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Greenwich Hospital Price Master - CT.gov

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30000207 HC GLUCOSE; QUANTITATIVE, BLOOD (EXCEPT 39.91 4/1/2013<br />

30000209 HC GLUCOSE 1 HR PP 33.00 4/1/2013<br />

30000213 HC GLUCOSE BY DEVICE 40.29 4/1/2013<br />

30000216 HC GGT/GGTP 65.38 4/1/2013<br />

30000219 HC GLYCATED PROTEIN (FRU<strong>CT</strong>OSAMINE) 73.00 4/1/2013<br />

30000220 HC FOLLICLE STIMULATING HORMONE (FSH) 199.34 4/1/2013<br />

30000221 HC LUTEINIZING HORMONE (LH) 149.53 4/1/2013<br />

30000227 HC HEMOGLOBIN FRA<strong>CT</strong>IONATION AND QUANTITA 174.46 4/1/2013<br />

30000230 HC HEMOGLOBIN GLYCOSYLATED (A1C) 84.21 4/1/2013<br />

30000248 HC PARAN - PQCC 321.00 4/1/2013<br />

30000250 HC INSULIN TOTAL 79.98 4/1/2013<br />

30000253 HC IRON BINDING CAPACITY 136.26 4/1/2013<br />

30000256 HC LA<strong>CT</strong>ATE/LA<strong>CT</strong>IC ACID 128.51 4/1/2013<br />

30000259 HC LA<strong>CT</strong>OFERRIN FECAL QL 257.00 4/1/2013<br />

30000262 HC FETAL LUNG MATURITY L/S 447.00 4/1/2013<br />

30000265 HC LIPASE 53.00 4/1/2013<br />

30000266 HC ASSAY OF LIPOPROTEIN A 207.00 4/1/2013<br />

30000268 HC LIPOPROTEIN BL HI RES FRA<strong>CT</strong>IONATION QN 131.00 4/1/2013<br />

30000269 HC LIPOPROTEIN BL BY NMR 116.31 4/1/2013<br />

30000270 HC CHOLESTEROL HDL 74.00 4/1/2013<br />

30000271 HC CHOLESTEROL LDL 67.21 4/1/2013<br />

30000273 HC MAGNESIUM 24 HOUR URINE 123.00 4/1/2013<br />

30000278 HC METANEPHRINES,FRAC,RANDOM,UR 276.00 4/1/2013<br />

30000279 HC METHADONE SERUM 285.00 4/1/2013<br />

30000284 HC MYELIN BASIC PROTEIN (CSF) 157.00 4/1/2013<br />

30000286 HC MYELOPEROXIDASE AB (MPO) 224.00 4/1/2013<br />

30000287 HC NATRIURETIC PEPTIDE 237.78 4/1/2013<br />

30000313 HC OLIGOCLONAL BANDS 151.00 4/1/2013<br />

30000318 HC OSMOLALITY BL 67.00 4/1/2013<br />

30000319 HC OSMOLALITY, FLUID 88.53 4/1/2013<br />

30000323 HC PARATHYROID HORMONE INTAC 288.92 4/1/2013<br />

30000324 HC PH BODY FLUID NOT OTHERWISE SPECIFIED 309.00 4/1/2013<br />

30000326 HC CALPROTE<strong>CT</strong>IN,STOOL 257.00 4/1/2013<br />

30000333 HC PHOSPHATIDYLGLYCEROL 398.00 4/1/2013<br />

30000336 HC PHOSPHORUS INORGANIC URINE 95.94 4/1/2013<br />

30000337 HC PORPHOBILINOGEN QL URINE 73.00 4/1/2013<br />

30000339 HC PORPHYRINS QN & FRA<strong>CT</strong>ION URINE 166.00 4/1/2013<br />

30000342 HC POTASSIUM URINE 62.93 4/1/2013<br />

30000343 HC PREALBUMIN 116.00 4/1/2013<br />

30000345 HC PREGNENOLONE 194.00 4/1/2013<br />

30000346 HC 17-HYDROXYPREGNENOLONE 176.00 4/1/2013<br />

30000347 HC PROGESTERONE - CLINICAL 151.73 4/1/2013<br />

30000348 HC PROLA<strong>CT</strong>IN - CHEMISTRY 197.25 4/1/2013<br />

30000349 HC PROSTAGLANDIN, EACH 611.00 4/1/2013<br />

30000351 HC PROSTATE SPECIFIC ANTIGEN (PSA) FREE 169.11 4/1/2013<br />

30000359 HC PROTIEN WESTERN BLOT 280.00 4/1/2013<br />

30000361 HC PROINSULIN 295.00 4/1/2013<br />

30000362 HC VITAMIN B-6 (PYRIDOXAL PHOSPHATE) 466.00 4/1/2013<br />

30000369 HC VITAMIN B-2 (RIBOFLAVIN) 289.00 4/1/2013<br />

30000370 HC SELENIUM 171.00 4/1/2013<br />

30000371 HC SEROTONIN 337.00 4/1/2013<br />

30000372 HC SEX HORMONE BINDING GLOBULIN (SHBG) 152.49 4/1/2013<br />

30000375 HC SODIUM URINE 62.93 4/1/2013<br />

30000376 HC SODIUM BODY FLUID 45.00 4/1/2013<br />

30000377 HC SOMATOMEDIN 375.00 4/1/2013<br />

30000384 HC SUGARS SNGL QN 101.00 4/1/2013<br />

30000386 HC TESTOSTERONE; FREE 346.00 4/1/2013<br />

30000388 HC VITAMIN B1 (THIAMINE) 199.31 4/1/2013<br />

30000391 HC THYROGLOBULIN 185.00 4/1/2013<br />

30000392 HC THYROXINE (T-4) TOTAL 57.62 4/1/2013<br />

30000396 HC THYROID STIMULAT IMMUNE GLOBULINS (TSI) 508.25 4/1/2013<br />

30000397 HC TOCOPHEROL ALPHA (VITAMIN E) 160.00 4/1/2013<br />

30000398 HC TRANSCOIN 140.00 4/1/2013<br />

30000401 HC TRANSFERRIN - IMMUNOLOGY 111.14 4/1/2013<br />

30000402 HC TRIGLYCERIDES 46.00 4/1/2013<br />

30000403 HC THYROID HORMONE (T3 OR T4) UPTAKE OR 72.00 4/1/2013<br />

30000406 HC TRIIODOTHYRONINE (T-3) REV 324.00 4/1/2013<br />

30000407 HC TROPONIN, QUANTITATIVE 135.00 4/1/2013<br />

30000409 HC UREA NITROGEN URINE 44.00 4/1/2013<br />

30000411 HC URIC ACID OTHER SRCE 61.03 4/1/2013<br />

30000415 HC VASOPRESSIN (ADH) 432.00 4/1/2013<br />

30000416 HC VITAMIN A 167.94 4/1/2013<br />

30000418 HC VITAMIN K 482.00 4/1/2013<br />

30000422 HC C-PEPTIDE 163.92 4/1/2013<br />

30000423 HC GONADOTROPIN, CHORIONIC (HCG); QUANTI 96.00 4/1/2013<br />

30000424 HC PARTICLE AGGLUTINATION SCRN CRYPTOCOCCUS 82.00 4/1/2013<br />

30000427 HC BL SMEAR W/MANUAL DIFF WBC 32.15 4/1/2013<br />

30000430 HC BL COUNT HEMATOCRIT (H<strong>CT</strong>) 35.47 4/1/2013<br />

30000431 HC BL COUNT HEMOGLOBIN (HGB) 35.47 4/1/2013<br />

30000432 HC BL COUNT CBC AUTO W/AUTO DIFF 56.50 4/1/2013<br />

30000433 HC BLOOD COUNT, CBC WITHOUT DIFF 56.50 4/1/2013<br />

30000437 HC BL COUNT RETICULOCYTE AUTO 35.23 4/1/2013<br />

30000439 HC BL COUNT LEUKOCYTE (WBC) AUTO 44.00 4/1/2013<br />

30000440 HC BL COUNT PLATELET AUTO 28.84 4/1/2013<br />

30000449 HC CLOTTING; FA<strong>CT</strong>OR VIII, VW FA<strong>CT</strong>OR, RIS 246.00 4/1/2013<br />

30000450 HC VON WILLEBRAND ANTIGEN 337.00 4/1/2013<br />

30000453 HC FA<strong>CT</strong>OR X (STUA-PROWER) 207.00 4/1/2013<br />

30000456 HC FA<strong>CT</strong>OR XIII (FIBRIN STABLIZING) 207.00 4/1/2013<br />

30000460 HC PROTEIN C ANTIGEN 317.00 4/1/2013<br />

30000461 HC PROTEIN C A<strong>CT</strong> 273.00 4/1/2013

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