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
0 45088886 D D 42709990 42709990 77084 12.422 45101029 D D 42709990 42709990 75562 12.422 45101151 D D 42709990 42709990 73721 RT 0 D D 42709990 42709990 A9579 2.637 45201251 D D 42709990 42709990 A9579 3.533 45201252 D D 42709990 42709990 Q9952 5.294 45201253 D D 42709990 42709990 A9579 7.056 45201254 D D 42709990 42709990 C8933 12.422 45301037 D D 42709990 42709990 70548 15.079 45301058 D D 42709990 42709990 74185 0 45301064 D D 42709990 42709990 70482 9.219 46000535 D D 42609990 42609990 73702 LT 7.931 46000346 D D 42609990 42609990 73702 RT 7.931 46000347 D D 42609990 42609990 70481 7.365 46000428 D D 42609990 42609990 70482 9.219 46000436 D D 42609990 42609990 70480 7.076 46000410 D D 42609990 42609990 74170 9.847 46000501 D D 42609990 42609990 74160 7.931 46000618 D D 42609990 42609990 74150 6.798 46000220 D D 42609990 42609990 72194 10.187 46000469 D D 42609990 42609990 72133 10.187 46000493 D D 42609990 42609990 73202 RT 7.931 46000521 D D 42609990 42609990 76377 2.287 46000970 D D 42609990 42609990 75635 10.115 46000620 D D 42609990 42609990 77012 9.62 46000279 D D 42609990 42609990 73222 LT 0 D D 42739990 42739990 73222 RT 0 D D 42739990 42739990 J2792 0 37000111 D D 43009990 43009990 J3490 0 37000137 D A 43009990 43009990 J3490 0 37000198 D D 43009990 43009990 J3490 0 37000210 D D 43009990 43009990 J0760 0 37000328 D D 43009990 43009990 J0800 0 37000334 D D 43009990 43009990 J3490 0 37000404 D D 43009990 43009990 J1364 0 37000487 D D 43009990 43009990 J3490 0 37000496 D D 43009990 43009990 J3490 0 37000529 D D 43009990 43009990 J3490 0 37000537 D D 43009990 43009990 J1815 0 37000666 D D 43009990 43009990 J1815 0 37000669 D D 43009990 43009990 J3490 0 37000708 D D 43009990 43009990 J2792 0 37000732 D D 43009990 43009990 J3490 0 37000839 D D 43009990 43009990 J3490 0 37000840 D D 43009990 43009990 J3490 0 37000843 D D 43009990 43009990 J3490 0 37000896 D D 43009990 43009990
J3490 0 37001142 D D 43009990 43009990 J3490 0 37001266 D D 43009990 43009990 J2810 0 37001292 D D 43009990 43009990 J3490 0 37001364 D D 43009990 43009990 J3490 0 37001366 D D 43009990 43009990 J3490 0 37001487 D D 43009990 43009990 J3490 0 37001998 D D 43009990 43009990 J2354 0 37002188 D D 43009990 43009990 J2543 0 37002260 D D 43009990 43009990 J3490 0 37002499 D D 43009990 43009990 J3490 0 37002558 D D 43009990 43009990 J3490 0 37002612 D D 43009990 43009990 J3490 0 37002643 D D 43009990 43009990 J3490 0 37003592 D D 43009990 43009990 J3490 0 37003965 D D 43009990 43009990 J3490 0 37003972 D D 43009990 43009990 0 37003982 D D 43009990 43009990 J3490 0 37005521 D D 43009990 43009990 J3490 0 37005555 D D 43009990 43009990 J3490 0 37009009 D D 43009990 43009990 J3490 0 D D 43009990 43009990 J3490 0 D D 43009990 43009990 J0640 0 D D 43009990 43009990 J3490 0 D D 43009990 43009990 C9239 0 D D 43009990 43009990 J3490 0 D D 43009990 43009990 J3490 0 D D 43009990 43009990 G9142 0 D D 43009990 43009990 J3490 0 D D 43009990 43009990 J3490 0 D D 43009990 43009990 J0690 0 D D 43009990 43009990 J0692 0 D D 43009990 43009990 J0692 0 D D 43009990 43009990 J9033 0 D D 43009990 43009990 J3490 0 37404131 D D 43009990 43009990 J3490 0 D D 43009990 43009990 G0332 0 37500010 D D 43009990 43009990 0 38000007 D D 43109990 43109990 J3490 0 38000010 D D 43109990 43109990 0 38000010 D D 43109990 43109990 J3490 0 38000053 D D 43109990 43109990 J3490 0 38000053 D D 43109990 43109990 J3490 0 38000053 D D 43109990 43109990 J3490 0 38000053 D D 43109990 43109990 J7120 0 38000063 D D 43109990 43109990 J7120 0 38000063 D D 43109990 43109990 0 38000076 D D 43109990 43109990
- Page 415 and 416: G9171 GN 0 A A 43719990 43719990 G9
- Page 417 and 418: G8984 GP 0 A A 43719990 43719990 G8
- Page 419 and 420: G8986 GO 0 A A 43719990 43719990 G8
- Page 421 and 422: 0 A A 51705010 51705220 0 A A 52105
- Page 423 and 424: 0 A A 52105010 52105220 0 A A 52105
- Page 425 and 426: 0 A A 52505010 52505220 0 A A 52505
- Page 427 and 428: 0 A A 12001300 98809400 0 A A 98809
- Page 429 and 430: 0 A A 10151000 10001000 0 A A 10061
- Page 431 and 432: 0 A A 56205620 10001000 0 A A 56305
- Page 433 and 434: 0 A A 70107960 10001000 0 A A 71307
- Page 435 and 436: 0 A A 83107960 10001000 0 A A 83207
- Page 437 and 438: 0 A A 12101300 12101300 0 A A 10001
- Page 439 and 440: 0 A A 10001000 10001000 0 A A 10001
- Page 441 and 442: 0 A A 10001000 10001000 0 A A 10001
- Page 443 and 444: 0 A A 10001000 10001000 0 A A 10001
- Page 445 and 446: 0 D D 43209990 43209990 0 D D 43209
- Page 447 and 448: 27200 0 26600325 D D 37809990 37809
- Page 449 and 450: 12054 0 26700112 D D 37809990 37809
- Page 451 and 452: 32422 0 26700495 D D 37809990 37809
- Page 453 and 454: 0 27300121 D D 37219990 37219990 0
- Page 455 and 456: 0 27500066 D D 38009990 38009990 0
- Page 457 and 458: J9395 0 28100074 D D 42909990 42909
- Page 459 and 460: 83912 36.05 31610152 D D 40109990 4
- Page 461 and 462: 83912 142.14 31611065 D D 40109990
- Page 463 and 464: 83890 0 D D 40109990 40109990 83890
- Page 465: 78452 39.181 35091172 D D 42409990
- Page 469 and 470: 97010 15 41200107 D D 43709990 4370
- Page 471 and 472: L3835 90 41300011 D D 43709990 4370
- Page 473 and 474: L0210 90 41000090 D D 43709990 4370
- Page 475 and 476: L3860 90 48200015 D D 43909990 4390
- Page 477 and 478: 90847 0 D D 44709990 44709990 90849
- Page 479 and 480: 0 D D 10001000 10001000 0 D D 10001
- Page 481 and 482: 0 I I 38009990 38009990 51180 0 I I
- Page 483 and 484: CBDSC MTDQTY YTDQTY MED/SURG, SEMI-
- Page 485 and 486: ITEL IV TX HYDRA ADD'L 224 HR 224 I
- Page 487 and 488: ACU VISIT 5 5 ENDO DUAL VISIT 0 0 S
- Page 489 and 490: EX MAL LES FACE 4.0 0 CM 0 DEBRIDE
- Page 491 and 492: IV TX HYDRA ADD'L HR0 0 VACCINE INJ
- Page 493: RADIAL SHFT FX W/MAN 0 0 FX CARE W/
- Page 496 and 497: SHAVING SKIN LESION 0
- Page 498 and 499: CMPLX SC EXTS EA ADD 0 0 CMPLX FACE
- Page 500 and 501: SUTURE REMOVAL-DKH 0 0 REMOVAL FB U
- Page 502 and 503: ART FASTFIX KNT PSHR2 2 ART FASTFIX
- Page 504 and 505: LAP UNIV TROCAR SLVE 14 5MM 14 ART
- Page 506 and 507: MIS DRAIN BAKER JEJUN 0 0 MIS DRAIN
- Page 508 and 509: ORT MITEK SUPER 0 0 ORT PLATE HUMER
- Page 510 and 511: TKA X3 TRIATHLON CS 0 INS 0 TOPAZ W
- Page 512 and 513: STAPLE PURSESTRING0 0 STAPLE PURSTR
- Page 514 and 515: URO CATH SILIC 22/3WAY* 0 0 URO CAT
J3490 0 37001142 D D 43009990 43009990<br />
J3490 0 37001266 D D 43009990 43009990<br />
J2810 0 37001292 D D 43009990 43009990<br />
J3490 0 37001364 D D 43009990 43009990<br />
J3490 0 37001366 D D 43009990 43009990<br />
J3490 0 37001487 D D 43009990 43009990<br />
J3490 0 37001998 D D 43009990 43009990<br />
J2354 0 37002188 D D 43009990 43009990<br />
J2543 0 37002260 D D 43009990 43009990<br />
J3490 0 37002499 D D 43009990 43009990<br />
J3490 0 37002558 D D 43009990 43009990<br />
J3490 0 37002612 D D 43009990 43009990<br />
J3490 0 37002643 D D 43009990 43009990<br />
J3490 0 37003592 D D 43009990 43009990<br />
J3490 0 37003965 D D 43009990 43009990<br />
J3490 0 37003972 D D 43009990 43009990<br />
0 37003982 D D 43009990 43009990<br />
J3490 0 37005521 D D 43009990 43009990<br />
J3490 0 37005555 D D 43009990 43009990<br />
J3490 0 37009009 D D 43009990 43009990<br />
J3490 0 D D 43009990 43009990<br />
J3490 0 D D 43009990 43009990<br />
J0640 0 D D 43009990 43009990<br />
J3490 0 D D 43009990 43009990<br />
C9239 0 D D 43009990 43009990<br />
J3490 0 D D 43009990 43009990<br />
J3490 0 D D 43009990 43009990<br />
G9142 0 D D 43009990 43009990<br />
J3490 0 D D 43009990 43009990<br />
J3490 0 D D 43009990 43009990<br />
J0690 0 D D 43009990 43009990<br />
J0692 0 D D 43009990 43009990<br />
J0692 0 D D 43009990 43009990<br />
J9033 0 D D 43009990 43009990<br />
J3490 0 37404131 D D 43009990 43009990<br />
J3490 0 D D 43009990 43009990<br />
G0332 0 37500010 D D 43009990 43009990<br />
0 38000007 D D 43109990 43109990<br />
J3490 0 38000010 D D 43109990 43109990<br />
0 38000010 D D 43109990 43109990<br />
J3490 0 38000053 D D 43109990 43109990<br />
J3490 0 38000053 D D 43109990 43109990<br />
J3490 0 38000053 D D 43109990 43109990<br />
J3490 0 38000053 D D 43109990 43109990<br />
J7120 0 38000063 D D 43109990 43109990<br />
J7120 0 38000063 D D 43109990 43109990<br />
0 38000076 D D 43109990 43109990