetin alfa non-esrd--1 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0882","3.31","Darbepoetin alfa esrd use--1 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0882","3.56","Darbepoetin alfa esrd use--1 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0882","3.72","Darbepoetin alfa esrd use--1 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0885","8.54","Epoetin alfa non-esrd--1000 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0885","8.82","Epoetin alfa non-esrd--1000 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0885","9.11","Epoetin alfa non-esrd--1000 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0887","1.50","Epoetin beta esrd use--1 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0887","1.54","Epoetin beta esrd use--1 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0887","1.54","Epoetin beta esrd use--1 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0888","1.50","Epoetin beta non esrd--1 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0888","1.54","Epoetin beta non esrd--1 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0888","1.54","Epoetin beta non esrd--1 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0894","3.43","Decitabine injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0894","3.46","Decitabine injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0894","4.26","Decitabine injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0895","7.90","Deferoxamine mesylate inj--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0895","8.44","Deferoxamine mesylate inj--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0895","8.63","Deferoxamine mesylate inj--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0896","36.29","Inj luspatercept-aamt 0.25mg--0.25 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0896","36.31","Inj luspatercept-aamt 0.25mg--0.25 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0897","20.09","Denosumab injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0897","20.11","Denosumab injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J0897","20.12","Denosumab injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1000","24.05","Depo-estradiol cypionate inj--5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1000","24.05","Depo-estradiol cypionate inj--5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1000","24.06","Depo-estradiol cypionate inj--5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1020","3.21","Methylprednisolone 20 mg inj--20 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1020","3.35","Methylprednisolone 20 mg inj--20 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1020","3.46","Methylprednisolone 20 mg inj--20 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1030","5.74","Methylprednisolone 40 mg inj--40 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1030","5.80","Methylprednisolone 40 mg inj--40 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1030","5.88","Methylprednisolone 40 mg inj--40 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1040","10.74","Methylprednisolone 80 mg inj--80 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1040","10.76","Methylprednisolone 80 mg inj--80 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1040","11.19","Methylprednisolone 80 mg inj--80 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1050","0.56","Medroxyprogesterone acetate--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1050","0.57","Medroxyprogesterone acetate--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1050","0.57","Medroxyprogesterone acetate--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1071","0.03","Inj testosterone cypionate--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1071","0.03","Inj testosterone cypionate--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1071","0.03","Inj testosterone cypionate--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1100","0.13","Dexamethasone sodium phos--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1100","0.14","Dexamethasone sodium phos--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1100","0.16","Dexamethasone sodium phos--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1110","55.97","Inj dihydroergotamine mesylt--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1110","56.48","Inj dihydroergotamine mesylt--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1110","57.24","Inj dihydroergotamine mesylt--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1120","21.89","Acetazolamid sodium injectio--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1120","23.38","Acetazolamid sodium injectio--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1120","34.46","Acetazolamid sodium injectio--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1160","4.94","Digoxin injection--0.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1160","5.12","Digoxin injection--0.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1160","5.64","Digoxin injection--0.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1162","3969.27","Digoxin immune fab (ovine)--PER VIAL","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1162","3972.14","Digoxin immune fab (ovine)--PER VIAL","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1162","4123.75","Digoxin immune fab (ovine)--PER VIAL","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1165","0.42","Phenytoin sodium injection--50 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1165","0.50","Phenytoin sodium injection--50 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1165","0.56","Phenytoin sodium injection--50 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1170","1.98","Hydromorphone injection--4 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1170","2.74","Hydromorphone injection--4 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1170","3.39","Hydromorphone injection--4 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1190","195.98","Dexrazoxane hcl injection--250 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1190","199.93","Dexrazoxane hcl injection--250 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1190","207.49","Dexrazoxane hcl injection--250 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1200","0.62","Diphenhydramine hcl injectio--50 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1200","0.65","Diphenhydramine hcl injectio--50 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1200","1.03","Diphenhydramine hcl injectio--50 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1205","52.43","Chlorothiazide sodium inj--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1205","54.79","Chlorothiazide sodium inj--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1205","65.70","Chlorothiazide sodium inj--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1212","635.67","Dimethyl sulfoxide 50% 50 ml--50 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1212","635.87","Dimethyl sulfoxide 50% 50 ml--50 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1212","637.16","Dimethyl sulfoxide 50% 50 ml--50 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1230","17.55","Methadone injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1230","17.94","Methadone injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1230","18.03","Methadone injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1240","6.56","Dimenhydrinate injection--50 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1240","6.70","Dimenhydrinate injection--50 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1240","7.11","Dimenhydrinate injection--50 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1245","3.36","Dipyridamole injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1245","3.36","Dipyridamole injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1245","3.53","Dipyridamole injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1250","5.69","Inj dobutamine hcl-250 mg--250 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1250","7.19","Inj dobutamine hcl-250 mg--250 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1250","7.71","Inj dobutamine hcl-250 mg--250 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1265","0.56","Dopamine injection--40 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1265","0.66","Dopamine injection--40 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1265","0.71","Dopamine injection--40 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1270","0.32","Injection doxercalciferol--1 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1270","0.33","Injection doxercalciferol--1 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1270","0.49","Injection doxercalciferol--1 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1290","492.12","Ecallantide injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1290","492.44","Ecallantide injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1290","494.69","Ecallantide injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1300","230.06","Eculizumab injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1300","230.32","Eculizumab injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1300","230.48","Eculizumab injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1301","19.89","Injection edaravone 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1301","19.90","Injection edaravone 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1301","20.29","Injection edaravone 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1303","226.07","Inj. ravulizumab-cwvz 10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1303","226.18","Inj. ravulizumab-cwvz 10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1303","226.28","Inj. ravulizumab-cwvz 10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1322","245.34","Elosulfase alfa injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1322","245.34","Elosulfase alfa injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1322","246.20","Elosulfase alfa injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1325","16.31","Epoprostenol injection--0.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1325","16.43","Epoprostenol injection--0.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1325","16.45","Epoprostenol injection--0.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1335","29.99","Ertapenem injection--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1335","32.18","Ertapenem injection--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1335","32.80","Ertapenem injection--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1364","73.74","Erythro lactobionate -500 mg--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1364","76.71","Erythro lactobionate -500 mg--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1364","76.85","Erythro lactobionate -500 mg--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1380","10.21","Estradiol valerate 10 mg inj--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1380","11.51","Estradiol valerate 10 mg inj--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1380","8.18","Estradiol valerate 10 mg inj--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1410","325.46","Inj estrogen conjugate 25 mg--25 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1410","325.51","Inj estrogen conjugate 25 mg--25 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1410","325.62","Inj estrogen conjugate 25 mg--25 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1430","444.10","Ethanolamine oleate 100 mg--100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1430","444.10","Ethanolamine oleate 100 mg--100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1430","444.10","Ethanolamine oleate 100 mg--100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1439","1.11","Inj ferric carboxymaltos 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1439","1.11","Inj ferric carboxymaltos 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1439","1.13","Inj ferric carboxymaltos 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1442","0.93","Inj filgrastim excl biosimil--1 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1442","0.94","Inj filgrastim excl biosimil--1 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1442","0.95","Inj filgrastim excl biosimil--1 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1447","0.45","Inj tbo filgrastim 1 microg--1 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1447","0.46","Inj tbo filgrastim 1 microg--1 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1447","0.47","Inj tbo filgrastim 1 microg--1 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1450","3.17","Fluconazole--200 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1450","3.32","Fluconazole--200 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1450","3.43","Fluconazole--200 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1453","0.34","Fosaprepitant injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1453","0.42","Fosaprepitant injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1453","0.79","Fosaprepitant injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1454","641.25","Inj fosnetupitant palonoset--0.25 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1454","695.56","Inj fosnetupitant palonoset--0.25 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1454","695.77","Inj fosnetupitant palonoset--0.25 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1458","403.99","Galsulfase injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1458","404.07","Galsulfase injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1458","405.76","Galsulfase injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1459","41.50","Inj ivig privigen 500 mg--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1459","42.43","Inj ivig privigen 500 mg--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1459","43.03","Inj ivig privigen 500 mg--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1460","42.93","Gamma globulin 1 cc inj--1 CC","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1460","43.18","Gamma globulin 1 cc inj--1 CC","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1460","43.30","Gamma globulin 1 cc inj--1 CC","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1554","481.77","Inj. asceniv--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1555","13.94","Inj cuvitru 100 mg--100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1555","14.01","Inj cuvitru 100 mg--100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1555","14.02","Inj cuvitru 100 mg--100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1556","70.49","Inj imm glob bivigam 500mg--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1556","70.49","Inj imm glob bivigam 500mg--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1556","70.49","Inj imm glob bivigam 500mg--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1557","49.81","Gammaplex injection--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1557","51.27","Gammaplex injection--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1557","53.66","Gammaplex injection--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1558","14.22","Inj. xembify 100 mg--100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1558","14.69","Inj. xembify 100 mg--100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1558","14.98","Inj. xembify 100 mg--100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1559","10.86","Hizentra injection--100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1559","11.09","Hizentra injection--100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1559","11.23","Hizentra injection--100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1560","429.26","Gamma globulin > 10 cc inj--10 CC","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1560","431.76","Gamma globulin > 10 cc inj--10 CC","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1560","432.96","Gamma globulin > 10 cc inj--10 CC","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1561","42.19","Gamunex-c-gammaked--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1561","43.67","Gamunex-c-gammaked--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1561","46.52","Gamunex-c-gammaked--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1566","64.22","Immune globulin powder--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1566","66.97","Immune globulin powder--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1566","68.30","Immune globulin powder--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1568","41.23","Octagam injection--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1568","41.63","Octagam injection--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1568","42.02","Octagam injection--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1569","43.20","Gammagard liquid injection--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1569","43.63","Gammagard liquid injection--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1569","46.11","Gammagard liquid injection--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1570","12.84","Ganciclovir sodium injection--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1570","45.63","Ganciclovir sodium injection--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1570","46.50","Ganciclovir sodium injection--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1571","63.40","Hepagam b im injection--0.5 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1571","65.46","Hepagam b im injection--0.5 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1571","89.93","Hepagam b im injection--0.5 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1572","36.08","Flebogamma injection--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1572","36.86","Flebogamma injection--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1572","40.38","Flebogamma injection--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1575","14.34","Hyqvia 100mg immuneglobulin--100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1575","14.49","Hyqvia 100mg immuneglobulin--100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1575","14.73","Hyqvia 100mg immuneglobulin--100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1580","1.78","Garamycin gentamicin inj--80 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1580","1.79","Garamycin gentamicin inj--80 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1580","1.95","Garamycin gentamicin inj--80 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1602","17.15","Golimumab for iv use 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1602","18.12","Golimumab for iv use 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1602","19.00","Golimumab for iv use 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1610","194.42","Glucagon hydrochloride-1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1610","203.80","Glucagon hydrochloride-1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1610","211.79","Glucagon hydrochloride-1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1626","0.22","Granisetron hcl injection--100 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1626","0.31","Granisetron hcl injection--100 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1626","0.32","Granisetron hcl injection--100 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1627","0.19","Inj granisetron xr 0.1 mg--0.1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1627","7.73","Inj granisetron xr 0.1 mg--0.1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1630","0.89","Haloperidol injection--5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1630","0.91","Haloperidol injection--5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1630","1.43","Haloperidol injection--5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1631","13.29","Haloperidol decanoate inj--50 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1631","14.16","Haloperidol decanoate inj--50 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1631","14.94","Haloperidol decanoate inj--50 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1640","24.43","Hemin 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1640","24.44","Hemin 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1640","24.44","Hemin 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1642","0.01","Inj heparin sodium per 10 u--10 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1642","0.01","Inj heparin sodium per 10 u--10 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1642","0.02","Inj heparin sodium per 10 u--10 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1644","0.27","Inj heparin sodium per 1000u--1000 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1644","0.29","Inj heparin sodium per 1000u--1000 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1644","0.32","Inj heparin sodium per 1000u--1000 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1645","10.67","Dalteparin sodium--2500 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1645","8.93","Dalteparin sodium--2500 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1645","9.47","Dalteparin sodium--2500 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1650","0.69","Inj enoxaparin sodium--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1650","0.71","Inj enoxaparin sodium--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1650","0.80","Inj enoxaparin sodium--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1652","1.46","Fondaparinux sodium--0.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1652","1.71","Fondaparinux sodium--0.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1652","2.05","Fondaparinux sodium--0.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1670","452.25","Tetanus immune globulin inj--250 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1670","469.95","Tetanus immune globulin inj--250 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1670","476.57","Tetanus immune globulin inj--250 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1720","14.15","Hydrocortisone sodium succ i--100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1720","14.15","Hydrocortisone sodium succ i--100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1720","14.21","Hydrocortisone sodium succ i--100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1740","38.55","Ibandronate sodium injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1740","41.54","Ibandronate sodium injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1740","51.00","Ibandronate sodium injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1742","262.41","Ibutilide fumarate injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1742","273.16","Ibutilide fumarate injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1742","316.20","Ibutilide fumarate injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1743","542.92","Idursulfase injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1743","542.92","Idursulfase injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1743","542.92","Idursulfase injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1745","41.95","Infliximab not biosimil 10mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1745","44.90","Infliximab not biosimil 10mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1745","47.62","Infliximab not biosimil 10mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1746","63.62","Inj. ibalizumab-uiyk 10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1746","64.05","Inj. ibalizumab-uiyk 10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1746","64.21","Inj. ibalizumab-uiyk 10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1750","15.01","Inj iron dextran--50 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1750","15.05","Inj iron dextran--50 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1750","15.07","Inj iron dextran--50 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1756","0.22","Iron sucrose injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1756","0.22","Iron sucrose injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1756","0.23","Iron sucrose injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1786","43.38","Imuglucerase injection--10 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1786","43.38","Imuglucerase injection--10 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1786","43.44","Imuglucerase injection--10 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1800","2.86","Propranolol injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1800","3.45","Propranolol injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1800","3.99","Propranolol injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1815","0.87","Insulin injection--5 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1815","0.89","Insulin injection--5 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1815","0.90","Insulin injection--5 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1817","10.23","Insulin for insulin pump use--50 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1817","10.79","Insulin for insulin pump use--50 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1817","10.90","Insulin for insulin pump use--50 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1885","0.39","Ketorolac tromethamine inj--15 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1885","0.65","Ketorolac tromethamine inj--15 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1885","0.67","Ketorolac tromethamine inj--15 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1930","66.73","Lanreotide injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1930","68.46","Lanreotide injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1930","68.48","Lanreotide injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1931","33.10","Laronidase injection--0.1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1931","33.12","Laronidase injection--0.1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1931","33.12","Laronidase injection--0.1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1940","0.65","Furosemide injection--20 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1940","0.77","Furosemide injection--20 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1940","0.79","Furosemide injection--20 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1943","2.86","Inj. aristada initio 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1943","2.91","Inj. aristada initio 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1943","2.91","Inj. aristada initio 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1944","2.85","Aripirazole lauroxil 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1944","2.90","Aripirazole lauroxil 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1944","2.91","Aripirazole lauroxil 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1950","1268.00","Leuprolide acetate -3.75 mg--3.75 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1950","1347.56","Leuprolide acetate -3.75 mg--3.75 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1950","1582.13","Leuprolide acetate -3.75 mg--3.75 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1953","0.10","Levetiracetam injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1953","0.12","Levetiracetam injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1953","0.12","Levetiracetam injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1955","20.82","Inj levocarnitine per 1 gm--1 GM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1955","20.99","Inj levocarnitine per 1 gm--1 GM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1955","21.07","Inj levocarnitine per 1 gm--1 GM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1956","0.38","Levofloxacin injection--250 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1956","0.39","Levofloxacin injection--250 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1956","0.40","Levofloxacin injection--250 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1980","30.62","Hyoscyamine sulfate inj--0.25 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1980","30.69","Hyoscyamine sulfate inj--0.25 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J1980","31.60","Hyoscyamine sulfate inj--0.25 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2001","0.02","Lidocaine injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2001","0.02","Lidocaine injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2001","0.03","Lidocaine injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2010","11.58","Lincomycin injection--300 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2010","11.66","Lincomycin injection--300 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2010","13.21","Lincomycin injection--300 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2020","7.07","Linezolid injection--200 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2020","7.51","Linezolid injection--200 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2020","7.52","Linezolid injection--200 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2060","0.71","Lorazepam injection--2 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2060","0.72","Lorazepam injection--2 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2060","0.75","Lorazepam injection--2 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2150","1.98","Mannitol injection--50 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2150","2.07","Mannitol injection--50 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2150","2.38","Mannitol injection--50 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2175","5.34","Meperidine hydrochl -100 mg--100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2175","6.42","Meperidine hydrochl -100 mg--100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2175","8.35","Meperidine hydrochl -100 mg--100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2182","28.55","Injection mepolizumab 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2182","28.70","Injection mepolizumab 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2182","28.86","Injection mepolizumab 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2185","0.76","Meropenem--100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2185","0.79","Meropenem--100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2185","0.86","Meropenem--100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2210","18.90","Methylergonovin maleate inj--0.2 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2210","19.31","Methylergonovin maleate inj--0.2 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2210","19.57","Methylergonovin maleate inj--0.2 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2248","1.00","Micafungin sodium injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2248","1.09","Micafungin sodium injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2248","1.18","Micafungin sodium injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2250","0.11","Inj midazolam hydrochloride--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2250","0.12","Inj midazolam hydrochloride--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2250","0.13","Inj midazolam hydrochloride--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2260","1.51","Inj milrinone lactate - 5 mg--5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2260","1.75","Inj milrinone lactate - 5 mg--5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2260","2.01","Inj milrinone lactate - 5 mg--5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2270","1.87","Morphine sulfate injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2270","3.00","Morphine sulfate injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2270","3.15","Morphine sulfate injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2274","10.40","Inj morphine pf epid ithc--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2274","10.87","Inj morphine pf epid ithc--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2274","11.51","Inj morphine pf epid ithc--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2278","8.17","Ziconotide injection--1 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2278","8.40","Ziconotide injection--1 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2278","8.48","Ziconotide injection--1 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2280","9.19","Inj moxifloxacin 100 mg--100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2280","9.36","Inj moxifloxacin 100 mg--100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2280","9.64","Inj moxifloxacin 100 mg--100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2300","3.07","Inj nalbuphine hydrochloride--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2300","3.14","Inj nalbuphine hydrochloride--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2300","3.34","Inj nalbuphine hydrochloride--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2310","11.03","Inj naloxone hydrochloride--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2310","11.94","Inj naloxone hydrochloride--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2310","12.86","Inj naloxone hydrochloride--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2315","3.26","Naltrexone depot form--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2315","3.43","Naltrexone depot form--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2315","3.43","Naltrexone depot form--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2323","21.63","Natalizumab injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2323","22.29","Natalizumab injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2323","22.39","Natalizumab injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2350","57.24","Injection ocrelizumab 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2350","57.33","Injection ocrelizumab 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2350","57.38","Injection ocrelizumab 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2353","205.04","Octreotide injection depot--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2353","205.66","Octreotide injection depot--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2353","205.88","Octreotide injection depot--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2354","0.74","Octreotide inj non-depot--25 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2354","0.95","Octreotide inj non-depot--25 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2354","1.03","Octreotide inj non-depot--25 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2357","37.17","Omalizumab injection--5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2357","37.42","Omalizumab injection--5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2357","37.70","Omalizumab injection--5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2358","2.92","Olanzapine long-acting inj--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2358","2.92","Olanzapine long-acting inj--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2358","2.92","Olanzapine long-acting inj--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2360","5.29","Orphenadrine injection--60 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2360","5.94","Orphenadrine injection--60 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2360","6.83","Orphenadrine injection--60 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2400","21.60","Chloroprocaine hcl injection--30 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2400","28.59","Chloroprocaine hcl injection--30 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2400","31.40","Chloroprocaine hcl injection--30 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2405","0.09","Ondansetron hcl injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2405","0.09","Ondansetron hcl injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2405","0.10","Ondansetron hcl injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2407","23.63","Injection oritavancin--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2407","23.80","Injection oritavancin--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2407","23.82","Injection oritavancin--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2425","22.81","Palifermin injection--50 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2425","22.82","Palifermin injection--50 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2425","22.86","Palifermin injection--50 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2426","12.10","Paliperidone palmitate inj--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2426","12.10","Paliperidone palmitate inj--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2426","12.12","Paliperidone palmitate inj--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2430","10.15","Pamidronate disodium -30 mg--30 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2430","10.70","Pamidronate disodium -30 mg--30 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2430","11.52","Pamidronate disodium -30 mg--30 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2469","2.76","Palonosetron hcl--25 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2469","3.19","Palonosetron hcl--25 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2469","3.78","Palonosetron hcl--25 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2501","0.60","Paricalcitol--1 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2501","0.61","Paricalcitol--1 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2501","1.05","Paricalcitol--1 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2503","722.99","Pegaptanib sodium injection--0.3 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2503","785.50","Pegaptanib sodium injection--0.3 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2503","785.50","Pegaptanib sodium injection--0.3 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2505","2808.06","Injection pegfilgrastim 6mg--6 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2505","3079.49","Injection pegfilgrastim 6mg--6 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2505","3571.68","Injection pegfilgrastim 6mg--6 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2507","2771.29","Pegloticase injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2507","2799.66","Pegloticase injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2507","2801.08","Pegloticase injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2510","29.82","Penicillin g procaine inj--600000 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2510","29.86","Penicillin g procaine inj--600000 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2510","30.53","Penicillin g procaine inj--600000 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2515","29.87","Pentobarbital sodium inj--50 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2515","33.91","Pentobarbital sodium inj--50 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2515","33.93","Pentobarbital sodium inj--50 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2540","1.09","Penicillin g potassium inj--600000 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2540","1.10","Penicillin g potassium inj--600000 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2540","1.10","Penicillin g potassium inj--600000 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2543","1.51","Piperacillin-tazobactam--1.125 GM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2543","1.61","Piperacillin-tazobactam--1.125 GM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2543","1.65","Piperacillin-tazobactam--1.125 GM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2545","114.11","Pentamidine non-comp unit--300 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2545","119.59","Pentamidine non-comp unit--300 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2545","92.77","Pentamidine non-comp unit--300 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2550","2.31","Promethazine hcl injection--50 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2550","2.32","Promethazine hcl injection--50 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2550","2.37","Promethazine hcl injection--50 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2560","45.51","Phenobarbital sodium inj--120 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2560","45.66","Phenobarbital sodium inj--120 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2560","47.33","Phenobarbital sodium inj--120 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2562","365.02","Plerixafor injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2562","365.16","Plerixafor injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2562","365.29","Plerixafor injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2597","10.09","Inj desmopressin acetate--1 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2597","10.45","Inj desmopressin acetate--1 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2597","10.57","Inj desmopressin acetate--1 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2675","1.20","Inj progesterone per 50 mg--50 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2675","1.41","Inj progesterone per 50 mg--50 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2675","1.43","Inj progesterone per 50 mg--50 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2680","10.64","Fluphenazine decanoate 25 mg--25 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2680","11.62","Fluphenazine decanoate 25 mg--25 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2680","12.88","Fluphenazine decanoate 25 mg--25 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2690","71.73","Procainamide hcl injection--1 GM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2690","81.75","Procainamide hcl injection--1 GM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2690","84.37","Procainamide hcl injection--1 GM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2700","1.22","Oxacillin sodium injeciton--250 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2700","1.29","Oxacillin sodium injeciton--250 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2700","1.30","Oxacillin sodium injeciton--250 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2704","0.11","Inj propofol 10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2704","0.12","Inj propofol 10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2704","0.13","Inj propofol 10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2720","1.03","Inj protamine sulfate-10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2720","1.08","Inj protamine sulfate-10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2720","1.20","Inj protamine sulfate-10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2724","15.06","Protein c concentrate--10 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2724","15.08","Protein c concentrate--10 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2724","15.15","Protein c concentrate--10 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2760","356.88","Phentolaine mesylate inj--5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2760","359.14","Phentolaine mesylate inj--5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2760","413.36","Phentolaine mesylate inj--5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2765","1.04","Metoclopramide hcl injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2765","1.08","Metoclopramide hcl injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2765","1.13","Metoclopramide hcl injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2770","458.04","Quinupristin-dalfopristin--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2770","458.83","Quinupristin-dalfopristin--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2770","459.04","Quinupristin-dalfopristin--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2778","312.26","Ranibizumab injection--0.1 mg","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2778","322.85","Ranibizumab injection--0.1 mg","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2778","324.27","Ranibizumab injection--0.1 mg","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2780","3.31","Ranitidine hydrochloride inj--25 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2780","6.12","Ranitidine hydrochloride inj--25 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2783","300.94","Rasburicase--0.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2783","306.14","Rasburicase--0.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2783","307.11","Rasburicase--0.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2785","59.19","Regadenoson injection--0.1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2785","59.31","Regadenoson injection--0.1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2785","59.37","Regadenoson injection--0.1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2786","9.75","Injection reslizumab 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2786","9.76","Injection reslizumab 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2786","9.97","Injection reslizumab 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2788","23.10","Rho d immune globulin 50 mcg--50 MCG (250 IU)","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2788","24.35","Rho d immune globulin 50 mcg--50 MCG (250 IU)","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2788","24.78","Rho d immune globulin 50 mcg--50 MCG (250 IU)","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2790","74.30","Rho d immune globulin inj--300 MCG (1500 IU)","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2790","78.46","Rho d immune globulin inj--300 MCG (1500 IU)","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2790","80.36","Rho d immune globulin inj--300 MCG (1500 IU)","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2791","4.73","Rhophylac injection--100 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2791","4.75","Rhophylac injection--100 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2791","4.75","Rhophylac injection--100 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2792","31.57","Rho(d) immune globulin h sd--100 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2792","36.37","Rho(d) immune globulin h sd--100 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2792","36.37","Rho(d) immune globulin h sd--100 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2794","10.53","Inj risperdal consta 0.5 mg--0.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2794","10.53","Inj risperdal consta 0.5 mg--0.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2794","10.53","Inj risperdal consta 0.5 mg--0.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2795","0.07","Ropivacaine hcl injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2795","0.07","Ropivacaine hcl injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2795","0.08","Ropivacaine hcl injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2796","78.43","Romiplostim injection--10 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2796","78.92","Romiplostim injection--10 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2796","79.11","Romiplostim injection--10 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2798","10.16","Inj. perseris 0.5 mg--0.5 mg","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2798","10.17","Inj. perseris 0.5 mg--0.5 mg","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2798","10.18","Inj. perseris 0.5 mg--0.5 mg","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2800","10.09","Methocarbamol injection--10 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2800","7.28","Methocarbamol injection--10 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2800","7.64","Methocarbamol injection--10 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2805","115.16","Sincalide injection--5 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2805","115.55","Sincalide injection--5 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2805","115.67","Sincalide injection--5 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2820","48.12","Sargramostim injection--50 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2820","48.41","Sargramostim injection--50 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2820","48.83","Sargramostim injection--50 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2860","111.50","Injection siltuximab--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2860","111.94","Injection siltuximab--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2860","121.93","Injection siltuximab--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2916","1.94","Na ferric gluconate complex--12.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2916","2.01","Na ferric gluconate complex--12.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2916","2.09","Na ferric gluconate complex--12.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2920","4.17","Methylprednisolone injection--40 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2920","4.28","Methylprednisolone injection--40 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2920","4.38","Methylprednisolone injection--40 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2930","5.49","Methylprednisolone injection--125 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2930","5.64","Methylprednisolone injection--125 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2930","5.79","Methylprednisolone injection--125 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2997","87.15","Alteplase recombinant--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2997","87.43","Alteplase recombinant--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J2997","87.68","Alteplase recombinant--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3000","32.96","Streptomycin injection--1 GM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3000","33.06","Streptomycin injection--1 GM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3000","33.32","Streptomycin injection--1 GM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3010","0.67","Fentanyl citrate injection--0.1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3010","0.72","Fentanyl citrate injection--0.1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3010","0.78","Fentanyl citrate injection--0.1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3032","15.60","Inj. eptinezumab-jjmr 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3032","15.61","Inj. eptinezumab-jjmr 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3060","40.86","Inj taliglucerase alfa 10 u--10 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3060","40.96","Inj taliglucerase alfa 10 u--10 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3060","41.08","Inj taliglucerase alfa 10 u--10 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3090","1.59","Inj tedizolid phosphate--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3090","1.59","Inj tedizolid phosphate--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3090","1.59","Inj tedizolid phosphate--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3095","5.14","Telavancin injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3095","5.85","Telavancin injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3095","5.94","Telavancin injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3101","129.17","Tenecteplase injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3101","129.26","Tenecteplase injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3101","129.27","Tenecteplase injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3105","1.98","Terbutaline sulfate inj--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3105","3.01","Terbutaline sulfate inj--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3105","5.15","Terbutaline sulfate inj--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3111","8.99","Inj. romosozumab-aqqg 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3111","9.00","Inj. romosozumab-aqqg 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3111","9.01","Inj. romosozumab-aqqg 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3121","0.05","Inj testostero enanthate 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3121","0.05","Inj testostero enanthate 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3121","0.05","Inj testostero enanthate 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3145","1.53","Testosterone undecanoate 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3145","1.54","Testosterone undecanoate 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3145","1.59","Testosterone undecanoate 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3230","34.62","Chlorpromazine hcl injection--50 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3230","34.98","Chlorpromazine hcl injection--50 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3230","35.89","Chlorpromazine hcl injection--50 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3240","1740.23","Thyrotropin injection--0.9 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3240","1774.33","Thyrotropin injection--0.9 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3240","1776.21","Thyrotropin injection--0.9 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3241","315.88","Inj. teprotumumab-trbw 10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3241","315.88","Inj. teprotumumab-trbw 10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3241","315.88","Inj. teprotumumab-trbw 10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3243","1.11","Tigecycline injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3243","1.19","Tigecycline injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3243","1.38","Tigecycline injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3245","132.71","Inj. tildrakizumab 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3245","135.67","Inj. tildrakizumab 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3245","135.76","Inj. tildrakizumab 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3250","36.81","Trimethobenzamide hcl inj--200 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3250","40.53","Trimethobenzamide hcl inj--200 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3250","40.61","Trimethobenzamide hcl inj--200 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3260","3.49","Tobramycin sulfate injection--80 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3260","4.60","Tobramycin sulfate injection--80 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3260","4.94","Tobramycin sulfate injection--80 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3262","5.40","Tocilizumab injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3262","5.47","Tocilizumab injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3262","5.51","Tocilizumab injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3285","62.56","Treprostinil injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3285","62.81","Treprostinil injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3285","64.03","Treprostinil injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3300","3.85","Triamcinolone a inj prs-free--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3300","3.86","Triamcinolone a inj prs-free--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3300","3.87","Triamcinolone a inj prs-free--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3301","1.29","Triamcinolone acet inj nos--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3301","1.33","Triamcinolone acet inj nos--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3301","1.38","Triamcinolone acet inj nos--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3304","17.89","Inj triamcinolone ace xr 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3304","18.01","Inj triamcinolone ace xr 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3304","18.20","Inj triamcinolone ace xr 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3315","385.61","Triptorelin pamoate--3.75 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3315","503.81","Triptorelin pamoate--3.75 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3315","523.22","Triptorelin pamoate--3.75 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3357","171.18","Ustekinumab sub cu inj 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3357","180.12","Ustekinumab sub cu inj 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3357","184.36","Ustekinumab sub cu inj 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3358","11.63","Ustekinumab iv inject 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3358","11.95","Ustekinumab iv inject 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3358","12.03","Ustekinumab iv inject 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3360","6.05","Diazepam injection--5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3360","7.08","Diazepam injection--5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3360","7.15","Diazepam injection--5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3370","2.61","Vancomycin hcl injection--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3370","2.77","Vancomycin hcl injection--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3370","2.93","Vancomycin hcl injection--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3380","20.30","Injection vedolizumab--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3380","20.35","Injection vedolizumab--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3380","20.67","Injection vedolizumab--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3385","346.15","Velaglucerase alfa--100 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3385","346.46","Velaglucerase alfa--100 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3385","346.63","Velaglucerase alfa--100 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3396","11.23","Verteporfin injection--0.1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3396","11.25","Verteporfin injection--0.1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3396","11.25","Verteporfin injection--0.1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3410","7.83","Hydroxyzine hcl injection--25 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3410","8.30","Hydroxyzine hcl injection--25 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3410","8.35","Hydroxyzine hcl injection--25 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3411","2.53","Thiamine hcl 100 mg--100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3411","2.54","Thiamine hcl 100 mg--100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3411","2.98","Thiamine hcl 100 mg--100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3415","10.26","Pyridoxine hcl 100 mg--100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3415","10.62","Pyridoxine hcl 100 mg--100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3415","7.82","Pyridoxine hcl 100 mg--100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3420","1.84","Vitamin b12 injection--1000 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3420","1.84","Vitamin b12 injection--1000 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3420","1.99","Vitamin b12 injection--1000 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3430","3.74","Vitamin k phytonadione inj--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3430","3.81","Vitamin k phytonadione inj--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3430","3.86","Vitamin k phytonadione inj--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3465","1.18","Injection voriconazole--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3465","1.37","Injection voriconazole--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3465","1.65","Injection voriconazole--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3471","0.46","Ovine up to 999 usp units--1 UNIT","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3471","0.46","Ovine up to 999 usp units--1 UNIT","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3471","0.46","Ovine up to 999 usp units--1 UNIT","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3473","0.36","Hyaluronidase recombinant--1 USP UNIT","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3473","0.36","Hyaluronidase recombinant--1 USP UNIT","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3473","0.36","Hyaluronidase recombinant--1 USP UNIT","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3475","0.42","Inj magnesium sulfate--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3475","0.60","Inj magnesium sulfate--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3475","0.63","Inj magnesium sulfate--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3480","0.14","Inj potassium chloride--2 MEQ","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3480","0.15","Inj potassium chloride--2 MEQ","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3480","0.16","Inj potassium chloride--2 MEQ","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3485","1.51","Zidovudine--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3485","1.51","Zidovudine--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3485","1.51","Zidovudine--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3486","18.05","Ziprasidone mesylate--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3486","20.95","Ziprasidone mesylate--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3486","23.87","Ziprasidone mesylate--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3489","10.30","Zoledronic acid 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3489","10.94","Zoledronic acid 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J3489","9.71","Zoledronic acid 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7030","2.54","Normal saline solution infus--1000 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7030","2.73","Normal saline solution infus--1000 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7030","2.79","Normal saline solution infus--1000 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7040","1.27","Normal saline solution infus--500 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7040","1.37","Normal saline solution infus--500 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7040","1.40","Normal saline solution infus--500 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7042","1.08","5% dextrose-normal saline--500 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7042","1.20","5% dextrose-normal saline--500 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7042","1.21","5% dextrose-normal saline--500 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7050","0.63","Normal saline solution infus--250 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7050","0.68","Normal saline solution infus--250 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7050","0.70","Normal saline solution infus--250 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7060","1.88","5% dextrose-water--500 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7060","1.98","5% dextrose-water--500 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7060","2.04","5% dextrose-water--500 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7070","3.70","D5w infusion--1000 CC","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7070","3.93","D5w infusion--1000 CC","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7070","4.02","D5w infusion--1000 CC","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7120","2.34","Ringers lactate infusion--1000 CC","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7120","2.48","Ringers lactate infusion--1000 CC","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7120","2.49","Ringers lactate infusion--1000 CC","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7170","47.47","Inj. emicizumab-kxwh 0.5 mg--0.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7170","47.56","Inj. emicizumab-kxwh 0.5 mg--0.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7170","47.75","Inj. emicizumab-kxwh 0.5 mg--0.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7175","7.88","Inj factor x (human) 1iu--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7175","7.89","Inj factor x (human) 1iu--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7175","7.89","Inj factor x (human) 1iu--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7177","1.07","Inj. fibryga 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7177","1.09","Inj. fibryga 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7177","1.09","Inj. fibryga 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7178","1.24","Inj human fibrinogen con nos--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7178","1.26","Inj human fibrinogen con nos--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7178","1.30","Inj human fibrinogen con nos--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7179","1.78","Vonvendi inj 1 iu vwf:rco--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7179","1.88","Vonvendi inj 1 iu vwf:rco--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7179","1.89","Vonvendi inj 1 iu vwf:rco--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7180","8.77","Factor xiii anti-hem factor--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7180","8.78","Factor xiii anti-hem factor--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7180","9.10","Factor xiii anti-hem factor--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7181","15.36","Factor xiii recomb a-subunit--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7181","15.45","Factor xiii recomb a-subunit--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7181","15.53","Factor xiii recomb a-subunit--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7182","1.25","Factor viii recomb novoeight--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7182","1.33","Factor viii recomb novoeight--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7182","1.36","Factor viii recomb novoeight--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7183","1.02","Wilate injection--1 I.U. VWF:RCO","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7183","1.04","Wilate injection--1 I.U. VWF:RCO","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7183","1.09","Wilate injection--1 I.U. VWF:RCO","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7185","1.23","Xyntha inj--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7185","1.26","Xyntha inj--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7185","1.31","Xyntha inj--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7186","1.12","Antihemophilic viii-vwf comp--PER FACTOR VIII IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7186","1.12","Antihemophilic viii-vwf comp--PER FACTOR VIII IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7186","1.14","Antihemophilic viii-vwf comp--PER FACTOR VIII IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7187","1.21","Humate-p inj--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7187","1.22","Humate-p inj--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7187","1.26","Humate-p inj--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7188","3.19","Factor viii recomb obizur--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7188","3.19","Factor viii recomb obizur--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7188","3.19","Factor viii recomb obizur--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7189","2.25","Factor viia--1 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7189","2.26","Factor viia recomb novoseven--1 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7189","2.26","Factor viia--1 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7190","1.01","Factor viii--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7190","1.02","Factor viii--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7190","1.07","Factor viii--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7192","1.35","Factor viii recombinant nos--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7192","1.35","Factor viii recombinant nos--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7192","1.38","Factor viii recombinant nos--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7193","1.16","Factor ix non-recombinant--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7193","1.16","Factor ix non-recombinant--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7193","1.19","Factor ix non-recombinant--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7194","1.48","Factor ix complex--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7194","1.49","Factor ix complex--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7194","1.49","Factor ix complex--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7195","1.53","Factor ix recombinant nos--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7195","1.53","Factor ix recombinant nos--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7195","1.56","Factor ix recombinant nos--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7197","3.31","Antithrombin iii injection--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7197","3.48","Antithrombin iii injection--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7197","3.50","Antithrombin iii injection--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7198","2.05","Anti-inhibitor--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7198","2.09","Anti-inhibitor--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7198","2.10","Anti-inhibitor--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7200","1.40","Factor ix recombinan rixubis--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7200","1.46","Factor ix recombinan rixubis--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7200","1.46","Factor ix recombinan rixubis--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7201","3.25","Factor ix alprolix recomb--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7201","3.25","Factor ix alprolix recomb--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7201","3.26","Factor ix alprolix recomb--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7202","4.44","Factor ix idelvion inj--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7202","4.46","Factor ix idelvion inj--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7202","4.59","Factor ix idelvion inj--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7203","3.96","Factor ix recomb gly rebinyn--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7203","3.96","Factor ix recomb gly rebinyn--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7203","4.01","Factor ix recomb gly rebinyn--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7204","2.24","Inj recombin esperoct per iu--1 i.u.","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7204","2.25","Inj recombin esperoct per iu--1 i.u.","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7204","2.29","Inj recombin esperoct per iu--1 i.u.","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7205","2.17","Factor viii fc fusion recomb--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7205","2.17","Factor viii fc fusion recomb--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7205","2.18","Factor viii fc fusion recomb--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7207","1.85","Factor viii pegylated recomb--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7207","1.86","Factor viii pegylated recomb--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7207","1.87","Factor viii pegylated recomb--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7208","2.02","Inj. jivi 1 iu--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7208","2.03","Inj. jivi 1 iu--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7208","2.03","Inj. jivi 1 iu--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7209","1.26","Factor viii nuwiq recomb 1iu--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7209","1.32","Factor viii nuwiq recomb 1iu--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7209","1.36","Factor viii nuwiq recomb 1iu--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7210","1.34","Inj afstyla 1 i.u.--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7210","1.35","Inj afstyla 1 i.u.--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7210","1.37","Inj afstyla 1 i.u.--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7211","1.22","Inj kovaltry 1 i.u.--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7211","1.22","Inj kovaltry 1 i.u.--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7211","1.23","Inj kovaltry 1 i.u.--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7308","388.42","Aminolevulinic acid hcl top--354 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7308","393.00","Aminolevulinic acid hcl top--354 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7308","394.75","Aminolevulinic acid hcl top--354 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7311","340.62","Inj. retisert 0.01 mg--0.01 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7311","341.19","Inj. retisert 0.01 mg--0.01 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7311","341.22","Inj. retisert 0.01 mg--0.01 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7312","199.76","Dexamethasone intra implant--0.1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7312","199.85","Dexamethasone intra implant--0.1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7312","200.06","Dexamethasone intra implant--0.1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7313","490.87","Inj. iluvien 0.01 mg--0.01 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7313","490.93","Inj. iluvien 0.01 mg--0.01 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7313","490.95","Inj. iluvien 0.01 mg--0.01 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7314","491.13","Inj. yutiq 0.01 mg--0.01 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7314","496.42","Inj. yutiq 0.01 mg--0.01 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7314","502.02","Inj. yutiq 0.01 mg--0.01 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7316","1046.93","Inj ocriplasmin 0.125 mg--0.125 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7316","1046.93","Inj ocriplasmin 0.125 mg--0.125 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7316","1046.93","Inj ocriplasmin 0.125 mg--0.125 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7321","75.17","Hyalgan or supartz inj dose--per dose","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7321","76.02","Hyalgan or supartz inj dose--per dose","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7321","79.81","Hyalgan supartz visco-3 dose--per dose","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7323","135.14","Euflexxa inj per dose--per dose","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7323","138.53","Euflexxa inj per dose--per dose","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7323","140.31","Euflexxa inj per dose--per dose","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7324","128.41","Orthovisc inj per dose--PER DOSE","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7324","128.55","Orthovisc inj per dose--PER DOSE","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7324","131.50","Orthovisc inj per dose--PER DOSE","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7325","10.16","Synvisc or synvisc-one--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7325","10.22","Synvisc or synvisc-one--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7325","10.67","Synvisc or synvisc-one--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7327","694.58","Monovisc inj per dose--PER DOSE","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7327","709.05","Monovisc inj per dose--PER DOSE","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7327","785.19","Monovisc inj per dose--PER DOSE","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7331","18.02","Synojoynt inj. 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7331","4.39","Synojoynt inj. 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7336","3.25","Capsaicin 8% patch--1 SQ CM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7336","3.25","Capsaicin 8% patch--1 SQ CM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7336","3.25","Capsaicin 8% patch--1 SQ CM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7340","212.12","Carbidopa levodopa ent 100ml--100 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7340","213.10","Carbidopa levodopa ent 100ml--100 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7340","213.76","Carbidopa levodopa ent 100ml--100 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7342","29.97","Ciprofloxacin otic susp 6 mg--6 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7342","29.98","Ciprofloxacin otic susp 6 mg--6 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7342","29.98","Ciprofloxacin otic susp 6 mg--6 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7345","1.51","Aminolevulinic acid 10% gel--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7345","1.52","Aminolevulinic acid 10% gel--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7345","1.53","Aminolevulinic acid 10% gel--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7351","206.38","Inj bimatoprost itc imp1mcg--1 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7351","206.55","Inj bimatoprost itc imp1mcg--1 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7402","10.25","Mometasone sinus sinuva--10 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7500","0.98","Azathioprine oral 50mg--50 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7500","1.11","Azathioprine oral 50mg--50 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7500","1.16","Azathioprine oral 50mg--50 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7502","1.66","Cyclosporine oral 100 mg--100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7502","1.72","Cyclosporine oral 100 mg--100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7502","1.79","Cyclosporine oral 100 mg--100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7503","1.38","Tacrol envarsus ex rel oral--0.25 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7503","1.42","Tacrol envarsus ex rel oral--0.25 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7503","1.44","Tacrol envarsus ex rel oral--0.25 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7504","2249.84","Lymphocyte immune globulin--250 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7504","2257.65","Lymphocyte immune globulin--250 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7504","2257.67","Lymphocyte immune globulin--250 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7507","0.57","Tacrolimus imme rel oral 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7507","0.57","Tacrolimus imme rel oral 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7507","0.75","Tacrolimus imme rel oral 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7508","0.48","Tacrol astagraf ex rel oral--0.1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7508","0.48","Tacrol astagraf ex rel oral--0.1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7508","0.48","Tacrol astagraf ex rel oral--0.1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7509","0.25","Methylprednisolone oral--4 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7509","0.29","Methylprednisolone oral--4 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7509","0.35","Methylprednisolone oral--4 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7510","0.12","Prednisolone oral per 5 mg--5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7510","0.13","Prednisolone oral per 5 mg--5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7510","0.15","Prednisolone oral per 5 mg--5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7511","790.60","Antithymocyte globuln rabbit--25 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7511","794.99","Antithymocyte globuln rabbit--25 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7511","817.12","Antithymocyte globuln rabbit--25 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7512","0.01","Prednisone ir or dr oral 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7512","0.01","Prednisone ir or dr oral 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7512","0.01","Prednisone ir or dr oral 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7515","0.62","Cyclosporine oral 25 mg--25 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7515","0.64","Cyclosporine oral 25 mg--25 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7515","0.64","Cyclosporine oral 25 mg--25 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7516","49.57","Cyclosporin parenteral 250mg--250 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7516","51.32","Cyclosporin parenteral 250mg--250 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7516","61.75","Cyclosporin parenteral 250mg--250 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7517","0.37","Mycophenolate mofetil oral--250 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7517","0.41","Mycophenolate mofetil oral--250 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7517","0.48","Mycophenolate mofetil oral--250 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7518","1.90","Mycophenolic acid--180 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7518","2.12","Mycophenolic acid--180 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7518","2.18","Mycophenolic acid--180 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7520","6.38","Sirolimus oral--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7520","6.50","Sirolimus oral--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7520","6.55","Sirolimus oral--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7525","211.97","Tacrolimus injection--5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7525","212.22","Tacrolimus injection--5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7525","212.28","Tacrolimus injection--5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7527","6.69","Oral everolimus--0.25 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7527","7.00","Oral everolimus--0.25 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7527","8.03","Oral everolimus--0.25 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7605","10.66","Arformoterol non-comp unit--15 mcg","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7605","11.00","Arformoterol non-comp unit--15 mcg","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7605","11.17","Arformoterol non-comp unit--15 mcg","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7606","11.02","Formoterol fumarate inh--20 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7606","11.65","Formoterol fumarate inh--20 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7606","11.66","Formoterol fumarate inh--20 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7608","5.74","Acetylcysteine non-comp unit--1 GM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7608","5.92","Acetylcysteine non-comp unit--1 GM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7608","6.18","Acetylcysteine non-comp unit--1 GM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7611","0.24","Albuterol non-comp con--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7611","0.28","Albuterol non-comp con--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7611","0.34","Albuterol non-comp con--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7612","0.30","Levalbuterol non-comp con--0.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7612","0.33","Levalbuterol non-comp con--0.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7612","0.38","Levalbuterol non-comp con--0.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7613","0.04","Albuterol non-comp unit--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7613","0.04","Albuterol non-comp unit--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7613","0.05","Albuterol non-comp unit--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7614","0.06","Levalbuterol non-comp unit--0.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7614","0.06","Levalbuterol non-comp unit--0.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7614","0.06","Levalbuterol non-comp unit--0.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7620","0.12","Albuterol ipratrop non-comp--2.5 MG-0.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7620","0.12","Albuterol ipratrop non-comp--2.5 MG-0.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7620","0.12","Albuterol ipratrop non-comp--2.5 MG-0.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7626","1.46","Budesonide non-comp unit--0.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7626","1.69","Budesonide non-comp unit--0.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7626","1.71","Budesonide non-comp unit--0.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7631","2.53","Cromolyn sodium noncomp unit--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7631","2.71","Cromolyn sodium noncomp unit--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7631","2.71","Cromolyn sodium noncomp unit--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7639","47.79","Dornase alfa non-comp unit--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7639","47.79","Dornase alfa non-comp unit--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7639","47.79","Dornase alfa non-comp unit--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7644","0.20","Ipratropium bromide non-comp--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7644","0.20","Ipratropium bromide non-comp--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7644","0.20","Ipratropium bromide non-comp--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7674","0.76","Methacholine chloride neb--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7674","0.77","Methacholine chloride neb--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7674","0.80","Methacholine chloride neb--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7677","0.19","Revefenacin inh non-com 1mcg--1 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7677","0.19","Revefenacin inh non-com 1mcg--1 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7677","0.20","Revefenacin inh non-com 1mcg--1 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7682","29.93","Tobramycin non-comp unit--300 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7682","32.46","Tobramycin non-comp unit--300 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7682","42.67","Tobramycin non-comp unit--300 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7686","642.99","Treprostinil non-comp unit-- 1.74 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7686","671.31","Treprostinil non-comp unit-- 1.74 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J7686","671.84","Treprostinil non-comp unit-- 1.74 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J8501","4.30","Oral aprepitant--5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J8501","4.47","Oral aprepitant--5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J8501","5.15","Oral aprepitant--5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J8520","0.67","Capecitabine oral 150 mg--150 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J8520","0.74","Capecitabine oral 150 mg--150 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J8520","0.75","Capecitabine oral 150 mg--150 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J8521","2.41","Capecitabine oral 500 mg--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J8521","2.47","Capecitabine oral 500 mg--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J8521","2.55","Capecitabine oral 500 mg--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J8530","1.53","Cyclophosphamide oral 25 mg--25 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J8530","1.62","Cyclophosphamide oral 25 mg--25 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J8530","2.02","Cyclophosphamide oral 25 mg--25 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J8540","0.10","Oral dexamethasone--0.25 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J8540","0.10","Oral dexamethasone--0.25 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J8540","0.11","Oral dexamethasone--0.25 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J8560","75.49","Etoposide oral 50 mg--50 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J8560","75.77","Etoposide oral 50 mg--50 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J8560","75.96","Etoposide oral 50 mg--50 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J8610","0.14","Methotrexate oral 2.5 mg--2.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J8610","0.15","Methotrexate oral 2.5 mg--2.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J8610","0.22","Methotrexate oral 2.5 mg--2.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J8655","270.10","Oral netupitant palonosetro--0.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J8655","270.65","Oral netupitant palonosetro--0.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J8655","304.13","Oral netupitant palonosetro--0.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J8670","2.01","Rolapitant oral 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J8670","2.27","Rolapitant oral 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J8670","2.34","Rolapitant oral 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J8700","0.44","Temozolomide--5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J8700","0.53","Temozolomide--5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J8700","0.62","Temozolomide--5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J8705","103.59","Topotecan oral--0.25 mg","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J8705","103.72","Topotecan oral--0.25 mg","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J8705","103.83","Topotecan oral--0.25 mg","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9000","2.50","Doxorubicin hcl injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9000","2.66","Doxorubicin hcl injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9000","2.70","Doxorubicin hcl injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9017","17.82","Arsenic trioxide injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9017","22.06","Arsenic trioxide injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9017","23.70","Arsenic trioxide injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9019","427.27","Erwinaze injection--1000 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9019","427.27","Erwinaze injection--1000 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9019","427.27","Erwinaze injection--1000 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9022","78.15","Inj atezolizumab10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9022","78.18","Inj atezolizumab10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9022","78.28","Inj atezolizumab10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9023","84.70","Injection avelumab 10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9023","84.88","Injection avelumab 10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9023","85.33","Injection avelumab 10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9025","0.78","Azacitidine injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9025","0.80","Azacitidine injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9025","0.91","Azacitidine injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9027","30.18","Clofarabine injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9027","38.50","Clofarabine injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9027","52.64","Clofarabine injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9030","2.79","Bcg live intravesical 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9030","2.85","Bcg live intravesical 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9030","2.86","Bcg live intravesical 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9032","42.61","Injection belinostat 10mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9032","42.70","Injection belinostat 10mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9032","42.79","Injection belinostat 10mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9033","23.98","Inj. treanda 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9033","24.58","Inj. treanda 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9033","24.69","Inj. treanda 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9034","19.58","Inj. bendeka 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9034","20.17","Inj. bendeka 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9034","20.27","Inj. bendeka 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9035","72.51","Bevacizumab injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9035","75.16","Bevacizumab injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9035","76.36","Bevacizumab injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9036","20.19","Inj. belrapzo-bendamustine--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9036","21.61","Inj. belrapzo-bendamustine--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9036","22.27","Inj. belrapzo-bendamustine--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9037","42.97","Inj belantamab mafodont blmf--0.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9039","117.35","Injection blinatumomab--1 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9039","118.12","Injection blinatumomab--1 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9039","118.59","Injection blinatumomab--1 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9040","26.92","Bleomycin sulfate injection--15 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9040","27.01","Bleomycin sulfate injection--15 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9040","28.74","Bleomycin sulfate injection--15 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9041","44.67","Inj. velcade 0.1 mg--0.1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9041","44.97","Inj. velcade 0.1 mg--0.1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9041","45.05","Inj. velcade 0.1 mg--0.1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9042","175.28","Brentuximab vedotin inj--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9042","182.06","Brentuximab vedotin inj--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9042","182.08","Brentuximab vedotin inj--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9043","181.51","Cabazitaxel injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9043","184.06","Cabazitaxel injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9043","184.85","Cabazitaxel injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9044","21.10","Inj bortezomib nos 0.1 mg--0.1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9044","21.60","Inj bortezomib nos 0.1 mg--0.1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9044","22.04","Inj bortezomib nos 0.1 mg--0.1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9045","2.56","Carboplatin injection--50 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9045","2.68","Carboplatin injection--50 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9045","2.76","Carboplatin injection--50 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9047","39.12","Injection carfilzomib 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9047","39.20","Injection carfilzomib 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9047","39.35","Injection carfilzomib 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9050","1724.36","Carmustine injection--100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9050","1743.25","Carmustine injection--100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9050","2016.27","Carmustine injection--100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9055","64.29","Cetuximab injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9055","65.17","Cetuximab injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9055","65.48","Cetuximab injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9060","1.68","Cisplatin 10 mg injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9060","1.71","Cisplatin 10 mg injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9060","1.89","Cisplatin 10 mg injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9065","19.57","Inj cladribine per 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9065","19.62","Inj cladribine per 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9065","21.02","Inj cladribine per 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9070","29.67","Cyclophosphamide 100 mg inj--100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9070","30.89","Cyclophosphamide 100 mg inj--100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9070","31.16","Cyclophosphamide 100 mg inj--100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9100","0.68","Cytarabine hcl 100 mg inj--100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9100","0.69","Cytarabine hcl 100 mg inj--100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9100","0.75","Cytarabine hcl 100 mg inj--100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9119","27.39","Inj. cemiplimab-rwlc 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9119","27.40","Inj. cemiplimab-rwlc 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9119","27.40","Inj. cemiplimab-rwlc 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9120","1044.53","Dactinomycin injection--0.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9120","840.45","Dactinomycin injection--0.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9120","934.16","Dactinomycin injection--0.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9130","4.40","Dacarbazine 100 mg inj--100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9130","4.46","Dacarbazine 100 mg inj--100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9130","4.85","Dacarbazine 100 mg inj--100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9144","43.75","Daratumumab hyaluronidase--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9144","43.85","Daratumumab hyaluronidase--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9145","55.66","Injection daratumumab 10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9145","56.04","Injection daratumumab 10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9145","56.29","Injection daratumumab 10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9150","42.37","Daunorubicin injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9150","42.52","Daunorubicin injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9150","43.84","Daunorubicin injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9153","197.79","Inj daunorubicin cytarabine--1 MG-2.27 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9153","201.69","Inj daunorubicin cytarabine--1 MG-2.27 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9153","202.64","Inj daunorubicin cytarabine--1 MG-2.27 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9155","3.84","Degarelix injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9155","3.89","Degarelix injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9155","4.00","Degarelix injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9171","0.62","Docetaxel injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9171","0.72","Docetaxel injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9171","0.85","Docetaxel injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9173","76.02","Inj. durvalumab 10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9173","76.70","Inj. durvalumab 10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9173","77.05","Inj. durvalumab 10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9176","6.67","Injection elotuzumab 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9176","6.67","Injection elotuzumab 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9176","6.67","Injection elotuzumab 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9177","27.96","Inj enfort vedo-ejfv 0.25mg--0.25 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9177","27.96","Inj enfort vedo-ejfv 0.25mg--0.25 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9177","29.04","Inj enfort vedo-ejfv 0.25mg--0.25 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9178","1.51","Inj epirubicin hcl 2 mg--2 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9178","1.53","Inj epirubicin hcl 2 mg--2 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9178","1.69","Inj epirubicin hcl 2 mg--2 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9179","117.66","Eribulin mesylate injection--0.1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9179","117.76","Eribulin mesylate injection--0.1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9179","117.91","Eribulin mesylate injection--0.1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9181","0.72","Etoposide injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9181","0.74","Etoposide injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9181","0.77","Etoposide injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9185","47.53","Fludarabine phosphate inj--50 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9185","66.01","Fludarabine phosphate inj--50 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9185","75.18","Fludarabine phosphate inj--50 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9190","1.53","Fluorouracil injection--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9190","1.68","Fluorouracil injection--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9190","1.99","Fluorouracil injection--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9198","33.91","Inj. infugem 100 mg--100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9200","46.44","Floxuridine injection--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9200","63.77","Floxuridine injection--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9200","70.13","Floxuridine injection--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9201","3.96","In gemcitabine hcl nos 200mg--200 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9201","3.97","In gemcitabine hcl nos 200mg--200 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9201","4.14","In gemcitabine hcl nos 200mg--200 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9202","501.27","Goserelin acetate implant--3.6 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9202","503.59","Goserelin acetate implant--3.6 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9202","538.24","Goserelin acetate implant--3.6 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9203","205.34","Gemtuzumab ozogamicin 0.1 mg--0.1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9203","205.36","Gemtuzumab ozogamicin 0.1 mg--0.1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9203","205.38","Gemtuzumab ozogamicin 0.1 mg--0.1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9204","203.88","Inj mogamulizumab-kpkc 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9204","206.42","Inj mogamulizumab-kpkc 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9204","206.94","Inj mogamulizumab-kpkc 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9205","54.23","Inj irinotecan liposome 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9205","54.31","Inj irinotecan liposome 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9205","54.33","Inj irinotecan liposome 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9206","2.43","Irinotecan injection--20 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9206","2.45","Irinotecan injection--20 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9206","2.54","Irinotecan injection--20 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9207","101.19","Ixabepilone injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9207","102.12","Ixabepilone injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9207","111.86","Ixabepilone injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9208","26.17","Ifosfamide injection--1 GM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9208","26.18","Ifosfamide injection--1 GM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9208","26.31","Ifosfamide injection--1 GM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9209","1.86","Mesna injection--200 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9209","2.13","Mesna injection--200 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9209","2.19","Mesna injection--200 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9210","374.02","Inj. emapalumab-lzsg 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9210","393.16","Inj. emapalumab-lzsg 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9210","441.59","Inj. emapalumab-lzsg 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9211","37.66","Idarubicin hcl injection--5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9211","37.74","Idarubicin hcl injection--5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9211","38.41","Idarubicin hcl injection--5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9214","33.99","Interferon alfa-2b inj--1 MIL UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9214","34.13","Interferon alfa-2b inj--1 MIL UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9214","34.35","Interferon alfa-2b inj--1 MIL UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9217","204.07","Leuprolide acetate suspnsion--7.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9217","224.45","Leuprolide acetate suspnsion--7.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9217","228.93","Leuprolide acetate suspnsion--7.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9218","11.47","Leuprolide acetate injeciton--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9218","18.82","Leuprolide acetate injeciton--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9218","23.09","Leuprolide acetate injeciton--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9223","174.72","Inj. lurbinectedin 0.1 mg--0.1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9225","4558.13","Vantas implant--50 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9225","4586.21","Vantas implant--50 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9225","4845.14","Vantas implant--50 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9226","40116.00","Supprelin la implant--50 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9226","40237.00","Supprelin la implant--50 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9226","41773.13","Supprelin la implant--50 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9227","66.22","Inj. isatuximab-irfc 10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9227","66.37","Inj. isatuximab-irfc 10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9227","66.67","Inj. isatuximab-irfc 10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9228","156.72","Ipilimumab injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9228","157.23","Ipilimumab injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9228","157.38","Ipilimumab injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9229","2341.09","Inj inotuzumab ozogam 0.1 mg--0.1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9229","2341.30","Inj inotuzumab ozogam 0.1 mg--0.1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9229","2341.50","Inj inotuzumab ozogam 0.1 mg--0.1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9245","221.36","Inj melpha hydroch nos 50 mg--50 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9245","260.38","Inj melphalan hydrochl 50 mg--50 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9245","324.74","Inj melpha hydroch nos 50 mg--50 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9250","0.21","Methotrexate sodium inj--5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9250","0.21","Methotrexate sodium inj--5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9250","0.23","Methotrexate sodium inj--5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9260","2.10","Methotrexate sodium inj--50 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9260","2.12","Methotrexate sodium inj--50 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9260","2.33","Methotrexate sodium inj--50 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9261","151.89","Nelarabine injection--50 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9261","151.90","Nelarabine injection--50 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9261","152.15","Nelarabine injection--50 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9262","2.98","Inj omacetaxine mep 0.01mg--0.01 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9262","3.31","Inj omacetaxine mep 0.01mg--0.01 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9262","3.31","Inj omacetaxine mep 0.01mg--0.01 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9263","0.12","Oxaliplatin--0.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9263","0.12","Oxaliplatin--0.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9263","0.12","Oxaliplatin--0.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9264","13.30","Paclitaxel protein bound--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9264","13.35","Paclitaxel protein bound--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9264","13.43","Paclitaxel protein bound--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9266","19717.46","Pegaspargase injection--1 EA","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9266","19717.46","Pegaspargase injection--1 EA","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9266","19717.76","Pegaspargase injection--1 EA","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9267","0.15","Paclitaxel injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9267","0.16","Paclitaxel injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9267","0.19","Paclitaxel injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9268","2001.90","Pentostatin injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9268","2002.91","Pentostatin injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9268","2060.28","Pentostatin injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9269","270.59","Inj. tagraxofusp-erzs 10 mcg--10 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9269","283.33","Inj. tagraxofusp-erzs 10 mcg--10 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9269","284.21","Inj. tagraxofusp-erzs 10 mcg--10 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9271","50.65","Inj pembrolizumab--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9271","50.85","Inj pembrolizumab--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9271","51.62","Inj pembrolizumab--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9280","42.76","Mitomycin injection--5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9280","49.88","Mitomycin injection--5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9280","54.24","Mitomycin injection--5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9281","282.17","Mitomycin instillation--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9281","282.23","Mitomycin instillation--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9285","52.07","Inj olaratumab 10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9285","52.07","Inj olaratumab 10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9293","24.14","Mitoxantrone hydrochl - 5 mg--5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9293","28.69","Mitoxantrone hydrochl - 5 mg--5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9293","30.85","Mitoxantrone hydrochl - 5 mg--5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9295","5.73","Injection necitumumab 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9295","5.74","Injection necitumumab 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9295","5.74","Injection necitumumab 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9299","28.49","Injection nivolumab--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9299","28.54","Injection nivolumab--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9299","28.56","Injection nivolumab--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9301","63.08","Obinutuzumab inj--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9301","63.54","Obinutuzumab inj--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9301","63.74","Obinutuzumab inj--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9302","61.94","Ofatumumab injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9302","62.15","Ofatumumab injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9302","62.23","Ofatumumab injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9303","123.55","Panitumumab injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9303","123.87","Panitumumab injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9303","124.17","Panitumumab injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9305","71.81","Pemetrexed injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9305","72.92","Inj. pemetrexed nos 10mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9305","73.19","Inj. pemetrexed nos 10mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9306","12.95","Injection pertuzumab 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9306","12.99","Injection pertuzumab 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9306","13.02","Injection pertuzumab 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9307","310.91","Pralatrexate injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9307","310.93","Pralatrexate injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9307","311.22","Pralatrexate injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9308","60.71","Injection ramucirumab--5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9308","61.37","Injection ramucirumab--5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9308","61.66","Injection ramucirumab--5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9309","110.72","Inj polatuzumab vedotin 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9309","112.12","Inj polatuzumab vedotin 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9309","113.57","Inj polatuzumab vedotin 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9311","38.80","Inj rituximab hyaluronidase--10 mg","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9311","40.23","Inj rituximab hyaluronidase--10 mg","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9311","41.14","Inj rituximab hyaluronidase--10 mg","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9312","89.14","Inj. rituximab 10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9312","91.26","Inj. rituximab 10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9312","92.56","Inj. rituximab 10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9313","22.46","Inj. lumoxiti 0.01 mg--0.01 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9313","22.48","Inj. lumoxiti 0.01 mg--0.01 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9313","23.39","Inj. lumoxiti 0.01 mg--0.01 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9315","336.54","Romidepsin injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9315","336.63","Romidepsin injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9315","336.66","Romidepsin injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9316","73.54","Pertuzu trastuzu 10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9317","29.49","Sacituzumab govitecan-hziy--2.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9317","29.51","Sacituzumab govitecan-hziy--2.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9320","347.62","Streptozocin injection--1 GM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9320","348.73","Streptozocin injection--1 GM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9320","349.54","Streptozocin injection--1 GM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9325","53.92","Inj talimogene laherparepvec--1 millionáPFU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9325","54.02","Inj talimogene laherparepvec--1 millionáPFU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9325","54.09","Inj talimogene laherparepvec--1 millionáPFU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9328","10.38","Temozolomide injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9328","10.38","Temozolomide injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9328","10.40","Temozolomide injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9330","40.39","Temsirolimus injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9330","42.86","Temsirolimus injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9330","44.99","Temsirolimus injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9340","454.82","Thiotepa injection--15 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9340","475.39","Thiotepa injection--15 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9340","499.79","Thiotepa injection--15 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9349","12.66","Inj. tafasitamab-cxix--2 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9351","1.12","Topotecan injection--0.1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9351","1.17","Topotecan injection--0.1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9351","1.28","Topotecan injection--0.1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9352","318.91","Injection trabectedin 0.1mg--0.1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9352","318.92","Injection trabectedin 0.1mg--0.1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9352","318.93","Injection trabectedin 0.1mg--0.1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9354","32.79","Inj ado-trastuzumab emt 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9354","32.85","Inj ado-trastuzumab emt 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9354","32.90","Inj ado-trastuzumab emt 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9355","93.68","Inj trastuzumab excl biosimi--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9355","97.92","Inj trastuzumab excl biosimi--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9355","99.68","Inj trastuzumab excl biosimi--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9356","72.31","Inj. herceptin hylecta 10mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9356","74.59","Inj. herceptin hylecta 10mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9356","75.08","Inj. herceptin hylecta 10mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9357","1403.17","Valrubicin injection--200 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9357","1409.62","Valrubicin injection--200 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9357","1513.40","Valrubicin injection--200 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9358","23.98","Inj fam-trastu deru-nxki 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9358","24.13","Inj fam-trastu deru-nxki 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9358","24.14","Inj fam-trastu deru-nxki 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9360","3.68","Vinblastine sulfate inj--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9360","3.98","Vinblastine sulfate inj--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9360","3.99","Vinblastine sulfate inj--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9370","4.99","Vincristine sulfate 1 mg inj--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9370","5.04","Vincristine sulfate 1 mg inj--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9370","5.34","Vincristine sulfate 1 mg inj--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9371","3320.17","Inj vincristine sul lip 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9371","3320.40","Inj vincristine sul lip 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9371","3320.42","Inj vincristine sul lip 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9390","10.75","Vinorelbine tartrate inj--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9390","9.46","Vinorelbine tartrate inj--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9390","9.54","Vinorelbine tartrate inj--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9395","45.10","Injection fulvestrant--25 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9395","52.74","Injection fulvestrant--25 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9395","54.77","Injection fulvestrant--25 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9400","7.52","Inj ziv-aflibercept 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9400","8.07","Inj ziv-aflibercept 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/J9400","8.50","Inj ziv-aflibercept 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/P9041","10.49","Albumin (human)5% 50ml--50 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/P9041","10.49","Albumin (human)5% 50ml--50 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/P9041","10.49","Albumin (human)5% 50ml--50 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/P9045","52.45","Albumin (human) 5% 250 ml--250 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/P9045","52.45","Albumin (human) 5% 250 ml--250 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/P9045","52.45","Albumin (human) 5% 250 ml--250 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/P9046","20.98","Albumin (human) 25% 20 ml--20 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/P9046","20.98","Albumin (human) 25% 20 ml--20 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/P9046","20.98","Albumin (human) 25% 20 ml--20 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/P9047","52.45","Albumin (human) 25% 50ml--50 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/P9047","52.45","Albumin (human) 25% 50ml--50 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/P9047","52.45","Albumin (human) 25% 50ml--50 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q0138","0.93","Ferumoxytol non-esrd--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q0138","0.97","Ferumoxytol non-esrd--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q0138","0.98","Ferumoxytol non-esrd--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q0139","0.93","Ferumoxytol esrd use--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q0139","0.97","Ferumoxytol esrd use--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q0139","0.98","Ferumoxytol esrd use--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q0162","0.01","Ondansetron oral--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q0162","0.02","Ondansetron oral--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q0162","0.02","Ondansetron oral--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q0164","0.26","Prochlorperazine maleate 5mg--5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q0164","0.30","Prochlorperazine maleate 5mg--5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q0164","0.30","Prochlorperazine maleate 5mg--5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q0166","1.33","Granisetron hcl 1 mg oral--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q0166","1.38","Granisetron hcl 1 mg oral--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q0166","1.46","Granisetron hcl 1 mg oral--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q0167","0.68","Dronabinol 2.5mg oral--2.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q0167","0.80","Dronabinol 2.5mg oral--2.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q0167","0.88","Dronabinol 2.5mg oral--2.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q2043","49649.41","Sipuleucel-t auto cd54+--Per infusion (minimum 50 million cells)","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q2043","49671.77","Sipuleucel-t auto cd54+--Per infusion (minimum 50 million cells)","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q2043","51363.25","Sipuleucel-t auto cd54+--Per infusion (minimum 50 million cells)","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q2050","298.80","Doxorubicin inj 10mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q2050","307.09","Doxorubicin inj 10mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q2050","315.73","Doxorubicin inj 10mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q3027","54.29","Inj beta interferon im 1 mcg--1 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q3027","54.32","Inj beta interferon im 1 mcg--1 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q3027","54.42","Inj beta interferon im 1 mcg--1 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q4074","140.09","Iloprost non-comp unit dose--UP TO 20 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q4074","140.23","Iloprost non-comp unit dose--UP TO 20 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q4074","140.32","Iloprost non-comp unit dose--UP TO 20 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q4081","0.85","Epoetin alfa 100 units esrd--100 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q4081","0.88","Epoetin alfa 100 units esrd--100 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q4081","0.91","Epoetin alfa 100 units esrd--100 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q4101","30.46","Apligraf--1 SQ CM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q4101","30.46","Apligraf--1 SQ CM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q4101","30.47","Apligraf--1 SQ CM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q4102","10.21","Oasis wound matrix--1 SQ CM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q4102","10.33","Oasis wound matrix--1 SQ CM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q4102","9.56","Oasis wound matrix--1 SQ CM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q4106","31.72","Dermagraft--1 SQ CM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q4106","31.86","Dermagraft--1 SQ CM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q4106","32.01","Dermagraft--1 SQ CM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q4110","42.33","Primatrix--1 SQ CM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q4110","43.27","Primatrix--1 SQ CM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q4110","46.41","Primatrix--1 SQ CM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q4111","6.94","Gammagraft--1 SQ CM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q4111","7.02","Gammagraft--1 SQ CM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q4111","7.16","Gammagraft--1 SQ CM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q4121","39.15","Theraskin--1 SQ CM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q4121","43.45","Theraskin--1 SQ CM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q4121","43.80","Theraskin--1 SQ CM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q4132","114.63","Grafix core grafixpl core--1 SQ CM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q4132","116.59","Grafix core grafixpl core--1 SQ CM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q4133","131.97","Grafix stravix prime pl sqcm--1 SQ CM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q4133","134.37","Grafix stravix prime pl sqcm--1 SQ CM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q4133","135.23","Grafix stravix prime pl sqcm--1 SQ CM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q4137","83.09","Amnioexcel biodexcel 1sq cm--1 SQ CM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q4137","85.36","Amnioexcel biodexcel 1sq cm--1 SQ CM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q4137","86.59","Amnioexcel biodexcel 1sq cm--1 SQ CM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q4145","18.33","Epifix inj 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q4145","18.66","Epifix inj 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q4145","18.87","Epifix inj 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q4151","124.35","Amnioband guardian 1 sq cm--1 SQ CM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q4151","126.01","Amnioband guardian 1 sq cm--1 SQ CM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q4151","128.40","Amnioband guardian 1 sq cm--1 SQ CM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q4154","106.70","Biovance 1 square cm--1 SQ CM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q4154","110.82","Biovance 1 square cm--1 SQ CM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q4154","116.58","Biovance 1 square cm--1 SQ CM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q4160","100.11","Nushield 1 square cm--1 SQ CM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q4160","95.72","Nushield 1 square cm--1 SQ CM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q4160","99.53","Nushield 1 square cm--1 SQ CM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q4163","15.83","Woundex bioskin per sq cm--1 SQ CM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q4173","209.82","Palingen or palingen xplus--1 SQ CM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q4174","291.27","Palingen or promatrx--0.36 MG per 0.25 CC","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q4186","153.93","Epifix 1 sq cm--1 SQ CM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q4186","155.99","Epifix 1 sq cm--1 SQ CM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q4186","156.23","Epifix 1 sq cm--1 SQ CM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q4187","221.06","Epicord 1 sq cm--1 SQ CM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q4195","105.94","Puraply 1 sq cm--1 SQ CM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q4195","93.78","Puraply 1 sq cm--1 SQ CM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q4195","95.49","Puraply 1 sq cm--1 SQ CM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q4196","105.64","Puraply am 1 sq cm--1 SQ CM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q4196","108.76","Puraply am 1 sq cm--1 SQ CM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q4196","111.59","Puraply am 1 sq cm--1 SQ CM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q5101","0.38","Injection zarxio--1 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q5101","0.41","Injection zarxio--1 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q5101","0.47","Injection zarxio--1 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q5103","40.61","Injection inflectra--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q5103","43.06","Injection inflectra--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q5103","43.72","Injection inflectra--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q5104","40.88","Injection renflexis--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q5104","42.09","Injection renflexis--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q5104","44.55","Injection renflexis--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q5105","0.86","Inj retacrit esrd on dialysi--100 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q5105","0.86","Inj retacrit esrd on dialysi--100 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q5105","0.92","Inj retacrit esrd on dialysi--100 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q5106","8.55","Inj retacrit non-esrd use--1000 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q5106","8.61","Inj retacrit non-esrd use--1000 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q5106","9.19","Inj retacrit non-esrd use--1000 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q5107","52.89","Inj mvasi 10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q5107","56.73","Inj mvasi 10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q5107","60.94","Inj mvasi 10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q5108","236.46","Injection fulphila--0.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q5108","248.18","Injection fulphila--0.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q5108","269.04","Injection fulphila--0.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q5110","0.45","Nivestym--1 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q5110","0.52","Nivestym--1 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q5110","0.62","Nivestym--1 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q5111","251.30","Injection udenyca 0.5 mg--0.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q5111","267.79","Injection udenyca 0.5 mg--0.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q5111","286.67","Injection udenyca 0.5 mg--0.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q5112","80.16","Inj ontruzant 10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q5112","88.17","Inj ontruzant 10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q5112","92.30","Inj ontruzant 10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q5113","81.99","Inj herzuma 10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q5113","86.43","Inj herzuma 10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q5113","91.52","Inj herzuma 10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q5114","60.66","Inj ogivri 10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q5114","73.06","Inj ogivri 10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q5114","76.41","Inj ogivri 10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q5115","62.06","Inj truxima 10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q5115","68.50","Inj truxima 10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q5115","68.80","Inj truxima 10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q5116","68.11","Inj. trazimera 10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q5116","74.02","Inj. trazimera 10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q5116","83.10","Inj. trazimera 10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q5117","66.29","Inj. kanjinti 10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q5117","72.50","Inj. kanjinti 10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q5117","78.72","Inj. kanjinti 10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q5118","57.34","Inj. zirabev 10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q5118","59.47","Inj. zirabev 10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q5118","62.24","Inj. zirabev 10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q5119","64.51","Inj ruxience 10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q5119","67.32","Inj ruxience 10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q5119","70.90","Inj ruxience 10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q5120","276.82","Inj pegfilgrastim-bmez 0.5mg--0.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q5120","297.96","Inj pegfilgrastim-bmez 0.5mg--0.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q5120","305.55","Inj pegfilgrastim-bmez 0.5mg--0.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q5121","50.06","Inj. avsola 10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q5121","51.34","Inj. avsola 10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q5121","51.50","Inj. avsola 10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q5122","336.90","Inj nyvepria--0.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q9950","18.23","Inj sulf hexa lipid microsph--1 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q9950","18.33","Inj sulf hexa lipid microsph--1 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q9950","18.36","Inj sulf hexa lipid microsph--1 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q9956","31.38","Inj octafluoropropane micml--1 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q9956","31.53","Inj octafluoropropane micml--1 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q9956","31.75","Inj octafluoropropane micml--1 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q9957","47.07","Inj perflutren lip microsml--1 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q9957","47.29","Inj perflutren lip microsml--1 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q9957","47.63","Inj perflutren lip microsml--1 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q9958","0.07","Hocm <=149 mg-ml iodine 1ml--1 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q9958","0.07","Hocm <=149 mg-ml iodine 1ml--1 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q9958","0.08","Hocm <=149 mg-ml iodine 1ml--1 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q9960","0.20","Hocm 200-249mg-ml iodine1ml--1 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q9960","0.27","Hocm 200-249mg-ml iodine1ml--1 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q9961","0.25","Hocm 250-299mg-ml iodine1ml--1 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q9961","0.26","Hocm 250-299mg-ml iodine1ml--1 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q9961","0.32","Hocm 250-299mg-ml iodine1ml--1 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q9963","0.18","Hocm 350-399mg-ml iodine1ml--1 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q9963","0.18","Hocm 350-399mg-ml iodine1ml--1 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q9963","0.19","Hocm 350-399mg-ml iodine1ml--1 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q9965","0.72","Locm 100-199mg-ml iodine1ml--1 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q9965","0.79","Locm 100-199mg-ml iodine1ml--1 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q9965","0.85","Locm 100-199mg-ml iodine1ml--1 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q9966","0.32","Locm 200-299mg-ml iodine1ml--1 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q9966","0.33","Locm 200-299mg-ml iodine1ml--1 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q9966","0.34","Locm 200-299mg-ml iodine1ml--1 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q9967","0.10","Locm 300-399mg-ml iodine1ml--1 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q9967","0.11","Locm 300-399mg-ml iodine1ml--1 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q9967","0.11","Locm 300-399mg-ml iodine1ml--1 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q9991","1736.54","Buprenorph xr 100 mg or less--Less than or equal to 100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q9991","1737.26","Buprenorph xr 100 mg or less--Less than or equal to 100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q9991","1743.48","Buprenorph xr 100 mg or less--Less than or equal to 100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q9992","1736.54","Buprenorphine xr over 100 mg--Greater than 100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q9992","1737.26","Buprenorphine xr over 100 mg--Greater than 100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0636/Q9992","1743.48","Buprenorphine xr over 100 mg--Greater than 100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '10/01/2020' AND [Claim Begin Date] <= '12/31/2020'AND Sum of Fee Schedule Charges > 3000",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0800","300.00",,"Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0801","300.00",,"Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0802","300.00",,"Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0804","300.00",,"Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Carve Out Term","UB92RM",,,,,"0809","300.00",,"Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Dialysis Rate","300.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"ICU CCU Per Diem","1600.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Intermediate ICU CCU Per Diem","1500.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Med Surg Per Diem","1400.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD All","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Rehabilitation Per Diem","1100.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD Med Adv","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"[Billed Amount] <= '0'","0",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Oscar Insurance of Florida","HD Med Adv","I","Standard Term","MedicareInpatientLTCRM",,,,,,,,,,,,"LTCH PPS/Site Neutral","100","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Paradigm Specialty Networks","Workers Comp FL","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"[Billed Amount] <= '0'","0",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Paradigm Specialty Networks","Workers Comp FL","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"AND Calculated Reimbursement > Claim Billed Amount * 0.70","70",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Paradigm Specialty Networks","Workers Comp FL","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"ICU CCU Per Diem","2383.40",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Paradigm Specialty Networks","Workers Comp FL","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Intermediate ICU CCU Per Diem","2383.40",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Paradigm Specialty Networks","Workers Comp FL","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Med Surg Per Diem","2383.40",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Paradigm Specialty Networks","Workers Comp FL","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Rehabilitation Per Diem","2383.40",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Paradigm Specialty Networks","Workers Comp FL","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"[DRG Med/Surg ID] = 'S'",,,,,,,,"ICU CCU Per Diem","3849.16",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Paradigm Specialty Networks","Workers Comp FL","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"[DRG Med/Surg ID] = 'S'",,,,,,,,"Intermediate ICU CCU Per Diem","3849.16",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Paradigm Specialty Networks","Workers Comp FL","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"[DRG Med/Surg ID] = 'S'",,,,,,,,"Med Surg Per Diem","3849.16",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Paradigm Specialty Networks","Workers Comp FL","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"[DRG Med/Surg ID] = 'S'",,,,,,,,"Rehabilitation Per Diem","3849.16",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"[Billed Amount] <= '0'","0",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Carve Out Term","UB92RM",,,,,"0360","1600.00",,"Per Line Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Carve Out Term","UB92RM",,,,,"0380","1600.00","Blood and Blood Products - General","Case Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Carve Out Term","UB92RM",,,,,"0381","1600.00","Blood and Blood Products - Packed Red Cells","Case Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Carve Out Term","UB92RM",,,,,"0382","1600.00","Blood and Blood Products - Whole Blood","Case Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Carve Out Term","UB92RM",,,,,"0383","1600.00","Blood and Blood Products - Plasma","Case Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Carve Out Term","UB92RM",,,,,"0384","1600.00","Blood and Blood Products - Platelets","Case Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Carve Out Term","UB92RM",,,,,"0385","1600.00","Blood and Blood Products - Leukocytes","Case Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Carve Out Term","UB92RM",,,,,"0386","1600.00","Blood and Blood Products - Other Components","Case Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Carve Out Term","UB92RM",,,,,"0387","1600.00","Blood and Blood Products - Other Derivatives (Cryoprecipitates)","Case Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Carve Out Term","UB92RM",,,,,"0389","1600.00","Blood and Blood Products - Other","Case Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Carve Out Term","UB92RM",,,,,"0390","1600.00","Blood and Blood Products Admin-Processing-Storage - General","Case Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Carve Out Term","UB92RM",,,,,"0391","1600.00","Blood and Blood Products - Administration (e.g. Transfusion)","Case Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Carve Out Term","UB92RM",,,,,"0392","1600.00","Blood and Blood Products - Processing and Storage ","Case Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Carve Out Term","UB92RM",,,,,"0399","1600.00","Blood and Blood Products Admin-Processing-Storage - Other","Case Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Carve Out Term","UB92RM",,,,,"0636","20.00","Pharmacy-Extension of 025X - Drugs Requiring Detailed Coding","Percent of Charges","100",,,,,"AND Sum of Fee Schedule Units > 500.00",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Carve Out Term","UB92RM",,,,,"0800","300.00","RENAL DIALYSIS","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Carve Out Term","UB92RM",,,,,"0801","300.00","DIALY/INPT","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Carve Out Term","UB92RM",,,,,"0802","300.00","DIALY/INPT/PER","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Carve Out Term","UB92RM",,,,,"0803","300.00","DIALY/INPT/CAPD","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Carve Out Term","UB92RM",,,,,"0804","300.00","DIALY/INPT/CCPD","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Carve Out Term","UB92RM",,,,,"0809","300.00","DIALY/INPT/OTHER","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Carve Out Term","UB92RM",,,,,"0820","300.00","HEMO/OP OR HOME","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Carve Out Term","UB92RM",,,,,"0821","300.00","HEMO/COMPOSITE","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Carve Out Term","UB92RM",,,,,"0822","300.00","HEMO/HOME/SUPPL","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Carve Out Term","UB92RM",,,,,"0823","300.00","HEMO/HOME/EQUIP","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Carve Out Term","UB92RM",,,,,"0824","300.00","HEMO/HOME/100%","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Carve Out Term","UB92RM",,,,,"0825","300.00","HEMO/HOME/SUPSERV","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Carve Out Term","UB92RM",,,,,"0829","300.00","HEMO/HOME/OTHER","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Carve Out Term","UB92RM",,,,,"0830","300.00","PERITONEAL/OP OR HOME","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Carve Out Term","UB92RM",,,,,"0831","300.00","PERTNL/COMPOSITE","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Carve Out Term","UB92RM",,,,,"0832","300.00","PERTNL/HOME/SUPPL","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Carve Out Term","UB92RM",,,,,"0833","300.00","PERTNL/HOME/EQUIP","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Carve Out Term","UB92RM",,,,,"0834","300.00","PERTNL/HOME/100%","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Carve Out Term","UB92RM",,,,,"0835","300.00","PERTNL/HOME/SUPSERV","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Carve Out Term","UB92RM",,,,,"0839","300.00","PERTNL/HOME/OTHER","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0100","1133.00","ALL/INCL/R&B/ANC","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0100","1236.00","ALL/INCL/R&B/ANC","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0101","1133.00","ALL/INCL/R&B","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0101","1236.00","ALL/INCL/R&B","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0110","1133.00","ROOM-BOARD/PVT","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0110","1236.00","ROOM-BOARD/PVT","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0111","1133.00","MED-SUR-GY/PVT","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0111","1236.00","MED-SUR-GY/PVT","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0112","1133.00","OB/PVT","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0112","1236.00","OB/PVT","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0113","1133.00","PEDS/PVT","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0113","1236.00","PEDS/PVT","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0114","1133.00","PSYCH/PVT","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0114","1236.00","PSYCH/PVT","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0115","1133.00","HOSPICE/PVT","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0115","1236.00","HOSPICE/PVT","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0116","1133.00","DETOX/PVT","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0116","1236.00","DETOX/PVT","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0117","1133.00","ONCOLOGY/PVT","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0117","1236.00","ONCOLOGY/PVT","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0118","1133.00","REHAB/PVT","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0118","1236.00","REHAB/PVT","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0119","1133.00","OTHER/PVT","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0119","1236.00","OTHER/PVT","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0120","1133.00","ROOM-BOARD/SEMI","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0120","1236.00","ROOM-BOARD/SEMI","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0121","1133.00","MED-SUR-GY/2BED","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0121","1236.00","MED-SUR-GY/2BED","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0122","1133.00","OB/2BED","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0122","1236.00","OB/2BED","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0123","1133.00","PEDS/2BED","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0123","1236.00","PEDS/2BED","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0124","1133.00","PSYCH/2BED","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0124","1236.00","PSYCH/2BED","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0125","1133.00","HOSPICE/2BED","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0125","1236.00","HOSPICE/2BED","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0126","1133.00","DETOX/2BED","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0126","1236.00","DETOX/2BED","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0127","1133.00","ONCOLOGY/2BED","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0127","1236.00","ONCOLOGY/2BED","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0128","1133.00","REHAB/2BED","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0128","1236.00","REHAB/2BED","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0129","1133.00","OTHER/2BED","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0129","1236.00","OTHER/2BED","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0130","1133.00","ROOM-BOARD/3&4BED","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0130","1236.00","ROOM-BOARD/3&4BED","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0131","1133.00","MED-SUR-GY/3&4BED","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0131","1236.00","MED-SUR-GY/3&4BED","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0132","1133.00","OB/3&4BED","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0132","1236.00","OB/3&4BED","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0133","1133.00","PEDS/3&4BED","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0133","1236.00","PEDS/3&4BED","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0134","1133.00","PSYCH/3&4BED","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0134","1236.00","PSYCH/3&4BED","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0135","1133.00","HOSPICE/3&4BED","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0135","1236.00","HOSPICE/3&4BED","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0136","1133.00","DETOX/3&4BED","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0136","1236.00","DETOX/3&4BED","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0137","1133.00","ONCOLOGY/3&4BED","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0137","1236.00","ONCOLOGY/3&4BED","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0138","1133.00","REHAB/3&4BED","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0138","1236.00","REHAB/3&4BED","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0139","1133.00","OTHER/3&4BED","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0139","1236.00","OTHER/3&4BED","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0140","1133.00","ROOM-BOARD/PVT/DLX","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0140","1236.00","ROOM-BOARD/PVT/DLX","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0141","1133.00","MED-SUR-GY/DLX","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0141","1236.00","MED-SUR-GY/DLX","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0142","1133.00","OB/DLX","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0142","1236.00","OB/DLX","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0143","1133.00","PEDS/DLX","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0143","1236.00","PEDS/DLX","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0144","1133.00","PSYCH/DLX","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0144","1236.00","PSYCH/DLX","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0145","1133.00","HOSPICE/DLX","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0145","1236.00","HOSPICE/DLX","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0146","1133.00","DETOX/DLX","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0146","1236.00","DETOX/DLX","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0147","1133.00","ONCOLOGY/DLX","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0147","1236.00","ONCOLOGY/DLX","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0148","1133.00","REHAB/DLX","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0148","1236.00","REHAB/DLX","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0149","1133.00","OTHER/DLX","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0149","1236.00","OTHER/DLX","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0150","1133.00","ROOM-BOARD/WARD","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0150","1236.00","ROOM-BOARD/WARD","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0151","1133.00","MED-SUR-GY/WARD","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0151","1236.00","MED-SUR-GY/WARD","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0152","1133.00","OB/WARD","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0152","1236.00","OB/WARD","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0153","1133.00","PEDS/WARD","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0153","1236.00","PEDS/WARD","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0154","1133.00","PSYCH/WARD","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0154","1236.00","PSYCH/WARD","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0155","1133.00","HOSPICE/WARD","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0155","1236.00","HOSPICE/WARD","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0156","1133.00","DETOX/WARD","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0156","1236.00","DETOX/WARD","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0157","1133.00","ONCOLOGY/WARD","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0157","1236.00","ONCOLOGY/WARD","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0158","1133.00","REHAB/WARD","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0158","1236.00","REHAB/WARD","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0159","1133.00","OTHER/WARD","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0159","1236.00","OTHER/WARD","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0160","1133.00","R&B","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0160","1236.00","R&B","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0164","1133.00","R&B/STERILE","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0164","1236.00","R&B/STERILE","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0167","1133.00","R&B/SELF","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0167","1236.00","R&B/SELF","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0169","1133.00","R&B/OTHER","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0169","1236.00","R&B/OTHER","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0170","1133.00","NURSERY","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0170","1236.00","NURSERY","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0171","1133.00","NURSERY/LEVELI","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0171","1236.00","NURSERY/LEVELI","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0172","1133.00","NURSERY/LEVELII","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0172","1236.00","NURSERY/LEVELII","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0173","1133.00","NURSERY/LEVELIII","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0173","1236.00","NURSERY/LEVELIII","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0174","1133.00","NURSERY/LEVELIV","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0174","1236.00","NURSERY/LEVELIV","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0179","1133.00","NURSERY/OTHER","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0179","1236.00","NURSERY/OTHER","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0180","1133.00","LEAVE-OF-ABSENCE OR LOA","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0180","1236.00","LEAVE-OF-ABSENCE OR LOA","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0181","1133.00","RESERVED","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0181","1236.00","RESERVED","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0182","1133.00","LOA/PT CONV","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0182","1236.00","LOA/PT CONV","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0183","1133.00","LOA/THERAPEUTIC","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0183","1236.00","LOA/THERAPEUTIC","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0184","1133.00","LOA/ICF/MR","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0184","1236.00","LOA/ICF/MR","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0185","1133.00","LOA/NURS HOME","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0185","1236.00","LOA/NURS HOME","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0189","1133.00","LOA/OTHER","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0189","1236.00","LOA/OTHER","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0190","1133.00","SUBACUTE","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0190","1236.00","SUBACUTE","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0191","1133.00","SUBACUTE/LEVELI","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0191","1236.00","SUBACUTE/LEVELI","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0192","1133.00","SUBACUTE/LEVELII","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0192","1236.00","SUBACUTE/LEVELII","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0193","1133.00","SUBACUTE/LEVELIII","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0193","1236.00","SUBACUTE/LEVELIII","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0194","1133.00","SUBACUTE/LEVELIV","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0194","1236.00","SUBACUTE/LEVELIV","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0199","1133.00","SUBACUTE/LEVELI","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0199","1236.00","SUBACUTE/LEVELI","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0200","1339.00","INTENSIVE CARE OR (ICU)","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0200","1339.00","INTENSIVE CARE OR (ICU)","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0201","1339.00","ICU/SURGICAL","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0201","1339.00","ICU/SURGICAL","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0202","1339.00","ICU/MEDICAL","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0202","1339.00","ICU/MEDICAL","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0203","1339.00","ICU/PEDS","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0203","1339.00","ICU/PEDS","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0204","1339.00","ICU/PSYCH","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0204","1339.00","ICU/PSYCH","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0206","1236.00","ICU/INTERMEDIATE","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0206","1236.00","ICU/INTERMEDIATE","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0207","1339.00","ICU/BURN CARE","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0207","1339.00","ICU/BURN CARE","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0208","1339.00","ICU/TRAUMA","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0208","1339.00","ICU/TRAUMA","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0209","1339.00","ICU/OTHER","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0209","1339.00","ICU/OTHER","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0210","1339.00","CORONARY CARE or (CCU)","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0210","1339.00","CORONARY CARE or (CCU)","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0211","1339.00","CCU/MYO INFARC","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0211","1339.00","CCU/MYO INFARC","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0212","1339.00","CCU/PULMONARY","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0212","1339.00","CCU/PULMONARY","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0213","1339.00","CCU/TRANSPLANT","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0213","1339.00","CCU/TRANSPLANT","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0214","1236.00","CCU/INTERMEDIATE","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0214","1236.00","CCU/INTERMEDIATE","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0219","1339.00","CCU/OTHER","Per Unit Rate","100",,,,," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","I","Standard Term","Combo-UB92RM",,,,,"0219","1339.00","CCU/OTHER","Per Unit Rate","100",,,,," AND [UBRev Code] IN ('0410' '0412' '0413' '0419')",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","Outpatient","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"[Billed Amount] <= '0'","0",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Preferred Care Partners Inc","HD","Outpatient","Standard Term","PercentOfChargeRM",,,,,,,,,,,,,,"[UBRev Code] IN ('0420' '0424' '0430' '0474' '0440' '0444' '0460' '0360') OR [CPT Code] IN ('95810' '95811' '95805')","50",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prime Health Services Inc","HD Commercial","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"[Billed Amount] <= '0'","0",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prime Health Services Inc","HD Commercial","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"AND Calculated Reimbursement > Claim Billed Amount","100",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prime Health Services Inc","HD Commercial","I","Standard Term","Aggregate-MedicareInpatientLTCRM",,,,,,,,,,,,"LTCH PPS/Site Neutral","120"," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prime Health Services Inc","HD Commercial","I","Standard Term","Aggregate-MedicareInpatientLTCRM",,,,,,,,,,,,"LTCH PPS/Site Neutral","140"," AND ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prime Health Services Inc","HD Commercial","I","Standard Term","Aggregate-PercentOfChargeRM",,,,,,,,,,,,,," AND ","75",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prime Health Services Inc","HD Commercial","I","Standard Term","Aggregate-PercentOfChargeRM",,,,,,,,,,,,,," AND ","80",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prime Health Services Inc","W.C. FL IL KY NM NV PA TN WA","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"[Total Detailed Charges] <= '0'","0",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prime Health Services Inc","W.C. FL IL KY NM NV PA TN WA","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"AND Calculated Reimbursement > Total Charges","100",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prime Health Services Inc","W.C. FL IL KY NM NV PA TN WA","I","Standard Term","PercentOfChargeRM",,,,,,,,,,,,,,"","100",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"[Billed Amount] <= '0'","0",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"AND Calculated Reimbursement > Claim Billed Amount","100",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"90371","126.28","Hep b ig im--1 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"90371","126.86","Hep b ig im--1 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"90375","271.37","Rabies ig im-sc--150 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"90375","336.55","Rabies ig im-sc--150 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"90376","237.37","Rabies ig heat treated--150 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"90376","310.58","Rabies ig heat treated--150 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"90586","142.50","Bcg vaccine intravesical--1 EACH","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"90586","142.79","Bcg vaccine intravesical--1 EACH","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"90632","58.76","Hepa vaccine adult im--1 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"90632","60.70","Hepa vaccine adult im--1 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"90653","59.53","Iiv adjuvant vaccine im--0.5 ml","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"90653","59.53","Iiv adjuvant vaccine im--0.5 ml","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"90662","60.98","Iiv no prsv increased ag im--0.5 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"90662","60.98","Iiv no prsv increased ag im--0.5 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"90670","230.14","Pcv13 vaccine im--0.5 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"90670","241.38","Pcv13 vaccine im--0.5 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"90672","26.88","Laiv4 vaccine intranasal--0.2 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"90672","26.88","Laiv4 vaccine intranasal--0.2 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"90674","29.23","Cciiv4 vac no prsv 0.5 ml im--0.5 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"90674","29.23","Cciiv4 vac no prsv 0.5 ml im--0.5 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"90675","318.06","Rabies vaccine im--1 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"90675","347.18","Rabies vaccine im--1 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"90682","60.98","Riv4 vacc recombinant dna im--0.5 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"90682","60.98","Riv4 vacc recombinant dna im--0.5 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"90685","21.13","Iiv4 vacc no prsv 0.25 ml im--0.25 mL","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"90685","21.13","Iiv4 vacc no prsv 0.25 ml im--0.25 mL","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"90686","19.58","Iiv4 vacc no prsv 0.5 ml im--0.5 ml","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"90686","19.58","Iiv4 vacc no prsv 0.5 ml im--0.5 ml","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"90687","9.58","Iiv4 vaccine splt 0.25 ml im--0.25 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"90687","9.58","Iiv4 vaccine splt 0.25 ml im--0.25 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"90688","19.17","Iiv4 vaccine splt 0.5 ml im--0.5 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"90688","19.17","Iiv4 vaccine splt 0.5 ml im--0.5 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"90691","123.68","Typhoid vaccine im--0.5 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"90694","61.00","Vacc AIIV4 no prsrv 0.5ML IM--0.5 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"90694","61.00","Vacc AIIV4 no prsrv 0.5ML IM--0.5 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"90714","25.10","Td vacc no presv 7 yrs+ im--0.5 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"90714","25.37","Td vacc no presv 7 yrs+ im--0.5 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"90715","33.22","Tdap vaccine 7 yrs-> im--0.5 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"90715","34.06","Tdap vaccine 7 yrs-> im--0.5 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"90732","119.92","Ppsv23 vacc 2 yrs+ subq-im--0.5 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"90732","125.92","Ppsv23 vacc 2 yrs+ subq-im--0.5 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"90739","131.10","Hepb vacc 2 dose adult im--1 dose","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"90739","137.37","Hepb vacc 2 dose adult im--1 dose","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"90740","140.76","Hepb vacc 3 dose immunsup im--40 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"90740","140.76","Hepb vacc 3 dose immunsup im--40 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"90744","28.21","Hepb vacc 3 dose ped-adol im--1 DOSE","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"90744","28.22","Hepb vacc 3 dose ped-adol im--1 DOSE","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"90746","69.65","Hepb vaccine 3 dose adult im--20 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"90746","69.65","Hepb vaccine 3 dose adult im--20 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"90747","140.76","Hepb vacc 4 dose immunsup im--40 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"90747","140.76","Hepb vacc 4 dose immunsup im--40 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"90756","27.70","Cciiv4 vacc abx free im--0.5 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"90756","27.70","Cciiv4 vacc abx free im--0.5 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"A9575","0.16","Inj gadoterate meglumi 0.1ml--0.1 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"A9575","0.17","Inj gadoterate meglumi 0.1ml--0.1 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"A9576","1.41","Inj prohance multipack--1 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"A9576","1.42","Inj prohance multipack--1 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"A9577","1.81","Inj multihance--1 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"A9577","1.81","Inj multihance--1 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"A9578","1.76","Inj multihance multipack--1 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"A9578","1.76","Inj multihance multipack--1 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"A9579","1.53","Gad-base mr contrast nos1ml--1 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"A9579","1.55","Gad-base mr contrast nos1ml--1 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"A9581","14.74","Gadoxetate disodium inj--1 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"A9581","14.74","Gadoxetate disodium inj--1 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"A9585","0.35","Gadobutrol injection--0.1 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"A9585","0.36","Gadobutrol injection--0.1 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"A9589","1175.77","Insti hexaminolevulinate hcl--100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"A9589","1207.87","Insti hexaminolevulinate hcl--100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"A9606","169.09","Radium ra223 dichloride ther--1 microCurie","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"A9606","169.09","Radium ra223 dichloride ther--1 microCurie","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0121","3.27","Inj. omadacycline 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0121","3.27","Inj. omadacycline 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0122","1.02","Inj. eravacycline 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0122","1.04","Inj. eravacycline 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0129","56.87","Abatacept injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0129","57.83","Abatacept injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0132","0.94","Acetylcysteine injection--100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0132","1.33","Acetylcysteine injection--100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0133","0.03","Acyclovir injection--5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0133","0.04","Acyclovir injection--5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0153","0.55","Adenosine inj 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0153","0.61","Adenosine inj 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0171","0.84","Adrenalin epinephrine inject--0.1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0171","0.85","Adrenalin epinephrine inject--0.1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0178","918.87","Aflibercept injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0178","921.76","Aflibercept injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0179","313.32","Inj brolucizumab-dbll 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0179","314.95","Inj brolucizumab-dbll 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0180","189.29","Agalsidase beta injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0180","189.29","Agalsidase beta injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0185","1.45","Inj. aprepitant 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0185","1.59","Inj. aprepitant 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0202","2017.45","Injection alemtuzumab--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0202","2022.99","Injection alemtuzumab--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0207","1135.69","Amifostine--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0221","174.63","Lumizyme injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0221","174.63","Lumizyme injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0222","97.54","Inj. patisiran 0.1 mg--0.1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0222","97.68","Inj. patisiran 0.1 mg--0.1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0223","106.78","Inj givosiran 0.5 mg--0.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0223","106.88","Inj givosiran 0.5 mg--0.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0256","4.51","Alpha 1 proteinase inhibitor--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0256","4.52","Alpha 1 proteinase inhibitor--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0257","4.87","Glassia injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0257","4.89","Glassia injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0278","1.06","Amikacin sulfate injection--100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0278","1.20","Amikacin sulfate injection--100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0280","10.34","Aminophyllin 250 mg inj--250 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0280","9.50","Aminophyllin 250 mg inj--250 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0285","38.91","Amphotericin b--50 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0285","39.92","Amphotericin b--50 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0287","9.37","Amphotericin b lipid complex--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0287","9.37","Amphotericin b lipid complex--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0289","27.07","Amphotericin b liposome inj--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0289","27.24","Amphotericin b liposome inj--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0290","0.89","Ampicillin 500 mg inj--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0290","0.90","Ampicillin 500 mg inj--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0291","3.07","Inj. plazomicin 5 mg--5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0291","3.18","Inj. plazomicin 5 mg--5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0295","2.46","Ampicillin sulbactam 1.5 gm--1.5 GM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0295","2.75","Ampicillin sulbactam 1.5 gm--1.5 GM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0348","0.54","Anidulafungin injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0348","0.54","Anidulafungin injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0360","2.94","Hydralazine hcl injection--20 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0360","4.87","Hydralazine hcl injection--20 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0401","5.70","Inj aripiprazole ext rel 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0401","5.70","Inj aripiprazole ext rel 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0456","3.30","Azithromycin--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0456","4.58","Azithromycin--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0461","0.08","Atropine sulfate injection--0.01 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0461","0.09","Atropine sulfate injection--0.01 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0475","177.70","Baclofen 10 mg injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0475","179.01","Baclofen 10 mg injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0476","57.06","Baclofen intrathecal trial--50 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0476","77.85","Baclofen intrathecal trial--50 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0480","4016.82","Basiliximab--20 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0480","4019.07","Basiliximab--20 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0485","3.79","Belatacept injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0485","3.79","Belatacept injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0490","46.84","Belimumab injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0490","46.87","Belimumab injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0500","33.85","Dicyclomine injection--20 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0500","34.64","Dicyclomine injection--20 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0515","17.16","Inj benztropine mesylate--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0515","17.41","Inj benztropine mesylate--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0517","169.05","Inj. benralizumab 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0517","171.30","Inj. benralizumab 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0558","12.01","Peng benzathine-procaine inj--100000 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0558","12.06","Peng benzathine-procaine inj--100000 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0561","15.10","Penicillin g benzathine inj--100000 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0561","15.23","Penicillin g benzathine inj--100000 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0565","39.66","Inj bezlotoxumab 10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0565","39.67","Inj bezlotoxumab 10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0570","1204.99","Buprenorphine implant 74.2mg--74.2 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0570","1285.78","Buprenorphine implant 74.2mg--74.2 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0583","0.45","Bivalirudin--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0583","0.60","Bivalirudin--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0584","361.94","Injection burosumab-twza 1m--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0584","361.95","Injection burosumab-twza 1m--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0585","6.06","Injectiononabotulinumtoxina--1 UNIT","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0585","6.06","Injectiononabotulinumtoxina--1 UNIT","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0586","8.25","Abobotulinumtoxina--5 Unit","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0586","8.27","Abobotulinumtoxina--5 Unit","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0587","11.97","Inj rimabotulinumtoxinb--100 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0587","11.97","Inj rimabotulinumtoxinb--100 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0588","5.06","Incobotulinumtoxin a--1 UNIT","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0588","5.06","Incobotulinumtoxin a--1 UNIT","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0592","4.32","Buprenorphine hydrochloride--0.1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0592","4.49","Buprenorphine hydrochloride--0.1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0594","2.13","Busulfan injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0594","2.20","Busulfan injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0595","2.96","Butorphanol tartrate 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0595","3.02","Butorphanol tartrate 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0596","28.98","Injection ruconest--10 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0596","29.09","Injection ruconest--10 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0597","54.26","C-1 esterase berinert--10 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0597","54.33","C-1 esterase berinert--10 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0598","56.41","C-1 esterase cinryze--10 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0598","56.55","C-1 esterase cinryze--10 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0600","5592.56","Edetate calcium disodium inj--1000 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0600","5594.42","Edetate calcium disodium inj--1000 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0610","3.63","Calcium gluconate injection--10 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0610","3.85","Calcium gluconate injection--10 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0630","2801.01","Calcitonin salmon injection--400 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0630","2830.55","Calcitonin salmon injection--400 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0636","0.74","Inj calcitriol per 0.1 mcg--0.1 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0636","0.74","Inj calcitriol per 0.1 mcg--0.1 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0637","6.65","Caspofungin acetate--5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0637","8.80","Caspofungin acetate--5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0638","113.26","Canakinumab injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0638","113.32","Canakinumab injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0640","2.73","Leucovorin calcium injection--50 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0640","3.22","Leucovorin calcium injection--50 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0641","0.12","Inj levoleucovorin nos 0.5mg--0.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0641","0.12","Inj levoleucovorin nos 0.5mg--0.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0642","1.63","Injection khapzory 0.5 mg--0.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0642","1.87","Injection khapzory 0.5 mg--0.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0670","3.01","Inj mepivacaine hcl-10 ml--10 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0670","3.36","Inj mepivacaine hcl-10 ml--10 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0690","0.82","Cefazolin sodium injection--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0690","0.82","Cefazolin sodium injection--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0691","0.72","Inj lefamulin 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0691","0.72","Inj lefamulin 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0692","1.81","Cefepime hcl for injection--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0692","1.91","Cefepime hcl for injection--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0694","5.78","Cefoxitin sodium injection--1 GM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0694","6.79","Cefoxitin sodium injection--1 GM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0695","6.36","Inj ceftolozane tazobactam--75mg (50mg cft-25mg taz)","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0695","6.43","Inj ceftolozane tazobactam--75mg (50mg cft-25mg taz)","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0696","0.54","Ceftriaxone sodium injection--250 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0696","0.56","Ceftriaxone sodium injection--250 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0697","1.90","Sterile cefuroxime injection--750 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0697","1.99","Sterile cefuroxime injection--750 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0698","2.33","Cefotaxime sodium injection--1 GM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0698","2.33","Cefotaxime sodium injection--1 GM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0702","6.09","Betamethasone acet&sod phosp--3 MG & 3 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0702","7.21","Betamethasone acet&sod phosp--3 MG & 3 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0712","3.35","Ceftaroline fosamil inj--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0712","3.36","Ceftaroline fosamil inj--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0713","1.98","Inj ceftazidime per 500 mg--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0713","2.01","Inj ceftazidime per 500 mg--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0714","92.28","Ceftazidime and avibactam--.625 GM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0714","92.45","Ceftazidime and avibactam--.625 GM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0717","8.08","Certolizumab pegol inj 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0717","8.18","Certolizumab pegol inj 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0720","35.21","Chloramphenicol sodium injec--1 GM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0720","37.12","Chloramphenicol sodium injec--1 GM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0725","21.81","Chorionic gonadotropin-1000u--1000 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0725","22.82","Chorionic gonadotropin-1000u--1000 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0735","22.57","Clonidine hydrochloride--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0735","23.49","Clonidine hydrochloride--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0740","590.29","Cidofovir injection--375 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0740","623.28","Cidofovir injection--375 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0742","2.25","Inj imip 4 cilas 4 releb 2mg--4 MG-4 MG-2 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0742","2.26","Inj imip 4 cilas 4 releb 2mg--4 MG-4 MG-2 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0743","7.03","Cilastatin sodium injection--250 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0743","7.53","Cilastatin sodium injection--250 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0744","0.99","Ciprofloxacin iv--200 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0744","0.99","Ciprofloxacin iv--200 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0770","13.85","Colistimethate sodium inj--150 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0770","16.37","Colistimethate sodium inj--150 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0775","52.62","Collagenase clost hist inj--0.01 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0775","54.44","Collagenase clost hist inj--0.01 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0780","5.06","Prochlorperazine injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0780","5.07","Prochlorperazine injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0791","122.43","Inj crizanlizumab-tmca 5mg--5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0791","122.43","Inj crizanlizumab-tmca 5mg--5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0795","9.57","Corticorelin ovine triflutal--1 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0795","9.67","Corticorelin ovine triflutal--1 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0800","3898.63","Corticotropin injection--40 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0800","4017.74","Corticotropin injection--40 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0834","32.25","Inj. cosyntropin 0.25 mg--0.25 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0834","34.35","Inj. cosyntropin 0.25 mg--0.25 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0840","2908.21","Crotalidae poly immune fab--UP TO 1 GM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0840","2913.13","Crotalidae poly immune fab--UP TO 1 GM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0841","1261.06","Inj crotalidae im f(ab)2 eq--120 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0841","1263.49","Inj crotalidae im f(ab)2 eq--120 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0850","1467.02","Cytomegalovirus imm iv -vial--PER VIAL","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0850","1479.74","Cytomegalovirus imm iv -vial--PER VIAL","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0875","15.39","Injection dalbavancin--5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0875","15.52","Injection dalbavancin--5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0878","0.09","Daptomycin injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0878","0.13","Daptomycin injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0881","3.31","Darbepoetin alfa non-esrd--1 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0881","3.56","Darbepoetin alfa non-esrd--1 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0882","3.31","Darbepoetin alfa esrd use--1 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0882","3.56","Darbepoetin alfa esrd use--1 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0885","8.54","Epoetin alfa non-esrd--1000 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0885","8.82","Epoetin alfa non-esrd--1000 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0887","1.50","Epoetin beta esrd use--1 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0887","1.54","Epoetin beta esrd use--1 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0888","1.50","Epoetin beta non esrd--1 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0888","1.54","Epoetin beta non esrd--1 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0894","3.43","Decitabine injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0894","3.46","Decitabine injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0895","7.90","Deferoxamine mesylate inj--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0895","8.63","Deferoxamine mesylate inj--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0896","36.29","Inj luspatercept-aamt 0.25mg--0.25 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0896","36.31","Inj luspatercept-aamt 0.25mg--0.25 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0897","20.09","Denosumab injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J0897","20.11","Denosumab injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1000","24.05","Depo-estradiol cypionate inj--5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1000","24.05","Depo-estradiol cypionate inj--5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1020","3.21","Methylprednisolone 20 mg inj--20 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1020","3.35","Methylprednisolone 20 mg inj--20 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1030","5.74","Methylprednisolone 40 mg inj--40 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1030","5.80","Methylprednisolone 40 mg inj--40 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1040","10.74","Methylprednisolone 80 mg inj--80 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1040","10.76","Methylprednisolone 80 mg inj--80 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1050","0.57","Medroxyprogesterone acetate--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1050","0.57","Medroxyprogesterone acetate--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1071","0.03","Inj testosterone cypionate--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1071","0.03","Inj testosterone cypionate--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1100","0.14","Dexamethasone sodium phos--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1100","0.16","Dexamethasone sodium phos--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1110","56.48","Inj dihydroergotamine mesylt--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1110","57.24","Inj dihydroergotamine mesylt--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1120","23.38","Acetazolamid sodium injectio--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1120","34.46","Acetazolamid sodium injectio--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1160","4.94","Digoxin injection--0.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1160","5.12","Digoxin injection--0.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1162","3969.27","Digoxin immune fab (ovine)--PER VIAL","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1162","4123.75","Digoxin immune fab (ovine)--PER VIAL","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1165","0.42","Phenytoin sodium injection--50 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1165","0.56","Phenytoin sodium injection--50 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1170","2.74","Hydromorphone injection--4 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1170","3.39","Hydromorphone injection--4 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1190","195.98","Dexrazoxane hcl injection--250 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1190","207.49","Dexrazoxane hcl injection--250 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1200","0.62","Diphenhydramine hcl injectio--50 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1200","1.03","Diphenhydramine hcl injectio--50 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1205","52.43","Chlorothiazide sodium inj--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1205","65.70","Chlorothiazide sodium inj--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1212","635.87","Dimethyl sulfoxide 50% 50 ml--50 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1212","637.16","Dimethyl sulfoxide 50% 50 ml--50 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1230","17.94","Methadone injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1230","18.03","Methadone injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1240","6.70","Dimenhydrinate injection--50 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1240","7.11","Dimenhydrinate injection--50 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1245","3.36","Dipyridamole injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1245","3.53","Dipyridamole injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1250","7.19","Inj dobutamine hcl-250 mg--250 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1250","7.71","Inj dobutamine hcl-250 mg--250 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1265","0.66","Dopamine injection--40 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1265","0.71","Dopamine injection--40 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1270","0.32","Injection doxercalciferol--1 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1270","0.49","Injection doxercalciferol--1 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1290","492.12","Ecallantide injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1290","492.44","Ecallantide injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1300","230.06","Eculizumab injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1300","230.32","Eculizumab injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1301","19.90","Injection edaravone 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1301","20.29","Injection edaravone 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1303","226.07","Inj. ravulizumab-cwvz 10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1303","226.18","Inj. ravulizumab-cwvz 10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1322","245.34","Elosulfase alfa injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1322","245.34","Elosulfase alfa injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1325","16.43","Epoprostenol injection--0.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1325","16.45","Epoprostenol injection--0.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1335","29.99","Ertapenem injection--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1335","32.18","Ertapenem injection--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1364","73.74","Erythro lactobionate -500 mg--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1364","76.71","Erythro lactobionate -500 mg--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1380","10.21","Estradiol valerate 10 mg inj--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1380","11.51","Estradiol valerate 10 mg inj--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1410","325.46","Inj estrogen conjugate 25 mg--25 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1410","325.51","Inj estrogen conjugate 25 mg--25 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1430","444.10","Ethanolamine oleate 100 mg--100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1430","444.10","Ethanolamine oleate 100 mg--100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1439","1.11","Inj ferric carboxymaltos 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1439","1.13","Inj ferric carboxymaltos 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1442","0.94","Inj filgrastim excl biosimil--1 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1442","0.95","Inj filgrastim excl biosimil--1 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1447","0.45","Inj tbo filgrastim 1 microg--1 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1447","0.46","Inj tbo filgrastim 1 microg--1 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1450","3.17","Fluconazole--200 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1450","3.32","Fluconazole--200 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1453","0.34","Fosaprepitant injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1453","0.42","Fosaprepitant injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1454","641.25","Inj fosnetupitant palonoset--0.25 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1454","695.56","Inj fosnetupitant palonoset--0.25 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1458","403.99","Galsulfase injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1458","404.07","Galsulfase injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1459","42.43","Inj ivig privigen 500 mg--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1459","43.03","Inj ivig privigen 500 mg--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1460","43.18","Gamma globulin 1 cc inj--1 CC","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1460","43.30","Gamma globulin 1 cc inj--1 CC","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1554","481.77","Inj. asceniv--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1555","13.94","Inj cuvitru 100 mg--100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1555","14.01","Inj cuvitru 100 mg--100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1556","70.49","Inj imm glob bivigam 500mg--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1556","70.49","Inj imm glob bivigam 500mg--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1557","49.81","Gammaplex injection--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1557","51.27","Gammaplex injection--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1558","14.69","Inj. xembify 100 mg--100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1558","14.98","Inj. xembify 100 mg--100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1559","11.09","Hizentra injection--100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1559","11.23","Hizentra injection--100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1560","431.76","Gamma globulin > 10 cc inj--10 CC","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1560","432.96","Gamma globulin > 10 cc inj--10 CC","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1561","43.67","Gamunex-c-gammaked--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1561","46.52","Gamunex-c-gammaked--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1566","64.22","Immune globulin powder--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1566","66.97","Immune globulin powder--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1568","41.63","Octagam injection--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1568","42.02","Octagam injection--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1569","43.63","Gammagard liquid injection--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1569","46.11","Gammagard liquid injection--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1570","45.63","Ganciclovir sodium injection--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1570","46.50","Ganciclovir sodium injection--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1571","65.46","Hepagam b im injection--0.5 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1571","89.93","Hepagam b im injection--0.5 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1572","36.08","Flebogamma injection--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1572","36.86","Flebogamma injection--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1575","14.34","Hyqvia 100mg immuneglobulin--100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1575","14.73","Hyqvia 100mg immuneglobulin--100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1580","1.78","Garamycin gentamicin inj--80 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1580","1.95","Garamycin gentamicin inj--80 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1602","17.15","Golimumab for iv use 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1602","18.12","Golimumab for iv use 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1610","194.42","Glucagon hydrochloride-1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1610","203.80","Glucagon hydrochloride-1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1626","0.22","Granisetron hcl injection--100 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1626","0.32","Granisetron hcl injection--100 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1627","7.73","Inj granisetron xr 0.1 mg--0.1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1630","0.89","Haloperidol injection--5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1630","1.43","Haloperidol injection--5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1631","13.29","Haloperidol decanoate inj--50 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1631","14.16","Haloperidol decanoate inj--50 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1640","24.43","Hemin 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1640","24.44","Hemin 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1642","0.01","Inj heparin sodium per 10 u--10 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1642","0.02","Inj heparin sodium per 10 u--10 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1644","0.27","Inj heparin sodium per 1000u--1000 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1644","0.32","Inj heparin sodium per 1000u--1000 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1645","8.93","Dalteparin sodium--2500 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1645","9.47","Dalteparin sodium--2500 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1650","0.71","Inj enoxaparin sodium--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1650","0.80","Inj enoxaparin sodium--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1652","1.71","Fondaparinux sodium--0.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1652","2.05","Fondaparinux sodium--0.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1670","452.25","Tetanus immune globulin inj--250 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1670","469.95","Tetanus immune globulin inj--250 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1720","14.15","Hydrocortisone sodium succ i--100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1720","14.21","Hydrocortisone sodium succ i--100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1740","38.55","Ibandronate sodium injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1740","41.54","Ibandronate sodium injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1742","262.41","Ibutilide fumarate injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1742","273.16","Ibutilide fumarate injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1743","542.92","Idursulfase injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1743","542.92","Idursulfase injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1745","41.95","Infliximab not biosimil 10mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1745","44.90","Infliximab not biosimil 10mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1746","64.05","Inj. ibalizumab-uiyk 10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1746","64.21","Inj. ibalizumab-uiyk 10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1750","15.05","Inj iron dextran--50 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1750","15.07","Inj iron dextran--50 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1756","0.22","Iron sucrose injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1756","0.23","Iron sucrose injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1786","43.38","Imuglucerase injection--10 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1786","43.44","Imuglucerase injection--10 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1800","2.86","Propranolol injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1800","3.45","Propranolol injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1815","0.89","Insulin injection--5 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1815","0.90","Insulin injection--5 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1817","10.79","Insulin for insulin pump use--50 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1817","10.90","Insulin for insulin pump use--50 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1885","0.39","Ketorolac tromethamine inj--15 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1885","0.65","Ketorolac tromethamine inj--15 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1930","66.73","Lanreotide injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1930","68.46","Lanreotide injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1931","33.12","Laronidase injection--0.1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1931","33.12","Laronidase injection--0.1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1940","0.65","Furosemide injection--20 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1940","0.77","Furosemide injection--20 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1943","2.91","Inj. aristada initio 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1943","2.91","Inj. aristada initio 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1944","2.90","Aripirazole lauroxil 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1944","2.91","Aripirazole lauroxil 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1950","1268.00","Leuprolide acetate -3.75 mg--3.75 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1950","1582.13","Leuprolide acetate -3.75 mg--3.75 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1953","0.10","Levetiracetam injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1953","0.12","Levetiracetam injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1955","20.99","Inj levocarnitine per 1 gm--1 GM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1955","21.07","Inj levocarnitine per 1 gm--1 GM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1956","0.38","Levofloxacin injection--250 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1956","0.39","Levofloxacin injection--250 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1980","30.62","Hyoscyamine sulfate inj--0.25 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J1980","30.69","Hyoscyamine sulfate inj--0.25 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2001","0.02","Lidocaine injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2001","0.03","Lidocaine injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2010","11.66","Lincomycin injection--300 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2010","13.21","Lincomycin injection--300 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2020","7.07","Linezolid injection--200 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2020","7.52","Linezolid injection--200 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2060","0.71","Lorazepam injection--2 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2060","0.72","Lorazepam injection--2 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2150","1.98","Mannitol injection--50 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2150","2.38","Mannitol injection--50 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2175","5.34","Meperidine hydrochl -100 mg--100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2175","6.42","Meperidine hydrochl -100 mg--100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2182","28.55","Injection mepolizumab 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2182","28.86","Injection mepolizumab 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2185","0.76","Meropenem--100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2185","0.79","Meropenem--100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2210","18.90","Methylergonovin maleate inj--0.2 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2210","19.31","Methylergonovin maleate inj--0.2 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2248","1.00","Micafungin sodium injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2248","1.09","Micafungin sodium injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2250","0.11","Inj midazolam hydrochloride--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2250","0.12","Inj midazolam hydrochloride--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2260","1.75","Inj milrinone lactate - 5 mg--5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2260","2.01","Inj milrinone lactate - 5 mg--5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2270","3.00","Morphine sulfate injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2270","3.15","Morphine sulfate injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2274","10.87","Inj morphine pf epid ithc--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2274","11.51","Inj morphine pf epid ithc--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2278","8.40","Ziconotide injection--1 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2278","8.48","Ziconotide injection--1 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2280","9.19","Inj moxifloxacin 100 mg--100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2280","9.64","Inj moxifloxacin 100 mg--100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2300","3.14","Inj nalbuphine hydrochloride--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2300","3.34","Inj nalbuphine hydrochloride--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2310","11.94","Inj naloxone hydrochloride--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2310","12.86","Inj naloxone hydrochloride--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2315","3.43","Naltrexone depot form--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2315","3.43","Naltrexone depot form--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2323","22.29","Natalizumab injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2323","22.39","Natalizumab injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2350","57.24","Injection ocrelizumab 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2350","57.33","Injection ocrelizumab 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2353","205.04","Octreotide injection depot--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2353","205.66","Octreotide injection depot--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2354","0.74","Octreotide inj non-depot--25 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2354","1.03","Octreotide inj non-depot--25 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2357","37.17","Omalizumab injection--5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2357","37.42","Omalizumab injection--5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2358","2.92","Olanzapine long-acting inj--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2358","2.92","Olanzapine long-acting inj--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2360","5.94","Orphenadrine injection--60 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2360","6.83","Orphenadrine injection--60 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2400","28.59","Chloroprocaine hcl injection--30 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2400","31.40","Chloroprocaine hcl injection--30 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2405","0.09","Ondansetron hcl injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2405","0.10","Ondansetron hcl injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2407","23.63","Injection oritavancin--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2407","23.82","Injection oritavancin--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2425","22.82","Palifermin injection--50 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2425","22.86","Palifermin injection--50 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2426","12.10","Paliperidone palmitate inj--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2426","12.12","Paliperidone palmitate inj--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2430","10.15","Pamidronate disodium -30 mg--30 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2430","10.70","Pamidronate disodium -30 mg--30 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2469","2.76","Palonosetron hcl--25 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2469","3.19","Palonosetron hcl--25 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2501","0.60","Paricalcitol--1 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2501","1.05","Paricalcitol--1 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2503","785.50","Pegaptanib sodium injection--0.3 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2503","785.50","Pegaptanib sodium injection--0.3 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2505","2808.06","Injection pegfilgrastim 6mg--6 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2505","3079.49","Injection pegfilgrastim 6mg--6 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2507","2771.29","Pegloticase injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2507","2799.66","Pegloticase injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2510","29.82","Penicillin g procaine inj--600000 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2510","29.86","Penicillin g procaine inj--600000 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2515","29.87","Pentobarbital sodium inj--50 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2515","33.91","Pentobarbital sodium inj--50 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2540","1.09","Penicillin g potassium inj--600000 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2540","1.10","Penicillin g potassium inj--600000 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2543","1.51","Piperacillin-tazobactam--1.125 GM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2543","1.61","Piperacillin-tazobactam--1.125 GM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2545","114.11","Pentamidine non-comp unit--300 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2545","92.77","Pentamidine non-comp unit--300 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2550","2.32","Promethazine hcl injection--50 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2550","2.37","Promethazine hcl injection--50 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2560","45.51","Phenobarbital sodium inj--120 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2560","45.66","Phenobarbital sodium inj--120 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2562","365.02","Plerixafor injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2562","365.16","Plerixafor injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2597","10.09","Inj desmopressin acetate--1 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2597","10.57","Inj desmopressin acetate--1 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2675","1.20","Inj progesterone per 50 mg--50 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2675","1.41","Inj progesterone per 50 mg--50 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2680","11.62","Fluphenazine decanoate 25 mg--25 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2680","12.88","Fluphenazine decanoate 25 mg--25 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2690","81.75","Procainamide hcl injection--1 GM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2690","84.37","Procainamide hcl injection--1 GM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2700","1.22","Oxacillin sodium injeciton--250 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2700","1.29","Oxacillin sodium injeciton--250 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2704","0.12","Inj propofol 10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2704","0.13","Inj propofol 10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2720","1.03","Inj protamine sulfate-10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2720","1.20","Inj protamine sulfate-10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2724","15.08","Protein c concentrate--10 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2724","15.15","Protein c concentrate--10 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2760","356.88","Phentolaine mesylate inj--5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2760","413.36","Phentolaine mesylate inj--5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2765","1.08","Metoclopramide hcl injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2765","1.13","Metoclopramide hcl injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2770","458.83","Quinupristin-dalfopristin--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2770","459.04","Quinupristin-dalfopristin--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2778","312.26","Ranibizumab injection--0.1 mg","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2778","322.85","Ranibizumab injection--0.1 mg","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2780","6.12","Ranitidine hydrochloride inj--25 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2783","306.14","Rasburicase--0.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2783","307.11","Rasburicase--0.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2785","59.31","Regadenoson injection--0.1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2785","59.37","Regadenoson injection--0.1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2786","9.75","Injection reslizumab 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2786","9.97","Injection reslizumab 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2788","23.10","Rho d immune globulin 50 mcg--50 MCG (250 IU)","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2788","24.78","Rho d immune globulin 50 mcg--50 MCG (250 IU)","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2790","78.46","Rho d immune globulin inj--300 MCG (1500 IU)","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2790","80.36","Rho d immune globulin inj--300 MCG (1500 IU)","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2791","4.75","Rhophylac injection--100 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2791","4.75","Rhophylac injection--100 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2792","31.57","Rho(d) immune globulin h sd--100 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2792","36.37","Rho(d) immune globulin h sd--100 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2794","10.53","Inj risperdal consta 0.5 mg--0.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2794","10.53","Inj risperdal consta 0.5 mg--0.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2795","0.07","Ropivacaine hcl injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2795","0.08","Ropivacaine hcl injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2796","78.92","Romiplostim injection--10 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2796","79.11","Romiplostim injection--10 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2798","10.16","Inj. perseris 0.5 mg--0.5 mg","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2798","10.17","Inj. perseris 0.5 mg--0.5 mg","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2800","7.28","Methocarbamol injection--10 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2800","7.64","Methocarbamol injection--10 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2805","115.16","Sincalide injection--5 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2805","115.55","Sincalide injection--5 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2820","48.41","Sargramostim injection--50 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2820","48.83","Sargramostim injection--50 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2860","111.50","Injection siltuximab--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2860","121.93","Injection siltuximab--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2916","1.94","Na ferric gluconate complex--12.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2916","2.01","Na ferric gluconate complex--12.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2920","4.28","Methylprednisolone injection--40 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2920","4.38","Methylprednisolone injection--40 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2930","5.49","Methylprednisolone injection--125 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2930","5.79","Methylprednisolone injection--125 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2997","87.43","Alteplase recombinant--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J2997","87.68","Alteplase recombinant--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J3000","32.96","Streptomycin injection--1 GM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J3000","33.06","Streptomycin injection--1 GM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J3010","0.67","Fentanyl citrate injection--0.1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J3010","0.72","Fentanyl citrate injection--0.1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J3032","15.60","Inj. eptinezumab-jjmr 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J3032","15.61","Inj. eptinezumab-jjmr 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J3060","40.96","Inj taliglucerase alfa 10 u--10 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J3060","41.08","Inj taliglucerase alfa 10 u--10 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J3090","1.59","Inj tedizolid phosphate--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J3090","1.59","Inj tedizolid phosphate--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J3095","5.85","Telavancin injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J3095","5.94","Telavancin injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J3101","129.17","Tenecteplase injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J3101","129.27","Tenecteplase injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J3105","1.98","Terbutaline sulfate inj--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J3105","5.15","Terbutaline sulfate inj--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J3111","8.99","Inj. romosozumab-aqqg 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J3111","9.00","Inj. romosozumab-aqqg 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J3121","0.05","Inj testostero enanthate 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J3121","0.05","Inj testostero enanthate 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J3145","1.53","Testosterone undecanoate 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J3145","1.59","Testosterone undecanoate 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J3230","34.98","Chlorpromazine hcl injection--50 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J3230","35.89","Chlorpromazine hcl injection--50 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J3240","1774.33","Thyrotropin injection--0.9 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J3240","1776.21","Thyrotropin injection--0.9 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J3241","315.88","Inj. teprotumumab-trbw 10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J3241","315.88","Inj. teprotumumab-trbw 10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J3243","1.11","Tigecycline injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J3243","1.19","Tigecycline injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J3245","132.71","Inj. tildrakizumab 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J3245","135.76","Inj. tildrakizumab 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J3250","40.53","Trimethobenzamide hcl inj--200 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J3250","40.61","Trimethobenzamide hcl inj--200 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J3260","4.60","Tobramycin sulfate injection--80 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J3260","4.94","Tobramycin sulfate injection--80 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J3262","5.47","Tocilizumab injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J3262","5.51","Tocilizumab injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J3285","62.56","Treprostinil injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J3285","64.03","Treprostinil injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J3300","3.86","Triamcinolone a inj prs-free--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J3300","3.87","Triamcinolone a inj prs-free--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J3301","1.29","Triamcinolone acet inj nos--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J3301","1.38","Triamcinolone acet inj nos--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J3304","17.89","Inj triamcinolone ace xr 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J3304","18.01","Inj triamcinolone ace xr 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J3315","503.81","Triptorelin pamoate--3.75 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J3315","523.22","Triptorelin pamoate--3.75 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J3357","171.18","Ustekinumab sub cu inj 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J3357","180.12","Ustekinumab sub cu inj 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J3358","11.63","Ustekinumab iv inject 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J3358","11.95","Ustekinumab iv inject 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J3360","7.08","Diazepam injection--5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J3360","7.15","Diazepam injection--5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J3370","2.61","Vancomycin hcl injection--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J3370","2.93","Vancomycin hcl injection--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J3380","20.35","Injection vedolizumab--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J3380","20.67","Injection vedolizumab--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J3385","346.46","Velaglucerase alfa--100 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J3385","346.63","Velaglucerase alfa--100 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J3396","11.25","Verteporfin injection--0.1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J3396","11.25","Verteporfin injection--0.1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J3410","8.30","Hydroxyzine hcl injection--25 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J3410","8.35","Hydroxyzine hcl injection--25 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J3411","2.54","Thiamine hcl 100 mg--100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J3411","2.98","Thiamine hcl 100 mg--100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J3415","10.26","Pyridoxine hcl 100 mg--100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J3415","10.62","Pyridoxine hcl 100 mg--100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J3420","1.84","Vitamin b12 injection--1000 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J3420","1.99","Vitamin b12 injection--1000 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J3430","3.74","Vitamin k phytonadione inj--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J3430","3.86","Vitamin k phytonadione inj--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J3465","1.37","Injection voriconazole--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J3465","1.65","Injection voriconazole--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J3471","0.46","Ovine up to 999 usp units--1 UNIT","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J3471","0.46","Ovine up to 999 usp units--1 UNIT","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J3473","0.36","Hyaluronidase recombinant--1 USP UNIT","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J3473","0.36","Hyaluronidase recombinant--1 USP UNIT","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J3475","0.60","Inj magnesium sulfate--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J3475","0.63","Inj magnesium sulfate--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J3480","0.14","Inj potassium chloride--2 MEQ","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J3480","0.16","Inj potassium chloride--2 MEQ","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J3485","1.51","Zidovudine--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J3485","1.51","Zidovudine--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J3486","18.05","Ziprasidone mesylate--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J3486","20.95","Ziprasidone mesylate--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J3489","10.30","Zoledronic acid 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J3489","10.94","Zoledronic acid 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7030","2.73","Normal saline solution infus--1000 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7030","2.79","Normal saline solution infus--1000 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7040","1.37","Normal saline solution infus--500 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7040","1.40","Normal saline solution infus--500 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7042","1.20","5% dextrose-normal saline--500 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7042","1.21","5% dextrose-normal saline--500 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7050","0.68","Normal saline solution infus--250 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7050","0.70","Normal saline solution infus--250 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7060","1.88","5% dextrose-water--500 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7060","1.98","5% dextrose-water--500 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7070","3.70","D5w infusion--1000 CC","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7070","3.93","D5w infusion--1000 CC","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7120","2.48","Ringers lactate infusion--1000 CC","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7120","2.49","Ringers lactate infusion--1000 CC","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7170","47.56","Inj. emicizumab-kxwh 0.5 mg--0.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7170","47.75","Inj. emicizumab-kxwh 0.5 mg--0.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7175","7.89","Inj factor x (human) 1iu--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7175","7.89","Inj factor x (human) 1iu--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7177","1.09","Inj. fibryga 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7177","1.09","Inj. fibryga 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7178","1.26","Inj human fibrinogen con nos--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7178","1.30","Inj human fibrinogen con nos--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7179","1.88","Vonvendi inj 1 iu vwf:rco--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7179","1.89","Vonvendi inj 1 iu vwf:rco--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7180","8.78","Factor xiii anti-hem factor--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7180","9.10","Factor xiii anti-hem factor--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7181","15.36","Factor xiii recomb a-subunit--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7181","15.45","Factor xiii recomb a-subunit--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7182","1.25","Factor viii recomb novoeight--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7182","1.36","Factor viii recomb novoeight--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7183","1.04","Wilate injection--1 I.U. VWF:RCO","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7183","1.09","Wilate injection--1 I.U. VWF:RCO","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7185","1.23","Xyntha inj--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7185","1.26","Xyntha inj--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7186","1.12","Antihemophilic viii-vwf comp--PER FACTOR VIII IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7186","1.12","Antihemophilic viii-vwf comp--PER FACTOR VIII IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7187","1.22","Humate-p inj--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7187","1.26","Humate-p inj--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7188","3.19","Factor viii recomb obizur--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7188","3.19","Factor viii recomb obizur--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7189","2.26","Factor viia recomb novoseven--1 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7189","2.26","Factor viia--1 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7190","1.01","Factor viii--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7190","1.07","Factor viii--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7192","1.35","Factor viii recombinant nos--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7192","1.35","Factor viii recombinant nos--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7193","1.16","Factor ix non-recombinant--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7193","1.19","Factor ix non-recombinant--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7194","1.48","Factor ix complex--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7194","1.49","Factor ix complex--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7195","1.53","Factor ix recombinant nos--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7195","1.56","Factor ix recombinant nos--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7197","3.31","Antithrombin iii injection--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7197","3.48","Antithrombin iii injection--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7198","2.09","Anti-inhibitor--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7198","2.10","Anti-inhibitor--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7200","1.40","Factor ix recombinan rixubis--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7200","1.46","Factor ix recombinan rixubis--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7201","3.25","Factor ix alprolix recomb--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7201","3.26","Factor ix alprolix recomb--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7202","4.46","Factor ix idelvion inj--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7202","4.59","Factor ix idelvion inj--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7203","3.96","Factor ix recomb gly rebinyn--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7203","3.96","Factor ix recomb gly rebinyn--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7204","2.24","Inj recombin esperoct per iu--1 i.u.","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7204","2.25","Inj recombin esperoct per iu--1 i.u.","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7205","2.17","Factor viii fc fusion recomb--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7205","2.18","Factor viii fc fusion recomb--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7207","1.85","Factor viii pegylated recomb--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7207","1.86","Factor viii pegylated recomb--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7208","2.03","Inj. jivi 1 iu--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7208","2.03","Inj. jivi 1 iu--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7209","1.26","Factor viii nuwiq recomb 1iu--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7209","1.32","Factor viii nuwiq recomb 1iu--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7210","1.35","Inj afstyla 1 i.u.--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7210","1.37","Inj afstyla 1 i.u.--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7211","1.22","Inj kovaltry 1 i.u.--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7211","1.23","Inj kovaltry 1 i.u.--1 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7308","388.42","Aminolevulinic acid hcl top--354 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7308","393.00","Aminolevulinic acid hcl top--354 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7311","341.19","Inj. retisert 0.01 mg--0.01 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7311","341.22","Inj. retisert 0.01 mg--0.01 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7312","199.85","Dexamethasone intra implant--0.1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7312","200.06","Dexamethasone intra implant--0.1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7313","490.93","Inj. iluvien 0.01 mg--0.01 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7313","490.95","Inj. iluvien 0.01 mg--0.01 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7314","496.42","Inj. yutiq 0.01 mg--0.01 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7314","502.02","Inj. yutiq 0.01 mg--0.01 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7316","1046.93","Inj ocriplasmin 0.125 mg--0.125 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7316","1046.93","Inj ocriplasmin 0.125 mg--0.125 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7321","75.17","Hyalgan or supartz inj dose--per dose","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7321","76.02","Hyalgan or supartz inj dose--per dose","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7323","135.14","Euflexxa inj per dose--per dose","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7323","138.53","Euflexxa inj per dose--per dose","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7324","128.55","Orthovisc inj per dose--PER DOSE","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7324","131.50","Orthovisc inj per dose--PER DOSE","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7325","10.16","Synvisc or synvisc-one--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7325","10.67","Synvisc or synvisc-one--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7327","709.05","Monovisc inj per dose--PER DOSE","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7327","785.19","Monovisc inj per dose--PER DOSE","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7331","18.02","Synojoynt inj. 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7336","3.25","Capsaicin 8% patch--1 SQ CM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7336","3.25","Capsaicin 8% patch--1 SQ CM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7340","212.12","Carbidopa levodopa ent 100ml--100 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7340","213.76","Carbidopa levodopa ent 100ml--100 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7342","29.98","Ciprofloxacin otic susp 6 mg--6 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7342","29.98","Ciprofloxacin otic susp 6 mg--6 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7345","1.51","Aminolevulinic acid 10% gel--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7345","1.52","Aminolevulinic acid 10% gel--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7351","206.38","Inj bimatoprost itc imp1mcg--1 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7351","206.55","Inj bimatoprost itc imp1mcg--1 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7402","10.25","Mometasone sinus sinuva--10 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7500","0.98","Azathioprine oral 50mg--50 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7500","1.11","Azathioprine oral 50mg--50 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7502","1.66","Cyclosporine oral 100 mg--100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7502","1.72","Cyclosporine oral 100 mg--100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7503","1.42","Tacrol envarsus ex rel oral--0.25 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7503","1.44","Tacrol envarsus ex rel oral--0.25 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7504","2249.84","Lymphocyte immune globulin--250 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7504","2257.65","Lymphocyte immune globulin--250 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7507","0.57","Tacrolimus imme rel oral 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7507","0.57","Tacrolimus imme rel oral 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7508","0.48","Tacrol astagraf ex rel oral--0.1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7508","0.48","Tacrol astagraf ex rel oral--0.1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7509","0.29","Methylprednisolone oral--4 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7509","0.35","Methylprednisolone oral--4 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7510","0.13","Prednisolone oral per 5 mg--5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7510","0.15","Prednisolone oral per 5 mg--5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7511","790.60","Antithymocyte globuln rabbit--25 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7511","794.99","Antithymocyte globuln rabbit--25 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7512","0.01","Prednisone ir or dr oral 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7512","0.01","Prednisone ir or dr oral 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7515","0.62","Cyclosporine oral 25 mg--25 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7515","0.64","Cyclosporine oral 25 mg--25 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7516","49.57","Cyclosporin parenteral 250mg--250 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7516","51.32","Cyclosporin parenteral 250mg--250 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7517","0.37","Mycophenolate mofetil oral--250 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7517","0.48","Mycophenolate mofetil oral--250 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7518","2.12","Mycophenolic acid--180 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7518","2.18","Mycophenolic acid--180 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7520","6.50","Sirolimus oral--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7520","6.55","Sirolimus oral--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7525","212.22","Tacrolimus injection--5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7525","212.28","Tacrolimus injection--5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7527","6.69","Oral everolimus--0.25 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7527","7.00","Oral everolimus--0.25 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7605","10.66","Arformoterol non-comp unit--15 mcg","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7605","11.00","Arformoterol non-comp unit--15 mcg","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7606","11.02","Formoterol fumarate inh--20 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7606","11.66","Formoterol fumarate inh--20 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7608","5.74","Acetylcysteine non-comp unit--1 GM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7608","6.18","Acetylcysteine non-comp unit--1 GM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7611","0.24","Albuterol non-comp con--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7611","0.28","Albuterol non-comp con--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7612","0.30","Levalbuterol non-comp con--0.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7612","0.33","Levalbuterol non-comp con--0.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7613","0.04","Albuterol non-comp unit--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7613","0.05","Albuterol non-comp unit--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7614","0.06","Levalbuterol non-comp unit--0.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7614","0.06","Levalbuterol non-comp unit--0.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7620","0.12","Albuterol ipratrop non-comp--2.5 MG-0.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7620","0.12","Albuterol ipratrop non-comp--2.5 MG-0.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7626","1.46","Budesonide non-comp unit--0.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7626","1.69","Budesonide non-comp unit--0.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7631","2.53","Cromolyn sodium noncomp unit--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7631","2.71","Cromolyn sodium noncomp unit--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7639","47.79","Dornase alfa non-comp unit--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7639","47.79","Dornase alfa non-comp unit--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7644","0.20","Ipratropium bromide non-comp--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7644","0.20","Ipratropium bromide non-comp--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7674","0.77","Methacholine chloride neb--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7674","0.80","Methacholine chloride neb--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7677","0.19","Revefenacin inh non-com 1mcg--1 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7677","0.19","Revefenacin inh non-com 1mcg--1 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7682","29.93","Tobramycin non-comp unit--300 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7682","42.67","Tobramycin non-comp unit--300 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7686","671.31","Treprostinil non-comp unit-- 1.74 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J7686","671.84","Treprostinil non-comp unit-- 1.74 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J8501","4.30","Oral aprepitant--5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J8501","5.15","Oral aprepitant--5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J8520","0.74","Capecitabine oral 150 mg--150 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J8520","0.75","Capecitabine oral 150 mg--150 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J8521","2.47","Capecitabine oral 500 mg--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J8521","2.55","Capecitabine oral 500 mg--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J8530","1.53","Cyclophosphamide oral 25 mg--25 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J8530","1.62","Cyclophosphamide oral 25 mg--25 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J8540","0.10","Oral dexamethasone--0.25 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J8540","0.11","Oral dexamethasone--0.25 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J8560","75.77","Etoposide oral 50 mg--50 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J8560","75.96","Etoposide oral 50 mg--50 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J8610","0.14","Methotrexate oral 2.5 mg--2.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J8610","0.22","Methotrexate oral 2.5 mg--2.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J8655","270.65","Oral netupitant palonosetro--0.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J8655","304.13","Oral netupitant palonosetro--0.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J8670","2.01","Rolapitant oral 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J8670","2.34","Rolapitant oral 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J8700","0.44","Temozolomide--5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J8700","0.53","Temozolomide--5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J8705","103.59","Topotecan oral--0.25 mg","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J8705","103.72","Topotecan oral--0.25 mg","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9000","2.50","Doxorubicin hcl injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9000","2.66","Doxorubicin hcl injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9017","17.82","Arsenic trioxide injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9017","23.70","Arsenic trioxide injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9019","427.27","Erwinaze injection--1000 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9019","427.27","Erwinaze injection--1000 IU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9022","78.15","Inj atezolizumab10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9022","78.18","Inj atezolizumab10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9023","84.88","Injection avelumab 10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9023","85.33","Injection avelumab 10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9025","0.78","Azacitidine injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9025","0.91","Azacitidine injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9027","30.18","Clofarabine injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9027","38.50","Clofarabine injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9030","2.85","Bcg live intravesical 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9030","2.86","Bcg live intravesical 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9032","42.61","Injection belinostat 10mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9032","42.70","Injection belinostat 10mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9033","23.98","Inj. treanda 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9033","24.58","Inj. treanda 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9034","19.58","Inj. bendeka 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9034","20.17","Inj. bendeka 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9035","72.51","Bevacizumab injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9035","75.16","Bevacizumab injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9036","20.19","Inj. belrapzo-bendamustine--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9036","22.27","Inj. belrapzo-bendamustine--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9037","42.97","Inj belantamab mafodont blmf--0.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9039","117.35","Injection blinatumomab--1 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9039","118.12","Injection blinatumomab--1 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9040","27.01","Bleomycin sulfate injection--15 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9040","28.74","Bleomycin sulfate injection--15 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9041","44.67","Inj. velcade 0.1 mg--0.1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9041","45.05","Inj. velcade 0.1 mg--0.1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9042","182.06","Brentuximab vedotin inj--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9042","182.08","Brentuximab vedotin inj--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9043","184.06","Cabazitaxel injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9043","184.85","Cabazitaxel injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9044","21.10","Inj bortezomib nos 0.1 mg--0.1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9044","21.60","Inj bortezomib nos 0.1 mg--0.1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9045","2.56","Carboplatin injection--50 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9045","2.68","Carboplatin injection--50 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9047","39.12","Injection carfilzomib 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9047","39.35","Injection carfilzomib 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9050","1724.36","Carmustine injection--100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9050","1743.25","Carmustine injection--100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9055","65.17","Cetuximab injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9055","65.48","Cetuximab injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9060","1.68","Cisplatin 10 mg injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9060","1.89","Cisplatin 10 mg injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9065","19.62","Inj cladribine per 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9065","21.02","Inj cladribine per 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9070","30.89","Cyclophosphamide 100 mg inj--100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9070","31.16","Cyclophosphamide 100 mg inj--100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9100","0.69","Cytarabine hcl 100 mg inj--100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9100","0.75","Cytarabine hcl 100 mg inj--100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9119","27.39","Inj. cemiplimab-rwlc 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9119","27.40","Inj. cemiplimab-rwlc 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9120","840.45","Dactinomycin injection--0.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9120","934.16","Dactinomycin injection--0.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9130","4.40","Dacarbazine 100 mg inj--100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9130","4.85","Dacarbazine 100 mg inj--100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9144","43.75","Daratumumab hyaluronidase--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9144","43.85","Daratumumab hyaluronidase--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9145","55.66","Injection daratumumab 10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9145","56.04","Injection daratumumab 10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9150","42.37","Daunorubicin injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9150","42.52","Daunorubicin injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9153","201.69","Inj daunorubicin cytarabine--1 MG-2.27 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9153","202.64","Inj daunorubicin cytarabine--1 MG-2.27 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9155","3.89","Degarelix injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9155","4.00","Degarelix injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9171","0.62","Docetaxel injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9171","0.72","Docetaxel injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9173","76.70","Inj. durvalumab 10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9173","77.05","Inj. durvalumab 10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9176","6.67","Injection elotuzumab 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9176","6.67","Injection elotuzumab 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9177","27.96","Inj enfort vedo-ejfv 0.25mg--0.25 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9177","29.04","Inj enfort vedo-ejfv 0.25mg--0.25 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9178","1.51","Inj epirubicin hcl 2 mg--2 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9178","1.69","Inj epirubicin hcl 2 mg--2 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9179","117.76","Eribulin mesylate injection--0.1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9179","117.91","Eribulin mesylate injection--0.1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9181","0.72","Etoposide injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9181","0.74","Etoposide injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9185","47.53","Fludarabine phosphate inj--50 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9185","75.18","Fludarabine phosphate inj--50 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9190","1.68","Fluorouracil injection--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9190","1.99","Fluorouracil injection--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9198","33.91","Inj. infugem 100 mg--100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9200","63.77","Floxuridine injection--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9200","70.13","Floxuridine injection--500 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9201","3.97","In gemcitabine hcl nos 200mg--200 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9201","4.14","In gemcitabine hcl nos 200mg--200 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9202","501.27","Goserelin acetate implant--3.6 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9202","538.24","Goserelin acetate implant--3.6 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9203","205.34","Gemtuzumab ozogamicin 0.1 mg--0.1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9203","205.36","Gemtuzumab ozogamicin 0.1 mg--0.1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9204","206.42","Inj mogamulizumab-kpkc 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9204","206.94","Inj mogamulizumab-kpkc 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9205","54.23","Inj irinotecan liposome 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9205","54.31","Inj irinotecan liposome 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9206","2.43","Irinotecan injection--20 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9206","2.45","Irinotecan injection--20 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9207","102.12","Ixabepilone injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9207","111.86","Ixabepilone injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9208","26.17","Ifosfamide injection--1 GM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9208","26.18","Ifosfamide injection--1 GM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9209","1.86","Mesna injection--200 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9209","2.19","Mesna injection--200 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9210","374.02","Inj. emapalumab-lzsg 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9210","393.16","Inj. emapalumab-lzsg 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9211","37.74","Idarubicin hcl injection--5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9211","38.41","Idarubicin hcl injection--5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9214","33.99","Interferon alfa-2b inj--1 MIL UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9214","34.13","Interferon alfa-2b inj--1 MIL UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9217","204.07","Leuprolide acetate suspnsion--7.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9217","228.93","Leuprolide acetate suspnsion--7.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9218","11.47","Leuprolide acetate injeciton--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9218","18.82","Leuprolide acetate injeciton--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9223","174.72","Inj. lurbinectedin 0.1 mg--0.1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9225","4586.21","Vantas implant--50 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9225","4845.14","Vantas implant--50 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9226","40116.00","Supprelin la implant--50 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9226","41773.13","Supprelin la implant--50 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9227","66.22","Inj. isatuximab-irfc 10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9227","66.37","Inj. isatuximab-irfc 10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9228","156.72","Ipilimumab injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9228","157.23","Ipilimumab injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9229","2341.09","Inj inotuzumab ozogam 0.1 mg--0.1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9229","2341.30","Inj inotuzumab ozogam 0.1 mg--0.1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9245","221.36","Inj melpha hydroch nos 50 mg--50 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9245","324.74","Inj melpha hydroch nos 50 mg--50 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9250","0.21","Methotrexate sodium inj--5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9250","0.21","Methotrexate sodium inj--5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9260","2.10","Methotrexate sodium inj--50 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9260","2.12","Methotrexate sodium inj--50 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9261","151.89","Nelarabine injection--50 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9261","151.90","Nelarabine injection--50 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9262","3.31","Inj omacetaxine mep 0.01mg--0.01 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9262","3.31","Inj omacetaxine mep 0.01mg--0.01 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9263","0.12","Oxaliplatin--0.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9263","0.12","Oxaliplatin--0.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9264","13.35","Paclitaxel protein bound--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9264","13.43","Paclitaxel protein bound--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9266","19717.46","Pegaspargase injection--1 EA","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9266","19717.46","Pegaspargase injection--1 EA","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9267","0.15","Paclitaxel injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9267","0.19","Paclitaxel injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9268","2001.90","Pentostatin injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9268","2002.91","Pentostatin injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9269","283.33","Inj. tagraxofusp-erzs 10 mcg--10 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9269","284.21","Inj. tagraxofusp-erzs 10 mcg--10 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9271","50.65","Inj pembrolizumab--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9271","51.62","Inj pembrolizumab--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9280","42.76","Mitomycin injection--5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9280","54.24","Mitomycin injection--5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9281","282.17","Mitomycin instillation--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9281","282.23","Mitomycin instillation--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9285","52.07","Inj olaratumab 10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9293","24.14","Mitoxantrone hydrochl - 5 mg--5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9293","30.85","Mitoxantrone hydrochl - 5 mg--5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9295","5.74","Injection necitumumab 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9295","5.74","Injection necitumumab 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9299","28.49","Injection nivolumab--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9299","28.54","Injection nivolumab--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9301","63.08","Obinutuzumab inj--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9301","63.54","Obinutuzumab inj--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9302","62.15","Ofatumumab injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9302","62.23","Ofatumumab injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9303","123.87","Panitumumab injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9303","124.17","Panitumumab injection--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9305","72.92","Inj. pemetrexed nos 10mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9305","73.19","Inj. pemetrexed nos 10mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9306","12.99","Injection pertuzumab 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9306","13.02","Injection pertuzumab 1 mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9307","310.91","Pralatrexate injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9307","310.93","Pralatrexate injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9308","61.37","Injection ramucirumab--5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9308","61.66","Injection ramucirumab--5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9309","112.12","Inj polatuzumab vedotin 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9309","113.57","Inj polatuzumab vedotin 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9311","38.80","Inj rituximab hyaluronidase--10 mg","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9311","40.23","Inj rituximab hyaluronidase--10 mg","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9312","89.14","Inj. rituximab 10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9312","91.26","Inj. rituximab 10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9313","22.48","Inj. lumoxiti 0.01 mg--0.01 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9313","23.39","Inj. lumoxiti 0.01 mg--0.01 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9315","336.63","Romidepsin injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9315","336.66","Romidepsin injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9316","73.54","Pertuzu trastuzu 10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9317","29.49","Sacituzumab govitecan-hziy--2.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9317","29.51","Sacituzumab govitecan-hziy--2.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9320","347.62","Streptozocin injection--1 GM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9320","348.73","Streptozocin injection--1 GM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9325","54.02","Inj talimogene laherparepvec--1 millionáPFU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9325","54.09","Inj talimogene laherparepvec--1 millionáPFU","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9328","10.38","Temozolomide injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9328","10.40","Temozolomide injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9330","40.39","Temsirolimus injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9330","42.86","Temsirolimus injection--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9340","454.82","Thiotepa injection--15 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9340","499.79","Thiotepa injection--15 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9349","12.66","Inj. tafasitamab-cxix--2 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9351","1.12","Topotecan injection--0.1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9351","1.17","Topotecan injection--0.1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9352","318.91","Injection trabectedin 0.1mg--0.1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9352","318.92","Injection trabectedin 0.1mg--0.1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9354","32.85","Inj ado-trastuzumab emt 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9354","32.90","Inj ado-trastuzumab emt 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9355","93.68","Inj trastuzumab excl biosimi--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9355","97.92","Inj trastuzumab excl biosimi--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9356","72.31","Inj. herceptin hylecta 10mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9356","74.59","Inj. herceptin hylecta 10mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9357","1409.62","Valrubicin injection--200 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9357","1513.40","Valrubicin injection--200 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9358","23.98","Inj fam-trastu deru-nxki 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9358","24.13","Inj fam-trastu deru-nxki 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9360","3.68","Vinblastine sulfate inj--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9360","3.99","Vinblastine sulfate inj--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9370","4.99","Vincristine sulfate 1 mg inj--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9370","5.04","Vincristine sulfate 1 mg inj--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9371","3320.40","Inj vincristine sul lip 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9371","3320.42","Inj vincristine sul lip 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9390","10.75","Vinorelbine tartrate inj--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9390","9.54","Vinorelbine tartrate inj--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9395","45.10","Injection fulvestrant--25 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9395","54.77","Injection fulvestrant--25 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9400","7.52","Inj ziv-aflibercept 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"J9400","8.50","Inj ziv-aflibercept 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"P9041","10.49","Albumin (human)5% 50ml--50 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"P9041","10.49","Albumin (human)5% 50ml--50 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"P9045","52.45","Albumin (human) 5% 250 ml--250 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"P9045","52.45","Albumin (human) 5% 250 ml--250 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"P9046","20.98","Albumin (human) 25% 20 ml--20 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"P9046","20.98","Albumin (human) 25% 20 ml--20 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"P9047","52.45","Albumin (human) 25% 50ml--50 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"P9047","52.45","Albumin (human) 25% 50ml--50 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q0138","0.93","Ferumoxytol non-esrd--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q0138","0.97","Ferumoxytol non-esrd--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q0139","0.93","Ferumoxytol esrd use--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q0139","0.97","Ferumoxytol esrd use--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q0162","0.02","Ondansetron oral--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q0162","0.02","Ondansetron oral--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q0164","0.30","Prochlorperazine maleate 5mg--5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q0164","0.30","Prochlorperazine maleate 5mg--5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q0166","1.38","Granisetron hcl 1 mg oral--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q0166","1.46","Granisetron hcl 1 mg oral--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q0167","0.80","Dronabinol 2.5mg oral--2.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q0167","0.88","Dronabinol 2.5mg oral--2.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q2043","49649.41","Sipuleucel-t auto cd54+--Per infusion (minimum 50 million cells)","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q2043","51363.25","Sipuleucel-t auto cd54+--Per infusion (minimum 50 million cells)","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q2050","298.80","Doxorubicin inj 10mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q2050","307.09","Doxorubicin inj 10mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q3027","54.29","Inj beta interferon im 1 mcg--1 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q3027","54.42","Inj beta interferon im 1 mcg--1 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q4074","140.09","Iloprost non-comp unit dose--UP TO 20 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q4074","140.32","Iloprost non-comp unit dose--UP TO 20 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q4081","0.85","Epoetin alfa 100 units esrd--100 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q4081","0.88","Epoetin alfa 100 units esrd--100 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q4101","30.46","Apligraf--1 SQ CM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q4101","30.47","Apligraf--1 SQ CM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q4102","10.33","Oasis wound matrix--1 SQ CM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q4102","9.56","Oasis wound matrix--1 SQ CM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q4106","31.72","Dermagraft--1 SQ CM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q4106","31.86","Dermagraft--1 SQ CM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q4110","42.33","Primatrix--1 SQ CM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q4110","43.27","Primatrix--1 SQ CM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q4111","7.02","Gammagraft--1 SQ CM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q4111","7.16","Gammagraft--1 SQ CM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q4121","43.45","Theraskin--1 SQ CM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q4121","43.80","Theraskin--1 SQ CM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q4132","116.59","Grafix core grafixpl core--1 SQ CM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q4133","134.37","Grafix stravix prime pl sqcm--1 SQ CM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q4133","135.23","Grafix stravix prime pl sqcm--1 SQ CM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q4137","83.09","Amnioexcel biodexcel 1sq cm--1 SQ CM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q4137","86.59","Amnioexcel biodexcel 1sq cm--1 SQ CM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q4145","18.66","Epifix inj 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q4145","18.87","Epifix inj 1mg--1 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q4151","126.01","Amnioband guardian 1 sq cm--1 SQ CM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q4151","128.40","Amnioband guardian 1 sq cm--1 SQ CM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q4154","106.70","Biovance 1 square cm--1 SQ CM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q4154","110.82","Biovance 1 square cm--1 SQ CM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q4160","95.72","Nushield 1 square cm--1 SQ CM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q4160","99.53","Nushield 1 square cm--1 SQ CM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q4163","15.83","Woundex bioskin per sq cm--1 SQ CM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q4173","209.82","Palingen or palingen xplus--1 SQ CM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q4174","291.27","Palingen or promatrx--0.36 MG per 0.25 CC","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q4186","153.93","Epifix 1 sq cm--1 SQ CM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q4186","156.23","Epifix 1 sq cm--1 SQ CM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q4187","221.06","Epicord 1 sq cm--1 SQ CM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q4195","93.78","Puraply 1 sq cm--1 SQ CM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q4195","95.49","Puraply 1 sq cm--1 SQ CM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q4196","105.64","Puraply am 1 sq cm--1 SQ CM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q4196","108.76","Puraply am 1 sq cm--1 SQ CM","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q5101","0.38","Injection zarxio--1 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q5101","0.41","Injection zarxio--1 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q5103","40.61","Injection inflectra--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q5103","43.06","Injection inflectra--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q5104","40.88","Injection renflexis--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q5104","42.09","Injection renflexis--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q5105","0.86","Inj retacrit esrd on dialysi--100 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q5105","0.92","Inj retacrit esrd on dialysi--100 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q5106","8.55","Inj retacrit non-esrd use--1000 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q5106","9.19","Inj retacrit non-esrd use--1000 UNITS","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q5107","52.89","Inj mvasi 10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q5107","56.73","Inj mvasi 10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q5108","236.46","Injection fulphila--0.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q5108","248.18","Injection fulphila--0.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q5110","0.45","Nivestym--1 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q5110","0.52","Nivestym--1 MCG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q5111","251.30","Injection udenyca 0.5 mg--0.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q5111","267.79","Injection udenyca 0.5 mg--0.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q5112","80.16","Inj ontruzant 10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q5112","88.17","Inj ontruzant 10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q5113","81.99","Inj herzuma 10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q5113","86.43","Inj herzuma 10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q5114","60.66","Inj ogivri 10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q5114","73.06","Inj ogivri 10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q5115","62.06","Inj truxima 10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q5115","68.50","Inj truxima 10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q5116","68.11","Inj. trazimera 10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q5116","74.02","Inj. trazimera 10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q5117","66.29","Inj. kanjinti 10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q5117","72.50","Inj. kanjinti 10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q5118","57.34","Inj. zirabev 10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q5118","59.47","Inj. zirabev 10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q5119","64.51","Inj ruxience 10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q5119","67.32","Inj ruxience 10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q5120","276.82","Inj pegfilgrastim-bmez 0.5mg--0.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q5120","297.96","Inj pegfilgrastim-bmez 0.5mg--0.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q5121","50.06","Inj. avsola 10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q5121","51.34","Inj. avsola 10 mg--10 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q5122","336.90","Inj nyvepria--0.5 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q9950","18.23","Inj sulf hexa lipid microsph--1 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q9950","18.36","Inj sulf hexa lipid microsph--1 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q9956","31.38","Inj octafluoropropane micml--1 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q9956","31.53","Inj octafluoropropane micml--1 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q9957","47.07","Inj perflutren lip microsml--1 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q9957","47.29","Inj perflutren lip microsml--1 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q9958","0.07","Hocm <=149 mg-ml iodine 1ml--1 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q9958","0.08","Hocm <=149 mg-ml iodine 1ml--1 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q9960","0.27","Hocm 200-249mg-ml iodine1ml--1 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q9961","0.26","Hocm 250-299mg-ml iodine1ml--1 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q9961","0.32","Hocm 250-299mg-ml iodine1ml--1 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q9963","0.18","Hocm 350-399mg-ml iodine1ml--1 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q9963","0.19","Hocm 350-399mg-ml iodine1ml--1 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q9965","0.79","Locm 100-199mg-ml iodine1ml--1 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q9965","0.85","Locm 100-199mg-ml iodine1ml--1 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q9966","0.32","Locm 200-299mg-ml iodine1ml--1 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q9966","0.33","Locm 200-299mg-ml iodine1ml--1 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q9967","0.11","Locm 300-399mg-ml iodine1ml--1 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q9967","0.11","Locm 300-399mg-ml iodine1ml--1 ML","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q9991","1736.54","Buprenorph xr 100 mg or less--Less than or equal to 100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q9991","1737.26","Buprenorph xr 100 mg or less--Less than or equal to 100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q9992","1736.54","Buprenorphine xr over 100 mg--Greater than 100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '04/01/2021' AND [Claim Begin Date] <= '12/31/9999'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Carve Out Term","CPTRM",,,,,"Q9992","1737.26","Buprenorphine xr over 100 mg--Greater than 100 MG","Per Unit Rate","100",,,,,"[Claim Begin Date] >= '01/01/2021' AND [Claim Begin Date] <= '03/31/2021'AND FS Line-Item Unit Charge > 800",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Dialysis Rate","350.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"ICU CCU Per Diem","1520.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Intermediate ICU CCU Per Diem","1520.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Med Surg Per Diem","1520.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Rehabilitation Per Diem","1520.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Prominence HealthFirst of Florida","HD Med Adv","I","Standard Term","MedicareInpatientLTCRM",,,,,,,,,,,,"LTCH PPS/Site Neutral","100","[UDF - LTACHQualified] = 'Y'",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Qualcare","Combined All","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"[Billed Amount] <= '0'","0",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Qualcare","Combined All","I","Standard Term","PercentOfChargeRM",,,,,,,,,,,,,,"","75",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Qualcare","Combined All","L","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"[Billed Amount] <= '0'","0",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Qualcare","Combined All","L","Standard Term","PercentOfChargeRM",,,,,,,,,,,,,,"","75",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","South Florida Utilization Review","Workers Compensation","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"[Billed Amount] <= '0'","0",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","South Florida Utilization Review","Workers Compensation","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"[DRG Med/Surg ID] = 'S'AND Account Billed Amount < 51400",,,,,,,,"Detoxification Per Diem","3304.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","South Florida Utilization Review","Workers Compensation","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"[DRG Med/Surg ID] = 'S'AND Account Billed Amount < 51400",,,,,,,,"Dialysis Rate","0.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","South Florida Utilization Review","Workers Compensation","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"[DRG Med/Surg ID] = 'S'AND Account Billed Amount < 51400",,,,,,,,"Hospice Per Diem","3304.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","South Florida Utilization Review","Workers Compensation","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"[DRG Med/Surg ID] = 'S'AND Account Billed Amount < 51400",,,,,,,,"ICU CCU Per Diem","3304.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","South Florida Utilization Review","Workers Compensation","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"[DRG Med/Surg ID] = 'S'AND Account Billed Amount < 51400",,,,,,,,"Intermediate ICU CCU Per Diem","3304.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","South Florida Utilization Review","Workers Compensation","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"[DRG Med/Surg ID] = 'S'AND Account Billed Amount < 51400",,,,,,,,"Med Surg Per Diem","3304.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","South Florida Utilization Review","Workers Compensation","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"[DRG Med/Surg ID] = 'S'AND Account Billed Amount < 51400",,,,,,,,"Nursery ICU Per Diem","3304.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","South Florida Utilization Review","Workers Compensation","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"[DRG Med/Surg ID] = 'S'AND Account Billed Amount < 51400",,,,,,,,"Nursery Per Diem","3304.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","South Florida Utilization Review","Workers Compensation","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"[DRG Med/Surg ID] = 'S'AND Account Billed Amount < 51400",,,,,,,,"Psychiatric Per Diem","3304.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","South Florida Utilization Review","Workers Compensation","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"[DRG Med/Surg ID] = 'S'AND Account Billed Amount < 51400",,,,,,,,"Rehabilitation Per Diem","3304.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","South Florida Utilization Review","Workers Compensation","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"[DRG Med/Surg ID] = 'S'AND Account Billed Amount < 51400",,,,,,,,"Subacute Per Diem","3304.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","South Florida Utilization Review","Workers Compensation","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"AND Account Billed Amount < 51400",,,,,,,,"Detoxification Per Diem","1960.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","South Florida Utilization Review","Workers Compensation","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"AND Account Billed Amount < 51400",,,,,,,,"Dialysis Rate","0.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","South Florida Utilization Review","Workers Compensation","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"AND Account Billed Amount < 51400",,,,,,,,"Hospice Per Diem","1960.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","South Florida Utilization Review","Workers Compensation","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"AND Account Billed Amount < 51400",,,,,,,,"ICU CCU Per Diem","1960.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","South Florida Utilization Review","Workers Compensation","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"AND Account Billed Amount < 51400",,,,,,,,"Intermediate ICU CCU Per Diem","1960.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","South Florida Utilization Review","Workers Compensation","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"AND Account Billed Amount < 51400",,,,,,,,"Med Surg Per Diem","1960.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","South Florida Utilization Review","Workers Compensation","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"AND Account Billed Amount < 51400",,,,,,,,"Nursery ICU Per Diem","1960.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","South Florida Utilization Review","Workers Compensation","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"AND Account Billed Amount < 51400",,,,,,,,"Nursery Per Diem","1960.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","South Florida Utilization Review","Workers Compensation","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"AND Account Billed Amount < 51400",,,,,,,,"Psychiatric Per Diem","1960.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","South Florida Utilization Review","Workers Compensation","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"AND Account Billed Amount < 51400",,,,,,,,"Rehabilitation Per Diem","1960.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","South Florida Utilization Review","Workers Compensation","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"AND Account Billed Amount < 51400",,,,,,,,"Subacute Per Diem","1960.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","South Florida Utilization Review","Workers Compensation","I","Standard Term","PercentOfChargeRM",,,,,,,,,,,,,,"","75",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Sterling Life Insurance Company","HD","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"[Billed Amount] <= '0'","0",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Sterling Life Insurance Company","HD","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"AND Calculated Reimbursement > Claim Billed Amount","100",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Sterling Life Insurance Company","HD","I","Standard Term","MedicareInpatientLTCRM",,,,,,,,,,,,"LTCH PPS/Site Neutral","100","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Three Rivers Provider Network","HD and NCD","L","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"[Billed Amount] <= '0'","0",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Three Rivers Provider Network","HD and NCD","L","Standard Term","PercentOfChargeRM",,,,,,,,,,,,,,"","80",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Three Rivers Provider Network","HD and NCD","Outpatient","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"[Billed Amount] <= '0'","0",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Three Rivers Provider Network","HD and NCD","Outpatient","Standard Term","PercentOfChargeRM",,,,,,,,,,,,,,"","80",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Traditional Medicare PPS","Medicare Advantage","I","Adjustment Term","AdvanceCriteriaCalculationRM",,,,,,,,,,,,,,"AND Calculated Reimbursement > Total Payments + 0.05 OR Calculated Reimbursement < Total Payments - 0.05 AND Calculated Reimbursement > 0",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"((([Calculated Reimbursement] - [835 Patient Responsibility]) * -0.02 ) ) ", "4602","Kindred Hospital - South Florida - Coral Gables","Traditional Medicare PPS","Medicare Advantage","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"[Billed Amount] <= '0'","0",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Traditional Medicare PPS","Medicare Advantage","I","Standard Term","MedicareInpatientLTCRM",,,,,,,,,,,,"LTCH PPS/Site Neutral","100","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Tricare Humana Military Healthcare Services","HD","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"[Billed Amount] <= '0'","0",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Tricare Humana Military Healthcare Services","HD","I","Standard Term","MedicareInpatientLTCRM",,,,,,,,,,,,"LTCH PPS/Site Neutral","100","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Tricare Humana Military Healthcare Services","HD","Outpatient","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"[Total Detailed Charges] <= '0'","0",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Tricare Humana Military Healthcare Services","HD Med Adv","I","Adjustment Term","AdvanceCriteriaCalculationRM",,,,,,,,,,,,,,"[Discharge Date] < '05/01/2020'AND Calculated Reimbursement > Total Payments + 0.05 OR Calculated Reimbursement < Total Payments - 0.05 AND Calculated Reimbursement > 0",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"((([Calculated Reimbursement] - [835 Patient Responsibility]) * -0.02 ) ) ", "4602","Kindred Hospital - South Florida - Coral Gables","Tricare Humana Military Healthcare Services","HD Med Adv","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"[Billed Amount] <= '0'","0",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Tricare Humana Military Healthcare Services","HD Med Adv","I","Standard Term","MedicareInpatientLTCRM",,,,,,,,,,,,"LTCH PPS/Site Neutral","100","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Tricare Humana Military Healthcare Services","HD Med Adv","Outpatient","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"[Billed Amount] <= '0'","0",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Tricare Humana Military Healthcare Services","HD Med Adv","Outpatient","Standard Term","MedicareInpatientLTCRM",,,,,,,,,,,,"LTCH PPS/Site Neutral","100","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"[Billed Amount] <= '0'","0",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"AND Calculated Reimbursement > Claim Billed Amount","100",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","I","Carve Out Term","UB92RM",,,,,"0167","0.00","Other Room and Board - Self Care","Exclusion","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","I","Carve Out Term","UB92RM",,,,,"0180","0.00","Leave of Absence - General","Exclusion","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","I","Carve Out Term","UB92RM",,,,,"0182","0.00","Leave of Absence - Patient Convience Charges Billable","Exclusion","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","I","Carve Out Term","UB92RM",,,,,"0183","0.00","Leave of Absence - Therapeutic Leave","Exclusion","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","I","Carve Out Term","UB92RM",,,,,"0185","0.00","Leave of Absence - Nursing Home (for Hospitalization)","Exclusion","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","I","Carve Out Term","UB92RM",,,,,"0189","0.00","Leave of Absence - Other","Exclusion","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","I","Carve Out Term","UB92RM",,,,,"0220","0.00","Special Charges - General","Exclusion","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","I","Carve Out Term","UB92RM",,,,,"0221","0.00","Special Charges - Admission Charge","Exclusion","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","I","Carve Out Term","UB92RM",,,,,"0222","0.00","Special Charges - Technical Support Charge","Exclusion","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","I","Carve Out Term","UB92RM",,,,,"0223","0.00","Special Charges - UR Service Charge","Exclusion","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","I","Carve Out Term","UB92RM",,,,,"0224","0.00","Special Charges - Late Discharge/Medically Necessary","Exclusion","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","I","Carve Out Term","UB92RM",,,,,"0229","0.00","Special Charges - Other","Exclusion","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","I","Carve Out Term","UB92RM",,,,,"0253","0.00","Pharmacy - Take Home Drugs","Exclusion","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","I","Carve Out Term","UB92RM",,,,,"0256","0.00","Pharmacy - Experimental Drugs","Exclusion","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","I","Carve Out Term","UB92RM",,,,,"0273","0.00","Medical/Surgical Supplies and Devices - Take-Home Supplies","Exclusion","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","I","Carve Out Term","UB92RM",,,,,"0277","0.00","Medical/Surgical Supplies and Devices - Take-Home Oxygen","Exclusion","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","I","Carve Out Term","UB92RM",,,,,"0624","0.00","Medical/Surgical Supplies-Extension of 027X - FDA Investigational Devices (IDE)","Exclusion","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","I","Carve Out Term","UB92RM",,,,,"0670","0.00","Outpatient Special Residence Charges - General","Exclusion","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","I","Carve Out Term","UB92RM",,,,,"0671","0.00","Outpatient Special Residence Charges - Hospital Based","Exclusion","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","I","Carve Out Term","UB92RM",,,,,"0672","0.00","Outpatient Special Residence Charges - Contracted","Exclusion","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","I","Carve Out Term","UB92RM",,,,,"0679","0.00","Outpatient Special Residence Charges - Other","Exclusion","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","I","Carve Out Term","UB92RM",,,,,"0770","0.00","Preventive Care Services - General","Exclusion","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","I","Carve Out Term","UB92RM",,,,,"0771","0.00","Preventive Care Services - Vaccine Administration","Exclusion","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","I","Carve Out Term","UB92RM",,,,,"0931","0.00","Medical Rehabilitation Day Program - Half Day","Exclusion","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","I","Carve Out Term","UB92RM",,,,,"0932","0.00","Medical Rehabilitation Day Program - Full Day","Exclusion","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","I","Carve Out Term","UB92RM",,,,,"0960","0.00","Professional Fees - General","Exclusion","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","I","Carve Out Term","UB92RM",,,,,"0962","0.00","Professional Fees - Ophthalmology","Exclusion","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","I","Carve Out Term","UB92RM",,,,,"0963","0.00","Professional Fees - Anesthesiologist (MD)","Exclusion","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","I","Carve Out Term","UB92RM",,,,,"0964","0.00","Professional Fees - Anesthetist (CRNA)","Exclusion","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","I","Carve Out Term","UB92RM",,,,,"0969","0.00","Professional Fees - Other","Exclusion","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","I","Carve Out Term","UB92RM",,,,,"0971","0.00","Professional Fees - Laboratory","Exclusion","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","I","Carve Out Term","UB92RM",,,,,"0972","0.00","Professional Fees - Radiology (Diagnostic)","Exclusion","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","I","Carve Out Term","UB92RM",,,,,"0973","0.00","Professional Fees - Radiology (Therapeutic)","Exclusion","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","I","Carve Out Term","UB92RM",,,,,"0974","0.00","Professional Fees - Radiology (Nuclear Medicine)","Exclusion","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","I","Carve Out Term","UB92RM",,,,,"0975","0.00","Professional Fees - Operating Room","Exclusion","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","I","Carve Out Term","UB92RM",,,,,"0976","0.00","Professional Fees - Respiratory Therapy","Exclusion","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","I","Carve Out Term","UB92RM",,,,,"0977","0.00","Professional Fees - Physical Therapy","Exclusion","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","I","Carve Out Term","UB92RM",,,,,"0978","0.00","Professional Fees - Occupational Therapy","Exclusion","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","I","Carve Out Term","UB92RM",,,,,"0979","0.00","Professional Fees - Speech Pathology","Exclusion","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","I","Carve Out Term","UB92RM",,,,,"0981","0.00","Professional Fees - Emergency Room","Exclusion","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","I","Carve Out Term","UB92RM",,,,,"0982","0.00","Professional Fees - Outpatient Services","Exclusion","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","I","Carve Out Term","UB92RM",,,,,"0983","0.00","Professional Fees - Clinic","Exclusion","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","I","Carve Out Term","UB92RM",,,,,"0984","0.00","Professional Fees - Medical Social Services","Exclusion","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","I","Carve Out Term","UB92RM",,,,,"0985","0.00","Professional Fees - EKG","Exclusion","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","I","Carve Out Term","UB92RM",,,,,"0986","0.00","Professional Fees - EEG","Exclusion","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","I","Carve Out Term","UB92RM",,,,,"0987","0.00","Professional Fees - Hospital Visit","Exclusion","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","I","Carve Out Term","UB92RM",,,,,"0988","0.00","Professional Fees - Consultation","Exclusion","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","I","Carve Out Term","UB92RM",,,,,"0989","0.00","Professional Fees - Private Duty Nurse","Exclusion","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","I","Carve Out Term","UB92RM",,,,,"0990","0.00","Patient Convenience Items - General","Exclusion","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","I","Carve Out Term","UB92RM",,,,,"0991","0.00","Patient Convenience Items - Cafeteria/Guest Tray","Exclusion","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","I","Carve Out Term","UB92RM",,,,,"0992","0.00","Patient Convenience Items - Private Linen Service","Exclusion","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","I","Carve Out Term","UB92RM",,,,,"0993","0.00","Patient Convenience Items - Telephone/Telegraph","Exclusion","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","I","Carve Out Term","UB92RM",,,,,"0994","0.00","Patient Convenience Items - TV/Radio","Exclusion","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","I","Carve Out Term","UB92RM",,,,,"0995","0.00","Patient Convenience Items - Non Patient Room Rentals","Exclusion","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","I","Carve Out Term","UB92RM",,,,,"0996","0.00","Patient Convenience Items - Late Discharge Charge","Exclusion","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","I","Carve Out Term","UB92RM",,,,,"0997","0.00","Patient Convenience Items - Admission Kits","Exclusion","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","I","Carve Out Term","UB92RM",,,,,"0998","0.00","Patient Convenience Items - Beauty Shop/Barber","Exclusion","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","I","Carve Out Term","UB92RM",,,,,"0999","0.00","Patient Convenience Items - Other","Exclusion","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","I","Carve Out Term","UB92RM",,,,,"2100","0.00","Alternative Therapy Services - General","Exclusion","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","I","Carve Out Term","UB92RM",,,,,"2102","0.00","Alternative Therapy Services - Acupressure","Exclusion","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","I","Carve Out Term","UB92RM",,,,,"2104","0.00","Alternative Therapy Services - Reflexology","Exclusion","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","I","Carve Out Term","UB92RM",,,,,"2105","0.00","Alternative Therapy Services - Biofeedback","Exclusion","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","I","Carve Out Term","UB92RM",,,,,"2106","0.00","Alternative Therapy Services - Hypnosis","Exclusion","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","I","Carve Out Term","UB92RM",,,,,"2109","0.00","Alternative Therapy Services - Other","Exclusion","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"ICU CCU Per Diem","2492.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Intermediate ICU CCU Per Diem","2182.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Med Surg Per Diem","1869.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Rehabilitation Per Diem","1559.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","Outpatient","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"[Billed Amount] <= '0'","0",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","Outpatient","Standard Term","UB92RM",,,,,"0300","32.00","Laboratory (Clinical Diagnostic) - General","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","Outpatient","Standard Term","UB92RM",,,,,"0301","32.00","Laboratory (Clinical Diagnostic) - Chemistry","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","Outpatient","Standard Term","UB92RM",,,,,"0302","32.00","Laboratory (Clinical Diagnostic) - Immunology","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","Outpatient","Standard Term","UB92RM",,,,,"0303","32.00","Laboratory (Clinical Diagnostic) - Renal Patient (Home)","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","Outpatient","Standard Term","UB92RM",,,,,"0304","32.00","Laboratory (Clinical Diagnostic) - Non-Routine Dialysis","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","Outpatient","Standard Term","UB92RM",,,,,"0305","32.00","Laboratory (Clinical Diagnostic) - Hematology","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","Outpatient","Standard Term","UB92RM",,,,,"0306","32.00","Laboratory (Clinical Diagnostic) - Bacteriology and Microbiology","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","Outpatient","Standard Term","UB92RM",,,,,"0307","32.00","Laboratory (Clinical Diagnostic) - Urology","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","Outpatient","Standard Term","UB92RM",,,,,"0309","32.00","Laboratory (Clinical Diagnostic) - Other","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","Outpatient","Standard Term","UB92RM",,,,,"0310","54.00","Laboratory (Pathology) - General","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","Outpatient","Standard Term","UB92RM",,,,,"0311","54.00","Laboratory (Pathology) - Cytology","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","Outpatient","Standard Term","UB92RM",,,,,"0312","54.00","Laboratory (Pathology) - Histology","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","Outpatient","Standard Term","UB92RM",,,,,"0314","54.00","Laboratory (Pathology) - Biopsy","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","Outpatient","Standard Term","UB92RM",,,,,"0319","54.00","Laboratory (Pathology) - Other","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","Outpatient","Standard Term","UB92RM",,,,,"0320","142.00","Radiology (Diagnostic) - General","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","Outpatient","Standard Term","UB92RM",,,,,"0321","142.00","Radiology (Diagnostic) - Angiocardiography","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","Outpatient","Standard Term","UB92RM",,,,,"0322","142.00","Radiology (Diagnostic) - Arthrography","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","Outpatient","Standard Term","UB92RM",,,,,"0323","142.00","Radiology (Diagnostic) - Arteriography","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","Outpatient","Standard Term","UB92RM",,,,,"0324","142.00","Radiology (Diagnostic) - Chest X-ray","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","Outpatient","Standard Term","UB92RM",,,,,"0329","142.00","Radiology (Diagnostic) - Other","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","Outpatient","Standard Term","UB92RM",,,,,"0350","500.00","CT Scan - General","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","Outpatient","Standard Term","UB92RM",,,,,"0351","500.00","CT Scan - Head","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","Outpatient","Standard Term","UB92RM",,,,,"0352","500.00","CT Scan - Body","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","Outpatient","Standard Term","UB92RM",,,,,"0359","500.00","CT Scan - Other","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","Outpatient","Standard Term","UB92RM",,,,,"0400","221.00","Other Imaging Services - General","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","Outpatient","Standard Term","UB92RM",,,,,"0402","221.00","Other Imaging Services - Ultrasound","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","Outpatient","Standard Term","UB92RM",,,,,"0409","221.00","Other Imaging Services - Other","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","Outpatient","Standard Term","UB92RM",,,,,"0410","135.00","Respiratory Services - General","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","Outpatient","Standard Term","UB92RM",,,,,"0412","135.00","Respiratory Services - Inhalation Services","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","Outpatient","Standard Term","UB92RM",,,,,"0419","135.00","Respiratory Services - Other","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","Outpatient","Standard Term","UB92RM",,,,,"0420","115.00","Physical Therapy - General","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","Outpatient","Standard Term","UB92RM",,,,,"0421","115.00","Physical Therapy - Visit Charge","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","Outpatient","Standard Term","UB92RM",,,,,"0422","115.00","Physical Therapy - Hourly Charge","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","Outpatient","Standard Term","UB92RM",,,,,"0423","115.00","Physical Therapy - Group Rate","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","Outpatient","Standard Term","UB92RM",,,,,"0424","115.00","Physical Therapy - Evaluation/Reevaluation","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","Outpatient","Standard Term","UB92RM",,,,,"0429","115.00","Physical Therapy - Other","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","Outpatient","Standard Term","UB92RM",,,,,"0430","115.00","Occupational Therapy - General","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","Outpatient","Standard Term","UB92RM",,,,,"0431","115.00","Occupational Therapy - Visit Charge","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","Outpatient","Standard Term","UB92RM",,,,,"0432","115.00","Occupational Therapy - Hourly Charge","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","Outpatient","Standard Term","UB92RM",,,,,"0433","115.00","Occupational Therapy - Group Rate","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","Outpatient","Standard Term","UB92RM",,,,,"0434","115.00","Occupational Therapy - Evaluation/Reevaluation","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","Outpatient","Standard Term","UB92RM",,,,,"0439","115.00","Occupational Therapy - Other","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","Outpatient","Standard Term","UB92RM",,,,,"0440","115.00","Speech Therapy Language Pathology - General","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","Outpatient","Standard Term","UB92RM",,,,,"0441","115.00","Speech Therapy Language Pathology - Visit Charge","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","Outpatient","Standard Term","UB92RM",,,,,"0442","115.00","Speech Therapy Language Pathology - Hourly Charge","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","Outpatient","Standard Term","UB92RM",,,,,"0443","115.00","Speech Therapy Language Pathology - Group Rate","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","Outpatient","Standard Term","UB92RM",,,,,"0444","115.00","Speech Therapy Language Pathology - Evaluation/Reevaluation","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","Outpatient","Standard Term","UB92RM",,,,,"0449","115.00","Speech Therapy Language Pathology - Other","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","Outpatient","Standard Term","UB92RM",,,,,"0460","135.00","Pulmonary Function - General","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","Outpatient","Standard Term","UB92RM",,,,,"0469","135.00","Pulmonary Function - Other","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","Outpatient","Standard Term","UB92RM",,,,,"0923","32.00","Other Diagnostic Services - Pap Smear","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","United Healthcare of FL","HD Comm","Outpatient","Standard Term","UB92RM",,,,,"0925","32.00","Other Diagnostic Services - Pregnancy Test","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","USA Managed Care Organization","HD Comm","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"[Billed Amount] <= '0'","0",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","USA Managed Care Organization","HD Comm","I","Standard Term","PercentOfChargeRM",,,,,,,,,,,,,,"","75",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","USA Managed Care Organization","HD Comm","Outpatient","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"[Billed Amount] <= '0'","0",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","USA Managed Care Organization","HD Comm","Outpatient","Standard Term","PercentOfChargeRM",,,,,,,,,,,,,,"","75",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","USA Managed Care Organization","HD Med Adv","I","Adjustment Term","AdvanceCriteriaCalculationRM",,,,,,,,,,,,,,"AND Calculated Reimbursement > Total Payments + 0.05 OR Calculated Reimbursement < Total Payments - 0.05 AND Calculated Reimbursement > 0",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"((([Calculated Reimbursement] - [835 Patient Responsibility]) * -0.02 ) ) ", "4602","Kindred Hospital - South Florida - Coral Gables","USA Managed Care Organization","HD Med Adv","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"[Billed Amount] <= '0'","0",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","USA Managed Care Organization","HD Med Adv","I","Standard Term","MedicareInpatientLTCRM",,,,,,,,,,,,"LTCH PPS/Site Neutral","100","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","USA Managed Care Organization","HD W.C.","I","Standard Term","PercentOfChargeRM",,,,,,,,,,,,,,"","97",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Valenz NX Health Network HD","HD All","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"[Billed Amount] <= '0'","0",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Valenz NX Health Network HD","HD All","I","Standard Term","PercentOfChargeRM",,,,,,,,,,,,,,"","75",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","WellCare Centene East Region","Med Advantage","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"[Billed Amount] <= '0'","0",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","WellCare Centene East Region","Med Advantage","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"AND Calculated Reimbursement > Claim Billed Amount","100",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","WellCare Centene East Region","Med Advantage","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"[Facility Code] IN ('4501' '4506' '4509' '4510' '4614') AND [UDF - LTACHQualified] = 'Y'",,,,,,,,"Detoxification Per Diem","0.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","WellCare Centene East Region","Med Advantage","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"[Facility Code] IN ('4501' '4506' '4509' '4510' '4614') AND [UDF - LTACHQualified] = 'Y'",,,,,,,,"Hospice Per Diem","0.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","WellCare Centene East Region","Med Advantage","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"[Facility Code] IN ('4501' '4506' '4509' '4510' '4614') AND [UDF - LTACHQualified] = 'Y'",,,,,,,,"ICU CCU Per Diem","1797.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","WellCare Centene East Region","Med Advantage","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"[Facility Code] IN ('4501' '4506' '4509' '4510' '4614') AND [UDF - LTACHQualified] = 'Y'",,,,,,,,"Intermediate ICU CCU Per Diem","1797.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","WellCare Centene East Region","Med Advantage","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"[Facility Code] IN ('4501' '4506' '4509' '4510' '4614') AND [UDF - LTACHQualified] = 'Y'",,,,,,,,"Med Surg Per Diem","1797.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","WellCare Centene East Region","Med Advantage","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"[Facility Code] IN ('4501' '4506' '4509' '4510' '4614') AND [UDF - LTACHQualified] = 'Y'",,,,,,,,"Nursery ICU Per Diem","0.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","WellCare Centene East Region","Med Advantage","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"[Facility Code] IN ('4501' '4506' '4509' '4510' '4614') AND [UDF - LTACHQualified] = 'Y'",,,,,,,,"Nursery Per Diem","0.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","WellCare Centene East Region","Med Advantage","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"[Facility Code] IN ('4501' '4506' '4509' '4510' '4614') AND [UDF - LTACHQualified] = 'Y'",,,,,,,,"Psychiatric Per Diem","0.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","WellCare Centene East Region","Med Advantage","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"[Facility Code] IN ('4501' '4506' '4509' '4510' '4614') AND [UDF - LTACHQualified] = 'Y'",,,,,,,,"Rehabilitation Per Diem","0.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","WellCare Centene East Region","Med Advantage","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"[Facility Code] IN ('4501' '4506' '4509' '4510' '4614') AND [UDF - LTACHQualified] = 'Y'",,,,,,,,"Subacute Per Diem","0.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","WellCare Centene East Region","Med Advantage","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"[Facility Code] IN ('4502' '4633') AND [UDF - LTACHQualified] = 'Y'",,,,,,,,"Detoxification Per Diem","0.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","WellCare Centene East Region","Med Advantage","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"[Facility Code] IN ('4502' '4633') AND [UDF - LTACHQualified] = 'Y'",,,,,,,,"Hospice Per Diem","0.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","WellCare Centene East Region","Med Advantage","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"[Facility Code] IN ('4502' '4633') AND [UDF - LTACHQualified] = 'Y'",,,,,,,,"ICU CCU Per Diem","1502.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","WellCare Centene East Region","Med Advantage","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"[Facility Code] IN ('4502' '4633') AND [UDF - LTACHQualified] = 'Y'",,,,,,,,"Intermediate ICU CCU Per Diem","1502.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","WellCare Centene East Region","Med Advantage","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"[Facility Code] IN ('4502' '4633') AND [UDF - LTACHQualified] = 'Y'",,,,,,,,"Med Surg Per Diem","1502.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","WellCare Centene East Region","Med Advantage","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"[Facility Code] IN ('4502' '4633') AND [UDF - LTACHQualified] = 'Y'",,,,,,,,"Nursery ICU Per Diem","0.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","WellCare Centene East Region","Med Advantage","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"[Facility Code] IN ('4502' '4633') AND [UDF - LTACHQualified] = 'Y'",,,,,,,,"Nursery Per Diem","0.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","WellCare Centene East Region","Med Advantage","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"[Facility Code] IN ('4502' '4633') AND [UDF - LTACHQualified] = 'Y'",,,,,,,,"Psychiatric Per Diem","0.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","WellCare Centene East Region","Med Advantage","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"[Facility Code] IN ('4502' '4633') AND [UDF - LTACHQualified] = 'Y'",,,,,,,,"Rehabilitation Per Diem","0.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","WellCare Centene East Region","Med Advantage","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"[Facility Code] IN ('4502' '4633') AND [UDF - LTACHQualified] = 'Y'",,,,,,,,"Subacute Per Diem","0.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","WellCare Centene East Region","Med Advantage","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"[Facility Code] IN ('4504' '4680' '4834' '4662' '4628' '4207' '4635' '4649' '4653' '4654' '4660' '4685' '4818' '4840' '4846' '4874') AND [UDF - LTACHQualified] = 'Y'",,,,,,,,"Detoxification Per Diem","0.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","WellCare Centene East Region","Med Advantage","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"[Facility Code] IN ('4504' '4680' '4834' '4662' '4628' '4207' '4635' '4649' '4653' '4654' '4660' '4685' '4818' '4840' '4846' '4874') AND [UDF - LTACHQualified] = 'Y'",,,,,,,,"Hospice Per Diem","0.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","WellCare Centene East Region","Med Advantage","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"[Facility Code] IN ('4504' '4680' '4834' '4662' '4628' '4207' '4635' '4649' '4653' '4654' '4660' '4685' '4818' '4840' '4846' '4874') AND [UDF - LTACHQualified] = 'Y'",,,,,,,,"ICU CCU Per Diem","1600.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","WellCare Centene East Region","Med Advantage","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"[Facility Code] IN ('4504' '4680' '4834' '4662' '4628' '4207' '4635' '4649' '4653' '4654' '4660' '4685' '4818' '4840' '4846' '4874') AND [UDF - LTACHQualified] = 'Y'",,,,,,,,"Intermediate ICU CCU Per Diem","1600.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","WellCare Centene East Region","Med Advantage","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"[Facility Code] IN ('4504' '4680' '4834' '4662' '4628' '4207' '4635' '4649' '4653' '4654' '4660' '4685' '4818' '4840' '4846' '4874') AND [UDF - LTACHQualified] = 'Y'",,,,,,,,"Med Surg Per Diem","1600.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","WellCare Centene East Region","Med Advantage","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"[Facility Code] IN ('4504' '4680' '4834' '4662' '4628' '4207' '4635' '4649' '4653' '4654' '4660' '4685' '4818' '4840' '4846' '4874') AND [UDF - LTACHQualified] = 'Y'",,,,,,,,"Nursery ICU Per Diem","0.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","WellCare Centene East Region","Med Advantage","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"[Facility Code] IN ('4504' '4680' '4834' '4662' '4628' '4207' '4635' '4649' '4653' '4654' '4660' '4685' '4818' '4840' '4846' '4874') AND [UDF - LTACHQualified] = 'Y'",,,,,,,,"Nursery Per Diem","0.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","WellCare Centene East Region","Med Advantage","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"[Facility Code] IN ('4504' '4680' '4834' '4662' '4628' '4207' '4635' '4649' '4653' '4654' '4660' '4685' '4818' '4840' '4846' '4874') AND [UDF - LTACHQualified] = 'Y'",,,,,,,,"Psychiatric Per Diem","0.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","WellCare Centene East Region","Med Advantage","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"[Facility Code] IN ('4504' '4680' '4834' '4662' '4628' '4207' '4635' '4649' '4653' '4654' '4660' '4685' '4818' '4840' '4846' '4874') AND [UDF - LTACHQualified] = 'Y'",,,,,,,,"Rehabilitation Per Diem","0.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","WellCare Centene East Region","Med Advantage","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"[Facility Code] IN ('4504' '4680' '4834' '4662' '4628' '4207' '4635' '4649' '4653' '4654' '4660' '4685' '4818' '4840' '4846' '4874') AND [UDF - LTACHQualified] = 'Y'",,,,,,,,"Subacute Per Diem","0.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","WellCare Centene East Region","Med Advantage","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"[Facility Code] IN ('4508' '4559' '4602' '4611' '4640' '4645' '4652' '4674' '4812' '4876') AND [UDF - LTACHQualified] = 'Y'",,,,,,,,"Detoxification Per Diem","0.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","WellCare Centene East Region","Med Advantage","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"[Facility Code] IN ('4508' '4559' '4602' '4611' '4640' '4645' '4652' '4674' '4812' '4876') AND [UDF - LTACHQualified] = 'Y'",,,,,,,,"Hospice Per Diem","0.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","WellCare Centene East Region","Med Advantage","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"[Facility Code] IN ('4508' '4559' '4602' '4611' '4640' '4645' '4652' '4674' '4812' '4876') AND [UDF - LTACHQualified] = 'Y'",,,,,,,,"ICU CCU Per Diem","1450.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","WellCare Centene East Region","Med Advantage","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"[Facility Code] IN ('4508' '4559' '4602' '4611' '4640' '4645' '4652' '4674' '4812' '4876') AND [UDF - LTACHQualified] = 'Y'",,,,,,,,"Intermediate ICU CCU Per Diem","1450.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","WellCare Centene East Region","Med Advantage","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"[Facility Code] IN ('4508' '4559' '4602' '4611' '4640' '4645' '4652' '4674' '4812' '4876') AND [UDF - LTACHQualified] = 'Y'",,,,,,,,"Med Surg Per Diem","1450.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","WellCare Centene East Region","Med Advantage","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"[Facility Code] IN ('4508' '4559' '4602' '4611' '4640' '4645' '4652' '4674' '4812' '4876') AND [UDF - LTACHQualified] = 'Y'",,,,,,,,"Nursery ICU Per Diem","0.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","WellCare Centene East Region","Med Advantage","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"[Facility Code] IN ('4508' '4559' '4602' '4611' '4640' '4645' '4652' '4674' '4812' '4876') AND [UDF - LTACHQualified] = 'Y'",,,,,,,,"Nursery Per Diem","0.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","WellCare Centene East Region","Med Advantage","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"[Facility Code] IN ('4508' '4559' '4602' '4611' '4640' '4645' '4652' '4674' '4812' '4876') AND [UDF - LTACHQualified] = 'Y'",,,,,,,,"Psychiatric Per Diem","0.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","WellCare Centene East Region","Med Advantage","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"[Facility Code] IN ('4508' '4559' '4602' '4611' '4640' '4645' '4652' '4674' '4812' '4876') AND [UDF - LTACHQualified] = 'Y'",,,,,,,,"Rehabilitation Per Diem","0.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","WellCare Centene East Region","Med Advantage","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"[Facility Code] IN ('4508' '4559' '4602' '4611' '4640' '4645' '4652' '4674' '4812' '4876') AND [UDF - LTACHQualified] = 'Y'",,,,,,,,"Subacute Per Diem","0.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","WellCare Centene East Region","Med Advantage","I","Standard Term","MedicareInpatientLTCRM",,,,,,,,,,,,,"100","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","WellCare Centene East Region","Medicaid","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"[Billed Amount] <= '0'","0",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","WellCare Centene East Region","Medicaid","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"AND Calculated Reimbursement > Claim Billed Amount","100",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","WellCare Centene East Region","Medicaid","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Detoxification Per Diem","0.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","WellCare Centene East Region","Medicaid","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Hospice Per Diem","0.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","WellCare Centene East Region","Medicaid","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"ICU CCU Per Diem","1520.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","WellCare Centene East Region","Medicaid","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"ICU CCU Per Diem","1680.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","WellCare Centene East Region","Medicaid","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"ICU CCU Per Diem","1900.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","WellCare Centene East Region","Medicaid","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Intermediate ICU CCU Per Diem","1520.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","WellCare Centene East Region","Medicaid","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Intermediate ICU CCU Per Diem","1680.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","WellCare Centene East Region","Medicaid","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Intermediate ICU CCU Per Diem","1900.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","WellCare Centene East Region","Medicaid","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Med Surg Per Diem","1520.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","WellCare Centene East Region","Medicaid","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Med Surg Per Diem","1680.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","WellCare Centene East Region","Medicaid","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Med Surg Per Diem","1900.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","WellCare Centene East Region","Medicaid","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Nursery ICU Per Diem","0.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","WellCare Centene East Region","Medicaid","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Nursery Per Diem","0.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","WellCare Centene East Region","Medicaid","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Psychiatric Per Diem","0.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","WellCare Centene East Region","Medicaid","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Rehabilitation Per Diem","0.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","WellCare Centene East Region","Medicaid","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Subacute Per Diem","0.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","WellCare Centene East Region","Medicaid","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"[Facility Code] IN ('4504' '4680' '4834')",,,,,,,,"Detoxification Per Diem","0.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","WellCare Centene East Region","Medicaid","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"[Facility Code] IN ('4504' '4680' '4834')",,,,,,,,"Hospice Per Diem","0.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","WellCare Centene East Region","Medicaid","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"[Facility Code] IN ('4504' '4680' '4834')",,,,,,,,"ICU CCU Per Diem","2442.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","WellCare Centene East Region","Medicaid","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"[Facility Code] IN ('4504' '4680' '4834')",,,,,,,,"Intermediate ICU CCU Per Diem","2442.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","WellCare Centene East Region","Medicaid","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"[Facility Code] IN ('4504' '4680' '4834')",,,,,,,,"Med Surg Per Diem","2442.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","WellCare Centene East Region","Medicaid","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"[Facility Code] IN ('4504' '4680' '4834')",,,,,,,,"Nursery ICU Per Diem","0.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","WellCare Centene East Region","Medicaid","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"[Facility Code] IN ('4504' '4680' '4834')",,,,,,,,"Nursery Per Diem","0.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","WellCare Centene East Region","Medicaid","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"[Facility Code] IN ('4504' '4680' '4834')",,,,,,,,"Psychiatric Per Diem","0.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","WellCare Centene East Region","Medicaid","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"[Facility Code] IN ('4504' '4680' '4834')",,,,,,,,"Rehabilitation Per Diem","0.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","WellCare Centene East Region","Medicaid","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"[Facility Code] IN ('4504' '4680' '4834')",,,,,,,,"Subacute Per Diem","0.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","WellCare Centene East Region","Medicaid","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"[Facility Code] IN ('4508' '4559' '4602' '4611' '4640' '4645' '4652' '4674' '4812' '4876')",,,,,,,,"Detoxification Per Diem","0.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","WellCare Centene East Region","Medicaid","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"[Facility Code] IN ('4508' '4559' '4602' '4611' '4640' '4645' '4652' '4674' '4812' '4876')",,,,,,,,"Hospice Per Diem","0.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","WellCare Centene East Region","Medicaid","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"[Facility Code] IN ('4508' '4559' '4602' '4611' '4640' '4645' '4652' '4674' '4812' '4876')",,,,,,,,"ICU CCU Per Diem","1350.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","WellCare Centene East Region","Medicaid","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"[Facility Code] IN ('4508' '4559' '4602' '4611' '4640' '4645' '4652' '4674' '4812' '4876')",,,,,,,,"Intermediate ICU CCU Per Diem","1350.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","WellCare Centene East Region","Medicaid","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"[Facility Code] IN ('4508' '4559' '4602' '4611' '4640' '4645' '4652' '4674' '4812' '4876')",,,,,,,,"Med Surg Per Diem","1350.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","WellCare Centene East Region","Medicaid","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"[Facility Code] IN ('4508' '4559' '4602' '4611' '4640' '4645' '4652' '4674' '4812' '4876')",,,,,,,,"Nursery ICU Per Diem","0.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","WellCare Centene East Region","Medicaid","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"[Facility Code] IN ('4508' '4559' '4602' '4611' '4640' '4645' '4652' '4674' '4812' '4876')",,,,,,,,"Nursery Per Diem","0.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","WellCare Centene East Region","Medicaid","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"[Facility Code] IN ('4508' '4559' '4602' '4611' '4640' '4645' '4652' '4674' '4812' '4876')",,,,,,,,"Psychiatric Per Diem","0.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","WellCare Centene East Region","Medicaid","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"[Facility Code] IN ('4508' '4559' '4602' '4611' '4640' '4645' '4652' '4674' '4812' '4876')",,,,,,,,"Rehabilitation Per Diem","0.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","WellCare Centene East Region","Medicaid","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"[Facility Code] IN ('4508' '4559' '4602' '4611' '4640' '4645' '4652' '4674' '4812' '4876')",,,,,,,,"Subacute Per Diem","0.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Wellpath","HD FL_NC_TN","I","Carve Out Term","UB92RM",,,,,"0419","300.00","Respiratory Services - Other","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Wellpath","HD FL_NC_TN","I","Carve Out Term","UB92RM",,,,,"0636","35.00","Pharmacy-Extension of 025X - Drugs Requiring Detailed Coding","Percent of Charges","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Wellpath","HD FL_NC_TN","I","Carve Out Term","UB92RM",,,,,"0800","400.00","Inpatient Renal Dialysis - General","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Wellpath","HD FL_NC_TN","I","Carve Out Term","UB92RM",,,,,"0801","400.00","Inpatient Renal Dialysis - Inpatient Hemodialysis","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Wellpath","HD FL_NC_TN","I","Carve Out Term","UB92RM",,,,,"0802","400.00","Inpatient Renal Dialysis - Inpatient Peritoneal Dialysis (Non CAPD)","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Wellpath","HD FL_NC_TN","I","Carve Out Term","UB92RM",,,,,"0803","400.00","Inpatient Renal Dialysis - Inpatient Continuous Ambulatory Peritoneal Dialysis (CAPD)","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Wellpath","HD FL_NC_TN","I","Carve Out Term","UB92RM",,,,,"0804","400.00","Inpatient Renal Dialysis - Inpatient Continuous Cycling Peritoneal Dialysis (CCPD)","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Wellpath","HD FL_NC_TN","I","Carve Out Term","UB92RM",,,,,"0809","400.00","Inpatient Renal Dialysis - Other","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Wellpath","HD FL_NC_TN","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Detoxification Per Diem","0.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Wellpath","HD FL_NC_TN","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Hospice Per Diem","0.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Wellpath","HD FL_NC_TN","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"ICU CCU Per Diem","1775.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Wellpath","HD FL_NC_TN","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Intermediate ICU CCU Per Diem","1775.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Wellpath","HD FL_NC_TN","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Med Surg Per Diem","1600.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Wellpath","HD FL_NC_TN","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Nursery ICU Per Diem","0.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Wellpath","HD FL_NC_TN","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Nursery Per Diem","0.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Wellpath","HD FL_NC_TN","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Psychiatric Per Diem","0.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Wellpath","HD FL_NC_TN","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Rehabilitation Per Diem","1275.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Wellpath","HD FL_NC_TN","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Subacute Per Diem","735.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Wellvana ACO","HD","I","Standard Term","MedicareInpatientLTCRM",,,,,,,,,,,,"LTCH PPS/Site Neutral","100","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","YesCare formerly Corizon Health","HD","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"[Billed Amount] <= '0'","0",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","YesCare formerly Corizon Health","HD","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"AND Calculated Reimbursement > Claim Billed Amount","100",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","YesCare formerly Corizon Health","HD","I","Carve Out Term","UB92RM",,,,,"0258","52.00","Pharmacy - IV Solutions","Percent of Charges","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","YesCare formerly Corizon Health","HD","I","Carve Out Term","UB92RM",,,,,"0419","437.00","Respiratory Services - Other","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","YesCare formerly Corizon Health","HD","I","Carve Out Term","UB92RM",,,,,"0636","52.00","Pharmacy-Extension of 025X - Drugs Requiring Detailed Coding","Percent of Charges","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","YesCare formerly Corizon Health","HD","I","Carve Out Term","UB92RM",,,,,"0800","600.00","Inpatient Renal Dialysis - General","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","YesCare formerly Corizon Health","HD","I","Carve Out Term","UB92RM",,,,,"0801","600.00","Inpatient Renal Dialysis - Inpatient Hemodialysis","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","YesCare formerly Corizon Health","HD","I","Carve Out Term","UB92RM",,,,,"0802","600.00","Inpatient Renal Dialysis - Inpatient Peritoneal Dialysis (Non CAPD)","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","YesCare formerly Corizon Health","HD","I","Carve Out Term","UB92RM",,,,,"0803","600.00","Inpatient Renal Dialysis - Inpatient Continuous Ambulatory Peritoneal Dialysis (CAPD)","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","YesCare formerly Corizon Health","HD","I","Carve Out Term","UB92RM",,,,,"0804","600.00","Inpatient Renal Dialysis - Inpatient Continuous Cycling Peritoneal Dialysis (CCPD)","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","YesCare formerly Corizon Health","HD","I","Carve Out Term","UB92RM",,,,,"0809","600.00","Inpatient Renal Dialysis - Other","Per Unit Rate","100",,,,,"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","YesCare formerly Corizon Health","HD","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"ICU CCU Per Diem","2625.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","YesCare formerly Corizon Health","HD","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Intermediate ICU CCU Per Diem","2625.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","YesCare formerly Corizon Health","HD","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Med Surg Per Diem","2325.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","YesCare formerly Corizon Health","HD","I","Standard Term","LevelOfCarePerDiemRM",,,,,,,,,,,,,,"",,,,,,,,"Rehabilitation Per Diem","1878.00",,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Zelis NPPN","Combined Comm","I","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"[Billed Amount] <= '0'","0",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Zelis NPPN","Combined Comm","I","Standard Term","PercentOfChargeRM",,,,,,,,,,,,,,"","80",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Zelis NPPN","Combined Comm","L","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"[Billed Amount] <= '0'","0",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Zelis NPPN","Combined Comm","L","Standard Term","PercentOfChargeRM",,,,,,,,,,,,,,"","80",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Zelis NPPN","Combined Comm","Outpatient","Adjustment Term","PercentOfChargeRM",,,,,,,,,,,,,,"[Billed Amount] <= '0'","0",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Zelis NPPN","Combined Comm","Outpatient","Standard Term","PercentOfChargeRM",,,,,,,,,,,,,,"","80",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0120","800.00","Room and Board Semiprivate (two beds) - General","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0154","800.00","Room and Board Ward - Psychiatric","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0180","800.00","Leave of Absence - General","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0192","800.00","Subacute - Level II/Comprehensive Care","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0208","1000.00","Intensive Care Unit - Trauma","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0219","1000.00","Coronary Care Unit - Other","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","0013A","40.00","ADM SARSCOV2 100MCG-0.5ML3RD--Moderna Covid-19 Vaccine Administration û Third Dose","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","0031A","40.00","ADM SARSCOV2 VAC AD26 .5ML--Janssen Covid-19 Vaccine Administration","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","90375","271.37","Rabies ig im-sc--150 IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","90662","56.01","Iiv no prsv increased ag im","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","90682","56.01","Riv4 vacc recombinant dna im","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","A9589","1173.38","Insti hexaminolevulinate hcl","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0132","0.94","Acetylcysteine injection--100 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0133","0.03","Acyclovir injection--5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0153","0.55","Adenosine inj 1mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0180","183.78","Agalsidase beta injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0185","1.45","Inj. aprepitant 1 mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0515","17.16","Inj benztropine mesylate--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0586","8.25","Abobotulinumtoxina--5 Unit","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0587","11.97","Inj rimabotulinumtoxinb--100 UNITS","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0594","2.13","Busulfan injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0641","0.12","Inj levoleucovorin nos 0.5mg--0.5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0840","2908.21","Crotalidae poly immune fab--UP TO 1 GM","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0888","1.50","Epoetin beta non esrd--1 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1240","6.52","Dimenhydrinate injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1270","0.28","Injection doxercalciferol","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1447","0.45","Inj tbo filgrastim 1 microg--1 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1554","481.77","Inj. asceniv--500 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1556","70.49","Inj imm glob bivigam 500mg--500 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1568","40.47","Octagam injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1575","14.14","Hyqvia 100mg immuneglobulin","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1602","17.15","Golimumab for iv use 1mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1817","10.66","Insulin for insulin pump use","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0110","800.00","Room and Board Private (one bed) - General","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0112","800.00","Room and Board Private (one bed) - OB","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0113","800.00","Room and Board Private (one bed) - Pediatric","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0123","800.00","Room and Board Semiprivate (two beds) - Pediatric","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0130","800.00","Room and Board (3 and 4 beds) - General","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0132","800.00","Room and Board (3 and 4 beds) - OB","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0135","800.00","Room and Board (3 and 4 beds) - Hospice","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0140","800.00","Room and Board Deluxe Private - General","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0142","800.00","Room and Board Deluxe Private - OB","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0151","800.00","Room and Board Ward - Medical/Surgical/GYN","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0152","800.00","Room and Board Ward - OB","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0172","800.00","Nursery - Newborn Level II","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0183","800.00","Leave of Absence - Therapeutic Leave","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0189","800.00","Leave of Absence - Other","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0193","800.00","Subacute - Level III/Complex Care","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","0004A","40.00","ADM SARSCOV2 30MCG-0.3ML BST--Pfizer-Biontech Covid-19 Vaccine Administration û Booster","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","0011A","40.00","ADM SARSCOV2 100MCG-0.5ML1ST--Moderna Covid-19 Vaccine Administration û First Dose","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","0012A","40.00","ADM SARSCOV2 100MCG-0.5ML2ND--Moderna Covid-19 Vaccine Administration û Second Dose","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","0034A","40.00","ADM SARSCOV2 VAC AD26 .5ML B--Janssen Covid-19 Vaccine Administration -á Booster","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","0064A","40.00","ADM SARSCOV2 50MCG-0.25MLBST--Moderna Covid-19 Vaccine (Low Dose) Administration - Booster","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","90371","117.83","Hep b ig im","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","90376","226.80","Rabies ig heat treated","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","90632","58.76","Hepa vaccine adult im--1 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","90675","286.20","Rabies vaccine im","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","90715","33.10","Tdap vaccine 7 yrs-> im","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","A9577","1.81","Inj multihance--1 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","A9581","14.74","Gadoxetate disodium inj--1 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0122","1.02","Inj. eravacycline 1 mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0129","55.08","Abatacept injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0401","5.69","Inj aripiprazole ext rel 1mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0490","45.50","Belimumab injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0114","800.00","Room and Board Private (one bed) - Psychiatric","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0116","800.00","Room and Board Private (one bed) - Detoxification","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0117","800.00","Room and Board Private (one bed) - Oncology","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0122","800.00","Room and Board Semiprivate (two beds) - OB","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0127","800.00","Room and Board Semiprivate (two beds) - Oncology","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0131","800.00","Room and Board (3 and 4 beds) - Medical/Surgical/GYN","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0133","800.00","Room and Board (3 and 4 beds) - Pediatric","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0145","800.00","Room and Board Deluxe Private - Hospice","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0153","800.00","Room and Board Ward - Pediatric","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0164","800.00","Other Room and Board - Sterile","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0171","800.00","Nursery - Newborn Level I","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0204","1000.00","Intensive Care Unit - Psychiatric","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0209","1000.00","Intensive Care Unit - Other","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0212","1000.00","Coronary Care Unit - Pulmonary Care","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","0003A","40.00","ADM SARSCOV2 30MCG-0.3ML 3RD--Pfizer-Biontech Covid-19 Vaccine Administration û Third Dose","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","0021A","40.00","ADM SARSCOV2 5X10^10VP-.5ML 1--AstraZeneca Covid-19 Vaccine Administration û First Dose","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","0071A","40.00","ADM SARSCV2 10MCG TRS-SUCR 1--Pfizer-BioNTech Covid-19 Pediatric Vaccine - Administration - First dose","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","90685","20.34","Iiv4 vacc no prsv 0.25 ml im","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","A9606","164.38","Radium ra223 dichloride ther","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0583","0.45","Bivalirudin--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0584","353.38","Injection burosumab-twza 1m","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0597","51.27","C-1 esterase berinert","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0600","5592.56","Edetate calcium disodium inj--1000 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0636","0.74","Inj calcitriol per 0.1 mcg--0.1 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0637","6.54","Caspofungin acetate","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0690","0.82","Cefazolin sodium injection--500 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0878","0.09","Daptomycin injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0895","7.90","Deferoxamine mesylate inj--500 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1000","21.82","Depo-estradiol cypionate inj","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1050","0.56","Medroxyprogesterone acetate","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1071","0.03","Inj testosterone cypionate--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0174","800.00","Nursery - Newborn Level IV","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0182","800.00","Leave of Absence - Patient Convience Charges Billable","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0190","800.00","Subacute - General","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0191","800.00","Subacute - Level I/Skilled Care","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0194","800.00","Subacute - Level IV/Intensive Care","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","0001A","40.00","ADM SARSCOV2 30MCG-0.3ML 1ST--Pfizer-Biontech Covid-19 Vaccine Administration û First Dose","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","90653","59.53","Iiv adjuvant vaccine im--0.5 ml","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","90672","26.88","Laiv4 vaccine intranasal--0.2 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","90686","19.03","Iiv4 vacc no prsv 0.5 ml im","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","90688","17.84","Iiv4 vaccine splt 0.5 ml im","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","90740","140.76","Hepb vacc 3 dose immunsup im--40 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","A9576","1.41","Inj prohance multipack--1 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","A9585","0.35","Gadobutrol injection--0.1 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0178","918.87","Aflibercept injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0202","1949.60","Injection alemtuzumab","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0257","4.87","Glassia injection--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0278","1.06","Amikacin sulfate injection--100 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0289","27.07","Amphotericin b liposome inj--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0475","177.65","Baclofen 10 mg injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0476","49.12","Baclofen intrathecal trial","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0485","3.78","Belatacept injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0558","10.81","Peng benzathine-procaine inj","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0561","13.83","Penicillin g benzathine inj","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0592","4.32","Buprenorphine hydrochloride--0.1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0595","2.53","Butorphanol tartrate 1 mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0670","2.72","Inj mepivacaine hcl-10 ml","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0712","3.18","Ceftaroline fosamil inj","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0713","1.98","Inj ceftazidime per 500 mg--500 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0735","13.03","Clonidine hydrochloride","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0740","590.29","Cidofovir injection--375 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0775","50.40","Collagenase clost hist inj","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0887","1.50","Epoetin beta esrd use--1 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1030","5.74","Methylprednisolone 40 mg inj--40 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0115","800.00","Room and Board Private (one bed) - Hospice","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0125","800.00","Room and Board Semiprivate (two beds) - Hospice","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0128","800.00","Room and Board Semiprivate (two beds) - Rehabilitation","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0136","800.00","Room and Board (3 and 4 beds) - Detoxification","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0139","800.00","Room and Board (3 and 4 beds) - Other","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0146","800.00","Room and Board Deluxe Private - Detoxification","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0156","800.00","Room and Board Ward - Detoxification","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0169","800.00","Other Room and Board - Other","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0173","800.00","Nursery - Newborn Level III","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0179","800.00","Nursery - Other","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0207","1000.00","Intensive Care Unit - Burn care","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0210","1000.00","Coronary Care Unit - General","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","90586","140.34","Bcg vaccine intravesical","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","90744","28.21","Hepb vacc 3 dose ped-adol im--1 DOSE","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","A9575","0.16","Inj gadoterate meglumi 0.1ml--0.1 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0207","980.14","Amifostine","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0221","171.21","Lumizyme injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0223","106.78","Inj givosiran 0.5 mg--0.5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0287","9.20","Amphotericin b lipid complex","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0348","0.52","Anidulafungin injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0360","2.94","Hydralazine hcl injection--20 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0470","59.81","Dimecaprol injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0517","169.05","Inj. benralizumab 1 mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0610","3.63","Calcium gluconate injection--10 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0638","111.00","Canakinumab injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0640","2.73","Leucovorin calcium injection--50 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0691","0.72","Inj lefamulin 1 mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0697","1.90","Sterile cefuroxime injection--750 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0714","92.05","Ceftazidime and avibactam","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0725","21.25","Chorionic gonadotropin-1000u","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0882","3.31","Darbepoetin alfa esrd use--1 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0894","3.43","Decitabine injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1040","10.74","Methylprednisolone 80 mg inj--80 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0565","39.66","Inj bezlotoxumab 10 mg--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0692","1.81","Cefepime hcl for injection--500 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0694","5.78","Cefoxitin sodium injection--1 GM","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0717","7.99","Certolizumab pegol inj 1mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0897","19.34","Denosumab injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1290","492.12","Ecallantide injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1322","241.42","Elosulfase alfa injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1459","41.22","Inj ivig privigen 500 mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1557","49.81","Gammaplex injection--500 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1626","0.22","Granisetron hcl injection--100 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1746","58.38","Inj. ibalizumab-uiyk 10 mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1786","42.62","Imuglucerase injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1940","0.63","Furosemide injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1944","2.71","Aripirazole lauroxil 1 mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1980","30.62","Hyoscyamine sulfate inj--0.25 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2175","5.00","Meperidine hydrochl -100 mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2353","205.04","Octreotide injection depot--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2407","23.27","Injection oritavancin","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2545","92.77","Pentamidine non-comp unit--300 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2550","1.97","Promethazine hcl injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2760","356.88","Phentolaine mesylate inj--5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2765","1.08","Metoclopramide hcl injection--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2788","23.10","Rho d immune globulin 50 mcg--50 MCG (250 IU)","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2792","28.74","Rho(d) immune globulin h sd","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J3480","0.13","Inj potassium chloride","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J3485","1.51","Zidovudine--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7060","1.88","5% dextrose-water--500 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7185","1.23","Xyntha inj--1 IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7189","2.17","Factor viia","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7193","1.16","Factor ix non-recombinant--1 IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7203","3.96","Factor ix recomb gly rebinyn--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7208","2.01","Inj. jivi 1 iu","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7210","1.35","Inj afstyla 1 i.u.--1 IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7500","0.69","Azathioprine oral 50mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1930","65.85","Lanreotide injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1943","2.78","Inj. aristada initio 1 mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1950","1268.00","Leuprolide acetate -3.75 mg--3.75 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2150","1.98","Mannitol injection--50 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2310","11.94","Inj naloxone hydrochloride--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2405","0.09","Ondansetron hcl injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2503","721.96","Pegaptanib sodium injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2540","1.06","Penicillin g potassium inj","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2680","11.21","Fluphenazine decanoate 25 mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2780","3.84","Ranitidine hydrochloride inj","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2798","9.77","Inj. perseris 0.5 mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2800","7.23","Methocarbamol injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J3000","31.30","Streptomycin injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J3095","5.27","Telavancin injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J3145","1.50","Testosterone undecanoate 1mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J3285","61.64","Treprostinil injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J3385","345.73","Velaglucerase alfa","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J3410","6.33","Hydroxyzine hcl injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J3420","1.84","Vitamin b12 injection--1000 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J3471","0.43","Ovine up to 999 usp units","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7120","2.41","Ringers lactate infusion","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7170","47.31","Inj. emicizumab-kxwh 0.5 mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7190","1.01","Factor viii--1 IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7311","339.44","Inj. retisert 0.01 mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7312","199.59","Dexamethasone intra implant","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7325","10.16","Synvisc or synvisc-one--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7327","709.05","Monovisc inj per dose--PER DOSE","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7340","212.12","Carbidopa levodopa ent 100ml--100 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7402","10.25","Mometasone sinus sinuva--10 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7504","2053.22","Lymphocyte immune globulin","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7517","0.37","Mycophenolate mofetil oral--250 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7525","211.75","Tacrolimus injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J8520","0.62","Capecitabine oral 150 mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9000","2.50","Doxorubicin hcl injection--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1170","2.74","Hydromorphone injection--4 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1335","29.99","Ertapenem injection--500 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1410","308.38","Inj estrogen conjugate 25 mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1439","1.10","Inj ferric carboxymaltos 1mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1458","397.86","Galsulfase injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1559","10.50","Hizentra injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1652","1.57","Fondaparinux sodium","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1740","38.55","Ibandronate sodium injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1756","0.21","Iron sucrose injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1815","0.89","Insulin injection--5 UNITS","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1931","32.15","Laronidase injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1955","20.45","Inj levocarnitine per 1 gm","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2001","0.02","Lidocaine injection--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2182","28.55","Injection mepolizumab 1mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2270","3.00","Morphine sulfate injection--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2274","10.87","Inj morphine pf epid ithc--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2360","5.94","Orphenadrine injection--60 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2425","21.23","Palifermin injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2426","11.62","Paliperidone palmitate inj","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2501","0.60","Paricalcitol--1 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2507","2590.90","Pegloticase injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2690","81.75","Procainamide hcl injection--1 GM","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2700","1.11","Oxacillin sodium injeciton","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2796","74.66","Romiplostim injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J3060","39.69","Inj taliglucerase alfa 10 u","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J3090","1.56","Inj tedizolid phosphate","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J3243","1.11","Tigecycline injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J3301","1.29","Triamcinolone acet inj nos--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J3380","20.17","Injection vedolizumab","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J3411","2.54","Thiamine hcl 100 mg--100 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J3430","3.74","Vitamin k phytonadione inj--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J3475","0.55","Inj magnesium sulfate","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7040","1.30","Normal saline solution infus","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7070","3.70","D5w infusion--1000 CC","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1200","0.62","Diphenhydramine hcl injectio--50 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1265","0.60","Dopamine injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1430","444.10","Ethanolamine oleate 100 mg--100 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1450","3.17","Fluconazole--200 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1460","40.95","Gamma globulin 1 cc inj","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1642","0.01","Inj heparin sodium per 10 u--10 UNITS","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1670","452.25","Tetanus immune globulin inj--250 UNITS","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1720","12.90","Hydrocortisone sodium succ i","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1800","2.86","Propranolol injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2185","0.76","Meropenem--100 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2250","0.11","Inj midazolam hydrochloride--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2260","1.66","Inj milrinone lactate - 5 mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2505","2808.06","Injection pegfilgrastim 6mg--6 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2770","416.42","Quinupristin-dalfopristin","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2783","292.71","Rasburicase","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2795","0.07","Ropivacaine hcl injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2805","112.22","Sincalide injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2916","1.94","Na ferric gluconate complex--12.5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J3245","132.71","Inj. tildrakizumab 1 mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J3260","3.97","Tobramycin sulfate injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J3300","3.83","Triamcinolone a inj prs-free","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7030","2.59","Normal saline solution infus","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7177","1.09","Inj. fibryga 1 mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7183","1.04","Wilate injection--1 I.U. VWF:RCO","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7187","1.21","Humate-p inj","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7316","1046.93","Inj ocriplasmin 0.125 mg--0.125 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7503","1.35","Tacrol envarsus ex rel oral","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7508","0.48","Tacrol astagraf ex rel oral--0.1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7509","0.29","Methylprednisolone oral--4 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7510","0.10","Prednisolone oral per 5 mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7511","770.52","Antithymocyte globuln rabbit","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7606","11.02","Formoterol fumarate inh--20 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7613","0.04","Albuterol non-comp unit--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7626","1.46","Budesonide non-comp unit--0.5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0100","800.00","All Inclusive Rate - Room & Board & Ancillary","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0134","800.00","Room and Board (3 and 4 beds) - Psychiatric","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0143","800.00","Room and Board Deluxe Private - Pediatric","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0144","800.00","Room and Board Deluxe Private - Psychiatric","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0150","800.00","Room and Board Ward - General","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0155","800.00","Room and Board Ward - Hospice","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0181","1133.00","RESERVED","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0185","800.00","Leave of Absence - Nursing Home (for Hospitalization)","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0199","800.00","Subacute - Other","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0206","1000.00","Intensive Care Unit - Intermediate ICU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","0002A","40.00","ADM SARSCOV2 30MCG-0.3ML 2ND--Pfizer-Biontech Covid-19 Vaccine Administration û Second Dose","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","0072A","40.00","ADM SARSCV2 10MCG TRS-SUCR 2--Pfizer-BioNTech Covid-19 Pediatric Vaccine - Administration - Second dose","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","90670","230.14","Pcv13 vaccine im--0.5 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","A9579","1.53","Gad-base mr contrast nos1ml--1 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0280","7.11","Aminophyllin 250 mg inj","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0285","38.56","Amphotericin b","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0291","3.07","Inj. plazomicin 5 mg--5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0456","3.11","Azithromycin","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0461","0.06","Atropine sulfate injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0480","3805.54","Basiliximab","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0588","5.03","Incobotulinumtoxin a","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0596","28.35","Injection ruconest","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0630","2653.46","Calcitonin salmon injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0702","6.09","Betamethasone acet&sod phosp--3 MG & 3 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0795","9.36","Corticorelin ovine triflutal","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0800","3898.63","Corticotropin injection--40 UNITS","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0834","32.25","Inj. cosyntropin 0.25 mg--0.25 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1100","0.14","Dexamethasone sodium phos--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1110","56.48","Inj dihydroergotamine mesylt--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1205","52.43","Chlorothiazide sodium inj--500 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1212","622.91","Dimethyl sulfoxide 50% 50 ml","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1555","13.89","Inj cuvitru 100 mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1561","40.82","Gamunex-c-gammaked","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0119","800.00","Room and Board Private (one bed) - Other","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0129","800.00","Room and Board Semiprivate (two beds) - Other","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0137","800.00","Room and Board (3 and 4 beds) - Oncology","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0149","800.00","Room and Board Deluxe Private - Other","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0157","800.00","Room and Board Ward - Oncology","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0158","800.00","Room and Board Ward - Rehabilitation","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0184","1133.00","LOA/ICF/MR","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0200","1000.00","Intensive Care Unit - General","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0201","1000.00","Intensive Care Unit - Surgical","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0211","1000.00","Coronary Care Unit - Myocardial Infarction","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0214","1000.00","Coronary Care Unit - Intermediate CCU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","90694","61.00","Vacc AIIV4 no prsrv 0.5ML IM--0.5 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","90739","131.10","Hepb vacc 2 dose adult im--1 dose","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","90746","69.65","Hepb vaccine 3 dose adult im--20 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","90747","140.76","Hepb vacc 4 dose immunsup im--40 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","90756","26.66","Cciiv4 vacc abx free im","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0121","3.27","Inj. omadacycline 1 mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0179","313.32","Inj brolucizumab-dbll 1 mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0222","97.54","Inj. patisiran 0.1 mg--0.1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0500","33.85","Dicyclomine injection--20 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0585","6.06","Injectiononabotulinumtoxina--1 UNIT","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0642","1.63","Injection khapzory 0.5 mg--0.5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0695","5.88","Inj ceftolozane tazobactam","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0742","2.25","Inj imip 4 cilas 4 releb 2mg--4 MG-4 MG-2 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0744","0.99","Ciprofloxacin iv--200 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0770","13.85","Colistimethate sodium inj--150 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0841","1260.93","Inj crotalidae im f(ab)2 eq","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0881","3.31","Darbepoetin alfa non-esrd--1 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0885","8.54","Epoetin alfa non-esrd--1000 UNITS","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0896","36.29","Inj luspatercept-aamt 0.25mg--0.25 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1020","3.21","Methylprednisolone 20 mg inj--20 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1160","4.74","Digoxin injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1162","3969.27","Digoxin immune fab (ovine)--PER VIAL","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0101","800.00","All Inclusive Rate - Room & Board","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0111","800.00","Room and Board Private (one bed) - Medical/Surgical/GYN","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0118","800.00","Room and Board Private (one bed) - Rehabilitation","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0121","800.00","Room and Board Semiprivate (two beds) - Medical/Surgical/GYN","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0124","800.00","Room and Board Semiprivate (two beds) - Psychiatric","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0126","800.00","Room and Board Semiprivate (two beds) - Detoxification","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0138","800.00","Room and Board (3 and 4 beds) - Rehabilitation","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0141","800.00","Room and Board Deluxe Private - Medical/Surgical/GYN","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0147","800.00","Room and Board Deluxe Private - Oncology","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0148","800.00","Room and Board Deluxe Private - Rehabilitation","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0159","800.00","Room and Board Ward - Other","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0160","800.00","Other Room and Board - General","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0167","800.00","Other Room and Board - Self Care","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0170","800.00","Nursery - General","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0202","1000.00","Intensive Care Unit - Medical ","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0203","1000.00","Intensive Care Unit - Pediatric","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0213","1000.00","Coronary Care Unit - Heart Transplant","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","0022A","40.00","ADM SARSCOV2 5X10^10VP-.5ML 2--AstraZeneca Covid-19 Vaccine Administration û Second Dose","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","0041A","40.00","ADM SARSCOV2 5MCG-0.5ML 1ST--Novavax Covid-19 Vaccine Administration û First Dose","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","0042A","40.00","ADM SARSCOV2 5MCG-0.5ML 2ND--Novavax Covid-19 Vaccine Administration û Second Dose","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","90674","28.13","Cciiv4 vac no prsv 0.5 ml im","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","90687","9.40","Iiv4 vaccine splt 0.25 ml im","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","90691","109.19","Typhoid vaccine im","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","90714","24.21","Td vacc no presv 7 yrs+ im","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","90732","119.92","Ppsv23 vacc 2 yrs+ subq-im--0.5 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","A9578","1.76","Inj multihance multipack--1 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0171","0.84","Adrenalin epinephrine inject--0.1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0256","4.43","Alpha 1 proteinase inhibitor","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0290","0.89","Ampicillin 500 mg inj--500 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0295","2.46","Ampicillin sulbactam 1.5 gm--1.5 GM","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0570","1204.99","Buprenorphine implant 74.2mg--74.2 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1120","14.60","Acetazolamid sodium injectio","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1190","194.32","Dexrazoxane hcl injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1230","17.42","Methadone injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1245","2.36","Dipyridamole injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1300","230.06","Eculizumab injection--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1303","226.07","Inj. ravulizumab-cwvz 10 mg--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1325","16.18","Epoprostenol injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1380","8.73","Estradiol valerate 10 mg inj","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1442","0.94","Inj filgrastim excl biosimil--1 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1558","14.69","Inj. xembify 100 mg--100 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1560","409.47","Gamma globulin > 10 cc inj","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1569","39.75","Gammagard liquid injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1572","36.02","Flebogamma injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1610","194.42","Glucagon hydrochloride-1 mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1630","0.83","Haloperidol injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2010","11.66","Lincomycin injection--300 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2280","8.83","Inj moxifloxacin 100 mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2300","2.60","Inj nalbuphine hydrochloride","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2315","3.23","Naltrexone depot form","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2597","10.09","Inj desmopressin acetate--1 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2704","0.11","Inj propofol 10 mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2820","46.77","Sargramostim injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2930","5.49","Methylprednisolone injection--125 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J3101","125.55","Tenecteplase injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J3121","0.05","Inj testostero enanthate 1mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J3230","31.16","Chlorpromazine hcl injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J3250","36.62","Trimethobenzamide hcl inj","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J3357","171.18","Ustekinumab sub cu inj 1 mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J3358","11.63","Ustekinumab iv inject 1 mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7042","1.02","5% dextrose-normal saline","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7050","0.65","Normal saline solution infus","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7181","15.32","Factor xiii recomb a-subunit","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7186","1.08","Antihemophilic viii-vwf comp","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7195","1.52","Factor ix recombinant nos","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7502","1.66","Cyclosporine oral 100 mg--100 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7605","10.66","Arformoterol non-comp unit--15 mcg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7611","0.24","Albuterol non-comp con--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J8521","2.46","Capecitabine oral 500 mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9039","113.28","Injection blinatumomab","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9130","4.24","Dacarbazine 100 mg inj","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9144","43.75","Daratumumab hyaluronidase--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9179","116.66","Eribulin mesylate injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9181","0.61","Etoposide injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9190","1.68","Fluorouracil injection--500 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9203","199.52","Gemtuzumab ozogamicin 0.1 mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9204","200.87","Inj mogamulizumab-kpkc 1 mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9207","99.37","Ixabepilone injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9225","4306.11","Vantas implant","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9250","0.21","Methotrexate sodium inj--5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9268","2001.90","Pentostatin injection--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9285","52.07","Inj olaratumab 10 mg--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9308","59.53","Injection ramucirumab","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9352","312.94","Injection trabectedin 0.1mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9354","32.06","Inj ado-trastuzumab emt 1mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q0138","0.93","Ferumoxytol non-esrd--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q2050","298.80","Doxorubicin inj 10mg--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q4081","0.85","Epoetin alfa 100 units esrd--100 UNITS","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q4137","71.65","Amnioexcel biodexcel 1sq cm","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q4187","221.06","Epicord 1 sq cm--1 SQ CM","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q4195","93.78","Puraply 1 sq cm--1 SQ CM","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q5101","0.38","Injection zarxio--1 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q5104","40.88","Injection renflexis--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q5113","81.99","Inj herzuma 10 mg--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q5114","60.66","Inj ogivri 10 mg--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q5118","57.34","Inj. zirabev 10 mg--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q5120","276.82","Inj pegfilgrastim-bmez 0.5mg--0.5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q9958","0.07","Hocm <=149 mg-ml iodine 1ml--1 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q9965","0.79","Locm 100-199mg-ml iodine1ml--1 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7178","1.24","Inj human fibrinogen con nos","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7182","1.25","Factor viii recomb novoeight--1 IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7188","3.19","Factor viii recomb obizur--1 IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7194","1.48","Factor ix complex--1 IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7205","2.10","Factor viii fc fusion recomb","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7331","18.02","Synojoynt inj. 1 mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7507","0.57","Tacrolimus imme rel oral 1mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7527","6.69","Oral everolimus--0.25 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7614","0.06","Levalbuterol non-comp unit--0.5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7644","0.20","Ipratropium bromide non-comp--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7686","612.96","Treprostinil non-comp unit","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J8610","0.14","Methotrexate oral 2.5 mg--2.5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J8655","221.85","Oral netupitant palonosetro","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J8705","103.59","Topotecan oral--0.25 mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9017","17.82","Arsenic trioxide injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9041","44.67","Inj. velcade 0.1 mg--0.1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9042","168.90","Brentuximab vedotin inj","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9044","21.10","Inj bortezomib nos 0.1 mg--0.1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9100","0.66","Cytarabine hcl 100 mg inj","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9176","6.58","Injection elotuzumab 1mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9177","27.96","Inj enfort vedo-ejfv 0.25mg--0.25 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9223","174.72","Inj. lurbinectedin 0.1 mg--0.1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9260","2.10","Methotrexate sodium inj--50 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9271","50.02","Inj pembrolizumab","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9351","0.88","Topotecan injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9360","3.68","Vinblastine sulfate inj--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","P9045","52.45","Albumin (human) 5% 250 ml--250 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q3027","53.22","Inj beta interferon im 1 mcg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q4186","153.93","Epifix 1 sq cm--1 SQ CM","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q5112","80.16","Inj ontruzant 10 mg--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q5121","50.06","Inj. avsola 10 mg--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","UB92RM","","","","","0182","1600.00","LOA/PT CONV","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","UB92RM","","","","","0191","1600.00","SUBACUTE/LEVELI","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","UB92RM","","","","","0194","1600.00","SUBACUTE/LEVELIV","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J8530","1.53","Cyclophosphamide oral 25 mg--25 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J8560","74.61","Etoposide oral 50 mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9022","77.40","Inj atezolizumab10 mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9030","2.81","Bcg live intravesical 1mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9145","54.15","Injection daratumumab 10 mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9153","198.08","Inj daunorubicin cytarabine","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9155","3.87","Degarelix injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9185","44.74","Fludarabine phosphate inj","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9200","63.77","Floxuridine injection--500 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9211","33.11","Idarubicin hcl injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9214","33.55","Interferon alfa-2b inj","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9227","66.22","Inj. isatuximab-irfc 10 mg--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9311","38.80","Inj rituximab hyaluronidase--10 mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9320","347.62","Streptozocin injection--1 GM","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9328","10.38","Temozolomide injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9370","4.87","Vincristine sulfate 1 mg inj","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9371","3075.83","Inj vincristine sul lip 1mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q0164","0.24","Prochlorperazine maleate 5mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q0166","0.73","Granisetron hcl 1 mg oral","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q4074","140.09","Iloprost non-comp unit dose--UP TO 20 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q4101","30.46","Apligraf--1 SQ CM","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q4132","116.59","Grafix core grafixpl core--1 SQ CM","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q4151","126.01","Amnioband guardian 1 sq cm--1 SQ CM","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q4174","291.27","Palingen or promatrx--0.36 MG per 0.25 CC","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q5110","0.45","Nivestym--1 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q9950","18.23","Inj sulf hexa lipid microsph--1 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","UB92RM","","","","","0114","1600.00","PSYCH/PVT","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","UB92RM","","","","","0117","1600.00","ONCOLOGY/PVT","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","UB92RM","","","","","0120","1600.00","ROOM-BOARD/SEMI","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","UB92RM","","","","","0122","1600.00","OB/2BED","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","UB92RM","","","","","0134","1600.00","PSYCH/3&4BED","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","UB92RM","","","","","0141","1600.00","MED-SUR-GY/DLX","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","UB92RM","","","","","0144","1600.00","PSYCH/DLX","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","UB92RM","","","","","0147","1600.00","ONCOLOGY/DLX","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9019","414.83","Erwinaze injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9023","84.24","Injection avelumab 10 mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9060","1.68","Cisplatin 10 mg injection--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9070","30.89","Cyclophosphamide 100 mg inj--100 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9119","27.39","Inj. cemiplimab-rwlc 1 mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9150","42.37","Daunorubicin injection--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9171","0.62","Docetaxel injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9201","3.86","In gemcitabine hcl nos 200mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9210","374.02","Inj. emapalumab-lzsg 1 mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9218","11.47","Leuprolide acetate injeciton--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9228","155.23","Ipilimumab injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9302","60.02","Ofatumumab injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9303","118.58","Panitumumab injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9313","22.48","Inj. lumoxiti 0.01 mg--0.01 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9317","29.49","Sacituzumab govitecan-hziy--2.5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9325","51.53","Inj talimogene laherparepvec","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9355","93.68","Inj trastuzumab excl biosimi--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9400","7.52","Inj ziv-aflibercept 1mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q4160","89.40","Nushield 1 square cm","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q5105","0.86","Inj retacrit esrd on dialysi--100 UNITS","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q5107","52.89","Inj mvasi 10 mg--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q9963","0.18","Hocm 350-399mg-ml iodine1ml--1 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","UB92RM","","","","","0110","1600.00","ROOM-BOARD/PVT","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","UB92RM","","","","","0113","1600.00","PEDS/PVT","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","UB92RM","","","","","0123","1600.00","PEDS/2BED","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","UB92RM","","","","","0131","1600.00","MED-SUR-GY/3&4BED","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","UB92RM","","","","","0133","1600.00","PEDS/3&4BED","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","UB92RM","","","","","0145","1600.00","HOSPICE/DLX","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","UB92RM","","","","","0153","1600.00","PEDS/WARD","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","UB92RM","","","","","0154","1600.00","PSYCH/WARD","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","UB92RM","","","","","0164","1600.00","R&B/STERILE","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","UB92RM","","","","","0172","1600.00","NURSERY/LEVELII","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0183","0.00","Leave of Absence - Therapeutic Leave","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0189","0.00","Leave of Absence - Other","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","UB92RM","","","","","0190","1600.00","SUBACUTE","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1571","58.45","Hepagam b im injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1644","0.25","Inj heparin sodium per 1000u","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1742","242.01","Ibutilide fumarate injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1956","0.38","Levofloxacin injection--250 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2210","17.93","Methylergonovin maleate inj","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2354","0.74","Octreotide inj non-depot--25 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2469","2.76","Palonosetron hcl--25 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2515","29.87","Pentobarbital sodium inj--50 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2543","1.51","Piperacillin-tazobactam--1.125 GM","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2562","347.81","Plerixafor injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2675","1.20","Inj progesterone per 50 mg--50 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2791","4.75","Rhophylac injection--100 IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2860","111.50","Injection siltuximab--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2997","87.43","Alteplase recombinant--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J3010","0.67","Fentanyl citrate injection--0.1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J3032","15.60","Inj. eptinezumab-jjmr 1 mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J3241","315.88","Inj. teprotumumab-trbw 10 mg--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J3304","17.89","Inj triamcinolone ace xr 1mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J3415","7.93","Pyridoxine hcl 100 mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7180","8.78","Factor xiii anti-hem factor--1 IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7197","3.31","Antithrombin iii injection--1 IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7198","1.93","Anti-inhibitor","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7200","1.37","Factor ix recombinan rixubis","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7209","1.26","Factor viii nuwiq recomb 1iu--1 IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7314","496.42","Inj. yutiq 0.01 mg--0.01 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7321","75.17","Hyalgan or supartz inj dose--per dose","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7345","1.44","Aminolevulinic acid 10% gel","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7516","49.57","Cyclosporin parenteral 250mg--250 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7620","0.12","Albuterol ipratrop non-comp--2.5 MG-0.5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7631","2.14","Cromolyn sodium noncomp unit","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9034","19.58","Inj. bendeka 1 mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9037","42.97","Inj belantamab mafodont blmf--0.5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9043","176.74","Cabazitaxel injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9050","1724.36","Carmustine injection--100 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1570","14.51","Ganciclovir sodium injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1580","1.78","Garamycin gentamicin inj--80 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1627","1.63","Inj granisetron xr 0.1 mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1631","13.29","Haloperidol decanoate inj--50 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1640","23.72","Hemin 1 mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1645","8.93","Dalteparin sodium--2500 IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1650","0.71","Inj enoxaparin sodium--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1743","542.89","Idursulfase injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1745","41.95","Infliximab not biosimil 10mg--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1885","0.39","Ketorolac tromethamine inj--15 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2278","8.24","Ziconotide injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2323","20.88","Natalizumab injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2350","57.24","Injection ocrelizumab 1 mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2430","10.15","Pamidronate disodium -30 mg--30 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2560","41.93","Phenobarbital sodium inj","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2720","0.92","Inj protamine sulfate-10 mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2785","59.31","Regadenoson injection--0.1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2920","4.28","Methylprednisolone injection--40 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J3105","1.98","Terbutaline sulfate inj--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J3262","5.09","Tocilizumab injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J3315","268.43","Triptorelin pamoate","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J3360","7.08","Diazepam injection--5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J3489","10.30","Zoledronic acid 1mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7308","388.42","Aminolevulinic acid hcl top--354 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7324","128.55","Orthovisc inj per dose--PER DOSE","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7342","29.97","Ciprofloxacin otic susp 6 mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7351","206.38","Inj bimatoprost itc imp1mcg--1 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7512","0.01","Prednisone ir or dr oral 1mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7520","5.61","Sirolimus oral","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7677","0.19","Revefenacin inh non-com 1mcg--1 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7682","29.93","Tobramycin non-comp unit--300 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J8501","4.30","Oral aprepitant--5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9045","2.56","Carboplatin injection--50 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9055","62.95","Cetuximab injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0598","56.13","C-1 esterase cinryze","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0696","0.53","Ceftriaxone sodium injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0698","2.33","Cefotaxime sodium injection--1 GM","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0720","31.89","Chloramphenicol sodium injec","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0743","6.04","Cilastatin sodium injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0780","5.06","Prochlorperazine injection--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0791","122.43","Inj crizanlizumab-tmca 5mg--5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0850","1334.81","Cytomegalovirus imm iv -vial","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0875","15.02","Injection dalbavancin","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1165","0.42","Phenytoin sodium injection--50 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1250","5.72","Inj dobutamine hcl-250 mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1301","19.86","Injection edaravone 1 mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1364","73.40","Erythro lactobionate -500 mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1453","0.34","Fosaprepitant injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1454","259.75","Inj fosnetupitant palonoset","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1566","64.09","Immune globulin powder","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1750","14.36","Inj iron dextran","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1953","0.10","Levetiracetam injection--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2020","6.23","Linezolid injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2060","0.71","Lorazepam injection--2 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2248","1.00","Micafungin sodium injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2357","37.15","Omalizumab injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2358","2.92","Olanzapine long-acting inj--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2400","26.40","Chloroprocaine hcl injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2510","29.68","Penicillin g procaine inj","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2724","15.06","Protein c concentrate","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2778","312.26","Ranibizumab injection--0.1 mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2786","9.75","Injection reslizumab 1mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2790","77.56","Rho d immune globulin inj","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2794","10.05","Inj risperdal consta 0.5 mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J3111","8.99","Inj. romosozumab-aqqg 1 mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J3240","1700.91","Thyrotropin injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J3370","2.61","Vancomycin hcl injection--500 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J3396","11.11","Verteporfin injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","UB92RM","","","","","0204","1825.00","ICU/PSYCH","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0224","0.00","Special Charges - Late Discharge/Medically Necessary","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0276","38.00","Medical/Surgical Supplies and Devices - Intraocular Lens","Percent of Charges","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0387","1600.00","Blood and Blood Products - Other Derivatives (Cryoprecipitates)","Case Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0399","19.80","Blood and Blood Products Admin-Processing-Storage - Other","Percent of Charges","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0615","50.00","Magnetic Resonance Technology (MRT) - MRA-Head and Neck","Percent of Charges","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/90632","58.44","Hepa vaccine adult im--1 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/90687","9.58","Iiv4 vaccine splt 0.25 ml im--0.25 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0121","3.15","Inj. omadacycline 1 mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0132","0.81","Acetylcysteine injection--100 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0202","1984.32","Injection alemtuzumab--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0207","1135.69","Amifostine--500 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0221","174.49","Lumizyme injection--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0257","4.83","Glassia injection--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0280","6.11","Aminophyllin 250 mg inj--250 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0401","5.70","Inj aripiprazole ext rel 1mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0584","361.90","Injection burosumab-twza 1m--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0592","4.30","Buprenorphine hydrochloride--0.1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0692","1.69","Cefepime hcl for injection--500 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0834","26.30","Inj. cosyntropin 0.25 mg--0.25 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0850","1467.02","Cytomegalovirus imm iv -vial--PER VIAL","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0885","8.22","Epoetin alfa non-esrd--1000 UNITS","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1000","24.05","Depo-estradiol cypionate inj--5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1162","3969.27","Digoxin immune fab (ovine)--PER VIAL","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1212","635.67","Dimethyl sulfoxide 50% 50 ml--50 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1240","6.56","Dimenhydrinate injection--50 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1439","1.11","Inj ferric carboxymaltos 1mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1459","41.50","Inj ivig privigen 500 mg--500 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1556","70.49","Inj imm glob bivigam 500mg--500 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1570","12.84","Ganciclovir sodium injection--500 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1640","24.43","Hemin 1 mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1644","0.27","Inj heparin sodium per 1000u--1000 UNITS","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9120","840.45","Dactinomycin injection--0.5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9173","75.49","Inj. durvalumab 10 mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9202","500.31","Goserelin acetate implant","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9205","49.78","Inj irinotecan liposome 1 mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9206","2.43","Irinotecan injection--20 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9262","3.11","Inj omacetaxine mep 0.01mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9264","12.72","Paclitaxel protein bound","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9316","73.54","Pertuzu trastuzu 10 mg--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9390","3.72","Vinorelbine tartrate inj","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","P9041","10.49","Albumin (human)5% 50ml--50 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q0139","0.93","Ferumoxytol esrd use--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q4102","9.56","Oasis wound matrix--1 SQ CM","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q4121","42.53","Theraskin","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q5108","236.46","Injection fulphila--0.5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q5111","251.30","Injection udenyca 0.5 mg--0.5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q5117","66.29","Inj. kanjinti 10 mg--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q9956","31.38","Inj octafluoropropane micml--1 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q9957","47.07","Inj perflutren lip microsml--1 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q9960","0.20","Hocm 200-249mg-ml iodine1ml","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q9991","1666.10","Buprenorph xr 100 mg or less","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q9992","1666.10","Buprenorphine xr over 100 mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","UB92RM","","","","","0112","1600.00","OB/PVT","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","UB92RM","","","","","0115","1600.00","HOSPICE/PVT","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","UB92RM","","","","","0125","1600.00","HOSPICE/2BED","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","UB92RM","","","","","0128","1600.00","REHAB/2BED","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","UB92RM","","","","","0137","1600.00","ONCOLOGY/3&4BED","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","UB92RM","","","","","0149","1600.00","OTHER/DLX","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","UB92RM","","","","","0157","1600.00","ONCOLOGY/WARD","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","UB92RM","","","","","0158","1600.00","REHAB/WARD","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0185","0.00","Leave of Absence - Nursing Home (for Hospitalization)","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","UB92RM","","","","","0189","1600.00","LOA/OTHER","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","UB92RM","","","","","0203","1825.00","ICU/PEDS","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0352","19.80","CT Scan - Body","Percent of Charges","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0359","19.80","CT Scan - Other","Percent of Charges","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0360","1600.00",,"Per Line Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7201","3.13","Factor ix alprolix recomb","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7202","4.45","Factor ix idelvion inj","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7204","2.24","Inj recombin esperoct per iu--1 i.u.","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7336","3.25","Capsaicin 8% patch--1 SQ CM","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7639","47.79","Dornase alfa non-comp unit--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7674","0.76","Methacholine chloride neb","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J8700","0.44","Temozolomide--5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9027","30.18","Clofarabine injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9032","41.18","Injection belinostat 10mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9036","20.19","Inj. belrapzo-bendamustine--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9040","25.47","Bleomycin sulfate injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9209","0.68","Mesna injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9229","2273.57","Inj inotuzumab ozogam 0.1 mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9267","0.13","Paclitaxel injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9281","282.17","Mitomycin instillation--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9301","63.08","Obinutuzumab inj--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9349","12.66","Inj. tafasitamab-cxix--2 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9357","1402.86","Valrubicin injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","P9047","52.45","Albumin (human) 25% 50ml--50 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q0162","0.02","Ondansetron oral--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q2043","47986.31","Sipuleucel-t auto cd54+","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q4110","42.33","Primatrix--1 SQ CM","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q4115","19.56","Alloskin","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q4133","134.37","Grafix stravix prime pl sqcm--1 SQ CM","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q5119","64.51","Inj ruxience 10 mg--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q5122","336.90","Inj nyvepria--0.5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","UB92RM","","","","","0132","1600.00","OB/3&4BED","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","UB92RM","","","","","0135","1600.00","HOSPICE/3&4BED","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","UB92RM","","","","","0142","1600.00","OB/DLX","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","UB92RM","","","","","0151","1600.00","MED-SUR-GY/WARD","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","UB92RM","","","","","0152","1600.00","OB/WARD","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","UB92RM","","","","","0173","1600.00","NURSERY/LEVELIII","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","UB92RM","","","","","0179","1600.00","NURSERY/OTHER","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","UB92RM","","","","","0184","1600.00","LOA/ICF/MR","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","UB92RM","","","","","0185","1600.00","LOA/NURS HOME","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","UB92RM","","","","","0100","1600.00","ALL/INCL/R&B/ANC","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","UB92RM","","","","","0101","1600.00","ALL/INCL/R&B","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","UB92RM","","","","","0111","1600.00","MED-SUR-GY/PVT","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","UB92RM","","","","","0118","1600.00","REHAB/PVT","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","UB92RM","","","","","0121","1600.00","MED-SUR-GY/2BED","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","UB92RM","","","","","0124","1600.00","PSYCH/2BED","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","UB92RM","","","","","0126","1600.00","DETOX/2BED","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","UB92RM","","","","","0130","1600.00","ROOM-BOARD/3&4BED","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","UB92RM","","","","","0136","1600.00","DETOX/3&4BED","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","UB92RM","","","","","0139","1600.00","OTHER/3&4BED","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","UB92RM","","","","","0140","1600.00","ROOM-BOARD/PVT/DLX","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","UB92RM","","","","","0146","1600.00","DETOX/DLX","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","UB92RM","","","","","0156","1600.00","DETOX/WARD","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","UB92RM","","","","","0169","1600.00","R&B/OTHER","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","UB92RM","","","","","0180","1600.00","LEAVE-OF-ABSENCE OR LOA","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","UB92RM","","","","","0181","1600.00","RESERVED","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","UB92RM","","","","","0192","1600.00","SUBACUTE/LEVELII","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","UB92RM","","","","","0199","1600.00","SUBACUTE/LEVELI","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0220","0.00","Special Charges - General","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0256","0.00","Pharmacy - Experimental Drugs","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0277","0.00","Medical/Surgical Supplies and Devices - Take-Home Oxygen","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0350","19.80","CT Scan - General","Percent of Charges","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0382","1600.00","Blood and Blood Products - Whole Blood","Case Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0385","1600.00","Blood and Blood Products - Leukocytes","Case Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0399","1600.00","Blood and Blood Products Admin-Processing-Storage - Other","Case Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0419","400.00",,"Case Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0612","50.00","Magnetic Resonance Technology (MRT) - MRI-Spinal Cord (Including Spine)","Percent of Charges","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/90371","119.09","Hep b ig im--1 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/90586","139.63","Bcg vaccine intravesical--1 EACH","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/90653","59.53","Iiv adjuvant vaccine im--0.5 ml","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/90670","230.14","Pcv13 vaccine im--0.5 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/90672","26.88","Laiv4 vaccine intranasal--0.2 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/90740","140.76","Hepb vacc 3 dose immunsup im--40 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/90744","28.21","Hepb vacc 3 dose ped-adol im--1 DOSE","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0250","35.00","Pharmacy - General","Percent of Charges","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0390","19.80","Blood and Blood Products Admin-Processing-Storage - General","Percent of Charges","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0391","19.80","Blood and Blood Products - Administration (e.g. Transfusion)","Percent of Charges","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0392","1600.00","Blood and Blood Products - Processing and Storage ","Case Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0610","50.00","Magnetic Resonance Technology (MRT) - General","Percent of Charges","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/90662","60.98","Iiv no prsv increased ag im--0.5 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/90688","19.17","Iiv4 vaccine splt 0.5 ml im--0.5 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/90715","33.22","Tdap vaccine 7 yrs-> im--0.5 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/A9575","0.16","Inj gadoterate meglumi 0.1ml--0.1 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/A9576","1.41","Inj prohance multipack--1 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0122","1.02","Inj. eravacycline 1 mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0153","0.55","Adenosine inj 1mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0171","0.80","Adrenalin epinephrine inject--0.1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0185","1.45","Inj. aprepitant 1 mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0223","106.76","Inj givosiran 0.5 mg--0.5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0256","4.36","Alpha 1 proteinase inhibitor--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0640","2.73","Leucovorin calcium injection--50 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0691","0.72","Inj lefamulin 1 mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0697","1.90","Sterile cefuroxime injection--750 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0712","3.32","Ceftaroline fosamil inj--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0742","2.25","Inj imip 4 cilas 4 releb 2mg--4 MG-4 MG-2 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0743","6.33","Cilastatin sodium injection--250 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0744","0.97","Ciprofloxacin iv--200 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0780","5.06","Prochlorperazine injection--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0841","1261.06","Inj crotalidae im f(ab)2 eq--120 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1190","194.98","Dexrazoxane hcl injection--250 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1200","0.62","Diphenhydramine hcl injectio--50 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1230","17.55","Methadone injection--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1325","16.22","Epoprostenol injection--0.5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1430","444.10","Ethanolamine oleate 100 mg--100 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1569","43.20","Gammagard liquid injection--500 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1571","63.40","Hepagam b im injection--0.5 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","UB92RM","","","","","0150","1600.00","ROOM-BOARD/WARD","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","UB92RM","","","","","0160","1600.00","R&B","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","UB92RM","","","","","0171","1600.00","NURSERY/LEVELI","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0182","0.00","Leave of Absence - Patient Convience Charges Billable","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","UB92RM","","","","","0200","1825.00","INTENSIVE CARE OR (ICU)","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","UB92RM","","","","","0201","1825.00","ICU/SURGICAL","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","UB92RM","","","","","0206","1700.00","ICU/INTERMEDIATE","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","UB92RM","","","","","0211","1825.00","CCU/MYO INFARC","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0222","0.00","Special Charges - Technical Support Charge","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0273","0.00","Medical/Surgical Supplies and Devices - Take-Home Supplies","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0351","19.80","CT Scan - Head","Percent of Charges","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0383","1600.00","Blood and Blood Products - Plasma","Case Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0386","1600.00","Blood and Blood Products - Other Components","Case Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0389","1600.00","Blood and Blood Products - Other","Case Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0611","50.00","Magnetic Resonance Technology (MRT) - MRI-Brain (Including Brainstem)","Percent of Charges","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0616","50.00","Magnetic Resonance Technology (MRT) - MRA-Lower Extremeties","Percent of Charges","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/90375","271.37","Rabies ig im-sc--150 IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/90376","237.37","Rabies ig heat treated--150 IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/90732","119.92","Ppsv23 vacc 2 yrs+ subq-im--0.5 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/A9577","1.81","Inj multihance--1 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/A9578","1.75","Inj multihance multipack--1 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/A9589","1173.51","Insti hexaminolevulinate hcl--100 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0287","9.36","Amphotericin b lipid complex--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0476","51.21","Baclofen intrathecal trial--50 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0636","0.72","Inj calcitriol per 0.1 mcg--0.1 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0642","1.63","Injection khapzory 0.5 mg--0.5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0695","6.36","Inj ceftolozane tazobactam--75mg (50mg cft-25mg taz)","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0714","92.00","Ceftazidime and avibactam--.625 GM","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0800","3859.01","Corticotropin injection--40 UNITS","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0840","2866.13","Crotalidae poly immune fab--UP TO 1 GM","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0894","3.43","Decitabine injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1071","0.03","Inj testosterone cypionate--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9198","33.91","Inj. infugem 100 mg--100 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9217","204.07","Leuprolide acetate suspnsion--7.5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9245","221.36","Inj melpha hydroch nos 50 mg--50 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9261","151.89","Nelarabine injection--50 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9269","283.33","Inj. tagraxofusp-erzs 10 mcg--10 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9305","70.53","Pemetrexed injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9315","300.08","Romidepsin injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9340","440.04","Thiotepa injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9356","72.31","Inj. herceptin hylecta 10mg--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q5106","7.19","Inj retacrit non-esrd use","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q5115","62.06","Inj truxima 10 mg--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q5116","68.11","Inj. trazimera 10 mg--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q9966","0.32","Locm 200-299mg-ml iodine1ml--1 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q9967","0.11","Locm 300-399mg-ml iodine1ml--1 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","UB92RM","","","","","0143","1600.00","PEDS/DLX","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","UB92RM","","","","","0155","1600.00","HOSPICE/WARD","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0167","0.00","Other Room and Board - Self Care","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","UB92RM","","","","","0170","1600.00","NURSERY","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","UB92RM","","","","","0174","1600.00","NURSERY/LEVELIV","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0180","0.00","Leave of Absence - General","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","UB92RM","","","","","0202","1825.00","ICU/MEDICAL","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","UB92RM","","","","","0207","1825.00","ICU/BURN CARE","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","UB92RM","","","","","0210","1825.00","CORONARY CARE or (CCU)","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","UB92RM","","","","","0213","1825.00","CCU/TRANSPLANT","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0223","0.00","Special Charges - UR Service Charge","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0229","0.00","Special Charges - Other","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0278","38.00","Medical/Surgical Supplies and Devices - Other Implants","Percent of Charges","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0351","300.00","CT Scan - Head","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636","20.00","Pharmacy-Extension of 025X - Drugs Requiring Detailed Coding","Percent of Charges","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/90685","21.13","Iiv4 vacc no prsv 0.25 ml im--0.25 mL","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/90714","25.10","Td vacc no presv 7 yrs+ im--0.5 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/A9606","166.02","Radium ra223 dichloride ther--1 microCurie","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0133","0.03","Acyclovir injection--5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0180","188.99","Agalsidase beta injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J3465","1.37","Injection voriconazole--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J3473","0.36","Hyaluronidase recombinant--1 USP UNIT","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J3486","16.83","Ziprasidone mesylate","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7175","7.52","Inj factor x (human) 1iu","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7179","1.85","Vonvendi inj 1 iu vwf:rco","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7192","1.27","Factor viii recombinant nos","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7207","1.72","Factor viii pegylated recomb","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7211","1.22","Inj kovaltry 1 i.u.--1 IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7313","490.80","Inj. iluvien 0.01 mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7323","135.14","Euflexxa inj per dose--per dose","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7515","0.62","Cyclosporine oral 25 mg--25 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7518","2.12","Mycophenolic acid--180 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7608","5.50","Acetylcysteine non-comp unit","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7612","0.30","Levalbuterol non-comp con--0.5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J8540","0.07","Oral dexamethasone","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J8670","2.01","Rolapitant oral 1mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9025","0.78","Azacitidine injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9033","23.98","Inj. treanda 1 mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9035","72.51","Bevacizumab injection--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9047","37.58","Injection carfilzomib 1 mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9065","18.64","Inj cladribine per 1 mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9178","1.21","Inj epirubicin hcl 2 mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9208","26.17","Ifosfamide injection--1 GM","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9226","38257.81","Supprelin la implant","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9263","0.12","Oxaliplatin--0.5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9266","18010.64","Pegaspargase injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9280","42.76","Mitomycin injection--5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9293","24.14","Mitoxantrone hydrochl - 5 mg--5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9295","5.73","Injection necitumumab 1 mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9299","28.16","Injection nivolumab","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9306","12.64","Injection pertuzumab 1 mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9307","297.18","Pralatrexate injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9309","112.12","Inj polatuzumab vedotin 1mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9312","89.14","Inj. rituximab 10 mg--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1650","0.69","Inj enoxaparin sodium--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1930","66.73","Lanreotide injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1951","127.75","Inj fensolvi 0.25 mg--0.25 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1980","30.46","Hyoscyamine sulfate inj--0.25 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2010","11.47","Lincomycin injection--300 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2060","0.71","Lorazepam injection--2 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2182","28.55","Injection mepolizumab 1mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2300","3.07","Inj nalbuphine hydrochloride--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2310","11.03","Inj naloxone hydrochloride--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2315","3.26","Naltrexone depot form--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2323","21.63","Natalizumab injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2353","205.04","Octreotide injection depot--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2354","0.74","Octreotide inj non-depot--25 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2357","37.17","Omalizumab injection--5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2360","5.29","Orphenadrine injection--60 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2503","722.99","Pegaptanib sodium injection--0.3 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2675","1.20","Inj progesterone per 50 mg--50 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2720","1.03","Inj protamine sulfate-10 mg--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2760","356.88","Phentolaine mesylate inj--5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2780","3.31","Ranitidine hydrochloride inj--25 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2785","59.19","Regadenoson injection--0.1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2788","22.20","Rho d immune globulin 50 mcg--50 MCG (250 IU)","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2997","87.15","Alteplase recombinant--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J3032","15.60","Inj. eptinezumab-jjmr 1 mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J3262","5.40","Tocilizumab injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J3315","385.61","Triptorelin pamoate--3.75 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J3396","11.19","Verteporfin injection--0.1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J3465","1.18","Injection voriconazole--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J3475","0.42","Inj magnesium sulfate--500 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J3480","0.14","Inj potassium chloride--2 MEQ","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J3489","9.71","Zoledronic acid 1mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7070","3.66","D5w infusion--1000 CC","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0360","19.80","Operating Room Services - General","Percent of Charges","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0381","1600.00","Blood and Blood Products - Packed Red Cells","Case Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0384","1600.00","Blood and Blood Products - Platelets","Case Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0392","19.80","Blood and Blood Products - Processing and Storage ","Percent of Charges","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0419","285.00","Respiratory Services - Other","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0618","50.00","Magnetic Resonance Technology (MRT) - MRA-Other","Percent of Charges","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/90746","69.65","Hepb vaccine 3 dose adult im--20 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/90747","140.76","Hepb vacc 4 dose immunsup im--40 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0178","916.41","Aflibercept injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0278","1.06","Amikacin sulfate injection--100 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0360","2.94","Hydralazine hcl injection--20 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0515","17.16","Inj benztropine mesylate--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0565","39.65","Inj bezlotoxumab 10 mg--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0585","6.06","Injectiononabotulinumtoxina--1 UNIT","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0586","8.15","Abobotulinumtoxina--5 Unit","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0587","11.57","Inj rimabotulinumtoxinb--100 UNITS","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0588","5.02","Incobotulinumtoxin a--1 UNIT","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0596","28.98","Injection ruconest--10 UNITS","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0638","113.24","Canakinumab injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0881","3.20","Darbepoetin alfa non-esrd--1 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0882","3.20","Darbepoetin alfa esrd use--1 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1040","10.41","Methylprednisolone 80 mg inj--80 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1050","0.56","Medroxyprogesterone acetate--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1100","0.13","Dexamethasone sodium phos--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1165","0.42","Phenytoin sodium injection--50 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1205","52.43","Chlorothiazide sodium inj--500 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1300","229.77","Eculizumab injection--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1301","19.89","Injection edaravone 1 mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1447","0.45","Inj tbo filgrastim 1 microg--1 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1460","42.93","Gamma globulin 1 cc inj--1 CC","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1557","49.81","Gammaplex injection--500 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1558","13.39","Inj. xembify 100 mg--100 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0179","310.79","Inj brolucizumab-dbll 1 mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0222","97.54","Inj. patisiran 0.1 mg--0.1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0461","0.08","Atropine sulfate injection--0.01 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0480","4005.19","Basiliximab--20 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0490","46.18","Belimumab injection--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0594","1.95","Busulfan injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0598","56.20","C-1 esterase cinryze--10 UNITS","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0610","3.63","Calcium gluconate injection--10 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0637","6.65","Caspofungin acetate--5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0698","2.33","Cefotaxime sodium injection--1 GM","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0888","1.50","Epoetin beta non esrd--1 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0895","7.90","Deferoxamine mesylate inj--500 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0897","20.09","Denosumab injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1170","1.98","Hydromorphone injection--4 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1322","245.34","Elosulfase alfa injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1437","25.82","Inj. fe derisomaltose 10 mg--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1450","3.17","Fluconazole--200 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1454","594.20","Inj fosnetupitant palonoset--0.25 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1575","14.34","Hyqvia 100mg immuneglobulin--100 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1631","11.54","Haloperidol decanoate inj--50 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1670","452.25","Tetanus immune globulin inj--250 UNITS","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1720","14.15","Hydrocortisone sodium succ i--100 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1743","542.92","Idursulfase injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2250","0.11","Inj midazolam hydrochloride--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2274","8.72","Inj morphine pf epid ithc--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2350","57.24","Injection ocrelizumab 1 mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2400","21.60","Chloroprocaine hcl injection--30 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2430","8.31","Pamidronate disodium -30 mg--30 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2507","2771.29","Pegloticase injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2704","0.11","Inj propofol 10 mg--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2770","456.88","Quinupristin-dalfopristin--500 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2794","10.53","Inj risperdal consta 0.5 mg--0.5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1885","0.39","Ketorolac tromethamine inj--15 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1931","33.10","Laronidase injection--0.1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1943","2.86","Inj. aristada initio 1 mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1944","2.85","Aripirazole lauroxil 1 mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2001","0.02","Lidocaine injection--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2280","9.19","Inj moxifloxacin 100 mg--100 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2425","22.81","Palifermin injection--50 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2505","2469.36","Injection pegfilgrastim 6mg--6 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2515","27.62","Pentobarbital sodium inj--50 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2540","0.94","Penicillin g potassium inj--600000 UNITS","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2680","10.64","Fluphenazine decanoate 25 mg--25 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2791","4.70","Rhophylac injection--100 IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2796","78.43","Romiplostim injection--10 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2805","115.16","Sincalide injection--5 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J3243","1.00","Tigecycline injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J3250","36.81","Trimethobenzamide hcl inj--200 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J3385","346.15","Velaglucerase alfa--100 UNITS","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J3420","1.84","Vitamin b12 injection--1000 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J3430","3.68","Vitamin k phytonadione inj--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J3485","1.51","Zidovudine--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7192","1.35","Factor viii recombinant nos--1 IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7195","1.53","Factor ix recombinant nos--1 IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7198","2.05","Anti-inhibitor--1 IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7200","1.40","Factor ix recombinan rixubis--1 IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7207","1.85","Factor viii pegylated recomb--1 IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7211","1.22","Inj kovaltry 1 i.u.--1 IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7316","1046.93","Inj ocriplasmin 0.125 mg--0.125 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7340","211.61","Carbidopa levodopa ent 100ml--100 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7502","1.66","Cyclosporine oral 100 mg--100 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7516","49.57","Cyclosporin parenteral 250mg--250 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7612","0.29","Levalbuterol non-comp con--0.5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7613","0.04","Albuterol non-comp unit--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1160","4.94","Digoxin injection--0.5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1290","492.12","Ecallantide injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1335","28.13","Ertapenem injection--500 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1559","10.86","Hizentra injection--100 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1568","41.23","Octagam injection--500 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1572","34.71","Flebogamma injection--500 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1610","177.45","Glucagon hydrochloride-1 mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1740","37.06","Ibandronate sodium injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1746","63.62","Inj. ibalizumab-uiyk 10 mg--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1750","15.01","Inj iron dextran--50 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1756","0.22","Iron sucrose injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1953","0.09","Levetiracetam injection--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2150","1.98","Mannitol injection--50 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2210","18.90","Methylergonovin maleate inj--0.2 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2358","2.92","Olanzapine long-acting inj--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2405","0.09","Ondansetron hcl injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2690","71.73","Procainamide hcl injection--1 GM","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2790","74.30","Rho d immune globulin inj--300 MCG (1500 IU)","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2800","7.28","Methocarbamol injection--10 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J3090","1.58","Inj tedizolid phosphate--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J3358","11.63","Ustekinumab iv inject 1 mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7183","1.02","Wilate injection--1 I.U. VWF:RCO","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7185","1.23","Xyntha inj--1 IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7187","1.21","Humate-p inj--1 IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7308","382.13","Aminolevulinic acid hcl top--354 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7312","199.76","Dexamethasone intra implant--0.1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7321","73.04","Hyalgan or supartz inj dose--per dose","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7323","129.16","Euflexxa inj per dose--per dose","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7324","128.41","Orthovisc inj per dose--PER DOSE","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7331","4.39","Synojoynt inj. 1 mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7342","29.97","Ciprofloxacin otic susp 6 mg--6 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7518","1.47","Mycophenolic acid--180 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1642","0.01","Inj heparin sodium per 10 u--10 UNITS","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1645","8.63","Dalteparin sodium--2500 IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1742","226.10","Ibutilide fumarate injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1950","1268.00","Leuprolide acetate -3.75 mg--3.75 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2270","1.87","Morphine sulfate injection--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2543","1.42","Piperacillin-tazobactam--1.125 GM","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2545","92.77","Pentamidine non-comp unit--300 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2597","9.86","Inj desmopressin acetate--1 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2765","1.04","Metoclopramide hcl injection--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2786","9.75","Injection reslizumab 1mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2860","111.50","Injection siltuximab--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J3000","32.96","Streptomycin injection--1 GM","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J3240","1740.23","Thyrotropin injection--0.9 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J3357","171.18","Ustekinumab sub cu inj 1 mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J3380","20.30","Injection vedolizumab--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J3410","7.83","Hydroxyzine hcl injection--25 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J3411","2.53","Thiamine hcl 100 mg--100 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7030","2.54","Normal saline solution infus--1000 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7181","15.36","Factor xiii recomb a-subunit--1 IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7188","3.19","Factor viii recomb obizur--1 IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7194","1.48","Factor ix complex--1 IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7202","4.44","Factor ix idelvion inj--1 IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7204","2.22","Inj recombin esperoct per iu--1 i.u.","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7212","2.19","Factor viia recomb sevenfact--1 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7313","490.87","Inj. iluvien 0.01 mg--0.01 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7345","1.51","Aminolevulinic acid 10% gel--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7504","2249.84","Lymphocyte immune globulin--250 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7508","0.48","Tacrol astagraf ex rel oral--0.1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7517","0.37","Mycophenolate mofetil oral--250 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7606","11.02","Formoterol fumarate inh--20 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7682","29.93","Tobramycin non-comp unit--300 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9019","427.27","Erwinaze injection--1000 IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0285","38.91","Amphotericin b--50 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0475","171.59","Baclofen 10 mg injection--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0500","29.12","Dicyclomine injection--20 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0561","15.10","Penicillin g benzathine inj--100000 UNITS","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0597","54.13","C-1 esterase berinert--10 UNITS","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0690","0.80","Cefazolin sodium injection--500 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0696","0.54","Ceftriaxone sodium injection--250 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0735","22.57","Clonidine hydrochloride--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0791","122.41","Inj crizanlizumab-tmca 5mg--5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0795","9.38","Corticorelin ovine triflutal--1 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1110","43.47","Inj dihydroergotamine mesylt--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1120","21.89","Acetazolamid sodium injectio--500 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1265","0.56","Dopamine injection--40 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1270","0.32","Injection doxercalciferol--1 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1410","325.46","Inj estrogen conjugate 25 mg--25 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1453","0.33","Fosaprepitant injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1458","403.99","Galsulfase injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1554","481.77","Inj. asceniv--500 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1560","429.26","Gamma globulin > 10 cc inj--10 CC","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1561","42.19","Gamunex-c-gammaked--500 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1602","16.96","Golimumab for iv use 1mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1652","1.46","Fondaparinux sodium--0.5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1745","41.32","Infliximab not biosimil 10mg--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1786","43.38","Imuglucerase injection--10 UNITS","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1817","10.23","Insulin for insulin pump use--50 UNITS","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1955","20.82","Inj levocarnitine per 1 gm--1 GM","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1956","0.38","Levofloxacin injection--250 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2175","5.34","Meperidine hydrochl -100 mg--100 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2248","1.00","Micafungin sodium injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2700","1.22","Oxacillin sodium injeciton--250 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2783","300.94","Rasburicase--0.5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2798","10.16","Inj. perseris 0.5 mg--0.5 mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7177","1.07","Inj. fibryga 1 mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7182","1.25","Factor viii recomb novoeight--1 IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7186","1.12","Antihemophilic viii-vwf comp--PER FACTOR VIII IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7201","3.25","Factor ix alprolix recomb--1 IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7208","2.02","Inj. jivi 1 iu--1 IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7210","1.34","Inj afstyla 1 i.u.--1 IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7351","206.26","Inj bimatoprost itc imp1mcg--1 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7631","2.53","Cromolyn sodium noncomp unit--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9226","40116.00","Supprelin la implant--50 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9250","0.21","Methotrexate sodium inj--5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9267","0.13","Paclitaxel injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9280","42.76","Mitomycin injection--5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9293","24.14","Mitoxantrone hydrochl - 5 mg--5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9305","71.81","Pemetrexed injection--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9308","60.71","Injection ramucirumab--5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9358","23.98","Inj fam-trastu deru-nxki 1mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q0162","0.01","Ondansetron oral--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q5106","8.55","Inj retacrit non-esrd use--1000 UNITS","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q5108","222.26","Injection fulphila--0.5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q5121","49.15","Inj. avsola 10 mg--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q9958","0.07","Hocm <=149 mg-ml iodine 1ml--1 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0671","0.00","Outpatient Special Residence Charges - Hospital Based","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0801","300.00","DIALY/INPT","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0801","50.00","Inpatient Renal Dialysis - Inpatient Hemodialysis","Percent of Charges","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0802","300.00","DIALY/INPT/PER","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0829","300.00","HEMO/HOME/OTHER","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","Outpatient","Standard Term","UB92RM","","","","","0309","32.00","Laboratory (Clinical Diagnostic) - Other","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","Outpatient","Standard Term","UB92RM","","","","","0351","500.00","CT Scan - Head","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","Outpatient","Standard Term","UB92RM","","","","","0402","221.00","Other Imaging Services - Ultrasound","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","Outpatient","Standard Term","UB92RM","","","","","0412","135.00","Respiratory Services - Inhalation Services","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","Outpatient","Carve Out Term","UB92RM","","","","","0444","75.00","Speech Therapy Language Pathology - Evaluation/Reevaluation","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","Outpatient","Standard Term","UB92RM","","","","","0923","32.00","Other Diagnostic Services - Pap Smear","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7611","0.24","Albuterol non-comp con--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7686","642.99","Treprostinil non-comp unit-- 1.74 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J8700","0.44","Temozolomide--5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J8705","103.59","Topotecan oral--0.25 mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9022","78.15","Inj atezolizumab10 mg--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9023","84.70","Injection avelumab 10 mg--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9032","42.23","Injection belinostat 10mg--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9042","175.28","Brentuximab vedotin inj--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9060","1.68","Cisplatin 10 mg injection--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9179","117.66","Eribulin mesylate injection--0.1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9185","47.53","Fludarabine phosphate inj--50 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9218","11.47","Leuprolide acetate injeciton--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9223","174.20","Inj. lurbinectedin 0.1 mg--0.1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9299","28.49","Injection nivolumab--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9301","63.08","Obinutuzumab inj--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9349","12.64","Inj. tafasitamab-cxix--2 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/P9045","52.45","Albumin (human) 5% 250 ml--250 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q2050","257.09","Doxorubicin inj 10mg--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q3027","54.29","Inj beta interferon im 1 mcg--1 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q4145","18.33","Epifix inj 1mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q4173","209.82","Palingen or palingen xplus--1 SQ CM","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q4186","153.93","Epifix 1 sq cm--1 SQ CM","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q4196","105.64","Puraply am 1 sq cm--1 SQ CM","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q5103","40.05","Injection inflectra--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q5122","336.90","Inj nyvepria--0.5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q9950","18.23","Inj sulf hexa lipid microsph--1 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q9960","0.20","Hocm 200-249mg-ml iodine1ml--1 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q9961","0.25","Hocm 250-299mg-ml iodine1ml--1 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q9966","0.32","Locm 200-299mg-ml iodine1ml--1 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0761/36514","19.80","THERAPEUTIC APHERESIS PLASMA PHERESIS","Percent of Charges","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0771","0.00","Preventive Care Services - Vaccine Administration","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0800","300.00","RENAL DIALYSIS","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9330","40.39","Temsirolimus injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9358","23.98","Inj fam-trastu deru-nxki 1mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9395","45.10","Injection fulvestrant--25 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","P9046","20.98","Albumin (human) 25% 20 ml--20 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q0167","0.78","Dronabinol 2.5mg oral","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q4106","31.72","Dermagraft--1 SQ CM","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q4111","6.97","Gammagraft","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q4145","16.27","Epifix inj 1mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q4154","106.70","Biovance 1 square cm--1 SQ CM","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q4163","15.83","Woundex bioskin per sq cm--1 SQ CM","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q4173","209.82","Palingen or palingen xplus--1 SQ CM","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q4196","105.64","Puraply am 1 sq cm--1 SQ CM","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q5103","40.61","Injection inflectra--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q9961","0.25","Hocm 250-299mg-ml iodine1ml","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","UB92RM","","","","","0116","1600.00","DETOX/PVT","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","UB92RM","","","","","0119","1600.00","OTHER/PVT","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","UB92RM","","","","","0127","1600.00","ONCOLOGY/2BED","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","UB92RM","","","","","0129","1600.00","OTHER/2BED","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","UB92RM","","","","","0138","1600.00","REHAB/3&4BED","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","UB92RM","","","","","0148","1600.00","REHAB/DLX","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","UB92RM","","","","","0159","1600.00","OTHER/WARD","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","UB92RM","","","","","0167","1600.00","R&B/SELF","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","UB92RM","","","","","0183","1600.00","LOA/THERAPEUTIC","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","UB92RM","","","","","0193","1600.00","SUBACUTE/LEVELIII","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","UB92RM","","","","","0214","1700.00","CCU/INTERMEDIATE","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0221","0.00","Special Charges - Admission Charge","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0253","0.00","Pharmacy - Take Home Drugs","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0352","300.00","CT Scan - Body","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0359","300.00","CT Scan - Other","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0380","1600.00","Blood and Blood Products - General","Case Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0390","1600.00","Blood and Blood Products Admin-Processing-Storage - General","Case Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0391","1600.00","Blood and Blood Products - Administration (e.g. Transfusion)","Case Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0614","50.00","Magnetic Resonance Technology (MRT) - MRI-Other","Percent of Charges","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/90674","29.23","Cciiv4 vac no prsv 0.5 ml im--0.5 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9027","30.18","Clofarabine injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9035","70.60","Bevacizumab injection--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9036","20.19","Inj. belrapzo-bendamustine--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9040","26.92","Bleomycin sulfate injection--15 UNITS","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9050","1722.02","Carmustine injection--100 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9173","76.02","Inj. durvalumab 10 mg--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9190","1.53","Fluorouracil injection--500 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9200","46.44","Floxuridine injection--500 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9209","1.86","Mesna injection--200 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9245","221.36","Inj melpha hydroch nos 50 mg--50 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9263","0.11","Oxaliplatin--0.5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9266","19717.46","Pegaspargase injection--1 EA","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9268","1971.00","Pentostatin injection--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9271","50.65","Inj pembrolizumab--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9325","53.92","Inj talimogene laherparepvec--1 millionáPFU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9356","72.24","Inj. herceptin hylecta 10mg--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/P9041","10.49","Albumin (human)5% 50ml--50 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/P9047","52.45","Albumin (human) 25% 50ml--50 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q4102","9.56","Oasis wound matrix--1 SQ CM","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q4110","41.35","Primatrix--1 SQ CM","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q4154","106.70","Biovance 1 square cm--1 SQ CM","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q4159","583.67","Affinity1 square cm--1 SQ CM","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q5112","72.08","Inj ontruzant 10 mg--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q5116","64.79","Inj. trazimera 10 mg--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q5118","55.19","Inj. zirabev 10 mg--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q5120","270.56","Inj pegfilgrastim-bmez 0.5mg--0.5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0670","0.00","Outpatient Special Residence Charges - General","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0803","300.00","DIALY/INPT/CAPD","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0820","300.00","HEMO/OP OR HOME","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0823","300.00","HEMO/HOME/EQUIP","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0833","300.00","PERTNL/HOME/EQUIP","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0932","0.00","Medical Rehabilitation Day Program - Full Day","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0971","0.00","Professional Fees - Laboratory","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2795","0.07","Ropivacaine hcl injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2916","1.94","Na ferric gluconate complex--12.5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2920","4.03","Methylprednisolone injection--40 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2930","5.45","Methylprednisolone injection--125 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J3241","315.88","Inj. teprotumumab-trbw 10 mg--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J3260","3.49","Tobramycin sulfate injection--80 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J3300","3.85","Triamcinolone a inj prs-free--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J3301","1.23","Triamcinolone acet inj nos--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7042","1.08","5% dextrose-normal saline--500 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7189","2.25","Factor viia--1 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7314","491.13","Inj. yutiq 0.01 mg--0.01 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7327","694.58","Monovisc inj per dose--PER DOSE","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7500","0.98","Azathioprine oral 50mg--50 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7520","5.57","Sirolimus oral--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7605","10.66","Arformoterol non-comp unit--15 mcg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7608","5.74","Acetylcysteine non-comp unit--1 GM","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J8501","4.19","Oral aprepitant--5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9045","2.48","Carboplatin injection--50 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9047","39.12","Injection carfilzomib 1 mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9120","840.45","Dactinomycin injection--0.5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9145","55.66","Injection daratumumab 10 mg--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9177","27.96","Inj enfort vedo-ejfv 0.25mg--0.25 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9178","1.51","Inj epirubicin hcl 2 mg--2 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9181","0.71","Etoposide injection--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9203","205.34","Gemtuzumab ozogamicin 0.1 mg--0.1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9207","101.19","Ixabepilone injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9210","374.02","Inj. emapalumab-lzsg 1 mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9211","37.66","Idarubicin hcl injection--5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9264","13.30","Paclitaxel protein bound--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9285","52.07","Inj olaratumab 10 mg--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9303","123.55","Panitumumab injection--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9313","22.46","Inj. lumoxiti 0.01 mg--0.01 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7614","0.06","Levalbuterol non-comp unit--0.5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7620","0.12","Albuterol ipratrop non-comp--2.5 MG-0.5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7677","0.19","Revefenacin inh non-com 1mcg--1 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J8521","2.41","Capecitabine oral 500 mg--500 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J8655","270.10","Oral netupitant palonosetro--0.5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J8670","1.75","Rolapitant oral 1mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9000","2.50","Doxorubicin hcl injection--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9033","23.80","Inj. treanda 1 mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9070","29.67","Cyclophosphamide 100 mg inj--100 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9176","6.67","Injection elotuzumab 1mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9206","2.43","Irinotecan injection--20 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9214","33.76","Interferon alfa-2b inj--1 MIL UNITS","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9262","2.98","Inj omacetaxine mep 0.01mg--0.01 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9316","72.63","Pertuzu trastuzu 10 mg--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9351","1.09","Topotecan injection--0.1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9360","3.68","Vinblastine sulfate inj--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9370","4.94","Vincristine sulfate 1 mg inj--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9390","9.46","Vinorelbine tartrate inj--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q0139","0.93","Ferumoxytol esrd use--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q0166","1.33","Granisetron hcl 1 mg oral--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q4195","91.85","Puraply 1 sq cm--1 SQ CM","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q5119","62.48","Inj ruxience 10 mg--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q9957","46.83","Inj perflutren lip microsml--1 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q9963","0.18","Hocm 350-399mg-ml iodine1ml--1 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q9967","0.10","Locm 300-399mg-ml iodine1ml--1 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q9992","1736.54","Buprenorphine xr over 100 mg--Greater than 100 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0831","300.00","PERTNL/COMPOSITE","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0834","300.00","PERTNL/HOME/100%","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0931","0.00","Medical Rehabilitation Day Program - Half Day","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0962","0.00","Professional Fees - Ophthalmology","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0969","0.00","Professional Fees - Other","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0973","0.00","Professional Fees - Radiology (Therapeutic)","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2820","48.12","Sargramostim injection--50 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J3095","5.14","Telavancin injection--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J3101","129.17","Tenecteplase injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J3121","0.05","Inj testostero enanthate 1mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J3360","6.05","Diazepam injection--5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J3370","2.54","Vancomycin hcl injection--500 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J3486","16.43","Ziprasidone mesylate--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7175","7.88","Inj factor x (human) 1iu--1 IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7209","1.23","Factor viii nuwiq recomb 1iu--1 IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7336","3.25","Capsaicin 8% patch--1 SQ CM","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7503","1.38","Tacrol envarsus ex rel oral--0.25 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7511","790.60","Antithymocyte globuln rabbit--25 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7515","0.58","Cyclosporine oral 25 mg--25 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7674","0.76","Methacholine chloride neb--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J8530","1.14","Cyclophosphamide oral 25 mg--25 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J8560","75.49","Etoposide oral 50 mg--50 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J8610","0.14","Methotrexate oral 2.5 mg--2.5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9030","2.79","Bcg live intravesical 1mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9039","117.35","Injection blinatumomab--1 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9041","44.67","Inj. velcade 0.1 mg--0.1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9044","19.30","Inj bortezomib nos 0.1 mg--0.1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9055","64.29","Cetuximab injection--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9144","43.75","Daratumumab hyaluronidase--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9202","501.27","Goserelin acetate implant--3.6 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9261","151.89","Nelarabine injection--50 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9269","270.59","Inj. tagraxofusp-erzs 10 mcg--10 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9281","282.12","Mitomycin instillation--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9302","61.94","Ofatumumab injection--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9309","110.72","Inj polatuzumab vedotin 1mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9311","38.27","Inj rituximab hyaluronidase--10 mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9315","336.54","Romidepsin injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9320","344.94","Streptozocin injection--1 GM","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","UB92RM","","","","","0208","1825.00","ICU/TRAUMA","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","UB92RM","","","","","0209","1825.00","ICU/OTHER","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","UB92RM","","","","","0212","1825.00","CCU/PULMONARY","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","UB92RM","","","","","0219","1825.00","CCU/OTHER","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0258","35.00","Pharmacy - IV Solutions","Percent of Charges","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0259","50.00",,"Percent of Charges","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0275","38.00","Medical/Surgical Supplies and Devices - Pacemaker","Percent of Charges","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0350","300.00","CT Scan - General","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0619","50.00","Magnetic Resonance Technology (MRT) - Other","Percent of Charges","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0624","0.00","Medical/Surgical Supplies-Extension of 027X - FDA Investigational Devices (IDE)","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/90675","303.24","Rabies vaccine im--1 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/90686","19.58","Iiv4 vacc no prsv 0.5 ml im--0.5 ml","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/90694","61.00","Vacc AIIV4 no prsrv 0.5ML IM--0.5 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/90739","131.10","Hepb vacc 2 dose adult im--1 dose","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/90756","27.70","Cciiv4 vacc abx free im--0.5 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/A9579","1.53","Gad-base mr contrast nos1ml--1 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0291","3.05","Inj. plazomicin 5 mg--5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0295","2.46","Ampicillin sulbactam 1.5 gm--1.5 GM","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0517","169.05","Inj. benralizumab 1 mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0570","1204.99","Buprenorphine implant 74.2mg--74.2 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0583","0.34","Bivalirudin--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0595","2.89","Butorphanol tartrate 1 mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0600","5592.56","Edetate calcium disodium inj--1000 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0641","0.08","Inj levoleucovorin nos 0.5mg--0.5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0670","2.79","Inj mepivacaine hcl-10 ml--10 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0717","6.52","Certolizumab pegol inj 1mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0770","13.85","Colistimethate sodium inj--150 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1020","3.03","Methylprednisolone 20 mg inj--20 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1245","3.36","Dipyridamole injection--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1364","73.74","Erythro lactobionate -500 mg--500 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1380","8.18","Estradiol valerate 10 mg inj--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1626","0.22","Granisetron hcl injection--100 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1627","0.19","Inj granisetron xr 0.1 mg--0.1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0800","50.00","Inpatient Renal Dialysis - General","Percent of Charges","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0825","300.00","HEMO/HOME/SUPSERV","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0960","0.00","Professional Fees - General","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0993","0.00","Patient Convenience Items - Telephone/Telegraph","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0996","0.00","Patient Convenience Items - Late Discharge Charge","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","Outpatient","Standard Term","UB92RM","","","","","0307","32.00","Laboratory (Clinical Diagnostic) - Urology","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","Outpatient","Standard Term","UB92RM","","","","","0314","54.00","Laboratory (Pathology) - Biopsy","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","Outpatient","Standard Term","UB92RM","","","","","0324","142.00","Radiology (Diagnostic) - Chest X-ray","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","Outpatient","Standard Term","UB92RM","","","","","0329","142.00","Radiology (Diagnostic) - Other","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","Outpatient","Standard Term","UB92RM","","","","","0409","221.00","Other Imaging Services - Other","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","Outpatient","Standard Term","UB92RM","","","","","0410","135.00","Respiratory Services - General","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","Outpatient","Carve Out Term","UB92RM","","","","","0421","75.00","Physical Therapy - Visit Charge","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","Outpatient","Carve Out Term","UB92RM","","","","","0469","19.80","Pulmonary Function - Other","Percent of Charges","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0976","0.00","Professional Fees - Respiratory Therapy","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0981","0.00","Professional Fees - Emergency Room","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0988","0.00","Professional Fees - Consultation","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0995","0.00","Patient Convenience Items - Non Patient Room Rentals","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0998","0.00","Patient Convenience Items - Beauty Shop/Barber","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","Outpatient","Standard Term","UB92RM","","","","","0321","142.00","Radiology (Diagnostic) - Angiocardiography","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","Outpatient","Standard Term","UB92RM","","","","","0350","500.00","CT Scan - General","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","Outpatient","Carve Out Term","UB92RM","","","","","0422","75.00","Physical Therapy - Hourly Charge","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","Outpatient","Carve Out Term","UB92RM","","","","","0429","75.00","Physical Therapy - Other","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9328","10.38","Temozolomide injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9330","37.63","Temsirolimus injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9354","32.79","Inj ado-trastuzumab emt 1mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9355","90.98","Inj trastuzumab excl biosimi--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9395","27.59","Injection fulvestrant--25 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9400","7.52","Inj ziv-aflibercept 1mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/P9046","20.98","Albumin (human) 25% 20 ml--20 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q2043","49649.41","Sipuleucel-t auto cd54+--Per infusion (minimum 50 million cells)","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q4081","0.82","Epoetin alfa 100 units esrd--100 UNITS","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q4151","124.35","Amnioband guardian 1 sq cm--1 SQ CM","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q4163","15.83","Woundex bioskin per sq cm--1 SQ CM","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q5111","251.30","Injection udenyca 0.5 mg--0.5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0803","50.00","Inpatient Renal Dialysis - Inpatient Continuous Ambulatory Peritoneal Dialysis (CAPD)","Percent of Charges","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0804","300.00","DIALY/INPT/CCPD","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0804","50.00","Inpatient Renal Dialysis - Inpatient Continuous Cycling Peritoneal Dialysis (CCPD)","Percent of Charges","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0809","300.00","DIALY/INPT/OTHER","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0809","50.00","Inpatient Renal Dialysis - Other","Percent of Charges","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0835","300.00","PERTNL/HOME/SUPSERV","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0975","0.00","Professional Fees - Operating Room","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0982","0.00","Professional Fees - Outpatient Services","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0985","0.00","Professional Fees - EKG","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0991","0.00","Patient Convenience Items - Cafeteria/Guest Tray","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","2109","0.00","Alternative Therapy Services - Other","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","Outpatient","Standard Term","UB92RM","","","","","0301","32.00","Laboratory (Clinical Diagnostic) - Chemistry","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","Outpatient","Standard Term","UB92RM","","","","","0310","54.00","Laboratory (Pathology) - General","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","Outpatient","Standard Term","UB92RM","","","","","0311","54.00","Laboratory (Pathology) - Cytology","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","Outpatient","Carve Out Term","UB92RM","","","","","0433","75.00","Occupational Therapy - Group Rate","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","Outpatient","Carve Out Term","UB92RM","","","","","0443","75.00","Speech Therapy Language Pathology - Group Rate","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","Outpatient","Carve Out Term","UB92RM","","","","","0449","75.00","Speech Therapy Language Pathology - Other","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9340","453.46","Thiotepa injection--15 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q0167","0.51","Dronabinol 2.5mg oral--2.5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q4074","140.09","Iloprost non-comp unit dose--UP TO 20 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q4121","39.15","Theraskin--1 SQ CM","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q4174","291.27","Palingen or promatrx--0.36 MG per 0.25 CC","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q4187","221.06","Epicord 1 sq cm--1 SQ CM","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q5101","0.35","Injection zarxio--1 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q5105","0.86","Inj retacrit esrd on dialysi--100 UNITS","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q5110","0.39","Nivestym--1 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q5113","66.76","Inj herzuma 10 mg--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q9956","31.22","Inj octafluoropropane micml--1 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q9965","0.55","Locm 100-199mg-ml iodine1ml--1 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q9991","1736.54","Buprenorph xr 100 mg or less--Less than or equal to 100 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0672","0.00","Outpatient Special Residence Charges - Contracted","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0679","0.00","Outpatient Special Residence Charges - Other","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0770","0.00","Preventive Care Services - General","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0821","300.00","HEMO/COMPOSITE","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0824","300.00","HEMO/HOME/100%","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0994","0.00","Patient Convenience Items - TV/Radio","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0997","0.00","Patient Convenience Items - Admission Kits","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","Outpatient","Standard Term","UB92RM","","","","","0320","142.00","Radiology (Diagnostic) - General","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","Outpatient","Standard Term","UB92RM","","","","","0352","500.00","CT Scan - Body","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","Outpatient","Standard Term","UB92RM","","","","","0359","500.00","CT Scan - Other","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","Outpatient","Standard Term","UB92RM","","","","","0400","221.00","Other Imaging Services - General","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","Outpatient","Carve Out Term","UB92RM","","","","","0420","75.00","Physical Therapy - General","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","Outpatient","Carve Out Term","UB92RM","","","","","0423","75.00","Physical Therapy - Group Rate","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","Outpatient","Standard Term","UB92RM","","","","","0469","135.00","Pulmonary Function - Other","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","Outpatient","Carve Out Term","UB92RM","","","","","0510","19.80","Clinic - General","Percent of Charges","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","Outpatient","Standard Term","UB92RM","","","","","0925","32.00","Other Diagnostic Services - Pregnancy Test","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1630","0.89","Haloperidol injection--5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2185","0.76","Meropenem--100 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2278","8.17","Ziconotide injection--1 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2426","12.10","Paliperidone palmitate inj--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2469","1.90","Palonosetron hcl--25 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2501","0.56","Paricalcitol--1 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2510","29.82","Penicillin g procaine inj--600000 UNITS","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2560","44.95","Phenobarbital sodium inj--120 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2562","365.02","Plerixafor injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2724","15.06","Protein c concentrate--10 UNITS","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2792","30.03","Rho(d) immune globulin h sd--100 IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J3060","40.86","Inj taliglucerase alfa 10 u--10 UNITS","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J3105","1.37","Terbutaline sulfate inj--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J3111","8.99","Inj. romosozumab-aqqg 1 mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J3145","1.53","Testosterone undecanoate 1mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J3230","34.62","Chlorpromazine hcl injection--50 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J3245","132.71","Inj. tildrakizumab 1 mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J3304","17.89","Inj triamcinolone ace xr 1mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J3471","0.46","Ovine up to 999 usp units--1 UNIT","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J3473","0.36","Hyaluronidase recombinant--1 USP UNIT","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7040","1.27","Normal saline solution infus--500 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7060","1.87","5% dextrose-water--500 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7120","2.34","Ringers lactate infusion--1000 CC","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7178","1.24","Inj human fibrinogen con nos--1 IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7179","1.78","Vonvendi inj 1 iu vwf:rco--1 IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7190","1.01","Factor viii--1 IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7203","3.96","Factor ix recomb gly rebinyn--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7205","2.12","Factor viii fc fusion recomb--1 IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7311","340.22","Inj. retisert 0.01 mg--0.01 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7402","10.25","Mometasone sinus sinuva--10 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7507","0.52","Tacrolimus imme rel oral 1mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7509","0.25","Methylprednisolone oral--4 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0974","0.00","Professional Fees - Radiology (Nuclear Medicine)","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0979","0.00","Professional Fees - Speech Pathology","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0983","0.00","Professional Fees - Clinic","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0986","0.00","Professional Fees - EEG","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0989","0.00","Professional Fees - Private Duty Nurse","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0990","0.00","Patient Convenience Items - General","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","2100","0.00","Alternative Therapy Services - General","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","2102","0.00","Alternative Therapy Services - Acupressure","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","Outpatient","Standard Term","UB92RM","","","","","0304","32.00","Laboratory (Clinical Diagnostic) - Non-Routine Dialysis","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","Outpatient","Carve Out Term","UB92RM","","","","","0424","75.00","Physical Therapy - Evaluation/Reevaluation","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","Outpatient","Carve Out Term","UB92RM","","","","","0431","75.00","Occupational Therapy - Visit Charge","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","Outpatient","Carve Out Term","UB92RM","","","","","0432","75.00","Occupational Therapy - Hourly Charge","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","Outpatient","Carve Out Term","UB92RM","","","","","0440","75.00","Speech Therapy Language Pathology - General","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7510","0.12","Prednisolone oral per 5 mg--5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7525","211.97","Tacrolimus injection--5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7527","5.93","Oral everolimus--0.25 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7626","1.34","Budesonide non-comp unit--0.5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7639","47.79","Dornase alfa non-comp unit--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7644","0.20","Ipratropium bromide non-comp--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J8520","0.67","Capecitabine oral 150 mg--150 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J8540","0.05","Oral dexamethasone--0.25 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9034","19.58","Inj. bendeka 1 mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9043","181.51","Cabazitaxel injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9065","18.68","Inj cladribine per 1 mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9119","27.39","Inj. cemiplimab-rwlc 1 mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9130","4.30","Dacarbazine 100 mg inj--100 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9153","197.79","Inj daunorubicin cytarabine--1 MG-2.27 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9205","54.23","Inj irinotecan liposome 1 mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9208","24.54","Ifosfamide injection--1 GM","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9227","66.22","Inj. isatuximab-irfc 10 mg--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9229","2341.09","Inj inotuzumab ozogam 0.1 mg--0.1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9260","2.10","Methotrexate sodium inj--50 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9295","5.73","Injection necitumumab 1 mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9306","12.95","Injection pertuzumab 1 mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9317","29.49","Sacituzumab govitecan-hziy--2.5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9352","318.91","Injection trabectedin 0.1mg--0.1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9357","1382.42","Valrubicin injection--200 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9371","3320.17","Inj vincristine sul lip 1mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q0138","0.93","Ferumoxytol non-esrd--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q4101","30.43","Apligraf--1 SQ CM","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q4106","31.72","Dermagraft--1 SQ CM","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q5104","39.56","Injection renflexis--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q5114","60.66","Inj ogivri 10 mg--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q5117","59.34","Inj. kanjinti 10 mg--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0802","50.00","Inpatient Renal Dialysis - Inpatient Peritoneal Dialysis (Non CAPD)","Percent of Charges","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/90682","60.98","Riv4 vacc recombinant dna im--0.5 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/90691","75.16","Typhoid vaccine im--0.5 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/A9581","14.70","Gadoxetate disodium inj--1 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/A9585","0.35","Gadobutrol injection--0.1 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0129","45.32","Abatacept injection--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0289","26.56","Amphotericin b liposome inj--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0290","0.84","Ampicillin 500 mg inj--500 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0348","0.51","Anidulafungin injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0456","3.30","Azithromycin--500 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0485","3.78","Belatacept injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0558","12.00","Peng benzathine-procaine inj--100000 UNITS","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0630","2801.01","Calcitonin salmon injection--400 UNITS","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0694","5.18","Cefoxitin sodium injection--1 GM","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0702","6.09","Betamethasone acet&sod phosp--3 MG & 3 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0713","1.90","Inj ceftazidime per 500 mg--500 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0720","32.68","Chloramphenicol sodium injec--1 GM","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0725","21.67","Chorionic gonadotropin-1000u--1000 UNITS","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0740","589.78","Cidofovir injection--375 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0775","52.39","Collagenase clost hist inj--0.01 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0875","15.39","Injection dalbavancin--5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0878","0.08","Daptomycin injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0887","1.50","Epoetin beta esrd use--1 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0896","36.29","Inj luspatercept-aamt 0.25mg--0.25 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1030","5.55","Methylprednisolone 40 mg inj--40 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1250","5.69","Inj dobutamine hcl-250 mg--250 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1303","225.56","Inj. ravulizumab-cwvz 10 mg--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1442","0.93","Inj filgrastim excl biosimil--1 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1555","13.94","Inj cuvitru 100 mg--100 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1566","64.22","Immune globulin powder--500 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1580","1.78","Garamycin gentamicin inj--80 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1800","2.86","Propranolol injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1815","0.87","Insulin injection--5 UNITS","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0839","300.00","PERTNL/HOME/OTHER","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0964","0.00","Professional Fees - Anesthetist (CRNA)","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0992","0.00","Patient Convenience Items - Private Linen Service","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","2105","0.00","Alternative Therapy Services - Biofeedback","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","Outpatient","Standard Term","UB92RM","","","","","0302","32.00","Laboratory (Clinical Diagnostic) - Immunology","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","Outpatient","Standard Term","UB92RM","","","","","0305","32.00","Laboratory (Clinical Diagnostic) - Hematology","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","Outpatient","Standard Term","UB92RM","","","","","0312","54.00","Laboratory (Pathology) - Histology","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","Outpatient","Standard Term","UB92RM","","","","","0322","142.00","Radiology (Diagnostic) - Arthrography","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","Outpatient","Standard Term","UB92RM","","","","","0419","135.00","Respiratory Services - Other","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","Outpatient","Carve Out Term","UB92RM","","","","","0434","75.00","Occupational Therapy - Evaluation/Reevaluation","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","Outpatient","Carve Out Term","UB92RM","","","","","0442","75.00","Speech Therapy Language Pathology - Hourly Charge","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","Outpatient","Carve Out Term","UB92RM","","","","","0460","19.80","Pulmonary Function - General","Percent of Charges","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1940","0.55","Furosemide injection--20 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2020","7.07","Linezolid injection--200 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2260","1.51","Inj milrinone lactate - 5 mg--5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2407","23.63","Injection oritavancin--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2550","2.27","Promethazine hcl injection--50 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2778","306.93","Ranibizumab injection--0.1 mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J3010","0.62","Fentanyl citrate injection--0.1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J3285","60.38","Treprostinil injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J3415","7.82","Pyridoxine hcl 100 mg--100 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7050","0.63","Normal saline solution infus--250 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7170","47.47","Inj. emicizumab-kxwh 0.5 mg--0.5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7180","8.77","Factor xiii anti-hem factor--1 IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7193","1.13","Factor ix non-recombinant--1 IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7197","3.31","Antithrombin iii injection--1 IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7325","10.16","Synvisc or synvisc-one--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7512","0.01","Prednisone ir or dr oral 1mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9017","17.82","Arsenic trioxide injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9025","0.78","Azacitidine injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9037","42.91","Inj belantamab mafodont blmf--0.5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9100","0.68","Cytarabine hcl 100 mg inj--100 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9150","42.37","Daunorubicin injection--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9155","3.84","Degarelix injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9171","0.54","Docetaxel injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9198","33.91","Inj. infugem 100 mg--100 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9201","3.96","In gemcitabine hcl nos 200mg--200 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9204","203.88","Inj mogamulizumab-kpkc 1 mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9217","144.46","Leuprolide acetate suspnsion--7.5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9225","4558.13","Vantas implant--50 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9228","156.72","Ipilimumab injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9307","310.19","Pralatrexate injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9312","87.78","Inj. rituximab 10 mg--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q0164","0.26","Prochlorperazine maleate 5mg--5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q4111","6.94","Gammagraft--1 SQ CM","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q4132","114.63","Grafix core grafixpl core--1 SQ CM","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q4133","131.97","Grafix stravix prime pl sqcm--1 SQ CM","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q4137","83.09","Amnioexcel biodexcel 1sq cm--1 SQ CM","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q4160","92.76","Nushield 1 square cm--1 SQ CM","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q5107","48.78","Inj mvasi 10 mg--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q5115","60.84","Inj truxima 10 mg--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q5123","73.83","Inj. riabni 10 mg--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0822","300.00","HEMO/HOME/SUPPL","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0830","300.00","PERITONEAL/OP OR HOME","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0832","300.00","PERTNL/HOME/SUPPL","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0963","0.00","Professional Fees - Anesthesiologist (MD)","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0972","0.00","Professional Fees - Radiology (Diagnostic)","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0977","0.00","Professional Fees - Physical Therapy","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0978","0.00","Professional Fees - Occupational Therapy","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0984","0.00","Professional Fees - Medical Social Services","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0987","0.00","Professional Fees - Hospital Visit","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0999","0.00","Patient Convenience Items - Other","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","2104","0.00","Alternative Therapy Services - Reflexology","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","2106","0.00","Alternative Therapy Services - Hypnosis","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","Outpatient","Standard Term","UB92RM","","","","","0300","32.00","Laboratory (Clinical Diagnostic) - General","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","Outpatient","Standard Term","UB92RM","","","","","0303","32.00","Laboratory (Clinical Diagnostic) - Renal Patient (Home)","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","Outpatient","Standard Term","UB92RM","","","","","0306","32.00","Laboratory (Clinical Diagnostic) - Bacteriology and Microbiology","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","Outpatient","Standard Term","UB92RM","","","","","0319","54.00","Laboratory (Pathology) - Other","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","Outpatient","Standard Term","UB92RM","","","","","0323","142.00","Radiology (Diagnostic) - Arteriography","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","Outpatient","Carve Out Term","UB92RM","","","","","0430","75.00","Occupational Therapy - General","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","Outpatient","Carve Out Term","UB92RM","","","","","0439","75.00","Occupational Therapy - Other","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","Outpatient","Carve Out Term","UB92RM","","","","","0441","75.00","Speech Therapy Language Pathology - Visit Charge","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","Outpatient","Standard Term","UB92RM","","","","","0460","135.00","Pulmonary Function - General","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","Combo-PercentOfChargeRM","","","","",,,,,,,,,,"","50.00",,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","Outpatient","Standard Term","PercentOfChargeRM","","","","",,,,,,,,,,"","0.00",,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","Outpatient","Standard Term","Combo-PercentOfChargeRM","","","","",,,,,,,,,,"","26.00",,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","PercentOfChargeRM","","","","",,,,,,,,,,"","0.00",,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","L","Standard Term","PercentOfChargeRM","","","","",,,,,,,,,,"","0.00",,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","Aggregate-PercentOfChargeRM","","","","",,,,,,,,,,"","75.00",,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","TieredPerDiemRM","","","","",,,,,,,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","LevelOfCarePerDiemRM","","","","",,,,,,,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","TieredPerDiemRM","","","","",,,,,,,,,,"",,,,"","","Per Case Rate","15000.00",,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","TieredPerDiemRM","","","","",,,,,,,,,,"",,,,"","","Per Diem","650.00",,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","Aggregate-MedicareInpatientLTCRM","","","","",,,,,,,,"LTCH PPS/Site Neutral","120.00","",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","MedicareInpatientLTCRM","","","","",,,,,,,,,"100.00","",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","MedicareInpatientLTCRM","","","","",,,,,,,,"LTCH PPS/Site Neutral","100.00","",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","Outpatient","Standard Term","MedicareInpatientLTCRM","","","","",,,,,,,,"LTCH PPS/Site Neutral","100.00","",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","Combo-PerDayOfServiceRM","","","","",,,,,,,,,,"",,,,"","",,,,,"By Service Date","750.00","Per Day of Service","","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","LevelOfCarePerDiemRM","","","","",,,,,,,,,,"",,,,"","",,,"Med Surg Per Diem","1174.28",,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","LevelOfCarePerDiemRM","","","","",,,,,,,,,,"",,,,"","",,,"Psychiatric Per Diem","0.00",,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","LevelOfCarePerDiemRM","","","","",,,,,,,,,,"",,,,"","",,,"Rehabilitation Per Diem","0.00",,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","LevelOfCarePerDiemRM","","","","",,,,,,,,,,"",,,,"","",,,"Nursery Per Diem","0.00",,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","LevelOfCarePerDiemRM","","","","",,,,,,,,,,"",,,,"","",,,"Nursery ICU Per Diem","0.00",,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","LevelOfCarePerDiemRM","","","","",,,,,,,,,,"",,,,"","",,,"Override1 Per Diem","193.00",,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","LevelOfCarePerDiemRM","","","","",,,,,,,,,,"",,,,"","",,,"Intermediate ICU CCU Per Diem","1174.28",,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","LevelOfCarePerDiemRM","","","","",,,,,,,,,,"",,,,"","",,,"Dialysis Rate","0.00",,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","LevelOfCarePerDiemRM","","","","",,,,,,,,,,"",,,,"","",,,"Override2 Per Diem","194.00",,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","LevelOfCarePerDiemRM","","","","",,,,,,,,,,"",,,,"","",,,"Override3 Per Diem","650.00",,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","LevelOfCarePerDiemRM","","","","",,,,,,,,,,"",,,,"","",,,"Hospice Per Diem","0.00",,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","LevelOfCarePerDiemRM","","","","",,,,,,,,,,"",,,,"","",,,"ICU CCU Per Diem","1350.00",,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","LevelOfCarePerDiemRM","","","","",,,,,,,,,,"",,,,"","",,,"Subacute Per Diem","0.00",,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Minimum Negotiated Charge","Minimum Negotiated Charge","I","Standard Term","LevelOfCarePerDiemRM","","","","",,,,,,,,,,"",,,,"","",,,"Detoxification Per Diem","0.00",,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0114","1236.00","PSYCH/PVT","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0116","1236.00","DETOX/PVT","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0117","1236.00","ONCOLOGY/PVT","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0119","1236.00","OTHER/PVT","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0122","1236.00","OB/2BED","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0127","1236.00","ONCOLOGY/2BED","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0131","1236.00","MED-SUR-GY/3&4BED","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0137","1236.00","ONCOLOGY/3&4BED","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0149","1236.00","OTHER/DLX","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0157","1236.00","ONCOLOGY/WARD","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0158","1236.00","REHAB/WARD","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0173","1236.00","NURSERY/LEVELIII","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0189","1236.00","LOA/OTHER","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0193","1236.00","SUBACUTE/LEVELIII","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","90375","341.48","Rabies ig im-sc","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0256","4.52","Alpha 1 proteinase inhibitor--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0470","59.81","Dimecaprol injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0490","46.87","Belimumab injection--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0517","171.30","Inj. benralizumab 1 mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0561","15.23","Penicillin g benzathine inj--100000 UNITS","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0570","1285.78","Buprenorphine implant 74.2mg--74.2 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0592","4.75","Buprenorphine hydrochloride","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0596","29.09","Injection ruconest--10 UNITS","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0597","54.33","C-1 esterase berinert--10 UNITS","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0630","2830.55","Calcitonin salmon injection--400 UNITS","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0670","3.36","Inj mepivacaine hcl-10 ml--10 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0691","0.72","Inj lefamulin 1 mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0770","18.16","Colistimethate sodium inj","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1040","11.63","Methylprednisolone 80 mg inj","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1335","38.45","Ertapenem injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1439","1.13","Inj ferric carboxymaltos 1mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1460","43.30","Gamma globulin 1 cc inj--1 CC","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1631","15.45","Haloperidol decanoate inj","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1650","0.80","Inj enoxaparin sodium--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0118","1236.00","REHAB/PVT","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0126","1236.00","DETOX/2BED","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0138","1236.00","REHAB/3&4BED","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0147","1236.00","ONCOLOGY/DLX","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0148","1236.00","REHAB/DLX","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0159","1236.00","OTHER/WARD","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0167","1236.00","R&B/SELF","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0182","1236.00","LOA/PT CONV","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0190","1236.00","SUBACUTE","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0191","1236.00","SUBACUTE/LEVELI","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0203","1400.00","ICU/PEDS","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","90376","310.58","Rabies ig heat treated--150 IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","90670","241.38","Pcv13 vaccine im--0.5 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","90694","61.00","Vacc AIIV4 no prsrv 0.5ML IM--0.5 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","90746","69.65","Hepb vaccine 3 dose adult im--20 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","90747","140.76","Hepb vacc 4 dose immunsup im--40 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","90756","27.70","Cciiv4 vacc abx free im--0.5 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0185","2.01","Inj. aprepitant 1 mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0222","98.21","Inj. patisiran 0.1 mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0287","9.37","Amphotericin b lipid complex--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0401","5.70","Inj aripiprazole ext rel 1mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0461","0.09","Atropine sulfate injection--0.01 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0500","45.43","Dicyclomine injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0584","361.95","Injection burosumab-twza 1m--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0587","11.99","Inj rimabotulinumtoxinb","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0595","3.02","Butorphanol tartrate 1 mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0637","8.80","Caspofungin acetate--5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0692","1.91","Cefepime hcl for injection--500 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0714","92.45","Ceftazidime and avibactam--.625 GM","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0725","22.82","Chorionic gonadotropin-1000u--1000 UNITS","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0744","1.17","Ciprofloxacin iv","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1030","6.05","Methylprednisolone 40 mg inj","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1162","4123.75","Digoxin immune fab (ovine)--PER VIAL","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1170","3.39","Hydromorphone injection--4 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0100","1236.00","ALL/INCL/R&B/ANC","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0101","1236.00","ALL/INCL/R&B","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0111","1236.00","MED-SUR-GY/PVT","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0121","1236.00","MED-SUR-GY/2BED","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0124","1236.00","PSYCH/2BED","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0134","1236.00","PSYCH/3&4BED","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0141","1236.00","MED-SUR-GY/DLX","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0143","1236.00","PEDS/DLX","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0144","1236.00","PSYCH/DLX","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0150","1236.00","ROOM-BOARD/WARD","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0155","1236.00","HOSPICE/WARD","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0160","1236.00","R&B","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0181","1236.00","RESERVED","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0192","1236.00","SUBACUTE/LEVELII","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0204","1400.00","ICU/PSYCH","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0212","1400.00","CCU/PULMONARY","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","0003A","40.00","ADM SARSCOV2 30MCG-0.3ML 3RD--Pfizer-Biontech Covid-19 Vaccine Administration û Third Dose","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","0021A","40.00","ADM SARSCOV2 5X10^10VP-.5ML 1--AstraZeneca Covid-19 Vaccine Administration û First Dose","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","0071A","40.00","ADM SARSCV2 10MCG TRS-SUCR 1--Pfizer-BioNTech Covid-19 Pediatric Vaccine - Administration - First dose","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","90586","142.79","Bcg vaccine intravesical--1 EACH","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0121","3.31","Inj. omadacycline 1 mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0122","1.04","Inj. eravacycline 1 mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0202","2022.99","Injection alemtuzumab--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0221","174.63","Lumizyme injection--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0290","1.05","Ampicillin 500 mg inj","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0291","3.19","Inj. plazomicin 5 mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0456","4.58","Azithromycin--500 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0598","56.55","C-1 esterase cinryze--10 UNITS","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0640","3.22","Leucovorin calcium injection--50 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0690","0.82","Cefazolin sodium injection--500 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0720","37.12","Chloramphenicol sodium injec--1 GM","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0841","1263.49","Inj crotalidae im f(ab)2 eq--120 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1071","0.03","Inj testosterone cypionate--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1200","1.03","Diphenhydramine hcl injectio--50 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0120","1236.00","ROOM-BOARD/SEMI","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0133","1236.00","PEDS/3&4BED","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0145","1236.00","HOSPICE/DLX","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0153","1236.00","PEDS/WARD","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0154","1236.00","PSYCH/WARD","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0164","1236.00","R&B/STERILE","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0172","1236.00","NURSERY/LEVELII","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0179","1236.00","NURSERY/OTHER","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0183","1236.00","LOA/THERAPEUTIC","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0208","1400.00","ICU/TRAUMA","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0209","1400.00","ICU/OTHER","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0219","1400.00","CCU/OTHER","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","0004A","40.00","ADM SARSCOV2 30MCG-0.3ML BST--Pfizer-Biontech Covid-19 Vaccine Administration û Booster","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","0011A","40.00","ADM SARSCOV2 100MCG-0.5ML1ST--Moderna Covid-19 Vaccine Administration û First Dose","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","0012A","40.00","ADM SARSCOV2 100MCG-0.5ML2ND--Moderna Covid-19 Vaccine Administration û Second Dose","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","0034A","40.00","ADM SARSCOV2 VAC AD26 .5ML B--Janssen Covid-19 Vaccine Administration -á Booster","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","0064A","40.00","ADM SARSCOV2 50MCG-0.25MLBST--Moderna Covid-19 Vaccine (Low Dose) Administration - Booster","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","90715","34.06","Tdap vaccine 7 yrs-> im--0.5 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","90732","125.92","Ppsv23 vacc 2 yrs+ subq-im--0.5 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","A9581","14.74","Gadoxetate disodium inj--1 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","A9606","169.09","Radium ra223 dichloride ther--1 microCurie","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0133","0.07","Acyclovir injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0207","1135.69","Amifostine--500 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0278","1.20","Amikacin sulfate injection--100 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0565","39.76","Inj bezlotoxumab 10 mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0583","0.62","Bivalirudin","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0638","113.32","Canakinumab injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0694","7.34","Cefoxitin sodium injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0695","6.43","Inj ceftolozane tazobactam--75mg (50mg cft-25mg taz)","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0702","7.32","Betamethasone acet&sod phosp","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0717","8.18","Certolizumab pegol inj 1mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0735","23.49","Clonidine hydrochloride--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0775","54.44","Collagenase clost hist inj--0.01 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0129","1236.00","OTHER/2BED","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0171","1236.00","NURSERY/LEVELI","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0180","1236.00","LEAVE-OF-ABSENCE OR LOA","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0184","1236.00","LOA/ICF/MR","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0185","1236.00","LOA/NURS HOME","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0199","1236.00","SUBACUTE/LEVELI","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","0013A","40.00","ADM SARSCOV2 100MCG-0.5ML3RD--Moderna Covid-19 Vaccine Administration û Third Dose","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","0031A","40.00","ADM SARSCOV2 VAC AD26 .5ML--Janssen Covid-19 Vaccine Administration","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","90632","60.70","Hepa vaccine adult im--1 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","90674","29.23","Cciiv4 vac no prsv 0.5 ml im--0.5 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","90686","19.58","Iiv4 vacc no prsv 0.5 ml im--0.5 ml","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","A9585","0.38","Gadobutrol injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","A9589","1207.87","Insti hexaminolevulinate hcl--100 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0180","189.29","Agalsidase beta injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0223","106.88","Inj givosiran 0.5 mg--0.5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0257","4.90","Glassia injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0280","10.34","Aminophyllin 250 mg inj--250 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0285","39.92","Amphotericin b--50 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0475","179.01","Baclofen 10 mg injection--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0476","77.85","Baclofen intrathecal trial--50 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0585","6.11","Injectiononabotulinumtoxina","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0636","0.77","Inj calcitriol per 0.1 mcg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0641","0.12","Inj levoleucovorin nos 0.5mg--0.5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0713","2.01","Inj ceftazidime per 500 mg--500 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0878","0.20","Daptomycin injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0887","1.85","Epoetin beta esrd use","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1100","0.16","Dexamethasone sodium phos--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1212","637.16","Dimethyl sulfoxide 50% 50 ml--50 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1245","3.53","Dipyridamole injection--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1303","226.28","Inj. ravulizumab-cwvz 10 mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1454","695.56","Inj fosnetupitant palonoset--0.25 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1554","481.77","Inj. asceniv--500 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1556","70.49","Inj imm glob bivigam 500mg--500 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0136","1236.00","DETOX/3&4BED","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0139","1236.00","OTHER/3&4BED","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0146","1236.00","DETOX/DLX","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0156","1236.00","DETOX/WARD","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0169","1236.00","R&B/OTHER","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0194","1236.00","SUBACUTE/LEVELIV","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","0001A","40.00","ADM SARSCOV2 30MCG-0.3ML 1ST--Pfizer-Biontech Covid-19 Vaccine Administration û First Dose","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","90653","59.53","Iiv adjuvant vaccine im--0.5 ml","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","90672","26.88","Laiv4 vaccine intranasal--0.2 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","90685","21.13","Iiv4 vacc no prsv 0.25 ml im--0.25 mL","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","90687","9.58","Iiv4 vaccine splt 0.25 ml im--0.25 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","90691","123.68","Typhoid vaccine im--0.5 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","90714","25.37","Td vacc no presv 7 yrs+ im--0.5 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","90739","137.37","Hepb vacc 2 dose adult im--1 dose","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","90740","140.76","Hepb vacc 3 dose immunsup im--40 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0129","57.83","Abatacept injection--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0179","317.58","Inj brolucizumab-dbll 1 mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0348","0.54","Anidulafungin injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0586","8.40","Abobotulinumtoxina","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0610","4.22","Calcium gluconate injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0642","1.94","Injection khapzory 0.5 mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0712","3.36","Ceftaroline fosamil inj--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0742","2.26","Inj imip 4 cilas 4 releb 2mg--4 MG-4 MG-2 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0743","7.53","Cilastatin sodium injection--250 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0800","4017.74","Corticotropin injection--40 UNITS","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0885","10.02","Epoetin alfa non-esrd","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0888","1.85","Epoetin beta non esrd","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0895","8.63","Deferoxamine mesylate inj--500 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0897","20.11","Denosumab injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1000","24.05","Depo-estradiol cypionate inj--5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1020","3.44","Methylprednisolone 20 mg inj","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1205","65.70","Chlorothiazide sodium inj--500 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1250","7.71","Inj dobutamine hcl-250 mg--250 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0170","1236.00","NURSERY","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0202","1400.00","ICU/MEDICAL","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0207","1400.00","ICU/BURN CARE","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0210","1400.00","CORONARY CARE or (CCU)","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0213","1400.00","CCU/TRANSPLANT","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","0002A","40.00","ADM SARSCOV2 30MCG-0.3ML 2ND--Pfizer-Biontech Covid-19 Vaccine Administration û Second Dose","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","0072A","40.00","ADM SARSCV2 10MCG TRS-SUCR 2--Pfizer-BioNTech Covid-19 Pediatric Vaccine - Administration - Second dose","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","90371","126.86","Hep b ig im--1 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","90675","347.18","Rabies vaccine im--1 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","90688","19.17","Iiv4 vaccine splt 0.5 ml im--0.5 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","A9575","0.18","Inj gadoterate meglumi 0.1ml","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","A9576","1.42","Inj prohance multipack--1 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0153","0.62","Adenosine inj 1mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0171","0.85","Adrenalin epinephrine inject--0.1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0178","938.44","Aflibercept injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0289","27.24","Amphotericin b liposome inj--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0295","3.58","Ampicillin sulbactam 1.5 gm","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0360","4.87","Hydralazine hcl injection--20 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0480","4019.07","Basiliximab--20 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0485","3.79","Belatacept injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0558","12.06","Peng benzathine-procaine inj--100000 UNITS","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0588","5.06","Incobotulinumtoxin a--1 UNIT","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0594","4.37","Busulfan injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0600","5594.42","Edetate calcium disodium inj--1000 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0697","2.13","Sterile cefuroxime injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0780","7.67","Prochlorperazine injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0795","9.67","Corticorelin ovine triflutal--1 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0882","3.67","Darbepoetin alfa esrd use","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0896","36.31","Inj luspatercept-aamt 0.25mg--0.25 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1110","63.93","Inj dihydroergotamine mesylt","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1120","34.46","Acetazolamid sodium injectio--500 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1165","0.83","Phenytoin sodium injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1380","11.51","Estradiol valerate 10 mg inj--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1458","404.07","Galsulfase injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1459","43.03","Inj ivig privigen 500 mg--500 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1557","55.21","Gammaplex injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1644","0.32","Inj heparin sodium per 1000u--1000 UNITS","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1652","2.05","Fondaparinux sodium--0.5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1817","10.90","Insulin for insulin pump use--50 UNITS","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2260","2.01","Inj milrinone lactate - 5 mg--5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2310","12.86","Inj naloxone hydrochloride--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2426","12.12","Paliperidone palmitate inj--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2540","1.10","Penicillin g potassium inj--600000 UNITS","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2560","45.66","Phenobarbital sodium inj--120 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2690","97.32","Procainamide hcl injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2770","459.04","Quinupristin-dalfopristin--500 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2805","115.55","Sincalide injection--5 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J3101","129.27","Tenecteplase injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J3111","9.04","Inj. romosozumab-aqqg 1 mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J3415","10.62","Pyridoxine hcl 100 mg--100 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J3420","2.26","Vitamin b12 injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J3430","4.11","Vitamin k phytonadione inj","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J3480","0.16","Inj potassium chloride--2 MEQ","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J3489","13.29","Zoledronic acid 1mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7030","2.79","Normal saline solution infus--1000 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7170","47.75","Inj. emicizumab-kxwh 0.5 mg--0.5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7188","3.19","Factor viii recomb obizur--1 IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7189","2.26","Factor viia--1 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7203","3.98","Factor ix recomb gly rebinyn","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7208","2.03","Inj. jivi 1 iu--1 IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7313","490.95","Inj. iluvien 0.01 mg--0.01 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7331","18.02","Synojoynt inj. 1 mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7500","1.11","Azathioprine oral 50mg--50 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7515","0.65","Cyclosporine oral 25 mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7518","2.76","Mycophenolic acid","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7527","8.97","Oral everolimus","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7614","0.06","Levalbuterol non-comp unit--0.5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1190","207.49","Dexrazoxane hcl injection--250 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1240","7.11","Dimenhydrinate injection--50 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1442","0.95","Inj filgrastim excl biosimil--1 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1561","46.52","Gamunex-c-gammaked--500 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1568","42.02","Octagam injection--500 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1602","20.17","Golimumab for iv use 1mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1640","24.44","Hemin 1 mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1645","11.73","Dalteparin sodium","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1885","0.65","Ketorolac tromethamine inj--15 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1980","31.60","Hyoscyamine sulfate inj","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2323","22.39","Natalizumab injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2353","206.08","Octreotide injection depot","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2407","23.82","Injection oritavancin--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2597","11.30","Inj desmopressin acetate","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2783","307.11","Rasburicase--0.5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2785","59.37","Regadenoson injection--0.1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2794","10.53","Inj risperdal consta 0.5 mg--0.5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J3245","135.76","Inj. tildrakizumab 1 mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J3285","64.03","Treprostinil injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J3300","3.87","Triamcinolone a inj prs-free--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J3380","20.67","Injection vedolizumab--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J3385","346.63","Velaglucerase alfa--100 UNITS","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7120","2.49","Ringers lactate infusion--1000 CC","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7180","9.10","Factor xiii anti-hem factor--1 IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7182","1.36","Factor viii recomb novoeight--1 IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7185","1.26","Xyntha inj--1 IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7192","1.35","Factor viii recombinant nos--1 IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7194","1.51","Factor ix complex","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7195","1.56","Factor ix recombinant nos--1 IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7204","2.25","Inj recombin esperoct per iu--1 i.u.","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7312","200.06","Dexamethasone intra implant--0.1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7504","2257.65","Lymphocyte immune globulin--250 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7509","0.42","Methylprednisolone oral","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7613","0.05","Albuterol non-comp unit--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1956","0.43","Levofloxacin injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2010","13.21","Lincomycin injection--300 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2060","0.75","Lorazepam injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2278","8.48","Ziconotide injection--1 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2315","3.43","Naltrexone depot form--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2405","0.10","Ondansetron hcl injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2507","2799.66","Pegloticase injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2550","2.37","Promethazine hcl injection--50 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2700","1.29","Oxacillin sodium injeciton--250 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2704","0.13","Inj propofol 10 mg--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2720","1.20","Inj protamine sulfate-10 mg--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2724","15.15","Protein c concentrate--10 UNITS","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2780","6.12","Ranitidine hydrochloride inj--25 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2800","7.64","Methocarbamol injection--10 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J3121","0.05","Inj testostero enanthate 1mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J3230","35.89","Chlorpromazine hcl injection--50 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J3486","20.95","Ziprasidone mesylate--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7179","1.89","Vonvendi inj 1 iu vwf:rco--1 IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7183","1.09","Wilate injection--1 I.U. VWF:RCO","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7187","1.26","Humate-p inj--1 IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7197","3.61","Antithrombin iii injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7308","395.24","Aminolevulinic acid hcl top","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7321","82.64","Hyalgan supartz visco-3 dose","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7336","3.25","Capsaicin 8% patch--1 SQ CM","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7511","794.99","Antithymocyte globuln rabbit--25 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7516","58.57","Cyclosporin parenteral 250mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7608","6.18","Acetylcysteine non-comp unit--1 GM","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7639","47.79","Dornase alfa non-comp unit--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J8501","5.15","Oral aprepitant--5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9025","0.91","Azacitidine injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9040","28.74","Bleomycin sulfate injection--15 UNITS","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9043","184.85","Cabazitaxel injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9055","65.48","Cetuximab injection--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9060","1.91","Cisplatin 10 mg injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0840","3174.64","Crotalidae poly immune fab","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0881","3.67","Darbepoetin alfa non-esrd","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0894","4.47","Decitabine injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1050","0.57","Medroxyprogesterone acetate--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1160","5.12","Digoxin injection--0.5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1270","0.49","Injection doxercalciferol--1 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1290","496.26","Ecallantide injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1322","245.34","Elosulfase alfa injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1364","76.71","Erythro lactobionate -500 mg--500 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1580","2.05","Garamycin gentamicin inj","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1610","203.80","Glucagon hydrochloride-1 mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1627","7.73","Inj granisetron xr 0.1 mg--0.1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1630","1.43","Haloperidol injection--5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1642","0.02","Inj heparin sodium per 10 u--10 UNITS","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1670","534.73","Tetanus immune globulin inj","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1742","273.16","Ibutilide fumarate injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1750","15.07","Inj iron dextran--50 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1756","0.23","Iron sucrose injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1953","0.12","Levetiracetam injection--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2001","0.03","Lidocaine injection--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2501","1.05","Paricalcitol--1 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2505","3983.14","Injection pegfilgrastim 6mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2675","1.69","Inj progesterone per 50 mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2792","36.37","Rho(d) immune globulin h sd--100 IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2916","2.01","Na ferric gluconate complex--12.5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J3095","5.94","Telavancin injection--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J3250","40.61","Trimethobenzamide hcl inj--200 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J3301","1.50","Triamcinolone acet inj nos","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J3411","3.04","Thiamine hcl 100 mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J3475","0.63","Inj magnesium sulfate--500 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J3485","1.51","Zidovudine--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7040","1.40","Normal saline solution infus--500 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7186","1.12","Antihemophilic viii-vwf comp--PER FACTOR VIII IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7200","1.46","Factor ix recombinan rixubis--1 IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1560","432.96","Gamma globulin > 10 cc inj--10 CC","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1626","0.32","Granisetron hcl injection--100 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1786","43.44","Imuglucerase injection--10 UNITS","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1944","2.91","Aripirazole lauroxil 1 mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1950","1582.13","Leuprolide acetate -3.75 mg--3.75 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1955","21.07","Inj levocarnitine per 1 gm--1 GM","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2185","0.81","Meropenem","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2250","0.12","Inj midazolam hydrochloride--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2270","3.73","Morphine sulfate injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2280","9.64","Inj moxifloxacin 100 mg--100 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2354","1.03","Octreotide inj non-depot--25 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2400","31.40","Chloroprocaine hcl injection--30 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2430","10.70","Pamidronate disodium -30 mg--30 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2515","37.25","Pentobarbital sodium inj","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2680","12.88","Fluphenazine decanoate 25 mg--25 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2786","9.97","Injection reslizumab 1mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2788","26.13","Rho d immune globulin 50 mcg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2790","80.36","Rho d immune globulin inj--300 MCG (1500 IU)","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2795","0.08","Ropivacaine hcl injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2798","10.17","Inj. perseris 0.5 mg--0.5 mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J3000","33.06","Streptomycin injection--1 GM","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J3032","15.61","Inj. eptinezumab-jjmr 1 mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J3060","41.08","Inj taliglucerase alfa 10 u--10 UNITS","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J3262","5.51","Tocilizumab injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J3315","523.22","Triptorelin pamoate--3.75 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J3357","185.77","Ustekinumab sub cu inj 1 mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J3360","9.40","Diazepam injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J3370","2.97","Vancomycin hcl injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7060","1.98","5% dextrose-water--500 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7070","3.93","D5w infusion--1000 CC","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7175","7.89","Inj factor x (human) 1iu--1 IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7190","1.07","Factor viii--1 IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7193","1.19","Factor ix non-recombinant--1 IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1265","0.71","Dopamine injection--40 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1300","230.48","Eculizumab injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1430","444.10","Ethanolamine oleate 100 mg--100 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1566","66.97","Immune globulin powder--500 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1569","46.11","Gammagard liquid injection--500 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1570","46.50","Ganciclovir sodium injection--500 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1571","89.93","Hepagam b im injection--0.5 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1930","68.46","Lanreotide injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1931","33.12","Laronidase injection--0.1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1943","2.91","Inj. aristada initio 1 mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2020","7.52","Linezolid injection--200 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2150","2.38","Mannitol injection--50 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2210","19.31","Methylergonovin maleate inj--0.2 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2425","22.86","Palifermin injection--50 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2469","3.39","Palonosetron hcl","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2796","79.11","Romiplostim injection--10 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2920","4.48","Methylprednisolone injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2997","87.70","Alteplase recombinant","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J3105","5.15","Terbutaline sulfate inj--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J3410","8.35","Hydroxyzine hcl injection--25 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J3465","1.75","Injection voriconazole","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7042","1.21","5% dextrose-normal saline--500 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7177","1.09","Inj. fibryga 1 mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7178","1.30","Inj human fibrinogen con nos--1 IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7311","341.22","Inj. retisert 0.01 mg--0.01 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7316","1046.93","Inj ocriplasmin 0.125 mg--0.125 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7342","29.98","Ciprofloxacin otic susp 6 mg--6 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7351","206.55","Inj bimatoprost itc imp1mcg--1 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7508","0.48","Tacrol astagraf ex rel oral--0.1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7525","212.28","Tacrolimus injection--5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7611","0.28","Albuterol non-comp con--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J8520","0.75","Capecitabine oral 150 mg--150 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J8560","75.96","Etoposide oral 50 mg--50 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9022","78.18","Inj atezolizumab10 mg--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0110","1236.00","ROOM-BOARD/PVT","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0112","1236.00","OB/PVT","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0113","1236.00","PEDS/PVT","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0115","1236.00","HOSPICE/PVT","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0123","1236.00","PEDS/2BED","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0125","1236.00","HOSPICE/2BED","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0128","1236.00","REHAB/2BED","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0130","1236.00","ROOM-BOARD/3&4BED","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0132","1236.00","OB/3&4BED","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0135","1236.00","HOSPICE/3&4BED","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0140","1236.00","ROOM-BOARD/PVT/DLX","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0142","1236.00","OB/DLX","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0151","1236.00","MED-SUR-GY/WARD","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0152","1236.00","OB/WARD","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0174","1236.00","NURSERY/LEVELIV","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0200","1400.00","INTENSIVE CARE OR (ICU)","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0201","1400.00","ICU/SURGICAL","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0206","1400.00","ICU/INTERMEDIATE","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0211","1400.00","CCU/MYO INFARC","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","Combo-UB92RM","","","","","0214","1400.00","CCU/INTERMEDIATE","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","0022A","40.00","ADM SARSCOV2 5X10^10VP-.5ML 2--AstraZeneca Covid-19 Vaccine Administration û Second Dose","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","0041A","40.00","ADM SARSCOV2 5MCG-0.5ML 1ST--Novavax Covid-19 Vaccine Administration û First Dose","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","0042A","40.00","ADM SARSCOV2 5MCG-0.5ML 2ND--Novavax Covid-19 Vaccine Administration û Second Dose","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","90662","60.98","Iiv no prsv increased ag im--0.5 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","90682","60.98","Riv4 vacc recombinant dna im--0.5 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","90744","28.22","Hepb vacc 3 dose ped-adol im--1 DOSE","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","A9577","1.89","Inj multihance","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","A9578","1.86","Inj multihance multipack","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","A9579","1.55","Gad-base mr contrast nos1ml--1 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0132","1.33","Acetylcysteine injection--100 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0515","17.41","Inj benztropine mesylate--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0696","0.56","Ceftriaxone sodium injection--250 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0698","2.33","Cefotaxime sodium injection--1 GM","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0740","623.28","Cidofovir injection--375 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7686","671.84","Treprostinil non-comp unit-- 1.74 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J8521","2.55","Capecitabine oral 500 mg--500 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9035","79.56","Bevacizumab injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9047","39.35","Injection carfilzomib 1 mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9144","43.85","Daratumumab hyaluronidase--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9204","206.94","Inj mogamulizumab-kpkc 1 mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9210","393.16","Inj. emapalumab-lzsg 1 mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9211","38.41","Idarubicin hcl injection--5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9223","174.72","Inj. lurbinectedin 0.1 mg--0.1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9245","521.37","Inj melphalan hydrochl 50 mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9260","2.35","Methotrexate sodium inj","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9311","42.43","Inj rituximab hyaluronidase","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9325","54.09","Inj talimogene laherparepvec--1 millionáPFU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9371","3320.42","Inj vincristine sul lip 1mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","P9045","52.45","Albumin (human) 5% 250 ml--250 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q0138","1.07","Ferumoxytol non-esrd","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q0167","0.88","Dronabinol 2.5mg oral--2.5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q4081","1.00","Epoetin alfa 100 units esrd","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q4145","18.87","Epifix inj 1mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q4186","161.57","Epifix 1 sq cm","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q5105","0.92","Inj retacrit esrd on dialysi--100 UNITS","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q5111","321.85","Injection udenyca 0.5 mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q5118","63.18","Inj. zirabev 10 mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q9956","32.37","Inj octafluoropropane micml","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","UB92RM","","","","","0112","2122.00","Room and Board Private (one bed) - OB","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","UB92RM","","","","","0115","2122.00","Room and Board Private (one bed) - Hospice","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","UB92RM","","","","","0123","2122.00","Room and Board Semiprivate (two beds) - Pediatric","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","UB92RM","","","","","0125","2122.00","Room and Board Semiprivate (two beds) - Hospice","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","UB92RM","","","","","0130","2122.00","Room and Board (3 and 4 beds) - General","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","UB92RM","","","","","0136","2122.00","Room and Board (3 and 4 beds) - Detoxification","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","UB92RM","","","","","0139","2122.00","Room and Board (3 and 4 beds) - Other","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","UB92RM","","","","","0140","2122.00","Room and Board Deluxe Private - General","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","UB92RM","","","","","0146","2122.00","Room and Board Deluxe Private - Detoxification","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7631","2.71","Cromolyn sodium noncomp unit--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7677","0.19","Revefenacin inh non-com 1mcg--1 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7682","42.67","Tobramycin non-comp unit--300 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9032","42.70","Injection belinostat 10mg--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9039","118.12","Injection blinatumomab--1 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9130","4.85","Dacarbazine 100 mg inj--100 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9179","117.91","Eribulin mesylate injection--0.1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9181","0.74","Etoposide injection--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9198","33.91","Inj. infugem 100 mg--100 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9280","64.63","Mitomycin injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9295","5.74","Injection necitumumab 1 mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9299","28.54","Injection nivolumab--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9303","124.17","Panitumumab injection--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9313","23.39","Inj. lumoxiti 0.01 mg--0.01 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9357","1513.40","Valrubicin injection--200 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q3027","54.42","Inj beta interferon im 1 mcg--1 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q4101","30.48","Apligraf","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q4106","32.10","Dermagraft","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q4110","44.24","Primatrix","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q4137","86.59","Amnioexcel biodexcel 1sq cm--1 SQ CM","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q5107","62.66","Inj mvasi 10 mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q5108","307.52","Injection fulphila","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q5115","87.09","Inj truxima 10 mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","UB92RM","","","","","0100","2122.00","All Inclusive Rate - Room & Board & Ancillary","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","UB92RM","","","","","0101","2122.00","All Inclusive Rate - Room & Board","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","UB92RM","","","","","0111","2122.00","Room and Board Private (one bed) - Medical/Surgical/GYN","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","UB92RM","","","","","0121","2122.00","Room and Board Semiprivate (two beds) - Medical/Surgical/GYN","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","UB92RM","","","","","0124","2122.00","Room and Board Semiprivate (two beds) - Psychiatric","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","UB92RM","","","","","0126","2122.00","Room and Board Semiprivate (two beds) - Detoxification","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","UB92RM","","","","","0134","2122.00","Room and Board (3 and 4 beds) - Psychiatric","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","UB92RM","","","","","0141","2122.00","Room and Board Deluxe Private - Medical/Surgical/GYN","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","UB92RM","","","","","0144","2122.00","Room and Board Deluxe Private - Psychiatric","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","UB92RM","","","","","0150","2122.00","Room and Board Ward - General","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1447","0.52","Inj tbo filgrastim 1 microg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1558","14.98","Inj. xembify 100 mg--100 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1575","14.73","Hyqvia 100mg immuneglobulin--100 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1720","14.21","Hydrocortisone sodium succ i--100 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1743","542.92","Idursulfase injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1745","55.70","Infliximab not biosimil 10mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1800","3.45","Propranolol injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2182","28.86","Injection mepolizumab 1mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2274","11.60","Inj morphine pf epid ithc","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2357","37.42","Omalizumab injection--5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2360","7.71","Orphenadrine injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2510","29.86","Penicillin g procaine inj--600000 UNITS","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2562","365.16","Plerixafor injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2765","1.24","Metoclopramide hcl injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2791","4.75","Rhophylac injection--100 IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2860","121.93","Injection siltuximab--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J3010","0.79","Fentanyl citrate injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J3145","1.59","Testosterone undecanoate 1mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J3241","315.88","Inj. teprotumumab-trbw 10 mg--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J3260","4.94","Tobramycin sulfate injection--80 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J3358","11.95","Ustekinumab iv inject 1 mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J3396","11.25","Verteporfin injection--0.1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J3471","0.46","Ovine up to 999 usp units--1 UNIT","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7181","15.45","Factor xiii recomb a-subunit--1 IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7205","2.18","Factor viii fc fusion recomb--1 IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7210","1.37","Inj afstyla 1 i.u.--1 IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7314","502.02","Inj. yutiq 0.01 mg--0.01 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7324","135.03","Orthovisc inj per dose","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7345","1.52","Aminolevulinic acid 10% gel--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7503","1.44","Tacrol envarsus ex rel oral--0.25 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7605","11.00","Arformoterol non-comp unit--15 mcg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7674","0.80","Methacholine chloride neb--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J8700","0.63","Temozolomide","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9037","42.97","Inj belantamab mafodont blmf--0.5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9155","4.00","Degarelix injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9171","1.04","Docetaxel injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9190","1.99","Fluorouracil injection--500 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9227","66.37","Inj. isatuximab-irfc 10 mg--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9261","152.53","Nelarabine injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9264","13.43","Paclitaxel protein bound--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9266","19717.46","Pegaspargase injection--1 EA","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9267","0.19","Paclitaxel injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9305","73.19","Inj. pemetrexed nos 10mg--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9308","61.66","Injection ramucirumab--5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9330","45.18","Temsirolimus injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9349","12.66","Inj. tafasitamab-cxix--2 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9400","8.50","Inj ziv-aflibercept 1mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","P9047","52.45","Albumin (human) 25% 50ml--50 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q0166","1.46","Granisetron hcl 1 mg oral--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q4111","7.16","Gammagraft--1 SQ CM","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q4115","19.56","Alloskin","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q4151","128.40","Amnioband guardian 1 sq cm--1 SQ CM","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q4154","117.21","Biovance 1 square cm","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q4160","99.53","Nushield 1 square cm--1 SQ CM","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q5101","0.49","Injection zarxio","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q5117","81.89","Inj. kanjinti 10 mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q5119","67.32","Inj ruxience 10 mg--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q5122","336.90","Inj nyvepria--0.5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q9966","0.33","Locm 200-299mg-ml iodine1ml--1 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","UB92RM","","","","","0114","2122.00","Room and Board Private (one bed) - Psychiatric","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","UB92RM","","","","","0118","1875.00","Room and Board Private (one bed) - Rehabilitation","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","UB92RM","","","","","0120","2122.00","Room and Board Semiprivate (two beds) - General","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","UB92RM","","","","","0122","2122.00","Room and Board Semiprivate (two beds) - OB","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","UB92RM","","","","","0131","2122.00","Room and Board (3 and 4 beds) - Medical/Surgical/GYN","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","UB92RM","","","","","0133","2122.00","Room and Board (3 and 4 beds) - Pediatric","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","UB92RM","","","","","0145","2122.00","Room and Board Deluxe Private - Hospice","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","UB92RM","","","","","0153","2122.00","Room and Board Ward - Pediatric","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7327","785.19","Monovisc inj per dose--PER DOSE","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7340","222.05","Carbidopa levodopa ent 100ml","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7517","0.52","Mycophenolate mofetil oral","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7606","12.02","Formoterol fumarate inh","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7620","0.13","Albuterol ipratrop non-comp","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J8655","304.13","Oral netupitant palonosetro--0.5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J8670","2.59","Rolapitant oral 1mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J8705","103.72","Topotecan oral--0.25 mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9019","427.27","Erwinaze injection--1000 IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9034","21.18","Inj. bendeka 1 mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9036","22.27","Inj. belrapzo-bendamustine--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9045","2.79","Carboplatin injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9120","975.14","Dactinomycin injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9145","56.04","Injection daratumumab 10 mg--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9150","46.34","Daunorubicin injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9177","29.04","Inj enfort vedo-ejfv 0.25mg--0.25 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9203","205.36","Gemtuzumab ozogamicin 0.1 mg--0.1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9209","2.19","Mesna injection--200 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9225","4845.14","Vantas implant--50 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9285","52.07","Inj olaratumab 10 mg--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9309","113.57","Inj polatuzumab vedotin 1mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9312","94.18","Inj. rituximab 10 mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9315","336.66","Romidepsin injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9356","77.99","Inj. herceptin hylecta 10mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9370","5.04","Vincristine sulfate 1 mg inj--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q4121","43.80","Theraskin--1 SQ CM","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q4132","118.21","Grafix core grafixpl core","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q4187","221.06","Epicord 1 sq cm--1 SQ CM","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q5104","49.85","Injection renflexis","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q5113","86.43","Inj herzuma 10 mg--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q9991","1737.26","Buprenorph xr 100 mg or less--Less than or equal to 100 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q9992","1737.26","Buprenorphine xr over 100 mg--Greater than 100 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","UB92RM","","","","","0138","1875.00","Room and Board (3 and 4 beds) - Rehabilitation","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","UB92RM","","","","","0148","1875.00","Room and Board Deluxe Private - Rehabilitation","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7198","2.10","Anti-inhibitor--1 IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7201","3.26","Factor ix alprolix recomb--1 IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7202","4.59","Factor ix idelvion inj--1 IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7207","1.86","Factor viii pegylated recomb--1 IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7323","141.22","Euflexxa inj per dose","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7402","10.25","Mometasone sinus sinuva--10 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7502","2.58","Cyclosporine oral 100 mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7507","0.74","Tacrolimus imme rel oral 1mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7510","0.15","Prednisolone oral per 5 mg--5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7512","0.02","Prednisone ir or dr oral 1mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7520","6.55","Sirolimus oral--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7644","0.21","Ipratropium bromide non-comp","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J8530","2.45","Cyclophosphamide oral 25 mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J8610","0.23","Methotrexate oral 2.5 mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9000","3.00","Doxorubicin hcl injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9027","64.58","Clofarabine injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9041","45.05","Inj. velcade 0.1 mg--0.1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9042","182.08","Brentuximab vedotin inj--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9070","31.85","Cyclophosphamide 100 mg inj","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9153","202.64","Inj daunorubicin cytarabine--1 MG-2.27 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9178","1.69","Inj epirubicin hcl 2 mg--2 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9185","75.18","Fludarabine phosphate inj--50 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9201","4.14","In gemcitabine hcl nos 200mg--200 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9202","538.24","Goserelin acetate implant--3.6 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9208","26.25","Ifosfamide injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9214","34.13","Interferon alfa-2b inj--1 MIL UNITS","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9229","2341.30","Inj inotuzumab ozogam 0.1 mg--0.1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9293","30.85","Mitoxantrone hydrochl - 5 mg--5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9302","62.23","Ofatumumab injection--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9317","29.51","Sacituzumab govitecan-hziy--2.5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9320","351.45","Streptozocin injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9352","318.92","Injection trabectedin 0.1mg--0.1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9354","32.90","Inj ado-trastuzumab emt 1mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q0162","0.03","Ondansetron oral","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0791","122.43","Inj crizanlizumab-tmca 5mg--5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0834","41.17","Inj. cosyntropin 0.25 mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0850","1479.74","Cytomegalovirus imm iv -vial--PER VIAL","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J0875","15.52","Injection dalbavancin--5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1230","18.03","Methadone injection--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1301","20.29","Injection edaravone 1 mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1325","16.45","Epoprostenol injection--0.5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1410","325.51","Inj estrogen conjugate 25 mg--25 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1450","12.87","Fluconazole","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1453","1.39","Fosaprepitant injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1555","14.01","Inj cuvitru 100 mg--100 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1559","11.23","Hizentra injection--100 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1572","36.86","Flebogamma injection--500 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1740","43.73","Ibandronate sodium injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1746","64.21","Inj. ibalizumab-uiyk 10 mg--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1815","0.90","Insulin injection--5 UNITS","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J1940","0.77","Furosemide injection--20 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2175","6.42","Meperidine hydrochl -100 mg--100 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2248","1.09","Micafungin sodium injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2300","3.34","Inj nalbuphine hydrochloride--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2350","57.42","Injection ocrelizumab 1 mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2358","2.92","Olanzapine long-acting inj--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2503","785.50","Pegaptanib sodium injection--0.3 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2543","1.83","Piperacillin-tazobactam","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2545","123.31","Pentamidine non-comp unit","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2760","413.36","Phentolaine mesylate inj--5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2778","343.31","Ranibizumab injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2820","48.83","Sargramostim injection--50 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J2930","6.39","Methylprednisolone injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J3090","1.59","Inj tedizolid phosphate--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J3240","1776.21","Thyrotropin injection--0.9 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J3243","1.62","Tigecycline injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J3304","18.63","Inj triamcinolone ace xr 1mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J3473","0.36","Hyaluronidase recombinant--1 USP UNIT","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","UB92RM","","","","","0155","2122.00","Room and Board Ward - Hospice","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","UB92RM","","","","","0160","2122.00","Other Room and Board - General","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0167","0.00","Other Room and Board - Self Care","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","UB92RM","","","","","0170","1600.00","NURSERY","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","UB92RM","","","","","0174","1600.00","NURSERY/LEVELIV","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0180","0.00","Leave of Absence - General","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","UB92RM","","","","","0214","2395.00","Coronary Care Unit - Intermediate CCU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0223","0.00","Special Charges - UR Service Charge","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0229","0.00","Special Charges - Other","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0278","38.00","Medical/Surgical Supplies and Devices - Other Implants","Percent of Charges","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0351","50.00","CT Scan - Head","Percent of Charges","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0359","600.00","CT Scan - Other","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/90685","21.13","Iiv4 vacc no prsv 0.25 ml im--0.25 mL","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/90691","123.68","Typhoid vaccine im--0.5 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0121","3.29","Inj. omadacycline 1 mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0153","0.61","Adenosine inj 1mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0223","106.88","Inj givosiran 0.5 mg--0.5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0280","10.34","Aminophyllin 250 mg inj--250 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0461","0.10","Atropine sulfate injection--0.01 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0485","3.80","Belatacept injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0517","172.61","Inj. benralizumab 1 mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0638","115.42","Canakinumab injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0712","3.54","Ceftaroline fosamil inj--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0717","8.18","Certolizumab pegol inj 1mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0720","37.12","Chloramphenicol sodium injec--1 GM","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0742","2.30","Inj imip 4 cilas 4 releb 2mg--4 MG-4 MG-2 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0744","1.00","Ciprofloxacin iv--200 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0775","54.44","Collagenase clost hist inj--0.01 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0840","3043.75","Crotalidae poly immune fab--UP TO 1 GM","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0878","0.16","Daptomycin injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1160","5.65","Digoxin injection--0.5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1165","0.56","Phenytoin sodium injection--50 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1453","0.79","Fosaprepitant injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","UB92RM","","","","","0180","1600.00","LEAVE-OF-ABSENCE OR LOA","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","UB92RM","","","","","0181","1600.00","RESERVED","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","UB92RM","","","","","0192","1600.00","SUBACUTE/LEVELII","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","UB92RM","","","","","0199","1600.00","SUBACUTE/LEVELI","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","UB92RM","","","","","0208","2618.00","Intensive Care Unit - Trauma","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","UB92RM","","","","","0209","2618.00","Intensive Care Unit - Other","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","UB92RM","","","","","0212","2618.00","Coronary Care Unit - Pulmonary Care","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","UB92RM","","","","","0219","2618.00","Coronary Care Unit - Other","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0220","0.00","Special Charges - General","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0256","0.00","Pharmacy - Experimental Drugs","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0277","0.00","Medical/Surgical Supplies and Devices - Take-Home Oxygen","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0382","1600.00","Blood and Blood Products - Whole Blood","Case Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0385","1600.00","Blood and Blood Products - Leukocytes","Case Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0399","1600.00","Blood and Blood Products Admin-Processing-Storage - Other","Case Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0419","400.00",,"Case Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0612","50.00","Magnetic Resonance Technology (MRT) - MRI-Spinal Cord (Including Spine)","Percent of Charges","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/90586","142.79","Bcg vaccine intravesical--1 EACH","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/90653","59.53","Iiv adjuvant vaccine im--0.5 ml","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/90672","26.88","Laiv4 vaccine intranasal--0.2 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/90732","125.92","Ppsv23 vacc 2 yrs+ subq-im--0.5 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/90740","140.76","Hepb vacc 3 dose immunsup im--40 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/A9575","0.18","Inj gadoterate meglumi 0.1ml--0.1 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/A9576","1.50","Inj prohance multipack--1 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/A9577","1.88","Inj multihance--1 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0178","928.24","Aflibercept injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0179","314.95","Inj brolucizumab-dbll 1 mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0586","8.27","Abobotulinumtoxina--5 Unit","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0641","0.28","Inj levoleucovorin nos 0.5mg--0.5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0690","0.97","Cefazolin sodium injection--500 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0695","6.64","Inj ceftolozane tazobactam--75mg (50mg cft-25mg taz)","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0713","2.01","Inj ceftazidime per 500 mg--500 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0795","9.67","Corticorelin ovine triflutal--1 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0800","4017.74","Corticotropin injection--40 UNITS","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","UB92RM","","","","","0151","2122.00","Room and Board Ward - Medical/Surgical/GYN","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","UB92RM","","","","","0156","2122.00","Room and Board Ward - Detoxification","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","UB92RM","","","","","0158","1875.00","Room and Board Ward - Rehabilitation","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","UB92RM","","","","","0169","2122.00","Other Room and Board - Other","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","UB92RM","","","","","0182","1600.00","LOA/PT CONV","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","UB92RM","","","","","0191","1600.00","SUBACUTE/LEVELI","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","UB92RM","","","","","0194","1600.00","SUBACUTE/LEVELIV","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0250","35.00","Pharmacy - General","Percent of Charges","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0258","52.00","Pharmacy - IV Solutions","Percent of Charges","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0360","50.00",,"Percent of Charges","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0390","19.80","Blood and Blood Products Admin-Processing-Storage - General","Percent of Charges","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0391","19.80","Blood and Blood Products - Administration (e.g. Transfusion)","Percent of Charges","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0392","1600.00","Blood and Blood Products - Processing and Storage ","Case Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0610","50.00","Magnetic Resonance Technology (MRT) - General","Percent of Charges","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/90375","336.55","Rabies ig im-sc--150 IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/90662","60.98","Iiv no prsv increased ag im--0.5 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/90688","19.17","Iiv4 vaccine splt 0.5 ml im--0.5 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/A9579","1.60","Gad-base mr contrast nos1ml--1 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0180","196.22","Agalsidase beta injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0476","77.85","Baclofen intrathecal trial--50 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0595","3.02","Butorphanol tartrate 1 mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0691","0.72","Inj lefamulin 1 mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0692","1.91","Cefepime hcl for injection--500 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0694","7.36","Cefoxitin sodium injection--1 GM","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0735","30.12","Clonidine hydrochloride--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0780","5.18","Prochlorperazine injection--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1050","0.57","Medroxyprogesterone acetate--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1100","0.17","Dexamethasone sodium phos--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1120","34.46","Acetazolamid sodium injectio--500 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1170","3.39","Hydromorphone injection--4 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1212","637.16","Dimethyl sulfoxide 50% 50 ml--50 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1290","499.51","Ecallantide injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","UB92RM","","","","","0154","2122.00","Room and Board Ward - Psychiatric","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","UB92RM","","","","","0164","2122.00","Other Room and Board - Sterile","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","UB92RM","","","","","0173","1600.00","NURSERY/LEVELIII","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","UB92RM","","","","","0179","1600.00","NURSERY/OTHER","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","UB92RM","","","","","0184","1600.00","LOA/ICF/MR","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","UB92RM","","","","","0185","1600.00","LOA/NURS HOME","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0259","50.00",,"Percent of Charges","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0275","38.00","Medical/Surgical Supplies and Devices - Pacemaker","Percent of Charges","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0350","600.00","CT Scan - General","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0619","50.00","Magnetic Resonance Technology (MRT) - Other","Percent of Charges","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0624","0.00","Medical/Surgical Supplies-Extension of 027X - FDA Investigational Devices (IDE)","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/90376","331.80","Rabies ig heat treated--150 IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/90686","19.58","Iiv4 vacc no prsv 0.5 ml im--0.5 ml","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/90694","61.00","Vacc AIIV4 no prsrv 0.5ML IM--0.5 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/90739","144.21","Hepb vacc 2 dose adult im--1 dose","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/90756","27.70","Cciiv4 vacc abx free im--0.5 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/A9581","14.76","Gadoxetate disodium inj--1 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/A9585","0.36","Gadobutrol injection--0.1 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0129","58.10","Abatacept injection--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0278","1.30","Amikacin sulfate injection--100 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0287","9.42","Amphotericin b lipid complex--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0291","3.18","Inj. plazomicin 5 mg--5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0348","0.58","Anidulafungin injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0360","5.69","Hydralazine hcl injection--20 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0515","17.41","Inj benztropine mesylate--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0583","0.60","Bivalirudin--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0594","3.41","Busulfan injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0597","57.49","C-1 esterase berinert--10 UNITS","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0600","5708.59","Edetate calcium disodium inj--1000 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0610","4.34","Calcium gluconate injection--10 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0637","8.80","Caspofungin acetate--5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0640","3.63","Leucovorin calcium injection--50 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0642","2.00","Injection khapzory 0.5 mg--0.5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9023","85.33","Injection avelumab 10 mg--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9030","2.86","Bcg live intravesical 1mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9065","21.02","Inj cladribine per 1 mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9100","0.75","Cytarabine hcl 100 mg inj--100 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9173","77.05","Inj. durvalumab 10 mg--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9206","2.49","Irinotecan injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9217","235.37","Leuprolide acetate suspnsion","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9281","282.23","Mitomycin instillation--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9301","63.54","Obinutuzumab inj--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9351","1.17","Topotecan injection--0.1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9355","104.20","Inj trastuzumab excl biosimi","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9390","10.75","Vinorelbine tartrate inj--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q0164","0.30","Prochlorperazine maleate 5mg--5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q2043","51363.25","Sipuleucel-t auto cd54+--Per infusion (minimum 50 million cells)","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q2050","307.09","Doxorubicin inj 10mg--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q4102","10.78","Oasis wound matrix","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q4174","291.27","Palingen or promatrx--0.36 MG per 0.25 CC","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q5106","9.19","Inj retacrit non-esrd use--1000 UNITS","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q5121","51.34","Inj. avsola 10 mg--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q9965","0.87","Locm 100-199mg-ml iodine1ml","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","UB92RM","","","","","0143","2122.00","Room and Board Deluxe Private - Pediatric","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","UB92RM","","","","","0171","1600.00","NURSERY/LEVELI","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0182","0.00","Leave of Absence - Patient Convience Charges Billable","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","UB92RM","","","","","0206","2395.00","Intensive Care Unit - Intermediate ICU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0222","0.00","Special Charges - Technical Support Charge","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0273","0.00","Medical/Surgical Supplies and Devices - Take-Home Supplies","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0383","1600.00","Blood and Blood Products - Plasma","Case Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0386","1600.00","Blood and Blood Products - Other Components","Case Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0389","1600.00","Blood and Blood Products - Other","Case Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0611","50.00","Magnetic Resonance Technology (MRT) - MRI-Brain (Including Brainstem)","Percent of Charges","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0616","50.00","Magnetic Resonance Technology (MRT) - MRA-Lower Extremeties","Percent of Charges","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636","52.00","Pharmacy-Extension of 025X - Drugs Requiring Detailed Coding","Percent of Charges","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q4133","139.49","Grafix stravix prime pl sqcm","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q4195","113.56","Puraply 1 sq cm","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q4196","109.65","Puraply am 1 sq cm","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q5103","47.78","Injection inflectra","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q5112","88.17","Inj ontruzant 10 mg--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q9960","0.27","Hocm 200-249mg-ml iodine1ml--1 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q9963","0.19","Hocm 350-399mg-ml iodine1ml--1 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","UB92RM","","","","","0110","2122.00","Room and Board Private (one bed) - General","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","UB92RM","","","","","0113","2122.00","Room and Board Private (one bed) - Pediatric","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","UB92RM","","","","","0132","2122.00","Room and Board (3 and 4 beds) - OB","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","UB92RM","","","","","0135","2122.00","Room and Board (3 and 4 beds) - Hospice","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","UB92RM","","","","","0142","2122.00","Room and Board Deluxe Private - OB","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","UB92RM","","","","","0152","2122.00","Room and Board Ward - OB","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","UB92RM","","","","","0172","1600.00","NURSERY/LEVELII","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0183","0.00","Leave of Absence - Therapeutic Leave","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0189","0.00","Leave of Absence - Other","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","UB92RM","","","","","0190","1600.00","SUBACUTE","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","UB92RM","","","","","0200","2618.00","Intensive Care Unit - General","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","UB92RM","","","","","0201","2618.00","Intensive Care Unit - Surgical","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","UB92RM","","","","","0204","1825.00","ICU/PSYCH","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","UB92RM","","","","","0211","2618.00","Coronary Care Unit - Myocardial Infarction","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0224","0.00","Special Charges - Late Discharge/Medically Necessary","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0276","38.00","Medical/Surgical Supplies and Devices - Intraocular Lens","Percent of Charges","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0350","50.00","CT Scan - General","Percent of Charges","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0387","1600.00","Blood and Blood Products - Other Derivatives (Cryoprecipitates)","Case Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0399","19.80","Blood and Blood Products Admin-Processing-Storage - Other","Percent of Charges","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0419","437.00","Respiratory Services - Other","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0615","50.00","Magnetic Resonance Technology (MRT) - MRA-Head and Neck","Percent of Charges","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/90632","62.91","Hepa vaccine adult im--1 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/90675","347.18","Rabies vaccine im--1 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/90687","9.58","Iiv4 vaccine splt 0.25 ml im--0.25 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/A9578","1.90","Inj multihance multipack--1 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/A9589","1207.87","Insti hexaminolevulinate hcl--100 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7050","0.70","Normal saline solution infus--250 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7209","1.32","Factor viii nuwiq recomb 1iu--1 IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7211","1.23","Inj kovaltry 1 i.u.--1 IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7325","11.00","Synvisc or synvisc-one","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7612","0.33","Levalbuterol non-comp con--0.5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J7626","1.74","Budesonide non-comp unit","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J8540","0.11","Oral dexamethasone--0.25 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9017","30.23","Arsenic trioxide injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9033","26.21","Inj. treanda 1 mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9044","27.35","Inj bortezomib nos 0.1 mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9119","27.42","Inj. cemiplimab-rwlc 1 mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9176","6.67","Injection elotuzumab 1mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9200","77.31","Floxuridine injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9205","54.31","Inj irinotecan liposome 1 mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9226","41773.13","Supprelin la implant--50 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9228","157.23","Ipilimumab injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9250","0.24","Methotrexate sodium inj","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9262","3.31","Inj omacetaxine mep 0.01mg--0.01 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9263","0.14","Oxaliplatin","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9307","310.93","Pralatrexate injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9358","24.13","Inj fam-trastu deru-nxki 1mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9360","3.99","Vinblastine sulfate inj--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","P9046","20.98","Albumin (human) 25% 20 ml--20 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q0139","1.07","Ferumoxytol esrd use","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q4074","140.32","Iloprost non-comp unit dose--UP TO 20 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q4163","15.83","Woundex bioskin per sq cm--1 SQ CM","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q4173","209.82","Palingen or palingen xplus--1 SQ CM","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q5114","90.67","Inj ogivri 10 mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q5116","83.16","Inj. trazimera 10 mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q9957","48.55","Inj perflutren lip microsml","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q9961","0.32","Hocm 250-299mg-ml iodine1ml--1 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q9967","0.12","Locm 300-399mg-ml iodine1ml","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","UB92RM","","","","","0116","2122.00","Room and Board Private (one bed) - Detoxification","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","UB92RM","","","","","0117","2122.00","Room and Board Private (one bed) - Oncology","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1458","411.54","Galsulfase injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1554","481.77","Inj. asceniv--500 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1580","1.95","Garamycin gentamicin inj--80 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1750","15.79","Inj iron dextran--50 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1815","0.90","Insulin injection--5 UNITS","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1980","31.60","Hyoscyamine sulfate inj--0.25 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2060","0.76","Lorazepam injection--2 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2150","2.38","Mannitol injection--50 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2175","8.35","Meperidine hydrochl -100 mg--100 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2515","33.93","Pentobarbital sodium inj--50 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2562","382.64","Plerixafor injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2597","10.57","Inj desmopressin acetate--1 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2690","84.37","Procainamide hcl injection--1 GM","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2720","1.33","Inj protamine sulfate-10 mg--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2724","15.15","Protein c concentrate--10 UNITS","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2770","459.04","Quinupristin-dalfopristin--500 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2778","324.27","Ranibizumab injection--0.1 mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2780","6.12","Ranitidine hydrochloride inj--25 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2790","80.36","Rho d immune globulin inj--300 MCG (1500 IU)","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2791","4.75","Rhophylac injection--100 IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2820","49.51","Sargramostim injection--50 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J3121","0.05","Inj testostero enanthate 1mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J3357","184.36","Ustekinumab sub cu inj 1 mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J3396","11.25","Verteporfin injection--0.1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J3411","3.35","Thiamine hcl 100 mg--100 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J3420","1.99","Vitamin b12 injection--1000 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7182","1.36","Factor viii recomb novoeight--1 IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7185","1.33","Xyntha inj--1 IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7190","1.12","Factor viii--1 IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7203","4.09","Factor ix recomb gly rebinyn--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7205","2.18","Factor viii fc fusion recomb--1 IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7314","507.07","Inj. yutiq 0.01 mg--0.01 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9050","1927.69","Carmustine injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9207","111.86","Ixabepilone injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9218","18.82","Leuprolide acetate injeciton--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9268","2054.65","Pentostatin injection","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9269","284.21","Inj. tagraxofusp-erzs 10 mcg--10 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9271","51.62","Inj pembrolizumab--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9306","13.02","Injection pertuzumab 1 mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9316","73.54","Pertuzu trastuzu 10 mg--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9328","10.40","Temozolomide injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9340","499.79","Thiotepa injection--15 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","J9395","56.46","Injection fulvestrant","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","P9041","10.49","Albumin (human)5% 50ml--50 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q5110","0.63","Nivestym","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q5120","297.96","Inj pegfilgrastim-bmez 0.5mg--0.5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q9950","19.06","Inj sulf hexa lipid microsph","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","CPTRM","","","","","Q9958","0.08","Hocm <=149 mg-ml iodine 1ml--1 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","UB92RM","","","","","0147","2122.00","Room and Board Deluxe Private - Oncology","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","UB92RM","","","","","0159","2122.00","Room and Board Ward - Other","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","UB92RM","","","","","0167","2122.00","Other Room and Board - Self Care","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0185","0.00","Leave of Absence - Nursing Home (for Hospitalization)","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","UB92RM","","","","","0189","1600.00","LOA/OTHER","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","UB92RM","","","","","0202","2618.00","Intensive Care Unit - Medical ","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","UB92RM","","","","","0203","2618.00","Intensive Care Unit - Pediatric","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","UB92RM","","","","","0207","2618.00","Intensive Care Unit - Burn care","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","UB92RM","","","","","0210","2618.00","Coronary Care Unit - General","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","UB92RM","","","","","0213","2618.00","Coronary Care Unit - Heart Transplant","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0352","600.00","CT Scan - Body","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0360","1600.00",,"Per Line Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0381","1600.00","Blood and Blood Products - Packed Red Cells","Case Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0384","1600.00","Blood and Blood Products - Platelets","Case Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0392","19.80","Blood and Blood Products - Processing and Storage ","Percent of Charges","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0618","50.00","Magnetic Resonance Technology (MRT) - MRA-Other","Percent of Charges","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/90715","35.65","Tdap vaccine 7 yrs-> im--0.5 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0875","15.80","Injection dalbavancin--5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1240","7.49","Dimenhydrinate injection--50 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1245","3.53","Dipyridamole injection--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1270","0.49","Injection doxercalciferol--1 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1437","25.82","Inj. fe derisomaltose 10 mg--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1460","43.38","Gamma globulin 1 cc inj--1 CC","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1642","0.02","Inj heparin sodium per 10 u--10 UNITS","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1743","542.92","Idursulfase injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1786","43.96","Imuglucerase injection--10 UNITS","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1800","3.99","Propranolol injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1885","0.67","Ketorolac tromethamine inj--15 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2001","0.03","Lidocaine injection--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2210","19.57","Methylergonovin maleate inj--0.2 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2250","0.13","Inj midazolam hydrochloride--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2260","2.01","Inj milrinone lactate - 5 mg--5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2280","9.64","Inj moxifloxacin 100 mg--100 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2315","3.44","Naltrexone depot form--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2353","205.88","Octreotide injection depot--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2354","1.04","Octreotide inj non-depot--25 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2407","23.82","Injection oritavancin--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2501","1.05","Paricalcitol--1 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2543","1.65","Piperacillin-tazobactam--1.125 GM","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2560","47.33","Phenobarbital sodium inj--120 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2760","413.36","Phentolaine mesylate inj--5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2765","1.13","Metoclopramide hcl injection--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2794","10.96","Inj risperdal consta 0.5 mg--0.5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J3095","6.66","Telavancin injection--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J3101","134.81","Tenecteplase injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J3111","9.31","Inj. romosozumab-aqqg 1 mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J3241","315.88","Inj. teprotumumab-trbw 10 mg--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J3243","1.38","Tigecycline injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J3285","64.03","Treprostinil injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1325","16.45","Epoprostenol injection--0.5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1364","78.74","Erythro lactobionate -500 mg--500 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1430","444.10","Ethanolamine oleate 100 mg--100 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1442","0.96","Inj filgrastim excl biosimil--1 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1557","53.66","Gammaplex injection--500 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1571","89.93","Hepagam b im injection--0.5 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1602","19.00","Golimumab for iv use 1mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1630","1.81","Haloperidol injection--5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1645","10.67","Dalteparin sodium--2500 IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1650","0.80","Inj enoxaparin sodium--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1720","14.77","Hydrocortisone sodium succ i--100 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1950","1582.13","Leuprolide acetate -3.75 mg--3.75 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2360","6.83","Orphenadrine injection--60 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2425","23.93","Palifermin injection--50 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2510","31.10","Penicillin g procaine inj--600000 UNITS","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2785","59.55","Regadenoson injection--0.1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2792","36.37","Rho(d) immune globulin h sd--100 IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2997","87.68","Alteplase recombinant--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J3010","0.78","Fentanyl citrate injection--0.1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J3060","41.38","Inj taliglucerase alfa 10 u--10 UNITS","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J3245","135.76","Inj. tildrakizumab 1 mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J3250","40.71","Trimethobenzamide hcl inj--200 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J3300","3.89","Triamcinolone a inj prs-free--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J3410","9.68","Hydroxyzine hcl injection--25 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J3471","0.47","Ovine up to 999 usp units--1 UNIT","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J3475","0.86","Inj magnesium sulfate--500 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J3485","1.51","Zidovudine--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7180","9.13","Factor xiii anti-hem factor--1 IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7189","2.31","Factor viia recomb novoseven--1 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7198","2.15","Anti-inhibitor--1 IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7208","2.10","Inj. jivi 1 iu--1 IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7311","341.22","Inj. retisert 0.01 mg--0.01 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0702","7.21","Betamethasone acet&sod phosp--3 MG & 3 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0725","24.65","Chorionic gonadotropin-1000u--1000 UNITS","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0894","4.26","Decitabine injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1250","7.71","Inj dobutamine hcl-250 mg--250 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1380","11.51","Estradiol valerate 10 mg inj--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1555","14.21","Inj cuvitru 100 mg--100 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1559","11.23","Hizentra injection--100 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1570","49.04","Ganciclovir sodium injection--500 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1644","0.32","Inj heparin sodium per 1000u--1000 UNITS","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1745","47.62","Infliximab not biosimil 10mg--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1817","10.90","Insulin for insulin pump use--50 UNITS","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1931","34.43","Laronidase injection--0.1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1955","21.07","Inj levocarnitine per 1 gm--1 GM","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2020","7.52","Linezolid injection--200 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2185","0.86","Meropenem--100 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2430","11.52","Pamidronate disodium -30 mg--30 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2469","3.78","Palonosetron hcl--25 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2680","12.88","Fluphenazine decanoate 25 mg--25 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2786","9.97","Injection reslizumab 1mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2805","117.89","Sincalide injection--5 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J3000","33.32","Streptomycin injection--1 GM","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J3230","35.89","Chlorpromazine hcl injection--50 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J3380","21.02","Injection vedolizumab--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J3415","10.62","Pyridoxine hcl 100 mg--100 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J3473","0.36","Hyaluronidase recombinant--1 USP UNIT","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J3486","23.87","Ziprasidone mesylate--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J3489","12.14","Zoledronic acid 1mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7175","8.20","Inj factor x (human) 1iu--1 IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7181","15.74","Factor xiii recomb a-subunit--1 IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7192","1.41","Factor viii recombinant nos--1 IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7201","3.26","Factor ix alprolix recomb--1 IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7207","1.92","Factor viii pegylated recomb--1 IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/90670","241.38","Pcv13 vaccine im--0.5 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0132","1.33","Acetylcysteine injection--100 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0202","2052.48","Injection alemtuzumab--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0257","4.97","Glassia injection--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0475","179.42","Baclofen 10 mg injection--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0490","47.58","Belimumab injection--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0585","6.08","Injectiononabotulinumtoxina--1 UNIT","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0598","58.21","C-1 esterase cinryze--10 UNITS","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0636","0.75","Inj calcitriol per 0.1 mcg--0.1 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0697","2.02","Sterile cefuroxime injection--750 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0714","92.46","Ceftazidime and avibactam--.625 GM","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0770","16.37","Colistimethate sodium inj--150 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0888","1.54","Epoetin beta non esrd--1 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1020","3.46","Methylprednisolone 20 mg inj--20 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1071","0.03","Inj testosterone cypionate--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1200","1.03","Diphenhydramine hcl injectio--50 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1205","67.34","Chlorothiazide sodium inj--500 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1322","250.12","Elosulfase alfa injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1335","32.80","Ertapenem injection--500 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1439","1.13","Inj ferric carboxymaltos 1mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1561","47.77","Gamunex-c-gammaked--500 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1568","42.02","Octagam injection--500 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1640","26.44","Hemin 1 mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1756","0.23","Iron sucrose injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2323","23.25","Natalizumab injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2358","2.92","Olanzapine long-acting inj--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2505","3571.68","Injection pegfilgrastim 6mg--6 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2540","1.10","Penicillin g potassium inj--600000 UNITS","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2545","120.45","Pentamidine non-comp unit--300 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2675","1.47","Inj progesterone per 50 mg--50 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2783","316.06","Rasburicase--0.5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2800","10.09","Methocarbamol injection--10 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0185","1.73","Inj. aprepitant 1 mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0207","1135.69","Amifostine--500 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0221","176.95","Lumizyme injection--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0256","4.56","Alpha 1 proteinase inhibitor--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0289","28.33","Amphotericin b liposome inj--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0500","34.64","Dicyclomine injection--20 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0558","12.06","Peng benzathine-procaine inj--100000 UNITS","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0587","11.97","Inj rimabotulinumtoxinb--100 UNITS","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0588","5.06","Incobotulinumtoxin a--1 UNIT","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0592","4.49","Buprenorphine hydrochloride--0.1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0698","2.78","Cefotaxime sodium injection--1 GM","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0740","666.25","Cidofovir injection--375 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0850","1520.65","Cytomegalovirus imm iv -vial--PER VIAL","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1162","4128.19","Digoxin immune fab (ovine)--PER VIAL","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1230","18.03","Methadone injection--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1410","341.77","Inj estrogen conjugate 25 mg--25 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1450","3.96","Fluconazole--200 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1556","70.49","Inj imm glob bivigam 500mg--500 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1569","47.71","Gammagard liquid injection--500 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1572","40.38","Flebogamma injection--500 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1575","14.83","Hyqvia 100mg immuneglobulin--100 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1610","211.79","Glucagon hydrochloride-1 mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1652","2.05","Fondaparinux sodium--0.5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1670","483.91","Tetanus immune globulin inj--250 UNITS","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1740","51.00","Ibandronate sodium injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1951","127.75","Inj fensolvi 0.25 mg--0.25 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1956","0.67","Levofloxacin injection--250 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2182","28.86","Injection mepolizumab 1mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2274","11.51","Inj morphine pf epid ithc--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2278","8.66","Ziconotide injection--1 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2357","37.89","Omalizumab injection--5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2400","39.54","Chloroprocaine hcl injection--30 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7336","3.25","Capsaicin 8% patch--1 SQ CM","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7511","845.55","Antithymocyte globuln rabbit--25 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7613","0.05","Albuterol non-comp unit--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7674","0.81","Methacholine chloride neb--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9060","1.89","Cisplatin 10 mg injection--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9100","0.75","Cytarabine hcl 100 mg inj--100 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9150","45.24","Daunorubicin injection--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9227","67.70","Inj. isatuximab-irfc 10 mg--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9266","21544.13","Pegaspargase injection--1 EA","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9301","64.42","Obinutuzumab inj--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9315","336.84","Romidepsin injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9351","1.28","Topotecan injection--0.1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/P9046","20.98","Albumin (human) 25% 20 ml--20 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q4081","0.91","Epoetin alfa 100 units esrd--100 UNITS","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q4111","7.16","Gammagraft--1 SQ CM","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q4133","136.46","Grafix stravix prime pl sqcm--1 SQ CM","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q4160","100.11","Nushield 1 square cm--1 SQ CM","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q4163","103.86","Woundex bioskin per sq cm--1 SQ CM","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q5107","60.94","Inj mvasi 10 mg--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q5108","269.04","Injection fulphila--0.5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q5115","68.80","Inj truxima 10 mg--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q9957","47.63","Inj perflutren lip microsml--1 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0803","600.00","Inpatient Renal Dialysis - Inpatient Continuous Ambulatory Peritoneal Dialysis (CAPD)","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0803","50.00","Inpatient Renal Dialysis - Inpatient Continuous Ambulatory Peritoneal Dialysis (CAPD)","Percent of Charges","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0804","600.00","Inpatient Renal Dialysis - Inpatient Continuous Cycling Peritoneal Dialysis (CCPD)","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0804","50.00","Inpatient Renal Dialysis - Inpatient Continuous Cycling Peritoneal Dialysis (CCPD)","Percent of Charges","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0809","600.00","Inpatient Renal Dialysis - Other","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0809","50.00","Inpatient Renal Dialysis - Other","Percent of Charges","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0975","0.00","Professional Fees - Operating Room","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0982","0.00","Professional Fees - Outpatient Services","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0985","0.00","Professional Fees - EKG","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","UB92RM","","","","","0119","2122.00","Room and Board Private (one bed) - Other","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","UB92RM","","","","","0127","2122.00","Room and Board Semiprivate (two beds) - Oncology","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","UB92RM","","","","","0128","1875.00","Room and Board Semiprivate (two beds) - Rehabilitation","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","UB92RM","","","","","0129","2122.00","Room and Board Semiprivate (two beds) - Other","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","UB92RM","","","","","0137","2122.00","Room and Board (3 and 4 beds) - Oncology","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","UB92RM","","","","","0149","2122.00","Room and Board Deluxe Private - Other","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","UB92RM","","","","","0157","2122.00","Room and Board Ward - Oncology","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","UB92RM","","","","","0183","1600.00","LOA/THERAPEUTIC","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","UB92RM","","","","","0193","1600.00","SUBACUTE/LEVELIII","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0221","0.00","Special Charges - Admission Charge","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0253","0.00","Pharmacy - Take Home Drugs","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0351","600.00","CT Scan - Head","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0352","50.00","CT Scan - Body","Percent of Charges","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0359","50.00","CT Scan - Other","Percent of Charges","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0380","1600.00","Blood and Blood Products - General","Case Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0390","1600.00","Blood and Blood Products Admin-Processing-Storage - General","Case Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0391","1600.00","Blood and Blood Products - Administration (e.g. Transfusion)","Case Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0614","50.00","Magnetic Resonance Technology (MRT) - MRI-Other","Percent of Charges","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/90371","131.86","Hep b ig im--1 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/90674","29.23","Cciiv4 vac no prsv 0.5 ml im--0.5 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/90682","60.98","Riv4 vacc recombinant dna im--0.5 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/90714","27.74","Td vacc no presv 7 yrs+ im--0.5 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/90744","28.22","Hepb vacc 3 dose ped-adol im--1 DOSE","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/A9606","169.09","Radium ra223 dichloride ther--1 microCurie","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0122","1.04","Inj. eravacycline 1 mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0133","0.05","Acyclovir injection--5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0222","97.84","Inj. patisiran 0.1 mg--0.1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0290","0.92","Ampicillin 500 mg inj--500 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0401","5.92","Inj aripiprazole ext rel 1mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0480","4029.23","Basiliximab--20 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0561","15.23","Penicillin g benzathine inj--100000 UNITS","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0565","39.75","Inj bezlotoxumab 10 mg--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/90746","69.65","Hepb vaccine 3 dose adult im--20 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/90747","140.76","Hepb vacc 4 dose immunsup im--40 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0171","0.88","Adrenalin epinephrine inject--0.1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0285","39.92","Amphotericin b--50 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0295","2.79","Ampicillin sulbactam 1.5 gm--1.5 GM","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0456","4.58","Azithromycin--500 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0570","1311.75","Buprenorphine implant 74.2mg--74.2 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0584","369.03","Injection burosumab-twza 1m--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0630","3036.61","Calcitonin salmon injection--400 UNITS","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0696","0.63","Ceftriaxone sodium injection--250 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0791","123.28","Inj crizanlizumab-tmca 5mg--5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0841","1265.47","Inj crotalidae im f(ab)2 eq--120 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0881","3.72","Darbepoetin alfa non-esrd--1 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0882","3.72","Darbepoetin alfa esrd use--1 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0887","1.54","Epoetin beta esrd use--1 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0895","8.63","Deferoxamine mesylate inj--500 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0897","20.97","Denosumab injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1000","24.15","Depo-estradiol cypionate inj--5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1110","57.24","Inj dihydroergotamine mesylt--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1190","207.49","Dexrazoxane hcl injection--250 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1265","0.72","Dopamine injection--40 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1300","230.48","Eculizumab injection--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1303","226.28","Inj. ravulizumab-cwvz 10 mg--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1560","433.79","Gamma globulin > 10 cc inj--10 CC","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1566","68.30","Immune globulin powder--500 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1746","64.37","Inj. ibalizumab-uiyk 10 mg--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1940","0.79","Furosemide injection--20 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1953","0.12","Levetiracetam injection--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2248","1.18","Micafungin sodium injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2270","3.15","Morphine sulfate injection--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2300","3.34","Inj nalbuphine hydrochloride--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2310","12.86","Inj naloxone hydrochloride--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J3480","0.16","Inj potassium chloride--2 MEQ","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7178","1.30","Inj human fibrinogen con nos--1 IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7194","1.49","Factor ix complex--1 IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7202","4.61","Factor ix idelvion inj--1 IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7204","2.29","Inj recombin esperoct per iu--1 i.u.","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7210","1.37","Inj afstyla 1 i.u.--1 IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7321","79.81","Hyalgan supartz visco-3 dose--per dose","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7327","790.58","Monovisc inj per dose--PER DOSE","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7331","18.02","Synojoynt inj. 1 mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7515","0.64","Cyclosporine oral 25 mg--25 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7517","0.48","Mycophenolate mofetil oral--250 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7686","671.84","Treprostinil non-comp unit-- 1.74 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J8705","104.24","Topotecan oral--0.25 mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9032","42.79","Injection belinostat 10mg--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9035","76.36","Bevacizumab injection--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9042","189.16","Brentuximab vedotin inj--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9043","190.22","Cabazitaxel injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9065","21.02","Inj cladribine per 1 mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9130","4.85","Dacarbazine 100 mg inj--100 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9155","4.00","Degarelix injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9171","0.85","Docetaxel injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9181","0.77","Etoposide injection--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9203","207.99","Gemtuzumab ozogamicin 0.1 mg--0.1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9225","5166.29","Vantas implant--50 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9228","158.84","Ipilimumab injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9285","52.07","Inj olaratumab 10 mg--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9299","28.90","Injection nivolumab--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9308","62.38","Injection ramucirumab--5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9317","30.37","Sacituzumab govitecan-hziy--2.5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9330","44.99","Temsirolimus injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9340","499.79","Thiotepa injection--15 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9356","75.08","Inj. herceptin hylecta 10mg--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9371","3320.42","Inj vincristine sul lip 1mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2920","4.38","Methylprednisolone injection--40 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2930","5.79","Methylprednisolone injection--125 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J3032","15.61","Inj. eptinezumab-jjmr 1 mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J3105","5.15","Terbutaline sulfate inj--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J3358","12.03","Ustekinumab iv inject 1 mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J3465","1.65","Injection voriconazole--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7050","0.72","Normal saline solution infus--250 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7120","2.49","Ringers lactate infusion--1000 CC","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7186","1.14","Antihemophilic viii-vwf comp--PER FACTOR VIII IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7509","0.35","Methylprednisolone oral--4 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7605","11.28","Arformoterol non-comp unit--15 mcg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7611","0.34","Albuterol non-comp con--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7677","0.20","Revefenacin inh non-com 1mcg--1 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J8520","0.89","Capecitabine oral 150 mg--150 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9000","2.70","Doxorubicin hcl injection--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9017","23.70","Arsenic trioxide injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9025","1.21","Azacitidine injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9030","2.86","Bcg live intravesical 1mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9041","45.05","Inj. velcade 0.1 mg--0.1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9044","22.04","Inj bortezomib nos 0.1 mg--0.1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9070","31.16","Cyclophosphamide 100 mg inj--100 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9176","6.77","Injection elotuzumab 1mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9179","121.29","Eribulin mesylate injection--0.1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9200","70.13","Floxuridine injection--500 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9214","34.35","Interferon alfa-2b inj--1 MIL UNITS","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9245","324.74","Inj melpha hydroch nos 50 mg--50 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9250","0.23","Methotrexate sodium inj--5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9263","0.12","Oxaliplatin--0.5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9268","2060.28","Pentostatin injection--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9295","5.74","Injection necitumumab 1 mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9311","41.14","Inj rituximab hyaluronidase--10 mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9370","5.34","Vincristine sulfate 1 mg inj--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7325","10.89","Synvisc or synvisc-one--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7340","213.76","Carbidopa levodopa ent 100ml--100 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7500","3.71","Azathioprine oral 50mg--50 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7502","2.13","Cyclosporine oral 100 mg--100 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7503","1.47","Tacrol envarsus ex rel oral--0.25 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7510","0.15","Prednisolone oral per 5 mg--5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7639","47.79","Dornase alfa non-comp unit--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7644","0.20","Ipratropium bromide non-comp--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9034","20.27","Inj. bendeka 1 mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9045","2.76","Carboplatin injection--50 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9047","40.48","Injection carfilzomib 1 mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9119","27.58","Inj. cemiplimab-rwlc 1 mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9144","45.14","Daratumumab hyaluronidase--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9173","77.05","Inj. durvalumab 10 mg--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9185","94.50","Fludarabine phosphate inj--50 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9202","538.24","Goserelin acetate implant--3.6 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9210","441.59","Inj. emapalumab-lzsg 1 mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9211","38.60","Idarubicin hcl injection--5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9217","228.93","Leuprolide acetate suspnsion--7.5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9305","74.20","Inj. pemetrexed nos 10mg--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9309","113.57","Inj polatuzumab vedotin 1mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9357","1513.40","Valrubicin injection--200 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9395","54.77","Injection fulvestrant--25 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q5106","9.19","Inj retacrit non-esrd use--1000 UNITS","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q5117","78.72","Inj. kanjinti 10 mg--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q5119","70.90","Inj ruxience 10 mg--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q9956","31.75","Inj octafluoropropane micml--1 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q9966","0.34","Locm 200-299mg-ml iodine1ml--1 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0800","600.00","Inpatient Renal Dialysis - General","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0802","50.00","Inpatient Renal Dialysis - Inpatient Peritoneal Dialysis (Non CAPD)","Percent of Charges","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0964","0.00","Professional Fees - Anesthetist (CRNA)","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0992","0.00","Patient Convenience Items - Private Linen Service","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7313","490.95","Inj. iluvien 0.01 mg--0.01 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7316","1046.93","Inj ocriplasmin 0.125 mg--0.125 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7507","0.75","Tacrolimus imme rel oral 1mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7508","0.49","Tacrol astagraf ex rel oral--0.1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7525","215.74","Tacrolimus injection--5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7527","8.03","Oral everolimus--0.25 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7606","11.66","Formoterol fumarate inh--20 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7608","6.18","Acetylcysteine non-comp unit--1 GM","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7614","0.06","Levalbuterol non-comp unit--0.5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7620","0.12","Albuterol ipratrop non-comp--2.5 MG-0.5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J8521","2.73","Capecitabine oral 500 mg--500 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J8610","0.37","Methotrexate oral 2.5 mg--2.5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9022","79.79","Inj atezolizumab10 mg--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9027","64.94","Clofarabine injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9037","42.97","Inj belantamab mafodont blmf--0.5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9040","29.47","Bleomycin sulfate injection--15 UNITS","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9050","2016.27","Carmustine injection--100 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9055","66.31","Cetuximab injection--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9145","57.64","Injection daratumumab 10 mg--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9198","34.16","Inj. infugem 100 mg--100 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9209","2.19","Mesna injection--200 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9223","174.72","Inj. lurbinectedin 0.1 mg--0.1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9260","2.33","Methotrexate sodium inj--50 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9261","152.44","Nelarabine injection--50 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9264","14.10","Paclitaxel protein bound--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9267","0.19","Paclitaxel injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9280","54.24","Mitomycin injection--5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9354","34.16","Inj ado-trastuzumab emt 1mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9400","8.50","Inj ziv-aflibercept 1mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q4101","30.47","Apligraf--1 SQ CM","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q4187","226.35","Epicord 1 sq cm--1 SQ CM","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q4195","105.94","Puraply 1 sq cm--1 SQ CM","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2405","0.10","Ondansetron hcl injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2788","24.78","Rho d immune globulin 50 mcg--50 MCG (250 IU)","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2798","10.71","Inj. perseris 0.5 mg--0.5 mg","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J3260","5.15","Tobramycin sulfate injection--80 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J3262","5.53","Tocilizumab injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J3430","3.86","Vitamin k phytonadione inj--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7040","1.45","Normal saline solution infus--500 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7042","1.21","5% dextrose-normal saline--500 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7177","1.40","Inj. fibryga 1 mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7197","3.50","Antithrombin iii injection--1 IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7308","394.75","Aminolevulinic acid hcl top--354 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7323","140.31","Euflexxa inj per dose--per dose","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7342","29.98","Ciprofloxacin otic susp 6 mg--6 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7402","10.56","Mometasone sinus sinuva--10 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7516","62.64","Cyclosporin parenteral 250mg--250 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7612","0.38","Levalbuterol non-comp con--0.5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7626","1.71","Budesonide non-comp unit--0.5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7631","2.71","Cromolyn sodium noncomp unit--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J8540","0.11","Oral dexamethasone--0.25 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9023","86.00","Injection avelumab 10 mg--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9207","112.09","Ixabepilone injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9226","41773.13","Supprelin la implant--50 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9262","3.31","Inj omacetaxine mep 0.01mg--0.01 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9281","282.23","Mitomycin instillation--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9349","12.66","Inj. tafasitamab-cxix--2 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9355","99.68","Inj trastuzumab excl biosimi--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9360","4.07","Vinblastine sulfate inj--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9390","10.75","Vinorelbine tartrate inj--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q2050","315.73","Doxorubicin inj 10mg--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q4106","32.01","Dermagraft--1 SQ CM","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q4132","116.59","Grafix core grafixpl core--1 SQ CM","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q5111","286.67","Injection udenyca 0.5 mg--0.5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0596","30.32","Injection ruconest--10 UNITS","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0670","3.36","Inj mepivacaine hcl-10 ml--10 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0743","7.64","Cilastatin sodium injection--250 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0834","39.22","Inj. cosyntropin 0.25 mg--0.25 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0885","9.11","Epoetin alfa non-esrd--1000 UNITS","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J0896","36.83","Inj luspatercept-aamt 0.25mg--0.25 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1030","5.88","Methylprednisolone 40 mg inj--40 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1040","11.19","Methylprednisolone 80 mg inj--80 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1301","20.29","Injection edaravone 1 mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1447","0.47","Inj tbo filgrastim 1 microg--1 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1454","695.77","Inj fosnetupitant palonoset--0.25 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1459","43.18","Inj ivig privigen 500 mg--500 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1558","14.98","Inj. xembify 100 mg--100 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1626","0.32","Granisetron hcl injection--100 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1627","7.73","Inj granisetron xr 0.1 mg--0.1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1631","14.94","Haloperidol decanoate inj--50 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1742","316.20","Ibutilide fumarate injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1930","68.50","Lanreotide injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1943","2.93","Inj. aristada initio 1 mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J1944","2.91","Aripirazole lauroxil 1 mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2010","13.21","Lincomycin injection--300 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2503","785.50","Pegaptanib sodium injection--0.3 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2550","2.37","Promethazine hcl injection--50 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2796","82.30","Romiplostim injection--10 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2860","121.93","Injection siltuximab--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J3240","1841.18","Thyrotropin injection--0.9 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J3304","18.20","Inj triamcinolone ace xr 1mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J3370","2.93","Vancomycin hcl injection--500 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J3385","357.59","Velaglucerase alfa--100 UNITS","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7030","2.89","Normal saline solution infus--1000 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7070","4.02","D5w infusion--1000 CC","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7193","1.19","Factor ix non-recombinant--1 IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0991","0.00","Patient Convenience Items - Cafeteria/Guest Tray","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","2109","0.00","Alternative Therapy Services - Other","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","Outpatient","Standard Term","UB92RM","","","","","0301","32.00","Laboratory (Clinical Diagnostic) - Chemistry","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","Outpatient","Standard Term","UB92RM","","","","","0310","54.00","Laboratory (Pathology) - General","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","Outpatient","Standard Term","UB92RM","","","","","0311","54.00","Laboratory (Pathology) - Cytology","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","Outpatient","Standard Term","UB92RM","","","","","0429","115.00","Physical Therapy - Other","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q5112","92.30","Inj ontruzant 10 mg--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q5116","83.10","Inj. trazimera 10 mg--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q5121","51.50","Inj. avsola 10 mg--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q9960","0.27","Hocm 200-249mg-ml iodine1ml--1 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q9963","0.19","Hocm 350-399mg-ml iodine1ml--1 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0802","600.00","Inpatient Renal Dialysis - Inpatient Peritoneal Dialysis (Non CAPD)","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0821","470.00","Hemodialysis-Outpatient or Home - Composite or Other Rate","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0824","470.00","Hemodialysis-Outpatient or Home - Home Maintenance 100%","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0931","0.00","Medical Rehabilitation Day Program - Half Day","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0962","0.00","Professional Fees - Ophthalmology","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0969","0.00","Professional Fees - Other","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0973","0.00","Professional Fees - Radiology (Therapeutic)","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0974","0.00","Professional Fees - Radiology (Nuclear Medicine)","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0979","0.00","Professional Fees - Speech Pathology","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0983","0.00","Professional Fees - Clinic","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0986","0.00","Professional Fees - EEG","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0989","0.00","Professional Fees - Private Duty Nurse","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0990","0.00","Patient Convenience Items - General","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","2100","0.00","Alternative Therapy Services - General","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","2102","0.00","Alternative Therapy Services - Acupressure","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","Outpatient","Standard Term","UB92RM","","","","","0304","32.00","Laboratory (Clinical Diagnostic) - Non-Routine Dialysis","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","Outpatient","Standard Term","UB92RM","","","","","0420","115.00","Physical Therapy - General","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","Outpatient","Standard Term","UB92RM","","","","","0443","115.00","Speech Therapy Language Pathology - Group Rate","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2350","58.58","Injection ocrelizumab 1 mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2426","12.55","Paliperidone palmitate inj--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2507","2900.42","Pegloticase injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2700","1.30","Oxacillin sodium injeciton--250 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2704","0.14","Inj propofol 10 mg--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2795","0.08","Ropivacaine hcl injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J2916","2.16","Na ferric gluconate complex--12.5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J3090","1.59","Inj tedizolid phosphate--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J3145","1.59","Testosterone undecanoate 1mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J3301","1.38","Triamcinolone acet inj nos--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J3315","523.22","Triptorelin pamoate--3.75 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J3360","7.15","Diazepam injection--5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7060","2.04","5% dextrose-water--500 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7170","48.76","Inj. emicizumab-kxwh 0.5 mg--0.5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7179","1.89","Vonvendi inj 1 iu vwf:rco--1 IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7183","1.14","Wilate injection--1 I.U. VWF:RCO","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7187","1.26","Humate-p inj--1 IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7188","3.20","Factor viii recomb obizur--1 IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7211","1.27","Inj kovaltry 1 i.u.--1 IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7212","2.19","Factor viia recomb sevenfact--1 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7312","200.07","Dexamethasone intra implant--0.1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7324","134.95","Orthovisc inj per dose--PER DOSE","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7504","2362.27","Lymphocyte immune globulin--250 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7518","2.18","Mycophenolic acid--180 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7520","6.55","Sirolimus oral--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7682","42.67","Tobramycin non-comp unit--300 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J8560","75.96","Etoposide oral 50 mg--50 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9019","427.27","Erwinaze injection--1000 IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9033","24.69","Inj. treanda 1 mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9039","122.27","Injection blinatumomab--1 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9153","202.81","Inj daunorubicin cytarabine--1 MG-2.27 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9178","1.69","Inj epirubicin hcl 2 mg--2 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","2105","0.00","Alternative Therapy Services - Biofeedback","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","Outpatient","Standard Term","UB92RM","","","","","0302","32.00","Laboratory (Clinical Diagnostic) - Immunology","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","Outpatient","Standard Term","UB92RM","","","","","0305","32.00","Laboratory (Clinical Diagnostic) - Hematology","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","Outpatient","Standard Term","UB92RM","","","","","0312","54.00","Laboratory (Pathology) - Histology","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","Outpatient","Standard Term","UB92RM","","","","","0322","142.00","Radiology (Diagnostic) - Arthrography","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","Outpatient","Standard Term","UB92RM","","","","","0419","135.00","Respiratory Services - Other","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","Outpatient","Carve Out Term","UB92RM","","","","","0460","19.80","Pulmonary Function - General","Percent of Charges","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q5122","442.34","Inj nyvepria--0.5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q9991","1816.65","Buprenorph xr 100 mg or less--Less than or equal to 100 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0671","0.00","Outpatient Special Residence Charges - Hospital Based","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0801","600.00","Inpatient Renal Dialysis - Inpatient Hemodialysis","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0801","50.00","Inpatient Renal Dialysis - Inpatient Hemodialysis","Percent of Charges","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","Outpatient","Standard Term","UB92RM","","","","","0309","32.00","Laboratory (Clinical Diagnostic) - Other","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","Outpatient","Standard Term","UB92RM","","","","","0351","500.00","CT Scan - Head","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","Outpatient","Standard Term","UB92RM","","","","","0402","221.00","Other Imaging Services - Ultrasound","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","Outpatient","Standard Term","UB92RM","","","","","0412","135.00","Respiratory Services - Inhalation Services","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","Outpatient","Standard Term","UB92RM","","","","","0423","115.00","Physical Therapy - Group Rate","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","Outpatient","Standard Term","UB92RM","","","","","0424","115.00","Physical Therapy - Evaluation/Reevaluation","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","Outpatient","Standard Term","UB92RM","","","","","0430","115.00","Occupational Therapy - General","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","Outpatient","Standard Term","UB92RM","","","","","0441","115.00","Speech Therapy Language Pathology - Visit Charge","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","Outpatient","Standard Term","UB92RM","","","","","0923","32.00","Other Diagnostic Services - Pap Smear","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7195","1.59","Factor ix recombinant nos--1 IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7200","1.47","Factor ix recombinan rixubis--1 IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7209","1.36","Factor viii nuwiq recomb 1iu--1 IU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7345","1.61","Aminolevulinic acid 10% gel--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7351","206.55","Inj bimatoprost itc imp1mcg--1 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J7512","0.01","Prednisone ir or dr oral 1mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J8501","5.15","Oral aprepitant--5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J8530","2.02","Cyclophosphamide oral 25 mg--25 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J8655","316.42","Oral netupitant palonosetro--0.5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J8670","2.34","Rolapitant oral 1mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J8700","0.62","Temozolomide--5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9036","22.27","Inj. belrapzo-bendamustine--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9120","1044.53","Dactinomycin injection--0.5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9177","29.06","Inj enfort vedo-ejfv 0.25mg--0.25 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9190","1.99","Fluorouracil injection--500 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9201","4.14","In gemcitabine hcl nos 200mg--200 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9206","2.54","Irinotecan injection--20 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9208","26.31","Ifosfamide injection--1 GM","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9218","23.09","Leuprolide acetate injeciton--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9229","2371.62","Inj inotuzumab ozogam 0.1 mg--0.1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9293","30.85","Mitoxantrone hydrochl - 5 mg--5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9302","63.96","Ofatumumab injection--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9303","128.58","Panitumumab injection--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9316","73.54","Pertuzu trastuzu 10 mg--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9325","56.51","Inj talimogene laherparepvec--1 millionáPFU","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9328","10.40","Temozolomide injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9352","324.21","Injection trabectedin 0.1mg--0.1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q0139","0.98","Ferumoxytol esrd use--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q4110","46.41","Primatrix--1 SQ CM","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q4145","18.87","Epifix inj 1mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q5101","0.47","Injection zarxio--1 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q5105","0.92","Inj retacrit esrd on dialysi--100 UNITS","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9204","210.05","Inj mogamulizumab-kpkc 1 mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9205","56.61","Inj irinotecan liposome 1 mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9269","284.21","Inj. tagraxofusp-erzs 10 mcg--10 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9271","51.62","Inj pembrolizumab--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9306","13.53","Injection pertuzumab 1 mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9307","311.22","Pralatrexate injection--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9312","92.56","Inj. rituximab 10 mg--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9313","23.39","Inj. lumoxiti 0.01 mg--0.01 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9320","349.54","Streptozocin injection--1 GM","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/J9358","24.29","Inj fam-trastu deru-nxki 1mg--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/P9041","10.49","Albumin (human)5% 50ml--50 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/P9047","52.45","Albumin (human) 25% 50ml--50 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q0138","0.98","Ferumoxytol non-esrd--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q0162","0.02","Ondansetron oral--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q0166","1.46","Granisetron hcl 1 mg oral--1 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q0167","0.88","Dronabinol 2.5mg oral--2.5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q3027","55.52","Inj beta interferon im 1 mcg--1 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q4137","87.75","Amnioexcel biodexcel 1sq cm--1 SQ CM","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q4151","128.40","Amnioband guardian 1 sq cm--1 SQ CM","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q4159","583.67","Affinity1 square cm--1 SQ CM","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q4186","156.23","Epifix 1 sq cm--1 SQ CM","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q5110","0.62","Nivestym--1 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q9961","0.32","Hocm 250-299mg-ml iodine1ml--1 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q9967","0.12","Locm 300-399mg-ml iodine1ml--1 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0670","0.00","Outpatient Special Residence Charges - General","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0820","470.00","Hemodialysis-Outpatient or Home - General","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0823","470.00","Hemodialysis-Outpatient or Home - Home Equipment","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0829","470.00","Hemodialysis-Outpatient or Home - Other","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0833","470.00","Peritoneal Dialysis-Outpatient or Home - Home Equipment","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0835","470.00","Peritoneal Dialysis-Outpatient or Home - Home Support Services","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0932","0.00","Medical Rehabilitation Day Program - Full Day","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0971","0.00","Professional Fees - Laboratory","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q2043","51712.98","Sipuleucel-t auto cd54+--Per infusion (minimum 50 million cells)","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q4074","140.37","Iloprost non-comp unit dose--UP TO 20 MCG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q4102","10.33","Oasis wound matrix--1 SQ CM","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q4121","43.80","Theraskin--1 SQ CM","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q4174","291.27","Palingen or promatrx--0.36 MG per 0.25 CC","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q5103","43.72","Injection inflectra--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q5104","44.55","Injection renflexis--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q5113","91.52","Inj herzuma 10 mg--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q5114","76.41","Inj ogivri 10 mg--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q5120","305.55","Inj pegfilgrastim-bmez 0.5mg--0.5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q9958","0.08","Hocm <=149 mg-ml iodine 1ml--1 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q9965","0.85","Locm 100-199mg-ml iodine1ml--1 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0672","0.00","Outpatient Special Residence Charges - Contracted","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0679","0.00","Outpatient Special Residence Charges - Other","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0770","0.00","Preventive Care Services - General","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0831","470.00","Peritoneal Dialysis-Outpatient or Home - Composite or Other Rate","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0834","470.00","Peritoneal Dialysis-Outpatient or Home - Home Maintenance 100%","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0994","0.00","Patient Convenience Items - TV/Radio","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0997","0.00","Patient Convenience Items - Admission Kits","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","Outpatient","Standard Term","UB92RM","","","","","0320","142.00","Radiology (Diagnostic) - General","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","Outpatient","Standard Term","UB92RM","","","","","0352","500.00","CT Scan - Body","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","Outpatient","Standard Term","UB92RM","","","","","0359","500.00","CT Scan - Other","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","Outpatient","Standard Term","UB92RM","","","","","0400","221.00","Other Imaging Services - General","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","Outpatient","Standard Term","UB92RM","","","","","0433","115.00","Occupational Therapy - Group Rate","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","Outpatient","Standard Term","UB92RM","","","","","0449","115.00","Speech Therapy Language Pathology - Other","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","Outpatient","Standard Term","UB92RM","","","","","0469","135.00","Pulmonary Function - Other","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","Outpatient","Carve Out Term","UB92RM","","","","","0510","19.80","Clinic - General","Percent of Charges","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","Outpatient","Standard Term","UB92RM","","","","","0925","32.00","Other Diagnostic Services - Pregnancy Test","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/P9045","52.45","Albumin (human) 5% 250 ml--250 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q0164","0.30","Prochlorperazine maleate 5mg--5 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q4154","116.58","Biovance 1 square cm--1 SQ CM","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q4173","209.82","Palingen or palingen xplus--1 SQ CM","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q4196","111.59","Puraply am 1 sq cm--1 SQ CM","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q5118","62.24","Inj. zirabev 10 mg--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q9950","18.78","Inj sulf hexa lipid microsph--1 ML","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q9992","1816.65","Buprenorphine xr over 100 mg--Greater than 100 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0761/36514","19.80","THERAPEUTIC APHERESIS PLASMA PHERESIS","Percent of Charges","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0771","0.00","Preventive Care Services - Vaccine Administration","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0800","50.00","Inpatient Renal Dialysis - General","Percent of Charges","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0830","470.00","Peritoneal Dialysis-Outpatient or Home - General","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0960","0.00","Professional Fees - General","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0993","0.00","Patient Convenience Items - Telephone/Telegraph","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0996","0.00","Patient Convenience Items - Late Discharge Charge","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","Outpatient","Standard Term","UB92RM","","","","","0307","32.00","Laboratory (Clinical Diagnostic) - Urology","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","Outpatient","Standard Term","UB92RM","","","","","0314","54.00","Laboratory (Pathology) - Biopsy","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","Outpatient","Standard Term","UB92RM","","","","","0324","142.00","Radiology (Diagnostic) - Chest X-ray","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","Outpatient","Standard Term","UB92RM","","","","","0329","142.00","Radiology (Diagnostic) - Other","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","Outpatient","Standard Term","UB92RM","","","","","0409","221.00","Other Imaging Services - Other","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","Outpatient","Standard Term","UB92RM","","","","","0410","135.00","Respiratory Services - General","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","Outpatient","Standard Term","UB92RM","","","","","0422","115.00","Physical Therapy - Hourly Charge","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","Outpatient","Standard Term","UB92RM","","","","","0431","115.00","Occupational Therapy - Visit Charge","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","Outpatient","Standard Term","UB92RM","","","","","0440","115.00","Speech Therapy Language Pathology - General","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","Outpatient","Carve Out Term","UB92RM","","","","","0469","19.80","Pulmonary Function - Other","Percent of Charges","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0636/Q5123","73.83","Inj. riabni 10 mg--10 MG","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0822","470.00","Hemodialysis-Outpatient or Home - Home Supplies","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0825","470.00","Hemodialysis-Outpatient or Home - Home Support Services","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0832","470.00","Peritoneal Dialysis-Outpatient or Home - Home Supplies","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0839","470.00","Peritoneal Dialysis-Outpatient or Home - Other","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0963","0.00","Professional Fees - Anesthesiologist (MD)","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0972","0.00","Professional Fees - Radiology (Diagnostic)","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0977","0.00","Professional Fees - Physical Therapy","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0978","0.00","Professional Fees - Occupational Therapy","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0984","0.00","Professional Fees - Medical Social Services","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0987","0.00","Professional Fees - Hospital Visit","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0999","0.00","Patient Convenience Items - Other","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","2104","0.00","Alternative Therapy Services - Reflexology","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","2106","0.00","Alternative Therapy Services - Hypnosis","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","Outpatient","Standard Term","UB92RM","","","","","0300","32.00","Laboratory (Clinical Diagnostic) - General","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","Outpatient","Standard Term","UB92RM","","","","","0303","32.00","Laboratory (Clinical Diagnostic) - Renal Patient (Home)","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","Outpatient","Standard Term","UB92RM","","","","","0306","32.00","Laboratory (Clinical Diagnostic) - Bacteriology and Microbiology","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","Outpatient","Standard Term","UB92RM","","","","","0319","54.00","Laboratory (Pathology) - Other","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","Outpatient","Standard Term","UB92RM","","","","","0323","142.00","Radiology (Diagnostic) - Arteriography","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","Outpatient","Standard Term","UB92RM","","","","","0421","115.00","Physical Therapy - Visit Charge","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","Outpatient","Standard Term","UB92RM","","","","","0432","115.00","Occupational Therapy - Hourly Charge","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","Outpatient","Standard Term","UB92RM","","","","","0444","115.00","Speech Therapy Language Pathology - Evaluation/Reevaluation","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","Outpatient","Standard Term","UB92RM","","","","","0460","135.00","Pulmonary Function - General","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0976","0.00","Professional Fees - Respiratory Therapy","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0981","0.00","Professional Fees - Emergency Room","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0988","0.00","Professional Fees - Consultation","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0995","0.00","Patient Convenience Items - Non Patient Room Rentals","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Carve Out Term","UB92RM","","","","","0998","0.00","Patient Convenience Items - Beauty Shop/Barber","Exclusion","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","Outpatient","Standard Term","UB92RM","","","","","0321","142.00","Radiology (Diagnostic) - Angiocardiography","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","Outpatient","Standard Term","UB92RM","","","","","0350","500.00","CT Scan - General","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","Outpatient","Standard Term","UB92RM","","","","","0434","115.00","Occupational Therapy - Evaluation/Reevaluation","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","Outpatient","Standard Term","UB92RM","","","","","0439","115.00","Occupational Therapy - Other","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","Outpatient","Standard Term","UB92RM","","","","","0442","115.00","Speech Therapy Language Pathology - Hourly Charge","Per Unit Rate","100",,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","Combo-PercentOfChargeRM","","","","",,,,,,,,,,"","75.00",,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","Outpatient","Standard Term","Combo-PercentOfChargeRM","","","","",,,,,,,,,,"","45.00",,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","PercentOfChargeRM","","","","",,,,,,,,,,"","100.00",,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","L","Standard Term","PercentOfChargeRM","","","","",,,,,,,,,,"","80.00",,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","Aggregate-PercentOfChargeRM","","","","",,,,,,,,,,"","80.00",,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","Outpatient","Standard Term","PercentOfChargeRM","","","","",,,,,,,,,,"","100.00",,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","LevelOfCarePerDiemRM","","","","",,,,,,,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","TieredPerDiemRM","","","","",,,,,,,,,,"",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","TieredPerDiemRM","","","","",,,,,,,,,,"",,,,"","","Per Case Rate","15000.00",,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","TieredPerDiemRM","","","","",,,,,,,,,,"",,,,"","","Per Diem","2323.53",,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","Aggregate-MedicareInpatientLTCRM","","","","",,,,,,,,"LTCH PPS/Site Neutral","140.00","",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","MedicareInpatientLTCRM","","","","",,,,,,,,,"100.00","",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","MedicareInpatientLTCRM","","","","",,,,,,,,"LTCH PPS/Site Neutral","178.20","",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","Outpatient","Standard Term","MedicareInpatientLTCRM","","","","",,,,,,,,"LTCH PPS/Site Neutral","100.00","",,,,"","",,,,,,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","Combo-PerDayOfServiceRM","","","","",,,,,,,,,,"",,,,"","",,,,,"By Service Date","1000.00","Per Day of Service","","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","LevelOfCarePerDiemRM","","","","",,,,,,,,,,"",,,,"","",,,"Override1 Per Diem","565.00",,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","LevelOfCarePerDiemRM","","","","",,,,,,,,,,"",,,,"","",,,"Override2 Per Diem","646.00",,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","LevelOfCarePerDiemRM","","","","",,,,,,,,,,"",,,,"","",,,"Override3 Per Diem","673.00",,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","LevelOfCarePerDiemRM","","","","",,,,,,,,,,"",,,,"","",,,"Hospice Per Diem","3304.00",,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","LevelOfCarePerDiemRM","","","","",,,,,,,,,,"",,,,"","",,,"ICU CCU Per Diem","3849.16",,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","LevelOfCarePerDiemRM","","","","",,,,,,,,,,"",,,,"","",,,"Subacute Per Diem","3810.67",,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","LevelOfCarePerDiemRM","","","","",,,,,,,,,,"",,,,"","",,,"Detoxification Per Diem","3304.00",,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","LevelOfCarePerDiemRM","","","","",,,,,,,,,,"",,,,"","",,,"Med Surg Per Diem","3849.16",,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","LevelOfCarePerDiemRM","","","","",,,,,,,,,,"",,,,"","",,,"Nursery Per Diem","3304.00",,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","LevelOfCarePerDiemRM","","","","",,,,,,,,,,"",,,,"","",,,"Nursery ICU Per Diem","3304.00",,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","LevelOfCarePerDiemRM","","","","",,,,,,,,,,"",,,,"","",,,"Psychiatric Per Diem","3304.00",,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","LevelOfCarePerDiemRM","","","","",,,,,,,,,,"",,,,"","",,,"Rehabilitation Per Diem","3849.16",,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","LevelOfCarePerDiemRM","","","","",,,,,,,,,,"",,,,"","",,,"Intermediate ICU CCU Per Diem","3849.16",,,,"","","","","","",,,,,,,,,,,,,"","" "4602","Kindred Hospital - South Florida - Coral Gables","Maximum Negotiated Charge","Maximum Negotiated Charge","I","Standard Term","LevelOfCarePerDiemRM","","","","",,,,,,,,,,"",,,,"","",,,"Dialysis Rate","391.42",,,,"","","","","","",,,,,,,,,,,,,"",""