Greenwich Hospital Price Master - CT.gov
Greenwich Hospital Price Master - CT.gov
Greenwich Hospital Price Master - CT.gov
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34000075 HC NM INFLAM PROCESS LOCALIZE LTD 1,279.24 4/1/2013<br />
34000079 HC NM RADIOPHARMACEUTICAL THPY ORAL 1,588.00 4/1/2013<br />
34000118 HC NM HEPATOBILIARY SYSTEM IMG 1,874.00 4/1/2013<br />
34000124 HC GADOLINIUM VL 1ML 22.95 4/1/2013<br />
34000129 HC THYROID IMAGING W/BLOOD FLOW UPTAKE 1,468.45 4/1/2013<br />
34300003 HC NUC MED/DX RADIOPHARM 363.00 4/1/2013<br />
35000002 HC <strong>CT</strong> HEAD/BRAIN W/O CONTR 2,251.00 4/1/2013<br />
35000003 HC <strong>CT</strong> HEAD/BRAIN W/CONTR 2,873.00 4/1/2013<br />
35000004 HC <strong>CT</strong> HEAD/BRAIN W&W/O CONTR 3,200.00 4/1/2013<br />
35000005 HC <strong>CT</strong> ORBIT/SELLA/FOSSA/EAR W/O CONTR 1,953.00 4/1/2013<br />
35000006 HC <strong>CT</strong> ORBIT/SELLA/FOSSA/EAR W/CONTR 2,640.97 4/1/2013<br />
35000008 HC <strong>CT</strong> MAXILLOFACIAL W/O CONTR 2,333.00 4/1/2013<br />
35000011 HC <strong>CT</strong> NECK W/O CONTR 1,887.00 4/1/2013<br />
35000012 HC <strong>CT</strong> NECK W/CONTR 2,570.84 4/1/2013<br />
35000014 HC <strong>CT</strong>A HEAD W&W/O CONTR 3,337.00 4/1/2013<br />
35000015 HC <strong>CT</strong>A NECK W&W/O CONTR 3,543.00 4/1/2013<br />
35000016 HC <strong>CT</strong> THORAX W/O CONTR 1,901.39 4/1/2013<br />
35000017 HC <strong>CT</strong> THORAX W/CONTR 3,030.00 4/1/2013<br />
35000018 HC <strong>CT</strong> THORAX W&W/O CONTR 3,282.00 4/1/2013<br />
35000019 HC <strong>CT</strong>A CHEST (NONCOR) W&W/O CONTR 3,578.00 4/1/2013<br />
35000020 HC <strong>CT</strong> C-SPINE W/O CONTR 2,505.00 4/1/2013<br />
35000023 HC <strong>CT</strong> THOR SPINE W/O CONTR 2,505.00 4/1/2013<br />
35000026 HC <strong>CT</strong> LUMBAR SPINE W/O CONTR 2,505.00 4/1/2013<br />
35000030 HC <strong>CT</strong> PELVIS W/O CONTR 1,910.00 4/1/2013<br />
35000031 HC <strong>CT</strong> PELVIS W/CONTR 2,352.00 4/1/2013<br />
35000033 HC <strong>CT</strong> UPR EXTREM W/O CONTR 1,851.00 4/1/2013<br />
35000034 HC <strong>CT</strong> UPR EXTREM W/CONTR 2,032.00 4/1/2013<br />
35000037 HC <strong>CT</strong> LWR EXTREM W/O CONTR 2,281.00 4/1/2013<br />
35000040 HC <strong>CT</strong> ABD W/O CONTR 1,889.00 4/1/2013<br />
35000041 HC <strong>CT</strong> ABD W/CONTR 2,361.00 4/1/2013<br />
35000042 HC <strong>CT</strong> ABD W&W/O CONTR 2,730.00 4/1/2013<br />
35000043 HC <strong>CT</strong>A ABD W&W/O CONTR 2,720.00 4/1/2013<br />
35000044 HC <strong>CT</strong> ABD AND PELVIS W/O CONTR 4,527.00 4/1/2013<br />
35000045 HC <strong>CT</strong> ABD AND PELVIS W/ CONTR 5,462.00 4/1/2013<br />
35000046 HC <strong>CT</strong> ABD & PELVIS W&W/O CONTR 1+ REGIONS 6,160.74 4/1/2013<br />
35000051 HC <strong>CT</strong> HEA W/O CONTR EVAL COR CALCIUM 213.95 4/1/2013<br />
35000054 HC <strong>CT</strong>A H CORNRY A/BYPASS GRFTS CONTR 3D 886.87 4/1/2013<br />
35000055 HC <strong>CT</strong>A ABD AOA W/&W/O RUNOFF 3,373.71 4/1/2013<br />
35000058 HC <strong>CT</strong> GUIDED NDL PLACEMENT 2,325.00 4/1/2013<br />
35000060 HC <strong>CT</strong> GUIDED THPY PLACEMENT 1,032.00 4/1/2013<br />
35000061 HC <strong>CT</strong> ABD/PEL W/WO CONTRAST POST 3,199.00 4/1/2013<br />
36000002 HC ASP FINE NDL W/IMAG GUIDANCE 2,178.00 4/1/2013<br />
36000004 HC I&D ABSC SMPL 486.00 4/1/2013<br />
36000005 HC I&D ABSC CMPLX 424.47 4/1/2013<br />
36000006 HC I&D CYST PILONIDAL SMPL 291.00 4/1/2013<br />
36000008 HC INCISION/REM FOREIGN BODY SC SMPL 358.00 4/1/2013<br />
36000010 HC I&D HEMATOMA/SEROMA/FLUID 2,290.00 4/1/2013<br />
36000011 HC ASP ABSC/HEMATOMA/BULLA/CYST 272.64 4/1/2013<br />
36000018 HC DEBR/REM FB OPEN SKIN/SC/MSCL/BONE 1,049.00 4/1/2013<br />
36000019 HC DEBR SKIN/SC TISS 1ST 20 SQCM 686.00 4/1/2013<br />
36000020 HC DEBR SKIN/SC TISS/MSCL 1ST 20 SQCM 686.00 4/1/2013<br />
36000021 HC DEBR SKIN/SC TISS/MSCL/BONE
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