Greenwich Hospital Price Master - CT.gov
Greenwich Hospital Price Master - CT.gov
Greenwich Hospital Price Master - CT.gov
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40000043 HC US GUIDANCE INTRAOPERATIVE 802.00 4/1/2013<br />
40000050 HC PET W/<strong>CT</strong> TUMOR IMAG SKULL TO MID-THIGH 7,634.24 4/1/2013<br />
40000051 HC PET W/<strong>CT</strong> TUMOR IMAG WHOLE BODY 8,827.00 4/1/2013<br />
40000053 HC MAMMOGRAM SCRN W/DIGITAL IMAGES 463.00 4/1/2013<br />
40000054 HC MAMMOGRAM DIAG W/DIGITAL IMAGES 549.00 4/1/2013<br />
40000055 HC MAMMOGRAM DIAG UNI W/DIGITAL IMAGE 389.00 4/1/2013<br />
40200002 HC US PREGNANCY NUCHAL MEAS SNGL OR 1ST GES 743.06 4/1/2013<br />
40200003 HC US PREGNANCY NUCHAL MEAS EA ADDL GES 492.00 4/1/2013<br />
40200005 HC US EXTREM NON VASCULAR COMPL 2,073.45 4/1/2013<br />
40200006 HC US EXTREM NON VASCULAR LTD ANATOMIC SPEC 2,073.45 4/1/2013<br />
40200008 HC US HIPS INFANT LTD STATIC 2,132.00 4/1/2013<br />
41000001 HC VENT MANGMNT INPT/OBS INIT DAY 1,489.87 4/1/2013<br />
41000004 HC CPAP INITIATION/MGMT 1,508.11 4/1/2013<br />
41000005 HC CHEST PHYSIOTHPY INIT 214.00 4/1/2013<br />
41000006 HC CHEST PHYSIOTHPY SUBSEQ 61.00 4/1/2013<br />
41000007 HC PULSE OXIMETRY OVERNIGHT CONTINUOUS 890.00 4/1/2013<br />
41000008 HC PULM UNLISTED SVC/PROC 459.00 4/1/2013<br />
41000017 HC WEANING 185.00 4/1/2013<br />
41000018 HC EXTUBATION 978.62 4/1/2013<br />
41200001 HC VENTILATOR MGMT INPAT/OBS SUBSEQ DAY 1,393.00 4/1/2013<br />
41300002 HC HYPERBARIC O2 1,130.72 4/1/2013<br />
42000001 HC APPLICATION TENS 149.00 4/1/2013<br />
42000002 HC EVALUATION SPEECH CMPLX 563.00 4/1/2013<br />
42000003 HC PT TX SPEECH LTD 193.00 4/1/2013<br />
42000004 HC EVALUATION SWALLOWING CMPLX 383.00 4/1/2013<br />
42000005 HC FLURO EVAL SWALLOWING 703.74 4/1/2013<br />
42000012 HC EVALUATION 45 MIN 644.73 4/1/2013<br />
42000013 HC RE-EVALUATION 30 MIN 279.00 4/1/2013<br />
42000015 HC TRA<strong>CT</strong>ION MECHANICAL 135.00 4/1/2013<br />
42000016 HC ELE<strong>CT</strong>RICAL STIMULATION UNATTENDED 118.00 4/1/2013<br />
42000018 HC PARAFFIN BATH THPY 108.00 4/1/2013<br />
42000019 HC WHIRLPOOL 109.00 4/1/2013<br />
42000020 HC ELE<strong>CT</strong>RICAL STIMULATION ATTENDED 15 MIN 173.00 4/1/2013<br />
42000021 HC IONTOPHORESIS 15 MIN 158.00 4/1/2013<br />
42000022 HC CONTR BATH 15 MIN 114.60 4/1/2013<br />
42000023 HC ULTRASOUND 15 MIN 123.00 4/1/2013<br />
42000025 HC EXERCISE PROPH 15 MIN 181.95 4/1/2013<br />
42000026 HC NEUROMUSCULAR RE-ED 15 MIN 144.00 4/1/2013<br />
42000027 HC AQUATIC THPY/EXERCISE 15 MIN 169.00 4/1/2013<br />
42000028 HC GAIT TRN 15 MIN 153.38 4/1/2013<br />
42000029 HC MASSAGE 15 MIN 129.00 4/1/2013<br />
42000031 HC MANUAL THPY 15 MIN 181.95 4/1/2013<br />
42000033 HC PROPH A<strong>CT</strong> 15 MIN 190.14 4/1/2013<br />
42000035 HC SENSORY INTEGRATIVE TECHNIQUE 15 MIN 210.58 4/1/2013<br />
42000036 HC HOME INSTRU<strong>CT</strong>ION/PROGRAM 15 MIN 178.00 4/1/2013<br />
42000039 HC DEBR OPEN WOUND PER SESSION
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