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SZD","code_information":[{"code":"Sx00-5970-014","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"218464","type":"LOCAL"},{"code":"235463","type":"LOCAL"}],"standard_charges":[{"gross_charge":2530.0,"discounted_cash":1973.4,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 218464 = Hospital System Supply Identifier | 235463 = Lawson ID"}]},{"description":"IMP KNEE FEM COMP NXGN RT SZE","code_information":[{"code":"Sx00-5970-015","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"218466","type":"LOCAL"},{"code":"235488","type":"LOCAL"}],"standard_charges":[{"gross_charge":2530.0,"discounted_cash":1973.4,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 218466 = Hospital System Supply Identifier | 235488 = Lawson ID"}]},{"description":"IMP KNEE FEM COMP NXGN LT SZE","code_information":[{"code":"Sx00-5970-015","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"218468","type":"LOCAL"},{"code":"235532","type":"LOCAL"}],"standard_charges":[{"gross_charge":2530.0,"discounted_cash":1973.4,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 218468 = Hospital System Supply Identifier | 235532 = Lawson ID"}]},{"description":"IMP KNEE FEM COMP NXGN LT SZF","code_information":[{"code":"Sx00-5970-016","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"220544","type":"LOCAL"},{"code":"353627","type":"LOCAL"}],"standard_charges":[{"gross_charge":2530.0,"discounted_cash":1973.4,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 220544 = Hospital System Supply Identifier | 353627 = Lawson ID"}]},{"description":"IMP KNEE FEM COMP NXGN RT 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SZH","code_information":[{"code":"Sx00-5970-018","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"275737","type":"LOCAL"},{"code":"223561","type":"LOCAL"}],"standard_charges":[{"gross_charge":2530.0,"discounted_cash":1973.4,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 275737 = Hospital System Supply Identifier | 223561 = Lawson ID"}]},{"description":"IMP KNEE FEM COMP NXGN LT SZH","code_information":[{"code":"Sx00-5970-018","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"275736","type":"LOCAL"},{"code":"223560","type":"LOCAL"}],"standard_charges":[{"gross_charge":2530.0,"discounted_cash":1973.4,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 275736 = Hospital System Supply Identifier | 223560 = Lawson ID"}]},{"description":"IMP KNEE TIB BSPLT NXGN SZ2","code_information":[{"code":"Sx00-5970-025","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"200604","type":"LOCAL"},{"code":"522545","type":"LOCAL"}],"standard_charges":[{"gross_charge":2478.0,"discounted_cash":1932.84,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 200604 = Hospital System Supply Identifier | 522545 = Lawson ID"}]},{"description":"IMP KNEE TIB BSPLT NXGN SZ1","code_information":[{"code":"Sx00-5970-025","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"200603","type":"LOCAL"},{"code":"522544","type":"LOCAL"}],"standard_charges":[{"gross_charge":2478.0,"discounted_cash":1932.84,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 200603 = Hospital System Supply Identifier | 522544 = Lawson ID"}]},{"description":"PLATE TIB NEXGEN PGD YEL SZ3","code_information":[{"code":"Sx00-5970-035","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1713","type":"HCPCS"},{"code":"221908","type":"LOCAL"},{"code":"410571","type":"LOCAL"}],"standard_charges":[{"gross_charge":2478.0,"discounted_cash":1932.84,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 221908 = Hospital System Supply Identifier | 410571 = Lawson ID"}]},{"description":"IMP KNEE TIB BSPLT NXGN SZ4 LT","code_information":[{"code":"Sx00-5970-035","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"222235","type":"LOCAL"},{"code":"418250","type":"LOCAL"}],"standard_charges":[{"gross_charge":2478.0,"discounted_cash":1932.84,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 222235 = Hospital System Supply Identifier | 418250 = Lawson ID"}]},{"description":"IMP KNEE PEG TIB PLT SZ5","code_information":[{"code":"Sx00-5970-045","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"223414","type":"LOCAL"},{"code":"453462","type":"LOCAL"}],"standard_charges":[{"gross_charge":2478.0,"discounted_cash":1932.84,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 223414 = Hospital System Supply Identifier | 453462 = Lawson ID"}]},{"description":"IMP KNEE TIB BSPLT NXGN SZ6","code_information":[{"code":"Sx00-5970-045","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"200615","type":"LOCAL"},{"code":"522556","type":"LOCAL"}],"standard_charges":[{"gross_charge":2478.0,"discounted_cash":1932.84,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 200615 = Hospital System Supply Identifier | 522556 = Lawson ID"}]},{"description":"IMP KNEE TIB PLT NXGN PGD SZ7","code_information":[{"code":"Sx00-5970-055","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"88056","type":"LOCAL"},{"code":"395764","type":"LOCAL"}],"standard_charges":[{"gross_charge":2478.0,"discounted_cash":1932.84,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 88056 = Hospital System Supply Identifier | 395764 = Lawson ID"}]},{"description":"IMP KNEE TIB PLT NXGN PGD SZ8","code_information":[{"code":"Sx00-5970-055","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"88057","type":"LOCAL"},{"code":"395765","type":"LOCAL"}],"standard_charges":[{"gross_charge":2478.0,"discounted_cash":1932.84,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 88057 = Hospital System Supply Identifier | 395765 = Lawson ID"}]},{"description":"IMP KNEE TIB PLT NXGN PGD SZ9","code_information":[{"code":"Sx00-5970-055","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"200622","type":"LOCAL"},{"code":"522563","type":"LOCAL"}],"standard_charges":[{"gross_charge":2478.0,"discounted_cash":1932.84,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 200622 = Hospital System Supply Identifier | 522563 = Lawson ID"}]},{"description":"IMP KNEE TIB PLT NXGN PGD SZ10","code_information":[{"code":"Sx00-5970-055","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"200623","type":"LOCAL"},{"code":"522564","type":"LOCAL"}],"standard_charges":[{"gross_charge":2478.0,"discounted_cash":1932.84,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 200623 = Hospital System Supply Identifier | 522564 = Lawson ID"}]},{"description":"IMP KNEE PTELA THK SZ38 9.5MM","code_information":[{"code":"Sx00-5971-065","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"200625","type":"LOCAL"},{"code":"522566","type":"LOCAL"}],"standard_charges":[{"gross_charge":252.98,"discounted_cash":197.32,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 200625 = Hospital System Supply Identifier | 522566 = Lawson ID"}]},{"description":"COMPONENT PATELLAR 32 MM STANDARD 8.5 MM KNEE ULTEM PROVISIOINAL STRIPED PURPLE YELLOW GREEN BLUE NSTRL NEXGEN","code_information":[{"code":"Sx00-5971-065","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"200624","type":"LOCAL"},{"code":"522565","type":"LOCAL"}],"standard_charges":[{"gross_charge":252.98,"discounted_cash":197.32,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 200624 = Hospital System Supply Identifier | 522565 = Lawson 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Identifier | 145755 = Lawson ID"}]},{"description":"PATELLA ALL POLY 5972-65-29","code_information":[{"code":"Sx00-5972-065","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"272998","type":"LOCAL"},{"code":"202394","type":"LOCAL"}],"standard_charges":[{"gross_charge":1529.0,"discounted_cash":1192.62,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 272998 = Hospital System Supply Identifier | 202394 = Lawson ID"}]},{"description":"PATELLA ALL POLY SZ 32MM","code_information":[{"code":"Sx00-5972-065","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"273591","type":"LOCAL"},{"code":"204413","type":"LOCAL"}],"standard_charges":[{"gross_charge":1529.0,"discounted_cash":1192.62,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 273591 = Hospital System Supply Identifier | 204413 = Lawson ID"}]},{"description":"PATELLA ALL POLY SZ 35MM","code_information":[{"code":"Sx00-5972-065","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"273720","type":"LOCAL"},{"code":"204694","type":"LOCAL"}],"standard_charges":[{"gross_charge":1529.0,"discounted_cash":1192.62,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 273720 = Hospital System Supply Identifier | 204694 = Lawson ID"}]},{"description":"PATELLA ALL POLY SZ 41MM","code_information":[{"code":"Sx00-5972-065","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"273722","type":"LOCAL"},{"code":"204696","type":"LOCAL"}],"standard_charges":[{"gross_charge":1529.0,"discounted_cash":1192.62,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 273722 = Hospital System Supply Identifier | 204696 = Lawson ID"}]},{"description":"IMP KNEE PTELA POLY NXGN 26MM","code_information":[{"code":"Sx00-5972-065","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"200643","type":"LOCAL"},{"code":"522584","type":"LOCAL"}],"standard_charges":[{"gross_charge":1529.0,"discounted_cash":1192.62,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 200643 = Hospital System Supply Identifier | 522584 = Lawson ID"}]},{"description":"IMP KNEE SURF ARTC NXGN 1-2 20","code_information":[{"code":"Sx00-5976-021","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"200658","type":"LOCAL"},{"code":"522599","type":"LOCAL"}],"standard_charges":[{"gross_charge":2124.0,"discounted_cash":1656.72,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 200658 = Hospital System Supply Identifier | 522599 = Lawson ID"}]},{"description":"IMP KNEE SURF ARTC NXGN 1-2 17","code_information":[{"code":"Sx00-5976-021","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"200657","type":"LOCAL"},{"code":"522598","type":"LOCAL"}],"standard_charges":[{"gross_charge":2124.0,"discounted_cash":1656.72,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 200657 = Hospital System Supply Identifier | 522598 = Lawson ID"}]},{"description":"IMP KNEE SURF ARTC NXGN 1-2 10","code_information":[{"code":"Sx00-5976-021","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"200655","type":"LOCAL"},{"code":"522596","type":"LOCAL"}],"standard_charges":[{"gross_charge":2124.0,"discounted_cash":1656.72,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 200655 = Hospital System Supply Identifier | 522596 = Lawson ID"}]},{"description":"IMP KNEE ANT PURP SZ21 12MM","code_information":[{"code":"Sx00-5976-021","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"223508","type":"LOCAL"},{"code":"458721","type":"LOCAL"}],"standard_charges":[{"gross_charge":2124.0,"discounted_cash":1656.72,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 223508 = Hospital System Supply Identifier | 458721 = Lawson ID"}]},{"description":"IMP KNEE SURF ARTC NXGN 1-2 14","code_information":[{"code":"Sx00-5976-021","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"200656","type":"LOCAL"},{"code":"522597","type":"LOCAL"}],"standard_charges":[{"gross_charge":2124.0,"discounted_cash":1656.72,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 200656 = Hospital System Supply Identifier | 522597 = Lawson ID"}]},{"description":"IMP HIP ACET ARTC 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SZ17","code_information":[{"code":"Sx00-5976-030","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"223090","type":"LOCAL"},{"code":"452355","type":"LOCAL"}],"standard_charges":[{"gross_charge":2124.0,"discounted_cash":1656.72,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 223090 = Hospital System Supply Identifier | 452355 = Lawson ID"}]},{"description":"IMP KNEE SURF ARTC 3-4 20MM","code_information":[{"code":"Sx00-5976-030","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"223415","type":"LOCAL"},{"code":"453465","type":"LOCAL"}],"standard_charges":[{"gross_charge":2124.0,"discounted_cash":1656.72,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 223415 = Hospital System Supply Identifier | 453465 = Lawson ID"}]},{"description":"IMP KNEE SURF ARTC NXGN 3-4 14","code_information":[{"code":"Sx00-5976-030","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"200660","type":"LOCAL"},{"code":"522601","type":"LOCAL"}],"standard_charges":[{"gross_charge":2124.0,"discounted_cash":1656.72,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 200660 = Hospital System Supply Identifier | 522601 = Lawson ID"}]},{"description":"IMP KNEE SURF ARTC NXGN 5-6 12","code_information":[{"code":"Sx00-5976-040","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"200661","type":"LOCAL"},{"code":"522602","type":"LOCAL"}],"standard_charges":[{"gross_charge":2124.0,"discounted_cash":1656.72,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 200661 = Hospital System Supply Identifier | 522602 = Lawson ID"}]},{"description":"IMP TIB NXGN ANT CONSTR SZ GRN","code_information":[{"code":"Sx00-5976-040","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"221239","type":"LOCAL"},{"code":"379486","type":"LOCAL"}],"standard_charges":[{"gross_charge":2124.0,"discounted_cash":1656.72,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 221239 = Hospital System Supply Identifier | 379486 = Lawson ID"}]},{"description":"IMP KNEE SURF ARTC NXGN 5-6 14","code_information":[{"code":"Sx00-5976-040","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"200662","type":"LOCAL"},{"code":"522603","type":"LOCAL"}],"standard_charges":[{"gross_charge":2124.0,"discounted_cash":1656.72,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 200662 = Hospital System Supply Identifier | 522603 = Lawson ID"}]},{"description":"IMP KNEE SURF ARTC NXGN 5-6 17","code_information":[{"code":"Sx00-5976-040","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"200663","type":"LOCAL"},{"code":"522604","type":"LOCAL"}],"standard_charges":[{"gross_charge":2124.0,"discounted_cash":1656.72,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 200663 = Hospital System Supply Identifier | 522604 = Lawson ID"}]},{"description":"IMP KNEE SURF ARTC NXGN 5-6 20","code_information":[{"code":"Sx00-5976-040","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"200664","type":"LOCAL"},{"code":"522605","type":"LOCAL"}],"standard_charges":[{"gross_charge":2124.0,"discounted_cash":1656.72,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 200664 = Hospital System Supply Identifier | 522605 = Lawson ID"}]},{"description":"IMP KNEE SURF ARTC NXGN7-10 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DST","code_information":[{"code":"Sx00-5990-036","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"70779","type":"LOCAL"},{"code":"324213","type":"LOCAL"}],"standard_charges":[{"gross_charge":2566.5,"discounted_cash":2001.87,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 70779 = Hospital System Supply Identifier | 324213 = Lawson ID"}]},{"description":"IMP KNEE FEM AUG DST SZG 20","code_information":[{"code":"Sx00-5990-037","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"218054","type":"LOCAL"},{"code":"536040","type":"LOCAL"}],"standard_charges":[{"gross_charge":2691.92,"discounted_cash":2099.7,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 218054 = Hospital System Supply Identifier | 536040 = Lawson ID"}]},{"description":"IMP KNEE FEM AUG DST SZG 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10MM","code_information":[{"code":"Sx00-5990-037","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"143095","type":"LOCAL"},{"code":"324217","type":"LOCAL"}],"standard_charges":[{"gross_charge":2566.5,"discounted_cash":2001.87,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 143095 = Hospital System Supply Identifier | 324217 = Lawson ID"}]},{"description":"IMP KNEE FEM AUG NXGN SZG 10MM","code_information":[{"code":"Sx00-5990-037","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"222069","type":"LOCAL"},{"code":"412557","type":"LOCAL"}],"standard_charges":[{"gross_charge":2566.5,"discounted_cash":2001.87,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 222069 = Hospital System Supply Identifier | 412557 = Lawson ID"}]},{"description":"IMP KNEE FEM COMP LCCK LT SZC","code_information":[{"code":"Sx00-5994-013","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"219958","type":"LOCAL"},{"code":"324219","type":"LOCAL"}],"standard_charges":[{"gross_charge":9867.0,"discounted_cash":7696.26,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 219958 = Hospital System Supply Identifier | 324219 = Lawson ID"}]},{"description":"IMP KNEE REV FEM SZC 53.5X60MM","code_information":[{"code":"Sx00-5994-013","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"88061","type":"LOCAL"},{"code":"395769","type":"LOCAL"}],"standard_charges":[{"gross_charge":9867.0,"discounted_cash":7696.26,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 88061 = Hospital System Supply Identifier | 395769 = Lawson ID"}]},{"description":"IMP KNEE FEM COMP LCCK LT 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70.5","code_information":[{"code":"Sx00-5994-017","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"143096","type":"LOCAL"},{"code":"324225","type":"LOCAL"}],"standard_charges":[{"gross_charge":9867.0,"discounted_cash":7696.26,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 143096 = Hospital System Supply Identifier | 324225 = Lawson ID"}]},{"description":"IMP KNEE REV FEM SZG 70.5X76.5","code_information":[{"code":"Sx00-5994-017","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"88062","type":"LOCAL"},{"code":"395770","type":"LOCAL"}],"standard_charges":[{"gross_charge":9867.0,"discounted_cash":7696.26,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 88062 = Hospital System Supply Identifier | 395770 = Lawson ID"}]},{"description":"IMP KNEE SURF ARTC CD 1-2 10","code_information":[{"code":"Sx00-5994-022","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"217246","type":"LOCAL"},{"code":"535261","type":"LOCAL"}],"standard_charges":[{"gross_charge":3921.5,"discounted_cash":3058.77,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 217246 = Hospital System Supply Identifier | 535261 = Lawson ID"}]},{"description":"IMP KNEE INS NXGN LOK CD1-2/20","code_information":[{"code":"Sx00-5994-022","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"223088","type":"LOCAL"},{"code":"452343","type":"LOCAL"}],"standard_charges":[{"gross_charge":3921.5,"discounted_cash":3058.77,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 223088 = Hospital System Supply Identifier | 452343 = Lawson ID"}]},{"description":"IMP KNEE INS NXGN LOK 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48MM","code_information":[{"code":"Sx00-7053-048","type":"CDM"},{"code":"272","type":"RC"},{"code":"118401","type":"LOCAL"},{"code":"248928","type":"LOCAL"}],"standard_charges":[{"gross_charge":1982.4,"discounted_cash":1546.27,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 118401 = Hospital System Supply Identifier | 248928 = Lawson ID"}]},{"description":"BLADE EXPLANT TRUN 50MM","code_information":[{"code":"Sx00-7053-050","type":"CDM"},{"code":"272","type":"RC"},{"code":"118402","type":"LOCAL"},{"code":"310990","type":"LOCAL"}],"standard_charges":[{"gross_charge":1982.4,"discounted_cash":1546.27,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 118402 = Hospital System Supply Identifier | 310990 = Lawson ID"}]},{"description":"BLADE EXPLANT FULL 50MM","code_information":[{"code":"Sx00-7053-050","type":"CDM"},{"code":"272","type":"RC"},{"code":"118403","type":"LOCAL"},{"code":"310997","type":"LOCAL"}],"standard_charges":[{"gross_charge":1982.4,"discounted_cash":1546.27,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 118403 = Hospital System Supply Identifier | 310997 = Lawson ID"}]},{"description":"BLADE EXPLANT TRUN 52MM","code_information":[{"code":"Sx00-7053-052","type":"CDM"},{"code":"272","type":"RC"},{"code":"3390","type":"LOCAL"},{"code":"210138","type":"LOCAL"}],"standard_charges":[{"gross_charge":1982.4,"discounted_cash":1546.27,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 3390 = Hospital System Supply Identifier | 210138 = Lawson ID"}]},{"description":"BLADE EXPLANT FULL 52MM","code_information":[{"code":"Sx00-7053-052","type":"CDM"},{"code":"272","type":"RC"},{"code":"3391","type":"LOCAL"},{"code":"210142","type":"LOCAL"}],"standard_charges":[{"gross_charge":1982.4,"discounted_cash":1546.27,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 3391 = Hospital System Supply Identifier | 210142 = Lawson ID"}]},{"description":"BLADE EXPLANT FULL 54MM","code_information":[{"code":"Sx00-7053-054","type":"CDM"},{"code":"272","type":"RC"},{"code":"79424","type":"LOCAL"},{"code":"210143","type":"LOCAL"}],"standard_charges":[{"gross_charge":1982.4,"discounted_cash":1546.27,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 79424 = Hospital System Supply Identifier | 210143 = Lawson ID"}]},{"description":"BLADE EXPLANT TRUN 54MM","code_information":[{"code":"Sx00-7053-054","type":"CDM"},{"code":"272","type":"RC"},{"code":"79412","type":"LOCAL"},{"code":"159170","type":"LOCAL"}],"standard_charges":[{"gross_charge":1982.4,"discounted_cash":1546.27,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 79412 = Hospital System Supply Identifier | 159170 = Lawson ID"}]},{"description":"BLADE EXPLANT FULL 56MM","code_information":[{"code":"Sx00-7053-056","type":"CDM"},{"code":"272","type":"RC"},{"code":"272519","type":"LOCAL"},{"code":"159171","type":"LOCAL"}],"standard_charges":[{"gross_charge":1982.4,"discounted_cash":1546.27,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 272519 = Hospital System Supply Identifier | 159171 = Lawson ID"}]},{"description":"BLADE EXPLANT TRUN 56MM","code_information":[{"code":"Sx00-7053-056","type":"CDM"},{"code":"272","type":"RC"},{"code":"274901","type":"LOCAL"},{"code":"210139","type":"LOCAL"}],"standard_charges":[{"gross_charge":1982.4,"discounted_cash":1546.27,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 274901 = Hospital System Supply Identifier | 210139 = Lawson ID"}]},{"description":"BLADE EXPLANT TRUN 58MM","code_information":[{"code":"Sx00-7053-058","type":"CDM"},{"code":"272","type":"RC"},{"code":"79420","type":"LOCAL"},{"code":"210140","type":"LOCAL"}],"standard_charges":[{"gross_charge":1982.4,"discounted_cash":1546.27,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 79420 = Hospital System Supply Identifier | 210140 = Lawson ID"}]},{"description":"BLADE EXPLANT FULL 58MM","code_information":[{"code":"Sx00-7053-058","type":"CDM"},{"code":"272","type":"RC"},{"code":"79425","type":"LOCAL"},{"code":"210144","type":"LOCAL"}],"standard_charges":[{"gross_charge":1982.4,"discounted_cash":1546.27,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 79425 = Hospital System Supply Identifier | 210144 = Lawson ID"}]},{"description":"BLADE EXPLANT TRUN 60MM","code_information":[{"code":"Sx00-7053-060","type":"CDM"},{"code":"272","type":"RC"},{"code":"118399","type":"LOCAL"},{"code":"210141","type":"LOCAL"}],"standard_charges":[{"gross_charge":1982.4,"discounted_cash":1546.27,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 118399 = Hospital System Supply Identifier | 210141 = Lawson ID"}]},{"description":"BLADE EXPLANT FULL 60MM","code_information":[{"code":"Sx00-7053-060","type":"CDM"},{"code":"272","type":"RC"},{"code":"88272","type":"LOCAL"},{"code":"210145","type":"LOCAL"}],"standard_charges":[{"gross_charge":1982.4,"discounted_cash":1546.27,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 88272 = Hospital System Supply Identifier | 210145 = Lawson ID"}]},{"description":"BLADE EXPLANT TRUN 62MM","code_information":[{"code":"Sx00-7053-062","type":"CDM"},{"code":"272","type":"RC"},{"code":"79678","type":"LOCAL"},{"code":"310991","type":"LOCAL"}],"standard_charges":[{"gross_charge":1982.4,"discounted_cash":1546.27,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 79678 = Hospital System Supply Identifier | 310991 = Lawson ID"}]},{"description":"BLADE EXPLANT FULL 62MM","code_information":[{"code":"Sx00-7053-062","type":"CDM"},{"code":"272","type":"RC"},{"code":"79680","type":"LOCAL"},{"code":"310998","type":"LOCAL"}],"standard_charges":[{"gross_charge":1982.4,"discounted_cash":1546.27,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 79680 = Hospital System Supply Identifier | 310998 = Lawson ID"}]},{"description":"BLADE EXPLANT FULL 64MM","code_information":[{"code":"Sx00-7053-064","type":"CDM"},{"code":"272","type":"RC"},{"code":"79426","type":"LOCAL"},{"code":"210147","type":"LOCAL"}],"standard_charges":[{"gross_charge":1982.4,"discounted_cash":1546.27,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 79426 = Hospital System Supply Identifier | 210147 = Lawson ID"}]},{"description":"BLADE EXPLANT TRUN 64MM","code_information":[{"code":"Sx00-7053-064","type":"CDM"},{"code":"272","type":"RC"},{"code":"101041","type":"LOCAL"},{"code":"210146","type":"LOCAL"}],"standard_charges":[{"gross_charge":1982.4,"discounted_cash":1546.27,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 101041 = Hospital System Supply Identifier | 210146 = Lawson ID"}]},{"description":"BLADE EXPLANT TRUN 66MM","code_information":[{"code":"Sx00-7053-066","type":"CDM"},{"code":"272","type":"RC"},{"code":"79679","type":"LOCAL"},{"code":"310992","type":"LOCAL"}],"standard_charges":[{"gross_charge":1982.4,"discounted_cash":1546.27,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 79679 = Hospital System Supply Identifier | 310992 = Lawson ID"}]},{"description":"BLADE EXPLANT FULL 66MM","code_information":[{"code":"Sx00-7053-066","type":"CDM"},{"code":"272","type":"RC"},{"code":"219572","type":"LOCAL"},{"code":"310999","type":"LOCAL"}],"standard_charges":[{"gross_charge":1982.4,"discounted_cash":1546.27,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 219572 = Hospital System Supply Identifier | 310999 = Lawson ID"}]},{"description":"BLADE EXPLANT TRUN 68MM","code_information":[{"code":"Sx00-7053-068","type":"CDM"},{"code":"272","type":"RC"},{"code":"219569","type":"LOCAL"},{"code":"310993","type":"LOCAL"}],"standard_charges":[{"gross_charge":1982.4,"discounted_cash":1546.27,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 219569 = Hospital System Supply Identifier | 310993 = Lawson ID"}]},{"description":"BLADE EXPLANT FULL 68MM","code_information":[{"code":"Sx00-7053-068","type":"CDM"},{"code":"272","type":"RC"},{"code":"219573","type":"LOCAL"},{"code":"311000","type":"LOCAL"}],"standard_charges":[{"gross_charge":1982.4,"discounted_cash":1546.27,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 219573 = Hospital System Supply Identifier | 311000 = Lawson ID"}]},{"description":"BLADE EXPLANT TRUN 70MM","code_information":[{"code":"Sx00-7053-070","type":"CDM"},{"code":"272","type":"RC"},{"code":"221107","type":"LOCAL"},{"code":"361331","type":"LOCAL"}],"standard_charges":[{"gross_charge":1982.4,"discounted_cash":1546.27,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 221107 = Hospital System Supply Identifier | 361331 = Lawson ID"}]},{"description":"BLADE EXPLANT FULL 70MM","code_information":[{"code":"Sx00-7053-070","type":"CDM"},{"code":"272","type":"RC"},{"code":"221109","type":"LOCAL"},{"code":"361333","type":"LOCAL"}],"standard_charges":[{"gross_charge":1982.4,"discounted_cash":1546.27,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 221109 = Hospital System Supply Identifier | 361333 = Lawson ID"}]},{"description":"BLADE EXPLANT TRUN 72MM","code_information":[{"code":"Sx00-7053-072","type":"CDM"},{"code":"272","type":"RC"},{"code":"221108","type":"LOCAL"},{"code":"361332","type":"LOCAL"}],"standard_charges":[{"gross_charge":1982.4,"discounted_cash":1546.27,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 221108 = Hospital System Supply Identifier | 361332 = Lawson ID"}]},{"description":"BLADE EXPLANT FULL 72MM","code_information":[{"code":"Sx00-7053-072","type":"CDM"},{"code":"272","type":"RC"},{"code":"221110","type":"LOCAL"},{"code":"361334","type":"LOCAL"}],"standard_charges":[{"gross_charge":1982.4,"discounted_cash":1546.27,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 221110 = Hospital System Supply Identifier | 361334 = Lawson ID"}]},{"description":"IMP HIP ACET SHELL 28X48MM","code_information":[{"code":"Sx00-7105-048","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"222833","type":"LOCAL"},{"code":"443656","type":"LOCAL"}],"standard_charges":[{"gross_charge":4048.0,"discounted_cash":3157.44,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 222833 = Hospital System Supply Identifier | 443656 = Lawson ID"}]},{"description":"IMP HIP ACET LNR NEUT 0D 28X50","code_information":[{"code":"Sx00-7105-050","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"215997","type":"LOCAL"},{"code":"534141","type":"LOCAL"}],"standard_charges":[{"gross_charge":4048.0,"discounted_cash":3157.44,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 215997 = Hospital System Supply Identifier | 534141 = Lawson ID"}]},{"description":"IMP HIP ACET SHELL 0D 28X52MM","code_information":[{"code":"Sx00-7105-052","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"222832","type":"LOCAL"},{"code":"443655","type":"LOCAL"}],"standard_charges":[{"gross_charge":4048.0,"discounted_cash":3157.44,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 222832 = Hospital System Supply Identifier | 443655 = Lawson ID"}]},{"description":"IMP HIP ACET SHELL 0D 32X54MM","code_information":[{"code":"Sx00-7105-054","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"222987","type":"LOCAL"},{"code":"452182","type":"LOCAL"}],"standard_charges":[{"gross_charge":4048.0,"discounted_cash":3157.44,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 222987 = Hospital System Supply Identifier | 452182 = Lawson ID"}]},{"description":"IMP HIP ACET LNR 0D 54X28","code_information":[{"code":"Sx00-7105-054","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"215998","type":"LOCAL"},{"code":"534142","type":"LOCAL"}],"standard_charges":[{"gross_charge":4048.0,"discounted_cash":3157.44,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 215998 = Hospital System Supply Identifier | 534142 = Lawson ID"}]},{"description":"IMP HIP ACET LNR 0D 56X28","code_information":[{"code":"Sx00-7105-056","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"215999","type":"LOCAL"},{"code":"534143","type":"LOCAL"}],"standard_charges":[{"gross_charge":4048.0,"discounted_cash":3157.44,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 215999 = Hospital System Supply Identifier | 534143 = Lawson ID"}]},{"description":"IMP HIP ACET LNR 0D 56X32","code_information":[{"code":"Sx00-7105-056","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"216000","type":"LOCAL"},{"code":"534144","type":"LOCAL"}],"standard_charges":[{"gross_charge":4048.0,"discounted_cash":3157.44,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 216000 = Hospital System Supply Identifier | 534144 = Lawson ID"}]},{"description":"LINER REV HIP TM NEU LNG 36X58","code_information":[{"code":"Sx00-7105-058","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"221179","type":"LOCAL"},{"code":"372221","type":"LOCAL"}],"standard_charges":[{"gross_charge":4048.0,"discounted_cash":3157.44,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 221179 = Hospital System Supply Identifier | 372221 = Lawson ID"}]},{"description":"IMP HIP ACET LNR 0D 58X28","code_information":[{"code":"Sx00-7105-058","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"216001","type":"LOCAL"},{"code":"534145","type":"LOCAL"}],"standard_charges":[{"gross_charge":4048.0,"discounted_cash":3157.44,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 216001 = Hospital System Supply Identifier | 534145 = Lawson ID"}]},{"description":"IMP HIP ACET LNR 0D 58X32","code_information":[{"code":"Sx00-7105-058","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"216002","type":"LOCAL"},{"code":"534146","type":"LOCAL"}],"standard_charges":[{"gross_charge":4048.0,"discounted_cash":3157.44,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 216002 = Hospital System Supply Identifier | 534146 = Lawson ID"}]},{"description":"IMP HIP ACET LNR 0D 60X36","code_information":[{"code":"Sx00-7105-060","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"216004","type":"LOCAL"},{"code":"534148","type":"LOCAL"}],"standard_charges":[{"gross_charge":4048.0,"discounted_cash":3157.44,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 216004 = Hospital System Supply Identifier | 534148 = Lawson ID"}]},{"description":"IMP HIP ACET SHELL 0D 32X60MM","code_information":[{"code":"Sx00-7105-060","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"222831","type":"LOCAL"},{"code":"443654","type":"LOCAL"}],"standard_charges":[{"gross_charge":4048.0,"discounted_cash":3157.44,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 222831 = Hospital System Supply Identifier | 443654 = Lawson ID"}]},{"description":"IMP HIP ACET LNR 0D 60X28","code_information":[{"code":"Sx00-7105-060","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"216003","type":"LOCAL"},{"code":"534147","type":"LOCAL"}],"standard_charges":[{"gross_charge":4048.0,"discounted_cash":3157.44,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 216003 = Hospital System Supply Identifier | 534147 = Lawson ID"}]},{"description":"IMP HIP ACET SHELL 0D 40X62MM","code_information":[{"code":"Sx00-7105-062","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"222830","type":"LOCAL"},{"code":"443652","type":"LOCAL"}],"standard_charges":[{"gross_charge":4048.0,"discounted_cash":3157.44,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 222830 = Hospital System Supply Identifier | 443652 = Lawson ID"}]},{"description":"IMP HIP ACET LNR 0D 62/64X28","code_information":[{"code":"Sx00-7105-062","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"216005","type":"LOCAL"},{"code":"534149","type":"LOCAL"}],"standard_charges":[{"gross_charge":4048.0,"discounted_cash":3157.44,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 216005 = Hospital System Supply Identifier | 534149 = Lawson ID"}]},{"description":"IMP HIP ACET LNR 0D 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66-70X36","code_information":[{"code":"Sx00-7105-066","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"216010","type":"LOCAL"},{"code":"534154","type":"LOCAL"}],"standard_charges":[{"gross_charge":4048.0,"discounted_cash":3157.44,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 216010 = Hospital System Supply Identifier | 534154 = Lawson ID"}]},{"description":"IMP HIP ACET SHELL 0D 40X66-70","code_information":[{"code":"Sx00-7105-066","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"222986","type":"LOCAL"},{"code":"452181","type":"LOCAL"}],"standard_charges":[{"gross_charge":4048.0,"discounted_cash":3157.44,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 222986 = Hospital System Supply Identifier | 452181 = Lawson ID"}]},{"description":"IMP HIP ACET LNR 0D 66-70X28","code_information":[{"code":"Sx00-7105-066","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"216008","type":"LOCAL"},{"code":"534152","type":"LOCAL"}],"standard_charges":[{"gross_charge":4048.0,"discounted_cash":3157.44,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 216008 = Hospital System Supply Identifier | 534152 = Lawson ID"}]},{"description":"IMP HIP ACET LNR 0D 66-70X32","code_information":[{"code":"Sx00-7105-066","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"216009","type":"LOCAL"},{"code":"534153","type":"LOCAL"}],"standard_charges":[{"gross_charge":4048.0,"discounted_cash":3157.44,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 216009 = Hospital System Supply Identifier | 534153 = Lawson ID"}]},{"description":"IMP HIP ACET LNR 0D 72/74X28","code_information":[{"code":"Sx00-7105-072","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"216011","type":"LOCAL"},{"code":"534155","type":"LOCAL"}],"standard_charges":[{"gross_charge":4048.0,"discounted_cash":3157.44,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 216011 = Hospital System Supply Identifier | 534155 = Lawson ID"}]},{"description":"IMP HIP ACET LNR 0D 72/74X32","code_information":[{"code":"Sx00-7105-072","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"216012","type":"LOCAL"},{"code":"534156","type":"LOCAL"}],"standard_charges":[{"gross_charge":4048.0,"discounted_cash":3157.44,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 216012 = Hospital System Supply Identifier | 534156 = Lawson ID"}]},{"description":"IMP HIP ACET LNR 0D 72/74X36","code_information":[{"code":"Sx00-7105-072","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"216013","type":"LOCAL"},{"code":"534157","type":"LOCAL"}],"standard_charges":[{"gross_charge":4048.0,"discounted_cash":3157.44,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 216013 = Hospital System Supply Identifier | 534157 = Lawson ID"}]},{"description":"IMP HIP ACET LNR 0D 72/74X40","code_information":[{"code":"Sx00-7105-072","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"216014","type":"LOCAL"},{"code":"534158","type":"LOCAL"}],"standard_charges":[{"gross_charge":4048.0,"discounted_cash":3157.44,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 216014 = Hospital System Supply Identifier | 534158 = Lawson ID"}]},{"description":"IMP HIP ACET LNR 0D 76-80X36","code_information":[{"code":"Sx00-7105-076","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"216017","type":"LOCAL"},{"code":"534161","type":"LOCAL"}],"standard_charges":[{"gross_charge":4048.0,"discounted_cash":3157.44,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 216017 = Hospital System Supply Identifier | 534161 = Lawson ID"}]},{"description":"IMP HIP ACET LNR 0D 76-80X40","code_information":[{"code":"Sx00-7105-076","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"216018","type":"LOCAL"},{"code":"534162","type":"LOCAL"}],"standard_charges":[{"gross_charge":4048.0,"discounted_cash":3157.44,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 216018 = Hospital System Supply Identifier | 534162 = Lawson ID"}]},{"description":"IMP HIP ACET LNR 0D 76-80X28","code_information":[{"code":"Sx00-7105-076","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"216015","type":"LOCAL"},{"code":"534159","type":"LOCAL"}],"standard_charges":[{"gross_charge":4048.0,"discounted_cash":3157.44,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 216015 = Hospital System Supply Identifier | 534159 = Lawson ID"}]},{"description":"IMP HIP ACET LNR 0D 76-80X32","code_information":[{"code":"Sx00-7105-076","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"216016","type":"LOCAL"},{"code":"534160","type":"LOCAL"}],"standard_charges":[{"gross_charge":4048.0,"discounted_cash":3157.44,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 216016 = Hospital System Supply Identifier | 534160 = Lawson ID"}]},{"description":"IMP HIP ACET LNR 10D 48X28","code_information":[{"code":"Sx00-7110-048","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"216019","type":"LOCAL"},{"code":"534163","type":"LOCAL"}],"standard_charges":[{"gross_charge":4048.0,"discounted_cash":3157.44,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 216019 = Hospital System Supply Identifier | 534163 = Lawson ID"}]},{"description":"IMP HIP ACET LNR 10D 50X28","code_information":[{"code":"Sx00-7110-050","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"216020","type":"LOCAL"},{"code":"534164","type":"LOCAL"}],"standard_charges":[{"gross_charge":4048.0,"discounted_cash":3157.44,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 216020 = Hospital System Supply Identifier | 534164 = Lawson ID"}]},{"description":"IMP HIP ACET LNR 10D 52X28","code_information":[{"code":"Sx00-7110-052","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"216021","type":"LOCAL"},{"code":"534165","type":"LOCAL"}],"standard_charges":[{"gross_charge":4048.0,"discounted_cash":3157.44,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 216021 = Hospital System Supply Identifier | 534165 = Lawson ID"}]},{"description":"IMP HIP ACET LNR 10D 32X54MM","code_information":[{"code":"Sx00-7110-054","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"222990","type":"LOCAL"},{"code":"452194","type":"LOCAL"}],"standard_charges":[{"gross_charge":4048.0,"discounted_cash":3157.44,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 222990 = Hospital System Supply Identifier | 452194 = Lawson ID"}]},{"description":"IMP HIP ACET LNR 10D 54X28","code_information":[{"code":"Sx00-7110-054","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"216022","type":"LOCAL"},{"code":"534166","type":"LOCAL"}],"standard_charges":[{"gross_charge":4048.0,"discounted_cash":3157.44,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 216022 = Hospital System Supply Identifier | 534166 = Lawson ID"}]},{"description":"IMP HIP ACET LNR 10D 56X28","code_information":[{"code":"Sx00-7110-056","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"216023","type":"LOCAL"},{"code":"534167","type":"LOCAL"}],"standard_charges":[{"gross_charge":4048.0,"discounted_cash":3157.44,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 216023 = Hospital System Supply Identifier | 534167 = Lawson ID"}]},{"description":"IMP HIP ACET LNR 10D 56X32","code_information":[{"code":"Sx00-7110-056","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"216024","type":"LOCAL"},{"code":"534168","type":"LOCAL"}],"standard_charges":[{"gross_charge":4048.0,"discounted_cash":3157.44,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 216024 = Hospital System Supply Identifier | 534168 = Lawson ID"}]},{"description":"IMP HIP ACET LNR LGVTY 58X36","code_information":[{"code":"Sx00-7110-058","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"222992","type":"LOCAL"},{"code":"452196","type":"LOCAL"}],"standard_charges":[{"gross_charge":4048.0,"discounted_cash":3157.44,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 222992 = Hospital System Supply Identifier | 452196 = Lawson ID"}]},{"description":"IMP HIP ACET LNR 10D 58X28","code_information":[{"code":"Sx00-7110-058","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"216025","type":"LOCAL"},{"code":"534169","type":"LOCAL"}],"standard_charges":[{"gross_charge":4048.0,"discounted_cash":3157.44,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 216025 = Hospital System Supply Identifier | 534169 = Lawson ID"}]},{"description":"IMP HIP ACET LNR 10D 58X32","code_information":[{"code":"Sx00-7110-058","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"216026","type":"LOCAL"},{"code":"534170","type":"LOCAL"}],"standard_charges":[{"gross_charge":4048.0,"discounted_cash":3157.44,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 216026 = Hospital System Supply Identifier | 534170 = Lawson ID"}]},{"description":"IMP HIP ACET LNR10D 60X36MM","code_information":[{"code":"Sx00-7110-060","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"222993","type":"LOCAL"},{"code":"452197","type":"LOCAL"}],"standard_charges":[{"gross_charge":4048.0,"discounted_cash":3157.44,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 222993 = Hospital System Supply Identifier | 452197 = Lawson ID"}]},{"description":"IMP HIP ACET LNR 10D 60X28","code_information":[{"code":"Sx00-7110-060","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"216027","type":"LOCAL"},{"code":"534171","type":"LOCAL"}],"standard_charges":[{"gross_charge":4048.0,"discounted_cash":3157.44,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 216027 = Hospital System Supply Identifier | 534171 = Lawson ID"}]},{"description":"IMP HIP ACET LNR 10D 60X32","code_information":[{"code":"Sx00-7110-060","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"216028","type":"LOCAL"},{"code":"534172","type":"LOCAL"}],"standard_charges":[{"gross_charge":4048.0,"discounted_cash":3157.44,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 216028 = Hospital System Supply Identifier | 534172 = Lawson ID"}]},{"description":"IMP HIP ACET LNR 10D 40X62/64","code_information":[{"code":"Sx00-7110-062","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"222991","type":"LOCAL"},{"code":"452195","type":"LOCAL"}],"standard_charges":[{"gross_charge":4048.0,"discounted_cash":3157.44,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 222991 = Hospital System Supply Identifier | 452195 = Lawson ID"}]},{"description":"IMP HIP ACET LNR 10D 62/64X28","code_information":[{"code":"Sx00-7110-062","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"216029","type":"LOCAL"},{"code":"534173","type":"LOCAL"}],"standard_charges":[{"gross_charge":4048.0,"discounted_cash":3157.44,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 216029 = Hospital System Supply Identifier | 534173 = Lawson ID"}]},{"description":"IMP HIP ACET LNR 10D 62X32","code_information":[{"code":"Sx00-7110-062","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"216030","type":"LOCAL"},{"code":"534174","type":"LOCAL"}],"standard_charges":[{"gross_charge":4048.0,"discounted_cash":3157.44,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 216030 = Hospital System Supply Identifier | 534174 = Lawson ID"}]},{"description":"IMP HIP ACET LNR 10D 62X32","code_information":[{"code":"Sx00-7110-062","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"216031","type":"LOCAL"},{"code":"534175","type":"LOCAL"}],"standard_charges":[{"gross_charge":4048.0,"discounted_cash":3157.44,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 216031 = Hospital System Supply Identifier | 534175 = Lawson ID"}]},{"description":"IMP HIP ACET LNR 10D 66-70X28","code_information":[{"code":"Sx00-7110-066","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"216032","type":"LOCAL"},{"code":"534176","type":"LOCAL"}],"standard_charges":[{"gross_charge":4048.0,"discounted_cash":3157.44,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 216032 = Hospital System Supply Identifier | 534176 = Lawson ID"}]},{"description":"IMP HIP ACET LNR 10D 66-70X32","code_information":[{"code":"Sx00-7110-066","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"216033","type":"LOCAL"},{"code":"534177","type":"LOCAL"}],"standard_charges":[{"gross_charge":4048.0,"discounted_cash":3157.44,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 216033 = Hospital System Supply Identifier | 534177 = Lawson ID"}]},{"description":"IMP HIP ACET LNR 10D 40MM","code_information":[{"code":"Sx00-7110-066","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"220733","type":"LOCAL"},{"code":"360636","type":"LOCAL"}],"standard_charges":[{"gross_charge":4048.0,"discounted_cash":3157.44,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 220733 = Hospital System Supply Identifier | 360636 = Lawson ID"}]},{"description":"IMP HIP ACET LNR 10D 36X62/64","code_information":[{"code":"Sx00-7110-066","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"222994","type":"LOCAL"},{"code":"452198","type":"LOCAL"}],"standard_charges":[{"gross_charge":4048.0,"discounted_cash":3157.44,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 222994 = Hospital System Supply Identifier | 452198 = Lawson ID"}]},{"description":"IMP HIP ACET LNR 10D 72/74X28","code_information":[{"code":"Sx00-7110-072","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"216034","type":"LOCAL"},{"code":"534178","type":"LOCAL"}],"standard_charges":[{"gross_charge":4048.0,"discounted_cash":3157.44,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 216034 = Hospital System Supply Identifier | 534178 = Lawson ID"}]},{"description":"IMP HIP ACET LNR 10D 72/74X32","code_information":[{"code":"Sx00-7110-072","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"216035","type":"LOCAL"},{"code":"534179","type":"LOCAL"}],"standard_charges":[{"gross_charge":4048.0,"discounted_cash":3157.44,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 216035 = Hospital System Supply Identifier | 534179 = Lawson ID"}]},{"description":"IMP HIP ACET LNR 10D 72/74X36","code_information":[{"code":"Sx00-7110-072","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"216036","type":"LOCAL"},{"code":"534180","type":"LOCAL"}],"standard_charges":[{"gross_charge":4048.0,"discounted_cash":3157.44,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 216036 = Hospital System Supply Identifier | 534180 = Lawson ID"}]},{"description":"IMP HIP ACET LNR 10D 72/74X40","code_information":[{"code":"Sx00-7110-072","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"216037","type":"LOCAL"},{"code":"534181","type":"LOCAL"}],"standard_charges":[{"gross_charge":4048.0,"discounted_cash":3157.44,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 216037 = Hospital System Supply Identifier | 534181 = Lawson ID"}]},{"description":"IMP HIP ACET LNR 76-80X36","code_information":[{"code":"Sx00-7110-076","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"216040","type":"LOCAL"},{"code":"534184","type":"LOCAL"}],"standard_charges":[{"gross_charge":4048.0,"discounted_cash":3157.44,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 216040 = Hospital System Supply Identifier | 534184 = Lawson ID"}]},{"description":"IMP HIP ACET LNR 76-80X40","code_information":[{"code":"Sx00-7110-076","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"216041","type":"LOCAL"},{"code":"534185","type":"LOCAL"}],"standard_charges":[{"gross_charge":4048.0,"discounted_cash":3157.44,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 216041 = Hospital System Supply Identifier | 534185 = Lawson ID"}]},{"description":"IMP HIP ACET LNR 76-80X28","code_information":[{"code":"Sx00-7110-076","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"216038","type":"LOCAL"},{"code":"534182","type":"LOCAL"}],"standard_charges":[{"gross_charge":4048.0,"discounted_cash":3157.44,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 216038 = Hospital System Supply Identifier | 534182 = Lawson ID"}]},{"description":"IMP HIP ACET LNR 76-80X32","code_information":[{"code":"Sx00-7110-076","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"216039","type":"LOCAL"},{"code":"534183","type":"LOCAL"}],"standard_charges":[{"gross_charge":4048.0,"discounted_cash":3157.44,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 216039 = Hospital System Supply Identifier | 534183 = Lawson ID"}]},{"description":"IMP HIP ACET SHELL 28X50MM","code_information":[{"code":"Sx00-7115-050","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"221765","type":"LOCAL"},{"code":"408185","type":"LOCAL"}],"standard_charges":[{"gross_charge":4048.0,"discounted_cash":3157.44,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 221765 = Hospital System Supply Identifier | 408185 = Lawson ID"}]},{"description":"IMP HIP ACET SHELL TM 52X28","code_information":[{"code":"Sx00-7115-052","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"216042","type":"LOCAL"},{"code":"534186","type":"LOCAL"}],"standard_charges":[{"gross_charge":4048.0,"discounted_cash":3157.44,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 216042 = Hospital System Supply Identifier | 534186 = Lawson ID"}]},{"description":"IMP HIP LNR CNSTRN CEM 54X32MM","code_information":[{"code":"Sx00-7115-054","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"222829","type":"LOCAL"},{"code":"443651","type":"LOCAL"}],"standard_charges":[{"gross_charge":4048.0,"discounted_cash":3157.44,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 222829 = Hospital System Supply Identifier | 443651 = Lawson ID"}]},{"description":"IMP HIP ACET SHELL TM 56X32","code_information":[{"code":"Sx00-7115-056","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"216043","type":"LOCAL"},{"code":"534187","type":"LOCAL"}],"standard_charges":[{"gross_charge":4048.0,"discounted_cash":3157.44,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 216043 = Hospital System Supply Identifier | 534187 = Lawson ID"}]},{"description":"IMP HIP LNR CNSTRN CEM 36X58MM","code_information":[{"code":"Sx00-7115-058","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"222988","type":"LOCAL"},{"code":"452184","type":"LOCAL"}],"standard_charges":[{"gross_charge":4048.0,"discounted_cash":3157.44,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 222988 = Hospital System Supply Identifier | 452184 = Lawson ID"}]},{"description":"IMP HIP ACET SHELL TM 60X36","code_information":[{"code":"Sx00-7115-060","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"216044","type":"LOCAL"},{"code":"534188","type":"LOCAL"}],"standard_charges":[{"gross_charge":4048.0,"discounted_cash":3157.44,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 216044 = Hospital System Supply Identifier | 534188 = Lawson ID"}]},{"description":"IMP HIP ACET SHELL TM 62-64X36","code_information":[{"code":"Sx00-7115-062","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"220734","type":"LOCAL"},{"code":"360637","type":"LOCAL"}],"standard_charges":[{"gross_charge":4048.0,"discounted_cash":3157.44,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 220734 = Hospital System Supply Identifier | 360637 = Lawson ID"}]},{"description":"IMP HIP ACET SHELL 66/68/70X36","code_information":[{"code":"Sx00-7115-066","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"216045","type":"LOCAL"},{"code":"534189","type":"LOCAL"}],"standard_charges":[{"gross_charge":4048.0,"discounted_cash":3157.44,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 216045 = Hospital System Supply Identifier | 534189 = Lawson ID"}]},{"description":"IMP HIP ACET SHELL TM 72/74X36","code_information":[{"code":"Sx00-7115-072","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"216046","type":"LOCAL"},{"code":"534190","type":"LOCAL"}],"standard_charges":[{"gross_charge":4048.0,"discounted_cash":3157.44,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 216046 = Hospital System Supply Identifier | 534190 = Lawson ID"}]},{"description":"IMP HIP ACET SHELL 76/78/80X36","code_information":[{"code":"Sx00-7115-076","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"216047","type":"LOCAL"},{"code":"534191","type":"LOCAL"}],"standard_charges":[{"gross_charge":4048.0,"discounted_cash":3157.44,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 216047 = Hospital System Supply Identifier | 534191 = Lawson ID"}]},{"description":"IMP ACET CAGE SHRT FLG RT","code_information":[{"code":"Sx00-7123-056","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"221900","type":"LOCAL"},{"code":"409658","type":"LOCAL"}],"standard_charges":[{"gross_charge":4427.5,"discounted_cash":3453.45,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 221900 = Hospital System Supply Identifier | 409658 = Lawson ID"}]},{"description":"IMP HIP CAGE SHRT RT 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4","code_information":[{"code":"Sx00-8400-094","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"140443","type":"LOCAL"},{"code":"456597","type":"LOCAL"}],"standard_charges":[{"gross_charge":2510.56,"discounted_cash":1958.24,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 140443 = Hospital System Supply Identifier | 456597 = Lawson ID"}]},{"description":"KIT ARTICULATION SZ 5","code_information":[{"code":"Sx00-8400-095","type":"CDM"},{"code":"278","type":"RC"},{"code":"C1776","type":"HCPCS"},{"code":"140444","type":"LOCAL"},{"code":"456598","type":"LOCAL"}],"standard_charges":[{"gross_charge":2510.56,"discounted_cash":1958.24,"setting":"both","billing_class":"facility","additional_generic_notes":"Gross Charge Type: AVZ LOCATION | 140444 = Hospital System Supply Identifier | 456598 = Lawson ID"}]},{"description":"IMP ELBOW RADIAL HEAD 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