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30000753 HC IMMUNOFLUOR VARICELLA ZOSTER ANTIGEN 58.00 4/1/2013 30000760 HC EIA QL GIARDIA ANTIGEN 141.00 4/1/2013 30000762 HC EIA QL H PYLORI ANTIGEN STOOL 285.00 4/1/2013 30000763 HC EIA QL HEP B SURFACE ANTIGEN (HBSAG) 105.00 4/1/2013 30000772 HC EIA QL MULTI SHIGELLA-LIKE TOXIN ANTIGEN 140.00 4/1/2013 30000773 HC EIA QL MULTI STREP GRP A ANTIGEN 86.00 4/1/2013 30000777 HC INFECTIOUS AGENT BY NUCLEI - 10109146 404.00 4/1/2013 30000778 HC NUCLEIC ACID PROBE DIR CANDIDA 125.19 4/1/2013 30000779 HC NUCLEIC ACID PROBE DIR CHLAMYDIA TRACH 137.00 4/1/2013 30000781 HC CLOSTRIDIUM DIFFICLE TOXIN B 145.00 4/1/2013 30000783 HC NUCLEIC ACID PROBE QNCMV) 658.80 4/1/2013 30000786 HC NUCLEIC ACID PROBE DIR GARDNERELLA 125.19 4/1/2013 30000788 HC NUCLEIC ACID PROBE QN HEP B 657.00 4/1/2013 30000789 HC NUCLEIC ACID PROBE AMPL HEP C 422.00 4/1/2013 30000792 HC NUCLEIC ACID PROBE AMPL HERPES SMPLX 616.00 4/1/2013 30000795 HC NUCLEIC ACID PROBE QN HERPES 6 466.00 4/1/2013 30000797 HC NUCLEIC ACID PROBE QN HIV-1 520.00 4/1/2013 30000801 HC AFB PROBE M TB 397.00 4/1/2013 30000804 HC NUCLEIC ACID PROBE DIR NEISSERIA GONORR 185.00 4/1/2013 30000809 HC NUCLEIC ACID PROBE QN TRICHOMONAS VAGIS 125.19 4/1/2013 30000820 HC IMMUNOASSAY OPTICAL ORGANISM 69.00 4/1/2013 30000822 HC NUCLEIC ACID GENOTYPE HEP C 1,045.00 4/1/2013 30000842 HC SEMEN ANLYS PRESENCE/MOTILITY 61.00 4/1/2013 30000848 HC LAB TRAVEL ONE WAY PER TRIP CHARGE 15.00 4/1/2013 30000850 HC VENIPUNCTURE 33.22 4/1/2013 30000851 HC CARDIAC RISK LIPIDS 162.80 4/1/2013 30000853 HC HEPATIC FUNCTION PANEL - LIVER 76.00 4/1/2013 30000882 HC LAMOTRIGINE - LAMOTRIGINE 207.00 4/1/2013 30000886 HC QUETIAPINE - QUETIAPINE 170.00 4/1/2013 30000914 HC ALDOSTERONE 327.00 4/1/2013 30000917 HC ALPHA-FETOPROTEIN (AFP); SERUMALPHA-F 136.00 4/1/2013 30000924 HC ARSENIC 262.00 4/1/2013 30000928 HC BETA-2 MICROGLOBULIN,SRM 257.00 4/1/2013 30000933 HC CATECHOLAMINE,URINE (SO) 305.00 4/1/2013 30000946 HC AMIODARONE - AMIODARONE 228.00 4/1/2013 30000947 HC CLOZAPONE & METABOLITS 151.00 4/1/2013 30000957 HC COPPER 24 HOUR URINE 140.00 4/1/2013 30000958 HC COPPER 181.00 4/1/2013 30000960 HC CORTISOL; FREE 203.00 4/1/2013 30000977 HC IMMUNOGLOBULIN A - IMMUNOGLOBULIN A 79.98 4/1/2013 30000978 HC IMMUNOGLOBULIN G - IMMUNOGLOBULIN G 79.98 4/1/2013 30000989 HC GLUCOSE-6-PHOSPHATE DEHYDROGENASE (G6 98.00 4/1/2013 30000992 HC HISTAMINE 409.00 4/1/2013 30000993 HC HISTAMINE, TIMED URINE 314.00 4/1/2013 30000994 HC HOMOCYSTEINE 210.00 4/1/2013 30000997 HC TISSUE TRANSGLUTAMINASE IGA ($103) 213.00 4/1/2013 30000998 HC TISSUE TRANSGLUTAMINASE IGA ($55) 213.00 4/1/2013 30001012 HC 21-HYDROXYLASE ANTIBODY - 21-HYDROXYL 165.00 4/1/2013 30001014 HC PTH PROTEIN SERUM 168.00 4/1/2013 30001015 HC IGF BINDING PROTEIN-3 231.00 4/1/2013 30001018 HC ACETYLCHOLINE REC BLOC AB 331.00 4/1/2013 30001019 HC GLUTAMIC ACID DECARBOXYLASE 285.00 4/1/2013 30001020 HC IGF-2 (INSULIN-LIKE GROWTH FACTOR 2) 375.00 4/1/2013 30001023 HC TBII (THYROTROPIN BINDING INHIBITORY 554.35 4/1/2013 30001032 HC TRYPTASE - TRYPTASE 147.00 4/1/2013 30001033 HC TUMOR NECROSIS FACTOR-ALPHA - TUMOR 290.00 4/1/2013 30001038 HC INTERLEUKIN 6 BY MAFD - INTERLEUKIN 6 426.00 4/1/2013 30001050 HC GROWTH HORMONE BINDING PROTEIN - GROW 103.00 4/1/2013 30001071 HC LEAD 120.00 4/1/2013 30001081 HC METANEPHRINES 24 HOUR URINE 276.00 4/1/2013 30001668 HC ORGANIC ACID, SINGLE, QUANTITATIVE 280.00 4/1/2013 30001673 HC OXALATE 151.00 4/1/2013 30001678 HC PKU TEST - INPT NEWBORN 121.90 4/1/2013 30001680 HC BODY FLUID TESTS 39.00 4/1/2013 30001693 HC T4,FREE,DIRECT DIALYSIS 153.00 4/1/2013 30001701 HC TRIIODOTHYRONINE T3; FREE 222.61 4/1/2013 30001703 HC ZINC 187.00 4/1/2013 30001709 HC VON WILLEBRAND MULTIMERIC ANALYSIS 444.00 4/1/2013 30001712 HC HYPERCOAGULABLE PANEL 570.00 4/1/2013 30001715 HC FIBRINOLYTIC FACTORS AND INHIBITORS; 317.00 4/1/2013 30001734 HC ANTIBODY IDENTIFICATION; PLATELET ANT 309.00 4/1/2013 30001740 HC BETA 2 GLYCO AB EA A 245.00 4/1/2013 30001741 HC BETA 2 BLYCO AB EA M 245.00 4/1/2013 30001742 HC BETA 2 GLYCO AB EA G 245.00 4/1/2013 30001743 HC ANTI CARDIOLIPIN AB IGA 197.00 4/1/2013 30001746 HC SO PHOSPHATIDYSERINE IGG 150.00 4/1/2013 30001747 HC SO PHOSPHATIDYSERINE IGM 150.00 4/1/2013 30001748 HC C1Q COMPLEMENT COMPONENT 159.00 4/1/2013 30001753 HC C1 INHIBITOR, FUNCTIONAL 182.00 4/1/2013 30001757 HC COMPLEMENT; TOTAL HEMOLYTIC (CH50) 205.00 4/1/2013 30001759 HC ANTI SM ANTIBODY 122.00 4/1/2013 30001760 HC ANTI JO 1 ANTIBODY 122.00 4/1/2013 30001761 HC ANTI RO (SS-A) ANTIBODY 122.00 4/1/2013 30001762 HC ANTI LA (SS-B) ANTIBODY 122.00 4/1/2013 30001763 HC ANTI SCL-70 ANTIBODY 122.00 4/1/2013 30001764 HC ANTI SM/RNP ANTIBODY 122.00 4/1/2013 30001766 HC RETICULIN ANTIBODIES 90.00 4/1/2013 30001767 HC NEUROMYELITIS OPTICA AUTOAB, IGG 699.00 4/1/2013 30001768 HC ADRENAL ANTIBODY SCREEN, RFLX TO TIT 105.00 4/1/2013 30001769 HC ANTI ENDOMYSIAL ANTIBODY 400.00 4/1/2013
30001771 HC CYSTIC FIBROSIS NEWBORN SCREEN 62.10 4/1/2013 30001786 HC CANCER ANTIGEN 27.29 186.58 4/1/2013 30001787 HC CHROMOGRANIN A 192.00 4/1/2013 30001798 HC ISLET CELL ANTIBODY (YH) 285.00 4/1/2013 30001804 HC MICROSOMAL ANTIBODIES 104.00 4/1/2013 30001812 HC SYPHILIS TEST, NON-TREPONEMAL ANTIBOD 37.00 4/1/2013 30001815 HC ASPERGILLUS FUMIGATUS AB 40.00 4/1/2013 30001823 HC LYMES TITER SPINAL FLUID 150.00 4/1/2013 30001827 HC ANTIBODY; CHLAMYDIA 34.16 4/1/2013 30001828 HC CHLAMYDIA PNEUMONIAE IGG 68.00 4/1/2013 30001829 HC CHLAMYDIA PNEUMONTAE IGA 68.00 4/1/2013 30001830 HC CHLAMYDIA PNEUMONIAE IGM 68.00 4/1/2013 30001832 HC ANTIBODY; COXIELLA BURNETII (Q FEVER) 39.00 4/1/2013 30001833 HC Q FEVER IGG PHASE II AB 39.00 4/1/2013 30001834 HC Q FEVER IGM PHASE I AB 39.00 4/1/2013 30001835 HC Q FEVER IGM PHASE II AB 39.00 4/1/2013 30001837 HC ECHOVIRUS ANITBODY 49.68 4/1/2013 30001838 HC COXSACKIE B VIRUS ANTIBODY 49.65 4/1/2013 30001840 HC EPSTEIN BARR VCA IGG 141.78 4/1/2013 30001845 HC H PYLORI IGA ANTIBODY 145.00 4/1/2013 30001846 HC H PYLORI AB IGM 145.00 4/1/2013 30001858 HC ANTI M. PNEUMONIA AB 88.00 4/1/2013 30001859 HC ANTIBODY; MYCOPLASMA 131.00 4/1/2013 30001860 HC ANTIBODY; PARVOVIRUS 259.00 4/1/2013 30001861 HC BABESIA ANTIBODY(IGG,IGM) 72.45 4/1/2013 30001865 HC RMSF AB SCREEN IGM (AR ONLY) 251.00 4/1/2013 30001871 HC RUBELLA ANTIBODY, IGG 40.29 4/1/2013 30001874 HC ANTIBODY; RUBEOLA 126.00 4/1/2013 30001877 HC ANTIBODY; TREPONEMA PALLIDUM 83.00 4/1/2013 30001878 HC ANTIBODY; VARICELLA-ZOSTER 126.00 4/1/2013 30001879 HC VARICELLA ANTIBODY IGM 142.00 4/1/2013 30001882 HC HTLV 1 & 2 AB 275.00 4/1/2013 30001915 HC HLA TYPING; A, B, OR C (EG, A10, B7, 202.00 4/1/2013 30001977 HC AG TYPING-ANTIGLOBULIN 20.90 4/1/2013 30002043 HC CULTURE, PRESUMPTIVE, PATHOGENIC ORGA 145.00 4/1/2013 30002056 HC CULTURE SCREEN ONLY 76.00 4/1/2013 30002081 HC CULTURE, FUNGI, DEFINITIVE IDENTIFICA 82.00 4/1/2013 30002097 HC CULTURE, FUNGI, DEFINITIVE IDENTIFICA 134.00 4/1/2013 30002129 HC ACID FAST BACILLUS STAIN 93.83 4/1/2013 30002140 HC VIRUS ISOLATION; TISSUE CULTURE INOCU 428.00 4/1/2013 30002149 HC INFECTIOUS AGENT ANTIGEN DETECTION BY 96.78 4/1/2013 30002150 HC INFECT AG ANTIGEN DETECT BY ENZ IMMUN 174.00 4/1/2013 30002159 HC PARVOVIRUS B19 PCR, AMNIOTIC FLUID - 363.00 4/1/2013 30002160 HC NOROVIRUS GENOGROUP 1 & 2 BY RT-PCR - 406.00 4/1/2013 30002163 HC BABESIA MICROTI PCR - BABESIA MICROTI 559.00 4/1/2013 30002166 HC JC VIRUS BY PCR, CSF - JC VIRUS BY PC 596.00 4/1/2013 30002182 HC INFECTIOUS AGENT GENOTYPE ANALYSIS BY 915.00 4/1/2013 30002191 HC CELL COUNT, MISCELLANEOUS BODY FLUIDS 93.00 4/1/2013 30002193 HC BODY FLUID CEL. CT. 93.00 4/1/2013 30002313 HC TAY-SACHS DNA MUTATION 0.01 4/1/2013 30002319 HC NEUTRALIZING AB 120.00 4/1/2013 30002320 HC VIRUS ISOLATION 220.00 4/1/2013 30002322 HC HEMOCHROMATOSIS PANEL 532.60 4/1/2013 30002324 HC FACTOR V LEIDEN MUT ANALYSIS 672.18 4/1/2013 30002325 HC SPINAL MUSCULAR ATROPHY CARRIER 1,026.27 4/1/2013 30002327 HC PROTHROMBIN GENE ANALYSIS 369.13 4/1/2013 30002329 HC CAH 21 HYDROXYLASE DEFICIENCY 602.80 4/1/2013 30002334 HC ALPHA GLOBIN COMMON MUT ANALYSIS 997.63 4/1/2013 30002335 HC MICROSATELLITE INSTABILITY (MSI) 573.70 4/1/2013 30002336 HC C-KIT MUT ANALYSIS CELL BASED 1,050.00 4/1/2013 30002337 HC KRAS CODON 12-13 434.64 4/1/2013 30002338 HC NRAS A 457.05 4/1/2013 30002339 HC C-KIT MUT ANALYSIS PLASMA BASED 1,173.00 4/1/2013 30002340 HC BRAF V600 508.52 4/1/2013 30002341 HC BCR/ABL GENE REARRANGE FISH 598.20 4/1/2013 30002342 HC JAK 2 MUT(V617F) QUANT PLASMA BASED 624.75 4/1/2013 30002343 HC FAM MEDITERRANEAN FEVER MUT ANALYSIS 705.00 4/1/2013 30002344 HC CYSTIC FIBROSIS SCREEN 684.25 4/1/2013 30002345 HC EPIDERMAL GROWTH FACT RECEPTOR 653.50 4/1/2013 30002347 HC HLA TYPING FOR CELIAC DISEASE 202.12 4/1/2013 30002351 HC HLA-B27 DNA TYPING 266.45 4/1/2013 30002355 HC CYTOCHROME P450 2C19 GENOTYPE 564.85 4/1/2013 30002357 HC CYTOCHROME P450 2D6 GENOTYPE 500.45 4/1/2013 30002360 HC FRAGILE X DNA, BLOOD 355.31 4/1/2013 30002366 HC 5,10 METHYLENETETRAHYDROFOLATE REDUCTASE 369.13 4/1/2013 30002385 HC HLA-B*5701 TYPING 497.81 4/1/2013 30002387 HC PLASMINOGEN ACTIVATOR INHIBITOR-1 4G/5G 307.98 4/1/2013 30002388 HC JAK-2 EXONS 12&13 QUAL, LEUMETA 631.70 4/1/2013 30002389 HC JAK2 V617F MUTATION QL RFL TO EXONS 12&13 600.00 4/1/2013 30099999 HC MISCELLANEOUS TEST 0.00 4/1/2013 30100001 HC MDVIP PHLEBOTOMY CHARGE 23.00 4/1/2013 30100004 HC SULFONYLUREA HYPOGLYCEMIC SCR (80101) 277.17 4/1/2013 30100009 HC UR.BENZODIAZEPINES CONF 285.00 4/1/2013 30100010 HC CLOBAZAM 170.00 4/1/2013 30100018 HC SALICYLATE, SERUM 100.00 4/1/2013 30100020 HC LEVETIRACETAM - LEVETIRACETAM 94.00 4/1/2013 30100021 HC MYCOPHENOLIC ACID - MYCOPHENOLIC ACI 271.00 4/1/2013 30100022 HC PREGABALIN - PREGABALIN 161.00 4/1/2013 30100033 HC FLUVOXAMINE, SER/PLASMA(LUVOX) 183.00 4/1/2013 30100043 HC RISPERIDONE 178.00 4/1/2013
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Page 3 and 4: 27200017 HC ELECTRODE TRANSVENOUS P
Page 5 and 6: 27800067 HC STAPLER SKIN ROYAL 35 2
Page 7: 30000464 HC ACTIVATED PROTEIN C RES
Page 11 and 12: 30100318 HC MOL DIA;SEP BY GEL E4,E
Page 13 and 14: 30600038 HC PAPILLOMAVIRUS, HUMAN:A
Page 15 and 16: 32000101 HC XR ANKLE 2 VIEWS 406.00
Page 17 and 18: 36000178 HC BX BREAST NDL PERC W/GU
Page 19 and 20: 40000043 HC US GUIDANCE INTRAOPERAT
Page 21 and 22: 61000039 HC MRI UPR EXTREM JT W/O C
Page 23 and 24: 98100016 HCPR REPAIR LAC SIMPLE SCA
Page 25 and 26: 27250001628 SUTURE SILK 6-0 S1769K
Page 27 and 28: 250000051465 CEFUROXIME SODIUM 750
Page 29 and 30: 270500013282 INDERMIL TISSUE ADHESI
Page 31 and 32: 272500012059 BLANKET WARMER BAIR HU
Page 33 and 34: 272500015138 BLADE DIEGO SERRATED 4
Page 35 and 36: 276500023575 LENSE SN60WF18.5 569.1
Page 37 and 38: 278500015237 CUP BIPOLAR 5001-53-28
Page 39 and 40: 278500232831 POLARIS STENT KIT 7FR
Page 41 and 42: 637000017753 TEMAZEPAM 15 MG CAPSUL
Page 43 and 44: 2500000433512 ESCITALOPRAM 10 MG TA
Page 45 and 46: 2705000126822 TUBE VACUUM AQUILEX H
Page 47 and 48: 6370000111218 PSYLLIUM ORAL PACKET
Page 49 and 50: 6370000129858 METOPROLOL SUCCINATE
Page 51 and 52: 25000005113667 SODIUM CHLORIDE 0.9

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