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
G0206 RT 9.476 A A 42129990 42129990 G0202 12.978 A A 42129990 42129990 70110 5.85 A A 42129990 42129990 70100 3.502 A A 42129990 42129990 70130 6.221 A A 42129990 42129990 70120 4.12 A A 42129990 42129990 77074 10.465 A A 42129990 42129990 70160 3.502 A A 42129990 42129990 73130 LT 2.348 A A 42129990 42129990 73130 RT 2.348 A A 42129990 42129990 76010 5.85 A A 42129990 42129990 70200 5.85 A A 42129990 42129990 70030 3.502 A A 42129990 42129990 70210 2.348 A A 42129990 42129990 72170 3.502 A A 42129990 42129990 71111 6.18 A A 42129990 42129990 71101 LT 4.656 A A 42129990 42129990 71101 RT 4.656 A A 42129990 42129990 72220 3.502 A A 42129990 42129990 72202 5.85 A A 42129990 42129990 73010 LT 3.502 A A 42129990 42129990 73010 RT 3.502 A A 42129990 42129990 73030 LT 4.079 A A 42129990 42129990 73030 RT 4.079 A A 42129990 42129990 73030 LT 4.079 A A 42129990 42129990 73030 RT 4.079 A A 42129990 42129990 73020 LT 2.348 A A 42129990 42129990 73020 RT 2.348 A A 42129990 42129990 G0206 LT 0 A A 42129990 42129990 G0206 RT 0 A A 42129990 42129990 G0204 0 A A 42129990 42129990 G0202 52 0 A A 42129990 42129990 G0202 52 0 A A 42129990 42129990 G0202 0 A A 42129990 42129990 74000 3.502 A A 42139990 42139990 74020 4.779 A A 42139990 42139990 74020 4.779 A A 42139990 42139990 74020 4.779 A A 42139990 42139990 74020 4.779 A A 42139990 42139990 73050 4.656 A A 42139990 42139990 73610 LT 2.925 A A 42139990 42139990 73610 RT 2.925 A A 42139990 42139990 73610 50 3.502 A A 42139990 42139990 72050 3.543 A A 42139990 42139990 72052 5.356 A A 42139990 42139990 72020 2.802 A A 42139990 42139990 72040 2.884 A A 42139990 42139990
72040 2.884 A A 42139990 42139990 72050 5.356 A A 42139990 42139990 71020 3.79 A A 42139990 42139990 71010 3.543 A A 42139990 42139990 71035 3.79 A A 42139990 42139990 71035 5.686 A A 42139990 42139990 71035 3.79 A A 42139990 42139990 71021 5.686 A A 42139990 42139990 71022 6.18 A A 42139990 42139990 71020 3.79 A A 42139990 42139990 71030 6.18 A A 42139990 42139990 73000 LT 2.348 A A 42139990 42139990 73000 RT 2.348 A A 42139990 42139990 72072 3.502 A A 42139990 42139990 72070 2.966 A A 42139990 42139990 73080 3.502 A A 42139990 42139990 73080 RT 3.502 A A 42139990 42139990 73070 LT 2.348 A A 42139990 42139990 73070 RT 2.348 A A 42139990 42139990 72010 10.465 A A 42139990 42139990 70150 5.85 A A 42139990 42139990 70140 3.502 A A 42139990 42139990 73550 50 4.202 A A 42139990 42139990 73550 3.502 A A 42139990 42139990 73030 50 4.903 A A 42139990 42139990 73030 50 4.903 A A 42139990 42139990 72200 3.502 A A 42139990 42139990 70220 5.768 A A 42139990 42139990 77075 2.802 A A 42139990 42139990 70260 5.768 A A 42139990 42139990 70250 3.502 A A 42139990 42139990 70360 3.502 A A 42139990 42139990 71130 4.656 A A 42139990 42139990 71120 4.656 A A 42139990 42139990 70330 5.85 A A 42139990 42139990 70328 3.502 A A 42139990 42139990 73660 LT 2.348 A A 42139990 42139990 73660 RT 2.348 A A 42139990 42139990 73092 LT 3.049 A A 42139990 42139990 73092 RT 3.049 A A 42139990 42139990 73110 LT 2.925 A A 42139990 42139990 73110 RT 2.925 A A 42139990 42139990 73100 LT 2.348 A A 42139990 42139990 73100 RT 2.348 A A 42139990 42139990 73110 50 4.244 A A 42139990 42139990 73550 RT 3.502 A A 42139990 42139990 73140 LT 2.348 A A 42139990 42139990
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G0206 RT 9.476 A A 42129990 42129990<br />
G0202 12.978 A A 42129990 42129990<br />
70110 5.85 A A 42129990 42129990<br />
70100 3.502 A A 42129990 42129990<br />
70130 6.221 A A 42129990 42129990<br />
70120 4.12 A A 42129990 42129990<br />
77074 10.465 A A 42129990 42129990<br />
70160 3.502 A A 42129990 42129990<br />
73130 LT 2.348 A A 42129990 42129990<br />
73130 RT 2.348 A A 42129990 42129990<br />
76010 5.85 A A 42129990 42129990<br />
70200 5.85 A A 42129990 42129990<br />
70030 3.502 A A 42129990 42129990<br />
70210 2.348 A A 42129990 42129990<br />
72170 3.502 A A 42129990 42129990<br />
71111 6.18 A A 42129990 42129990<br />
71101 LT 4.656 A A 42129990 42129990<br />
71101 RT 4.656 A A 42129990 42129990<br />
72220 3.502 A A 42129990 42129990<br />
72202 5.85 A A 42129990 42129990<br />
73010 LT 3.502 A A 42129990 42129990<br />
73010 RT 3.502 A A 42129990 42129990<br />
73030 LT 4.079 A A 42129990 42129990<br />
73030 RT 4.079 A A 42129990 42129990<br />
73030 LT 4.079 A A 42129990 42129990<br />
73030 RT 4.079 A A 42129990 42129990<br />
73020 LT 2.348 A A 42129990 42129990<br />
73020 RT 2.348 A A 42129990 42129990<br />
G0206 LT 0 A A 42129990 42129990<br />
G0206 RT 0 A A 42129990 42129990<br />
G0204 0 A A 42129990 42129990<br />
G0202 52 0 A A 42129990 42129990<br />
G0202 52 0 A A 42129990 42129990<br />
G0202 0 A A 42129990 42129990<br />
74000 3.502 A A 42139990 42139990<br />
74020 4.779 A A 42139990 42139990<br />
74020 4.779 A A 42139990 42139990<br />
74020 4.779 A A 42139990 42139990<br />
74020 4.779 A A 42139990 42139990<br />
73050 4.656 A A 42139990 42139990<br />
73610 LT 2.925 A A 42139990 42139990<br />
73610 RT 2.925 A A 42139990 42139990<br />
73610 50 3.502 A A 42139990 42139990<br />
72050 3.543 A A 42139990 42139990<br />
72052 5.356 A A 42139990 42139990<br />
72020 2.802 A A 42139990 42139990<br />
72040 2.884 A A 42139990 42139990
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