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Greenwich Hospital Price Master - CT.gov

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30200057 HC STRIATED MUSCLE ANTIBODY 130.00 4/1/2013<br />

30200058 HC OVARIAN AB SCREEN 264.83 4/1/2013<br />

30200059 HC NEURONAL NUCLEAR (HU) AB 359.95 4/1/2013<br />

30200068 HC ENDOMYSIAL IGA AB TITER 223.74 4/1/2013<br />

30200072 HC CANCER ANTIGEN-BREAST (CA 15-3) 179.06 4/1/2013<br />

30200073 HC HETEROPHILE AB(MONO) 37.66 4/1/2013<br />

30200078 HC IMMUNODIFF;OUCHTERLONY 162.69 4/1/2013<br />

30200082 HC IMMUNOFIXATION ELE<strong>CT</strong>RO; SERUM INTER 210.42 4/1/2013<br />

30200084 HC IMMUNOFIXATION, URINE 24HR/RAN 406.55 4/1/2013<br />

30200085 HC INSULIN AUTOAB 235.00 4/1/2013<br />

30200086 HC INTRINSIC FA<strong>CT</strong>OR AB 147.00 4/1/2013<br />

30200090 HC LYMPHOCYTE SUBSET PANEL 4 710.00 4/1/2013<br />

30200091 HC THYROID PEROXIDASE (TPO) ANTIBODY 109.68 4/1/2013<br />

30200095 HC STREPTOZYME SCREEN (GH) 82.87 4/1/2013<br />

30200098 HC VDRL STATE 76.00 4/1/2013<br />

30200099 HC ASPERGILLUS FLAVUS AB 42.10 4/1/2013<br />

30200100 HC ASPERGILLUS NIGER AB 42.10 4/1/2013<br />

30200105 HC BA<strong>CT</strong>ERIAL AB UNSPEC 20.96 4/1/2013<br />

30200106 HC BA<strong>CT</strong>ERIAL AB S.PNEUMO 14 52.84 4/1/2013<br />

30200112 HC ANTIBODY; BARTONELLA 56.93 4/1/2013<br />

30200113 HC BORDATELLA AB,IGG,PT 74.00 4/1/2013<br />

30200114 HC BORDATELLA AB,IGA,PT 74.00 4/1/2013<br />

30200115 HC BORDATELLA AB,IGM,PT 74.00 4/1/2013<br />

30200116 HC BORDATELLA AB,IGG,FHA 74.00 4/1/2013<br />

30200117 HC BORDATELLA AB,IGA,FHA 74.00 4/1/2013<br />

30200118 HC BORDATELLA AB,IGM,FHA 74.00 4/1/2013<br />

30200121 HC LYME DISEASE AB, WESTERN BLOT 455.40 4/1/2013<br />

30200122 HC LYMES TITER SERUM 178.32 4/1/2013<br />

30200123 HC LYME C6 PEPTIDE 248.00 4/1/2013<br />

30200133 HC CYTOMEGALOVIRUS IGG 264.72 4/1/2013<br />

30200140 HC COXSACKI A AB, TYPE 02 54.30 4/1/2013<br />

30200141 HC COXSACKI A AB, TYPE 04 54.30 4/1/2013<br />

30200142 HC COXSACKI A AB, TYPE 07 54.30 4/1/2013<br />

30200143 HC COXSACKI A AB, TYPE 09 54.30 4/1/2013<br />

30200144 HC COXSACKI A AB, TYPE 10 54.30 4/1/2013<br />

30200145 HC COXSACKI A AB, TYPE 16 54.30 4/1/2013<br />

30200146 HC EPSTEIN BARR VCA IGM 141.78 4/1/2013<br />

30200147 HC EHRLICHIA CHAFFEENSIS ANTIBODY, IGG 177.00 4/1/2013<br />

30200148 HC SO A PHAGOCYTOPHILUM IGG 115.00 4/1/2013<br />

30200149 HC S.CEREVISAE (ASCA) IGG 111.00 4/1/2013<br />

30200150 HC ANTIBODY; HELICOBA<strong>CT</strong>ER PYLORI 150.66 4/1/2013<br />

30200151 HC STRONGYLOIDES ANTIBODY, IGG 256.00 4/1/2013<br />

30200155 HC HSVG1 - HC HERPES SIMPLEX,TYPE 1,IGG 62.43 4/1/2013<br />

30200156 HC HERPES SIMPLEX,TYPE 1 74.79 4/1/2013<br />

30200158 HC HSVG2 - HC HERPES SIMPLEX,TYPE 2,IGG 62.43 4/1/2013<br />

30200159 HC HERPES SIMPLEX,TYPE 2 74.79 4/1/2013<br />

30200160 HC LEGIONELLA,IGM 180.00 4/1/2013<br />

30200162 HC PARVOVIRUS B19 IGM AB 92.00 4/1/2013<br />

30200170 HC ANTIBODY; RICKETTSIA 251.00 4/1/2013<br />

30200172 HC ANTIBODY; TOXOPLASMA, IGG 151.94 4/1/2013<br />

30200173 HC TPPA(FTA) 39.00 4/1/2013<br />

30200174 HC TREPONEMA PALLIDUM IGG AB 169.49 4/1/2013<br />

30200185 HC ISOHEMAGGLUTININ TITER 74.53 4/1/2013<br />

30200186 HC HEPATITIS BE AG 171.00 4/1/2013<br />

30200189 HC VZV, SDF, PCR 616.00 4/1/2013<br />

30200191 HC ANTIBODY; EHRLICHIA 90.90 4/1/2013<br />

30200196 HC ANTIBODY, INFLUENZA TYPE B 203.00 4/1/2013<br />

30200198 HC CLOSTRIDIA DIFFICILE 203.84 4/1/2013<br />

30200210 HC WEST NILE VIRUS ANTIBODY IGM, CSF 91.00 4/1/2013<br />

30200215 HC PARVOVIRUS B19 IGG AB 92.00 4/1/2013<br />

30200220 HC INHIBIN A (AFP,QUAD MATERNAL SCREEN) 168.00 4/1/2013<br />

30200221 HC HISTAMINE REL 115.00 4/1/2013<br />

30200222 HC MICROSOMAL AB 115.00 4/1/2013<br />

30200237 HC FRANCISELLA TULAREMIA AB 160.50 4/1/2013<br />

30200243 HC MOL DIAG;MOL ISO & EXTRA<strong>CT</strong>,EA 68.00 4/1/2013<br />

30200246 HC COCCIDOIDES, TOTAL AB 149.50 4/1/2013<br />

30200248 HC CRYPTOSPORIDIUM AG, EIA 119.05 4/1/2013<br />

30200249 HC GIARDIA AG, EIA 119.05 4/1/2013<br />

30200250 HC IMMUNOFIXATION ELE<strong>CT</strong>ROPHORESIS SERUM 197.00 4/1/2013<br />

30500001 HC FA<strong>CT</strong>OR 8 (VIII) 267.00 4/1/2013<br />

30500003 HC VW FA<strong>CT</strong>OR A<strong>CT</strong> 219.30 4/1/2013<br />

30500006 HC ANTI-THROMBIN III 337.00 4/1/2013<br />

30500015 HC PLATELET, AGGREGATION (IN VITRO), EAC 160.00 4/1/2013<br />

30500018 HC THROMBIN TIME 203.30 4/1/2013<br />

30500027 HC INTERN NORMAL RATIO (INR) 50.00 4/1/2013<br />

30600003 HC SPEC CONC INFE<strong>CT</strong>IOUS AGENT TB 25.15 4/1/2013<br />

30600004 HC CONC,INFE<strong>CT</strong>IOUS AGENT - $30 32.00 4/1/2013<br />

30600007 HC STOOL CUL,ADD PATH,3 PLATES 44.25 4/1/2013<br />

30600008 HC CULTURE, BA<strong>CT</strong>, OTHER SOURCE 78.00 4/1/2013<br />

30600009 HC DEFINITIVE ID AEROBIC 42.00 4/1/2013<br />

30600011 HC CLOTEST FOR H PYLORI 42.00 4/1/2013<br />

30600012 HC CULTURE,PRESUMP,PATHOGEN SCRN 64.00 4/1/2013<br />

30600013 HC CULTURE,FUNGI 164.03 4/1/2013<br />

30600014 HC CULTURE,FUNGI,DERMATO 114.12 4/1/2013<br />

30600017 HC CULTURE,AFB 289.06 4/1/2013<br />

30600023 HC SUSCEPTIBILITY STUDIES, ANTIMICROBIAL - 1680002367 38.36 4/1/2013<br />

30600025 HC SMEAR, STAIN & INTERPRET 93.00 4/1/2013<br />

30600031 HC ROTAVIRUS AG,STOOL 216.00 4/1/2013<br />

30600034 HC ENTEROVIRUS RNA,QUAL PCR 553.73 4/1/2013<br />

30600037 HC PAPILLOMAVIRUS, HUMAN:AMP PROBE,LR 112.56 4/1/2013

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