chrg# cdsc cdept csrv cupr crev# 3095 med/surg, semi ... - CT.gov
chrg# cdsc cdept csrv cupr crev# 3095 med/surg, semi ... - CT.gov chrg# cdsc cdept csrv cupr crev# 3095 med/surg, semi ... - CT.gov
2551281 ORT MITEK SUPER 278 0 531.5 3800 2551307 ORT PLATE HUMERAL I/R 278 0 873.85 3800 2551323 ORT QUICK STICK CMP SYN 270 0 169.95 3800 2551349 ORT REDI DRAPE 270 0 124.7 3800 2551364 ORT RUSH PIN 278 0 192.8 3800 2551380 ORT SAW BL HALL 138 270 0 110 3800 2551406 ORT SAW BL HALL 239 270 0 110 3800 2551463 ORT SAW BL MS-123 270 0 41.2 3800 2551489 ORT SAW BL MS-124 270 0 41.2 3800 2551505 ORT SAW BL MS-131 270 0 77.25 3800 2551521 ORT SAW BL MS-132 270 0 41.2 3800 2551547 ORT SAW BL STRY 105 270 0 114.65 3800 2551562 ORT SAW BL STRY 114 270 0 65.5 3800 2551588 ORT SAW BL STRY 115 270 0 114.65 3800 2551604 ORT SAW BL STRY 150 270 0 117.25 3800 2551620 ORT SAW BL STRY 175 270 0 84.94 3800 2551646 ORT SAW BL STRY 225 270 0 114.65 3800 2551661 ORT SAW BL STRY 325 270 0 138.45 3800 2551687 ORT SIDEWNDR DRL 3.2 270 0 236.4 3800 2551703 ORT SIDEWNDR DRL 4.3 270 0 236.4 3800 2551729 ORT SIDEWNDR DVICE 270 0 341.45 3800 2551745 ORT SPECIMEN SOCK* 270 0 0 3800 2551760 ORT STEIN PIN SM 1/8 278 0 41.2 3800 2551802 ORT STEIN PIN SM 3/32* 278 0 0 3800 2552040 ORT STOCK IMPERV 12"* 270 0 0 3800 2552065 ORT STOCK IMPERV 8"* 270 0 0 3800 2552081 ORT STOCK IMPERV 9"* 270 0 0 3800 2552107 ORT UNI WRIST SPLT RIGHT 270 0 0 3800 2552123 ORT WATER PIK 270 0 60 3800 2552149 ORT WATER PIK IM* 270 0 0 3800 2552156 ORT UNI WRIST SPLT LEFT 270 0 0 3800 2552164 ORT WATER PIK SHRT 270 0 51.3 3800 2552305 MITEK SUTURE GRASPER 60 270 0 430 3800 2552313 ORT SAW B1 PRECISION CARTRIDGE 270 0 300 3800 2552321 STAPLE LIN CUT 45 278 0 493.58 3800 2552339 ACL ENDOBUTTON CL ULTRA 278 0 454 3800 2552347 GYN ERS KIT 270 0 60.3 3800 2552354 ACL ENDO CANNULATED DRILL 4.5 270 0 234.86 3800 2552362 SINGLE PACEMAKER 275 0 7750 3800 2552370 DUAL PACEMAKER 275 0 9450 3800 2552388 LOOP MONITOR IMPLANT 278 0 7990 3800 2552396 PACEMAKER LEAD 275 0 1030 3800 2552412 URO STENT URET 4.8 X 24 278 0 308.16 3800 2552420 URO STENT URET 4.8 X 22 278 0 308.16 3800 2552438 URO GLIDE WIRE .035 270 0 87.74 3800 2552446 URO CYSTOSCOPIC INJ NEEDLE 5 FR 270 0 22.35 3800 2552453 TIER 1 DRILL 270 0 625 3800
2552461 TIER 1 INSERTS 278 0 6250 3800 2552479 TIER 1 NAILS/RODS 278 0 2500 3800 2552487 TIER 1 PLATES 278 0 2500 3800 2552495 TIER 1 SCREWS/ANCHORS 278 0 625 3800 2552503 TIER 1 SHELLS 278 0 6250 3800 2552511 TIER 1 STEMS 278 0 7500 3800 2552529 TIER 1 WIRES 278 0 375 3800 2552545 TIER 2 DRILL 270 0 400 3800 2552552 TIER 2 INSERTS 278 0 4000 3800 2552560 TIER 2 NAILS/RODS 278 0 1500 3800 2552578 TIER 2 PLATES 278 0 1500 3800 2552586 TIER 2 SCREWS/ANCHORS 278 0 400 3800 2552594 TIER 2 SHELLS 278 0 4000 3800 2552602 TIER 2 STEMS 278 0 4000 3800 2552610 TIER 2 WIRES 278 0 200 3800 2552628 TIER 3 DRILL 270 0 150 3800 2552636 TIER 3 INSERTS 278 0 1500 3800 2552644 TIER 3 NAILS/RODS 278 0 500 3800 2552651 TIER 3 PLATES 278 0 500 3800 2552669 TIER 3 SCREW/ANCHOR 278 0 150 3800 2552677 TIER 3 SHELL 278 0 1500 3800 2552685 TIER 3 STEMS 278 0 1000 3800 2552693 TIER 3 WIRES 278 0 75 3800 2552701 TIER 1 MISC ORTHO CONSUMABLE 270 0 2500 3800 2552719 TIER 2 MISC ORTHO CONSUMABLE 270 0 1500 3800 2552727 TIER 3 MISC ORTHO CONSUMABLE 270 0 500 3800 2552735 TIER 1 MISC OTHER CONSUMABLE 270 0 2500 3800 2552743 TIER 2 MISC OTHER CONSUMABLE 270 0 1500 3800 2552750 TIER 3 MISC OTHER CONSUMABLE 270 0 500 3800 2552751 TIER 4 MISC OTHER CONSUMABLE 270 0 250 3800 2552768 TIER 4 SCREWS/ANCHORS 278 0 50 3800 2552776 TIER 1 HEAD 278 0 3750 3800 2552784 TIER 2 HEADS 278 0 2000 3800 2552792 TIER 3 HEADS 278 0 750 3800 2552800 TIER 1 ALLOGRAFT 278 0 12500 3800 2552818 TIER 2 ALLOGRAFT 278 0 7000 3800 2552826 TIER 3 ALLOGRAFT 278 0 2000 3800 2552834 TIER 1 URETHRAL STENTS 278 0 12500 3800 2552842 ENT SPEAR TIP BLADE 270 0 15.79 3800 2552859 URO SLING MINIARC 278 0 2930 3800 2552867 HARMONIC SCALPEL DISSECTING HOOK 270 0 412 3800 2552875 HARMONIC HAND SWITCH ADAPTOR HSA08 270 0 110 3800 2552883 HARMONIC SCALPEL ACE 270 0 1002.6 3800 2552891 HARMONIC BLADE WRENCH TLB01 270 0 163.8 3800 2552909 SUPRALOOP 270 0 194.84 3800 2552925 ORT PEEK ANCHOR 3.5 278 0 480 3800 2552933 ORT PEEK ANCHOR 5.5 278 0 490 3800
- Page 1 and 2: CHRG# CDSC CDEPT CSRV CUPR CREV# 30
- Page 3 and 4: 411124 ITEL IV TX HYDRA ADD'L HOUR
- Page 5 and 6: 590034 ACU VISIT 999 0 0 3720 59004
- Page 7 and 8: 800730 EX MAL LES FACE EAR EYE NOSE
- Page 9 and 10: 1000629 IV TX HYDRA ADD'L HR 260 0
- Page 11 and 12: 1302629 RADIAL SHFT FX W/MAN 450 0
- Page 13 and 14: 1304088 RML FB EXT EYE/CONJL 450 0
- Page 15 and 16: 1400050 PC FACILITY FEE-MIN 456 0 1
- Page 17 and 18: 1403344 EPISTX ANT CMPLX PKG 456 0
- Page 19 and 20: 2201713 MIDLINE CATHETER 278 0 130
- Page 21 and 22: 2510360 ASNIS 6.5 THD G/WIRE 270 0
- Page 23 and 24: 2530244 GYN VAG PACKING* 270 0 0 38
- Page 25: 2550226 ORT CRV-TC CART MED 270 0 7
- Page 29 and 30: 2555191 BALLOON SINUPLASTY 270 0 23
- Page 31 and 32: 2571529 SYN SM PL LCDCP 05 H 278 0
- Page 33 and 34: 2581445 URO STONE BSKT SEG 4 270 0
- Page 35 and 36: 2902096 BONE MARROW BIOPSY 761 0 63
- Page 37 and 38: 3091105 ARANESP 200MG 1.4ML 636 0 0
- Page 39 and 40: 3300712 GLUCOSE STRIP SUBSEQ 300 0
- Page 41 and 42: 4100046 DIGOXIN 300 0 50.41 4010 41
- Page 43 and 44: 4101077 OSMOLALITY SERUM 300 0 29.2
- Page 45 and 46: 4102026 TIME & VOLUME URINE 300 0 1
- Page 47 and 48: 4300216 TISSUE HOMOGENOUS 300 0 35.
- Page 49 and 50: 4400123 ANTI TITER-ALBUMIN 300 0 24
- Page 51 and 52: 4600094 TESTOSTERONE T & F 300 0 28
- Page 53 and 54: 4601035 FLUPHENAZINE 300 0 145.02 4
- Page 55 and 56: 4601985 RETROVIRAL SEROLOGY 300 0 4
- Page 57 and 58: 4602967 HTLV I/II AB 300 0 100.75 4
- Page 59 and 60: 4604096 ORG ID AEROBIC UMASS 300 0
- Page 61 and 62: 4605101 ASPERGILLUS FUMIGAT. 300 0
- Page 63 and 64: 4606471 PARIETAL CELL AB 300 0 90.8
- Page 65 and 66: 4607453 IGG,SERUM (CSFI) 300 0 70.9
- Page 67 and 68: 4608477 IGG B2 GLYCOPROTEIN 300 0 1
- Page 69 and 70: 4609616 SACCHAROMYCES IGG AB 300 0
- Page 71 and 72: 4610648 PLASMINOGEN ACT INH1 300 0
- Page 73 and 74: 4611703 HYPERCOAG. NON-PREG 300 0 0
- Page 75 and 76: 4613063 TISSUE PREP 300 0 82.42 401
2551281 ORT MITEK SUPER 278 0 531.5 3800<br />
2551307 ORT PLATE HUMERAL I/R 278 0 873.85 3800<br />
2551323 ORT QUICK STICK CMP SYN 270 0 169.95 3800<br />
2551349 ORT REDI DRAPE 270 0 124.7 3800<br />
2551364 ORT RUSH PIN 278 0 192.8 3800<br />
2551380 ORT SAW BL HALL 138 270 0 110 3800<br />
2551406 ORT SAW BL HALL 239 270 0 110 3800<br />
2551463 ORT SAW BL MS-123 270 0 41.2 3800<br />
2551489 ORT SAW BL MS-124 270 0 41.2 3800<br />
2551505 ORT SAW BL MS-131 270 0 77.25 3800<br />
2551521 ORT SAW BL MS-132 270 0 41.2 3800<br />
2551547 ORT SAW BL STRY 105 270 0 114.65 3800<br />
2551562 ORT SAW BL STRY 114 270 0 65.5 3800<br />
2551588 ORT SAW BL STRY 115 270 0 114.65 3800<br />
2551604 ORT SAW BL STRY 150 270 0 117.25 3800<br />
2551620 ORT SAW BL STRY 175 270 0 84.94 3800<br />
2551646 ORT SAW BL STRY 225 270 0 114.65 3800<br />
2551661 ORT SAW BL STRY 325 270 0 138.45 3800<br />
2551687 ORT SIDEWNDR DRL 3.2 270 0 236.4 3800<br />
2551703 ORT SIDEWNDR DRL 4.3 270 0 236.4 3800<br />
2551729 ORT SIDEWNDR DVICE 270 0 341.45 3800<br />
2551745 ORT SPECIMEN SOCK* 270 0 0 3800<br />
2551760 ORT STEIN PIN SM 1/8 278 0 41.2 3800<br />
2551802 ORT STEIN PIN SM 3/32* 278 0 0 3800<br />
2552040 ORT STOCK IMPERV 12"* 270 0 0 3800<br />
2552065 ORT STOCK IMPERV 8"* 270 0 0 3800<br />
2552081 ORT STOCK IMPERV 9"* 270 0 0 3800<br />
2552107 ORT UNI WRIST SPLT RIGHT 270 0 0 3800<br />
2552123 ORT WATER PIK 270 0 60 3800<br />
2552149 ORT WATER PIK IM* 270 0 0 3800<br />
2552156 ORT UNI WRIST SPLT LEFT 270 0 0 3800<br />
2552164 ORT WATER PIK SHRT 270 0 51.3 3800<br />
2552305 MITEK SUTURE GRASPER 60 270 0 430 3800<br />
2552313 ORT SAW B1 PRECISION CARTRIDGE 270 0 300 3800<br />
2552321 STAPLE LIN CUT 45 278 0 493.58 3800<br />
2552339 ACL ENDOBUTTON CL ULTRA 278 0 454 3800<br />
2552347 GYN ERS KIT 270 0 60.3 3800<br />
2552354 ACL ENDO CANNULATED DRILL 4.5 270 0 234.86 3800<br />
2552362 SINGLE PACEMAKER 275 0 7750 3800<br />
2552370 DUAL PACEMAKER 275 0 9450 3800<br />
2552388 LOOP MONITOR IMPLANT 278 0 7990 3800<br />
2552396 PACEMAKER LEAD 275 0 1030 3800<br />
2552412 URO STENT URET 4.8 X 24 278 0 308.16 3800<br />
2552420 URO STENT URET 4.8 X 22 278 0 308.16 3800<br />
2552438 URO GLIDE WIRE .035 270 0 87.74 3800<br />
2552446 URO CYSTOSCOPIC INJ NEEDLE 5 FR 270 0 22.35 3800<br />
2552453 TIER 1 DRILL 270 0 625 3800
Change language