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Greenwich Hospital Price Master - CT.gov

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30001771 HC CYSTIC FIBROSIS NEWBORN SCREEN 62.10 4/1/2013<br />

30001786 HC CANCER ANTIGEN 27.29 186.58 4/1/2013<br />

30001787 HC CHROMOGRANIN A 192.00 4/1/2013<br />

30001798 HC ISLET CELL ANTIBODY (YH) 285.00 4/1/2013<br />

30001804 HC MICROSOMAL ANTIBODIES 104.00 4/1/2013<br />

30001812 HC SYPHILIS TEST, NON-TREPONEMAL ANTIBOD 37.00 4/1/2013<br />

30001815 HC ASPERGILLUS FUMIGATUS AB 40.00 4/1/2013<br />

30001823 HC LYMES TITER SPINAL FLUID 150.00 4/1/2013<br />

30001827 HC ANTIBODY; CHLAMYDIA 34.16 4/1/2013<br />

30001828 HC CHLAMYDIA PNEUMONIAE IGG 68.00 4/1/2013<br />

30001829 HC CHLAMYDIA PNEUMONTAE IGA 68.00 4/1/2013<br />

30001830 HC CHLAMYDIA PNEUMONIAE IGM 68.00 4/1/2013<br />

30001832 HC ANTIBODY; COXIELLA BURNETII (Q FEVER) 39.00 4/1/2013<br />

30001833 HC Q FEVER IGG PHASE II AB 39.00 4/1/2013<br />

30001834 HC Q FEVER IGM PHASE I AB 39.00 4/1/2013<br />

30001835 HC Q FEVER IGM PHASE II AB 39.00 4/1/2013<br />

30001837 HC ECHOVIRUS ANITBODY 49.68 4/1/2013<br />

30001838 HC COXSACKIE B VIRUS ANTIBODY 49.65 4/1/2013<br />

30001840 HC EPSTEIN BARR VCA IGG 141.78 4/1/2013<br />

30001845 HC H PYLORI IGA ANTIBODY 145.00 4/1/2013<br />

30001846 HC H PYLORI AB IGM 145.00 4/1/2013<br />

30001858 HC ANTI M. PNEUMONIA AB 88.00 4/1/2013<br />

30001859 HC ANTIBODY; MYCOPLASMA 131.00 4/1/2013<br />

30001860 HC ANTIBODY; PARVOVIRUS 259.00 4/1/2013<br />

30001861 HC BABESIA ANTIBODY(IGG,IGM) 72.45 4/1/2013<br />

30001865 HC RMSF AB SCREEN IGM (AR ONLY) 251.00 4/1/2013<br />

30001871 HC RUBELLA ANTIBODY, IGG 40.29 4/1/2013<br />

30001874 HC ANTIBODY; RUBEOLA 126.00 4/1/2013<br />

30001877 HC ANTIBODY; TREPONEMA PALLIDUM 83.00 4/1/2013<br />

30001878 HC ANTIBODY; VARICELLA-ZOSTER 126.00 4/1/2013<br />

30001879 HC VARICELLA ANTIBODY IGM 142.00 4/1/2013<br />

30001882 HC HTLV 1 & 2 AB 275.00 4/1/2013<br />

30001915 HC HLA TYPING; A, B, OR C (EG, A10, B7, 202.00 4/1/2013<br />

30001977 HC AG TYPING-ANTIGLOBULIN 20.90 4/1/2013<br />

30002043 HC CULTURE, PRESUMPTIVE, PATHOGENIC ORGA 145.00 4/1/2013<br />

30002056 HC CULTURE SCREEN ONLY 76.00 4/1/2013<br />

30002081 HC CULTURE, FUNGI, DEFINITIVE IDENTIFICA 82.00 4/1/2013<br />

30002097 HC CULTURE, FUNGI, DEFINITIVE IDENTIFICA 134.00 4/1/2013<br />

30002129 HC ACID FAST BACILLUS STAIN 93.83 4/1/2013<br />

30002140 HC VIRUS ISOLATION; TISSUE CULTURE INOCU 428.00 4/1/2013<br />

30002149 HC INFE<strong>CT</strong>IOUS AGENT ANTIGEN DETE<strong>CT</strong>ION BY 96.78 4/1/2013<br />

30002150 HC INFE<strong>CT</strong> AG ANTIGEN DETE<strong>CT</strong> BY ENZ IMMUN 174.00 4/1/2013<br />

30002159 HC PARVOVIRUS B19 PCR, AMNIOTIC FLUID - 363.00 4/1/2013<br />

30002160 HC NOROVIRUS GENOGROUP 1 & 2 BY RT-PCR - 406.00 4/1/2013<br />

30002163 HC BABESIA MICROTI PCR - BABESIA MICROTI 559.00 4/1/2013<br />

30002166 HC JC VIRUS BY PCR, CSF - JC VIRUS BY PC 596.00 4/1/2013<br />

30002182 HC INFE<strong>CT</strong>IOUS AGENT GENOTYPE ANALYSIS BY 915.00 4/1/2013<br />

30002191 HC CELL COUNT, MISCELLANEOUS BODY FLUIDS 93.00 4/1/2013<br />

30002193 HC BODY FLUID CEL. <strong>CT</strong>. 93.00 4/1/2013<br />

30002313 HC TAY-SACHS DNA MUTATION 0.01 4/1/2013<br />

30002319 HC NEUTRALIZING AB 120.00 4/1/2013<br />

30002320 HC VIRUS ISOLATION 220.00 4/1/2013<br />

30002322 HC HEMOCHROMATOSIS PANEL 532.60 4/1/2013<br />

30002324 HC FA<strong>CT</strong>OR V LEIDEN MUT ANALYSIS 672.18 4/1/2013<br />

30002325 HC SPINAL MUSCULAR ATROPHY CARRIER 1,026.27 4/1/2013<br />

30002327 HC PROTHROMBIN GENE ANALYSIS 369.13 4/1/2013<br />

30002329 HC CAH 21 HYDROXYLASE DEFICIENCY 602.80 4/1/2013<br />

30002334 HC ALPHA GLOBIN COMMON MUT ANALYSIS 997.63 4/1/2013<br />

30002335 HC MICROSATELLITE INSTABILITY (MSI) 573.70 4/1/2013<br />

30002336 HC C-KIT MUT ANALYSIS CELL BASED 1,050.00 4/1/2013<br />

30002337 HC KRAS CODON 12-13 434.64 4/1/2013<br />

30002338 HC NRAS A 457.05 4/1/2013<br />

30002339 HC C-KIT MUT ANALYSIS PLASMA BASED 1,173.00 4/1/2013<br />

30002340 HC BRAF V600 508.52 4/1/2013<br />

30002341 HC BCR/ABL GENE REARRANGE FISH 598.20 4/1/2013<br />

30002342 HC JAK 2 MUT(V617F) QUANT PLASMA BASED 624.75 4/1/2013<br />

30002343 HC FAM MEDITERRANEAN FEVER MUT ANALYSIS 705.00 4/1/2013<br />

30002344 HC CYSTIC FIBROSIS SCREEN 684.25 4/1/2013<br />

30002345 HC EPIDERMAL GROWTH FA<strong>CT</strong> RECEPTOR 653.50 4/1/2013<br />

30002347 HC HLA TYPING FOR CELIAC DISEASE 202.12 4/1/2013<br />

30002351 HC HLA-B27 DNA TYPING 266.45 4/1/2013<br />

30002355 HC CYTOCHROME P450 2C19 GENOTYPE 564.85 4/1/2013<br />

30002357 HC CYTOCHROME P450 2D6 GENOTYPE 500.45 4/1/2013<br />

30002360 HC FRAGILE X DNA, BLOOD 355.31 4/1/2013<br />

30002366 HC 5,10 METHYLENETETRAHYDROFOLATE REDU<strong>CT</strong>ASE 369.13 4/1/2013<br />

30002385 HC HLA-B*5701 TYPING 497.81 4/1/2013<br />

30002387 HC PLASMINOGEN A<strong>CT</strong>IVATOR INHIBITOR-1 4G/5G 307.98 4/1/2013<br />

30002388 HC JAK-2 EXONS 12&13 QUAL, LEUMETA 631.70 4/1/2013<br />

30002389 HC JAK2 V617F MUTATION QL RFL TO EXONS 12&13 600.00 4/1/2013<br />

30099999 HC MISCELLANEOUS TEST 0.00 4/1/2013<br />

30100001 HC MDVIP PHLEBOTOMY CHARGE 23.00 4/1/2013<br />

30100004 HC SULFONYLUREA HYPOGLYCEMIC SCR (80101) 277.17 4/1/2013<br />

30100009 HC UR.BENZODIAZEPINES CONF 285.00 4/1/2013<br />

30100010 HC CLOBAZAM 170.00 4/1/2013<br />

30100018 HC SALICYLATE, SERUM 100.00 4/1/2013<br />

30100020 HC LEVETIRACETAM - LEVETIRACETAM 94.00 4/1/2013<br />

30100021 HC MYCOPHENOLIC ACID - MYCOPHENOLIC ACI 271.00 4/1/2013<br />

30100022 HC PREGABALIN - PREGABALIN 161.00 4/1/2013<br />

30100033 HC FLUVOXAMINE, SER/PLASMA(LUVOX) 183.00 4/1/2013<br />

30100043 HC RISPERIDONE 178.00 4/1/2013

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