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
4300760 WOUND CULTURE 300 0 44.8 4010 4300778 BLOOD CULTURE #3 300 0 284.7 4010 4300786 SENSITIVITY,MIC 300 0 30.71 4010 4300794 KB SUSCEPTIBILITY 300 0 24.12 4010 4300802 SINGLE KB SENSITIVIT 300 0 28.21 4010 4300810 E-TEST SENSITIVITY 300 0 45.23 4010 4300828 BLOOD CULTURE #2 300 0 190.84 4010 4300836 TB CULTURE W/SMEAR 300 0 167.12 4010 4300844 RESP.SYNCYTIAL VIRUS 300 0 49.74 4010 4300851 AEROBIC ISOLATE ID 300 0 82.42 4010 4300869 PARASITE/ISOLATE ID 300 0 41.99 4010 4300877 CATH TIP CULTURE 300 0 28.77 4010 4300885 GASTRIC ASP CULTURE 300 0 57.98 4010 4300893 EYE CULTURE 300 0 39.45 4010 4300901 EAR CULTURE 300 0 39.45 4010 4300919 TRICHROME STAIN 310 0 58.35 4010 4300927 MISC. CULTURE 300 0 90.81 4010 4300935 ENVIRONMENTAL-OTHER 300 0 24.44 4010 4300943 THROAT CULTURE 300 0 34.51 4010 4300950 ANTHRAX CULTURE 300 0 62.6 4010 4300968 PINWORM PREP 300 0 17.26 4010 4300976 TICK ID DKH 300 0 39.72 4010 4300984 C.DIFFICILE TOXIN 300 0 76.44 4010 4300992 VARICELLA ZOSTER IMM 300 0 97.7 4010 4301008 CRYPTOSPORIDIA AG 300 0 51.44 4010 4301016 GIARDIA AG 300 0 51.81 4010 4301024 BRONCHIAL BRUSH, QUANT 300 0 57.27 4010 4301032 CHROM. FOR MRSA 300 0 23.84 4010 4301040 SHIGA TOXIN, STOOL 300 0 96.99 4010 4301057 YERSINIA CULTURE 300 0 17.01 4010 4302014 INFLUENZA B 306 0 34.48 4010 4302022 GROUP B STREP SCREEN, WITH SENSITI 300 0 43.5 4010 4302030 CULTURE,TYP; IMMUNOLOGIC 300 0 27.08 4010 4302048 COAGULASE TEST 300 0 30.55 4010 4302055 C DIFF TOXIN B 300 0 190.4 4010 4302063 NAP1 300 0 190.4 4010 4400016 TYPE & CROSS,1 UNIT 391 0 88.53 4010 4400024 RH 300 0 14.18 4010 4400032 BLOOD TYPING ABO 300 0 16.49 4010 4400040 TYPE CHECK 300 0 16.49 4010 4400057 RH CHECK 300 0 14.18 4010 4400065 TYPE & CROSS 4 UNITS 391 0 180.12 4010 4400073 TYPE & CROSS 3 UNITS 391 0 148.07 4010 4400081 TYPE & CROSS 2 UNITS 391 0 117.52 4010 4400099 SPEC ANTIGEN TYPING 300 0 25.16 4010 4400107 CORD BLOOD TYPING 300 0 47.67 4010 4400115 ANTI HU GLOB TITER 300 0 24.68 4010
4400123 ANTI TITER-ALBUMIN 300 0 24.68 4010 4400131 ANTI TITER-SALINE 300 0 24.68 4010 4400156 CROSSMATCH, AHG 300 0 35.1 4010 4400164 XM W/O TS 300 0 0 4010 4400172 4 UNIT COMPATIBILITY 300 0 0 4010 4400180 3 UNIT COMPATIBILITY 300 0 0 4010 4400198 2 UNIT COMPATIBILITY 300 0 0 4010 4400206 1 UNIT COMPATIBILITY 300 0 0 4010 4400214 2 UNIT COMPATIBILITY 300 0 0 4010 4400222 3 UNIT COMPATIBILITY 300 0 0 4010 4400230 4 UNIT COMPATIBILITY 300 0 0 4010 4400263 ANTIBODY TITER 300 0 57.98 4010 4400271 COLD AGG ABSORBTION 390 0 84.7 4010 4400289 ANTIBODY IDENTIFICAT 300 0 108.05 4010 4400297 RHOGAM 636 0 122.05 4010 4400305 DIRECT COOMBS 300 0 28.28 4010 4400313 ANTIBODY SCREEN 300 0 26.41 4010 4400321 TYPE AND SCREEN 300 0 32.83 4010 4400339 DU, CORD BLOOD 300 0 23.03 4010 4400347 BLOOD BK MD SERVICE 300 0 0 4010 4400354 TRANSFUSION REACTION 300 0 194.91 4010 4400362 ABO TYPE 300 0 16.49 4010 4400370 RH 300 0 14.18 4010 4400388 ANTIBODY SCREEN 300 0 20.85 4010 4400396 DU 300 0 23.03 4010 4400404 DAT, ANTI-IGG 300 0 28.28 4010 4400412 DAT, BROAD SPECTRUM 300 0 28.28 4010 4400420 ANTIBODY ID 300 0 108.04 4010 4405007 FFP/CRYO, THAWING, EA UNIT 300 0 29.79 4010 4405015 CROSSMATCH, IMMEDIATE SPIN 300 0 29.79 4010 4405023 CROSSMATCH, 37C INCUBATION 300 0 29.79 4010 4405031 ANTIBODY ID PANEL 2 300 0 108.04 4010 4405049 ANTIBODY ID PANEL 3 300 0 108.04 4010 4405056 ANTIBODY SCREEN 2 300 0 20.85 4010 4405064 ANTIBODY SCREEN 3 300 0 20.85 4010 4405080 DAT, C3B 300 0 28.28 4010 4405098 SPECIAL ANTIGEN TYPING 2, PATIENT 300 0 25.16 4010 4405106 SPECIAL ANTIGEN TYPING 3, PATIENT 300 0 25.16 4010 4405114 SPECIAL ANTIGEN TYPING 1, UNIT 300 0 25.16 4010 4405122 SPECIAL ANTIGEN TYPING 2, UNIT 300 0 25.16 4010 4405130 SPECIAL ANTIGEN TYPING 3, UNIT 300 0 25.16 4010 4500013 FIBRIN CLOT 300 0 0 4010 4500021 URINALYSIS 300 0 25.54 4010 4500039 MACROSCOPIC URINE 300 0 0 4010 4500047 URINALYSIS/CIC 300 0 25.54 4010 4500054 BILIRUBIN, URINE 300 0 11.75 4010 4500062 URINE MICROSCOPIC 300 0 19.83 4010
- 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 and 26: 2550226 ORT CRV-TC CART MED 270 0 7
- Page 27 and 28: 2552461 TIER 1 INSERTS 278 0 6250 3
- 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: 4300216 TISSUE HOMOGENOUS 300 0 35.
- 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
- Page 77 and 78: 4614095 LIDOCAINE AUTO ABS 300 0 26
- Page 79 and 80: 4615340 INCUBATION SERUM & DRUGS, E
- Page 81 and 82: 4619177 ALDOLASE 300 0 76.25 4010 4
- Page 83 and 84: 4620241 HEP BE AG 300 0 90.45 4010
- Page 85 and 86: 4621207 FETOMATERNAL HEMORRHAGE SCR
- Page 87 and 88: 4622148 THYROID STIM IMMUNOGLOBULIN
- Page 89 and 90: 4623146 RUBEOLA ANTIBODIES, IGG 300
- Page 91 and 92: 4624086 MUCOR RACEMOSUS, IGE 300 0
- Page 93 and 94: 4800041 SPE COLL TRAVEL/MILE 300 0
- Page 95 and 96: 5600689 MRI KEN HIP W/CONT RT 610 0
- Page 97 and 98: 5800313 MULTIPLE SLEEP LATENCY TEST
4300760 WOUND CULTURE 300 0 44.8 4010<br />
4300778 BLOOD CULTURE #3 300 0 284.7 4010<br />
4300786 SENSITIVITY,MIC 300 0 30.71 4010<br />
4300794 KB SUSCEPTIBILITY 300 0 24.12 4010<br />
4300802 SINGLE KB SENSITIVIT 300 0 28.21 4010<br />
4300810 E-TEST SENSITIVITY 300 0 45.23 4010<br />
4300828 BLOOD CULTURE #2 300 0 190.84 4010<br />
4300836 TB CULTURE W/SMEAR 300 0 167.12 4010<br />
4300844 RESP.SYNCYTIAL VIRUS 300 0 49.74 4010<br />
4300851 AEROBIC ISOLATE ID 300 0 82.42 4010<br />
4300869 PARASITE/ISOLATE ID 300 0 41.99 4010<br />
4300877 CATH TIP CULTURE 300 0 28.77 4010<br />
4300885 GASTRIC ASP CULTURE 300 0 57.98 4010<br />
4300893 EYE CULTURE 300 0 39.45 4010<br />
4300901 EAR CULTURE 300 0 39.45 4010<br />
4300919 TRICHROME STAIN 310 0 58.35 4010<br />
4300927 MISC. CULTURE 300 0 90.81 4010<br />
4300935 ENVIRONMENTAL-OTHER 300 0 24.44 4010<br />
4300943 THROAT CULTURE 300 0 34.51 4010<br />
4300950 ANTHRAX CULTURE 300 0 62.6 4010<br />
4300968 PINWORM PREP 300 0 17.26 4010<br />
4300976 TICK ID DKH 300 0 39.72 4010<br />
4300984 C.DIFFICILE TOXIN 300 0 76.44 4010<br />
4300992 VARICELLA ZOSTER IMM 300 0 97.7 4010<br />
4301008 CRYPTOSPORIDIA AG 300 0 51.44 4010<br />
4301016 GIARDIA AG 300 0 51.81 4010<br />
4301024 BRONCHIAL BRUSH, QUANT 300 0 57.27 4010<br />
4301032 CHROM. FOR MRSA 300 0 23.84 4010<br />
4301040 SHIGA TOXIN, STOOL 300 0 96.99 4010<br />
4301057 YERSINIA CULTURE 300 0 17.01 4010<br />
4302014 INFLUENZA B 306 0 34.48 4010<br />
4302022 GROUP B STREP SCREEN, WITH SENSITI 300 0 43.5 4010<br />
4302030 CULTURE,TYP; IMMUNOLOGIC 300 0 27.08 4010<br />
4302048 COAGULASE TEST 300 0 30.55 4010<br />
4302055 C DIFF TOXIN B 300 0 190.4 4010<br />
4302063 NAP1 300 0 190.4 4010<br />
4400016 TYPE & CROSS,1 UNIT 391 0 88.53 4010<br />
4400024 RH 300 0 14.18 4010<br />
4400032 BLOOD TYPING ABO 300 0 16.49 4010<br />
4400040 TYPE CHECK 300 0 16.49 4010<br />
4400057 RH CHECK 300 0 14.18 4010<br />
4400065 TYPE & CROSS 4 UNITS 391 0 180.12 4010<br />
4400073 TYPE & CROSS 3 UNITS 391 0 148.07 4010<br />
4400081 TYPE & CROSS 2 UNITS 391 0 117.52 4010<br />
4400099 SPEC ANTIGEN TYPING 300 0 25.16 4010<br />
4400107 CORD BLOOD TYPING 300 0 47.67 4010<br />
4400115 ANTI HU GLOB TITER 300 0 24.68 4010
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