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
MRI-LS SPINE W/O CON 43 43 MRI-LS SPINE W/CONT 1 1 MRI-LS SPINE W/WO 6CO 6 MRI-MRCP 4 4 MRI-NECK W/O CONTRAST 0 0 MRI-NECK W/CONTRAST 0 0 MRI-NECK W/WO CONTRA 2 2 MRI-ORBITS W/O CONTR 0 0 MRI-ORBITS W/CONTR0 0 MRI-ORBITS W/WO CONT 0 0 MRI-PELVIS W/O CONTR 0 0 MRI-PELVIS W/CONTRAS 0 0 MRI-PELVIS W/WO CONT 5 5 MRI-D SPINE W/O CONT 3 3 MRI-D SPINE W CONTRA 0 0 MRI-D SPINE W/WO CON 4 4 MRI-TMJ BILAT 0 0 MRI-TMJ UNILAT-LT 0 0 MRI-TMJ UNILAT-RT 0 0 MRI-SHLDR WO CON-LT 8 8 MRI-SHLDR WO CON-RT 8 8 MRI-SHLDR W CON-LT0 0 MRI-SHLDR W CON-RT0 0 MRI-SHLDR W/WO CO-LT 0 0 MRI-SHLDR W/WO CO-RT 0 0 MRI-SHLDR-ARTHRO-LT 3 3 MRI-SHLDR-ARTHRO-RT 5 5 MRI-KNEE WO CON-LT 19 19 MRI-KNEE WO CON-RT 13 13 MRI-KNEE W CONT-LT0 0 MRI-KNEE W CONT-RT0 0 MRI-KNEE W/WO CO-LT 0 0 MRI-KNEE W/WO CO-RT 0 0 MRI-WRIST WO CON-LT 2 2 MRI-WRIST WO CON-RT 0 0 MRI-WRIST W CON-LT1 1 MRI-WRIST W CON-RT0 0 MRI-WRIST W/WO CO-LT 0 0 MRI-WRIST W/WO CO-RT 1 1 MRI-ELBOW WO CON-LT 1 1 MRI-ELBOW WO CON-RT 2 2 MRI-ELBOW W CON-LT 0 0 MRI-ELBOW W CON-RT 0 0 MRI-ELBOW W/WO CO-LT 0 0 MRI-ELBOW W/WO CO-RT 0 0 MRI-UPEX NO JT WO-LT 0 0 MRI-UPEX NO JT WO-RT 0 0
MRI-UP EX NO JT W-LT0 0 MRI-UP EX NO JT W-RT 0 0 MRI-UPEX NOJT W/WO-LT 0 0 MRI-UPEX NOJT W/WO-RT 0 0 MRI-BREASTS W/WO 6CON 6 MRI-BRST-UNI W/WO-LT 0 0 MRI-BRST-UNI W/WO 1RT 1 MRI-MAMMO-CAD 7 7 MRI-LEFT KNEE WO SHAPEMAT 0 0 MRI-RT KNEE WO SHAPEMATCH 0 0 MRI BREASTS W/O CONTRAST 0 0 3D RENDER W/INTER 4CT MRI 4 3D RECONSTRUCTION0 0 MRI-ANKLE WO CON-LT 3 3 MRI-ANKLE WO CON-RT 0 0 MRI-ANKLE W CONT-LT 0 0 MRI-ANKLE W CONT-RT 0 0 MRI-ANKL W/WO CO-LT 0 0 MRI-ANKL W/WO CO-RT 0 0 MRI-LOEX NO JT WO-LT 0 0 MRI-LOEX NO JT WO-RT 5 5 MRI-LO EX NO JT W-LT0 0 MRI-LO EX NO JT-W-RT 0 0 MRI-LOEX NOJT W/WO-LT 1 1 MRI-LOEX NOJT W/WO-RT 2 2 MRV-WO CONTRAST0 0 MRV-W&WO 0 0 MRI PIT/SELLA W/O CONTRAS 0 0 MRI-GADO PER ML 2844 2844 MRA-LO EX W/WO CO-LT 0 0 MRA-LO EX W/WO CO-RT 0 0 MRA-LOWER EXT W/WO-BILAT 0 0 MRA-UP EX W/WO CO-LT 0 0 MRA-UP EX W/WO CO-RT 0 0 MRA-CHEST W/WO CONTR 0 0 MRA-HEAD W/O CONTR 26 26 MRA-HEAD W/CONTRAST 0 0 MRA-HEAD W/WO CONTR 0 0 MRA-NECK W/O CONTRA 0 0 MRA-NECK W/WO CONTRA 12 12 MRA-AB W/WO CONTRAST 2 2 MRA-PELVIS W/WO CONT 0 0 CT ABDOMEN W CONTRAS 8 8 CT ABDOMEN W&W/O 1 CON 1 CT ABDOMEN W/O CONT 1 1 CT C SPINE W/CONTRAS 0 0 CT CERVICAL SPINE W/O 37 37
- Page 542 and 543: IBT RAST ALLERGEN 24 12 24 SGPG 0 0
- Page 544 and 545: METHADONE,UR 0 0 HEPATITIS E IGM 0
- Page 546 and 547: SUBSTITUTION PLASMA 0 0 RMSF IGG 0
- Page 548 and 549: ANTI-STREPTOLYSIN O3 3 S.CEREVISIAE
- Page 550 and 551: RUBEOLA AB,IGG 28 28 SEX HORMONE BI
- Page 552 and 553: COXSACKIE B2 AB 0 0 COXSACKIE B3 AB
- Page 554 and 555: N.GONORRHOEAE RNA 0 0 CORTISONE,SER
- Page 556 and 557: ALBUMIN 0 0 YERSINIA AB 1 1 JANUS K
- Page 558 and 559: GLYCOMARK 0 0 STREPTOMYCIN 0 0 THYR
- Page 560 and 561: CHROMAGRANIN A 3 3 CMV DNA QUANT RT
- Page 562 and 563: ANTI MULLERIAN HORMONE 0 0 TSH ANTI
- Page 564 and 565: INSULIN 0 0 LD, BODY FLUID 0 0 LACT
- Page 566 and 567: MUMPS ANTIBODIES, 0IGG 0 MYCOPLASMA
- Page 568 and 569: C1 ESTERASE INHIB, FUNC 0 0 CCP ANT
- Page 570 and 571: UREAPLASMA MYCOPLASMA 0 HOM 0 MYCOB
- Page 572 and 573: COCONUT, IGE 0 0 ONIONS, IGE 0 0 PI
- Page 574 and 575: PARAINFLUENZA TYPE 0 I 0 PARAINFLUE
- Page 576 and 577: MRI KEN KNEE WO CONT 9 LT 9 MRI KEN
- Page 578 and 579: MRI KEN UPEXT W/WO 0 CON RT 0 MRI K
- Page 580 and 581: PRO FEE STRESS MD SUPERVS 0 0 PRO F
- Page 582 and 583: LOWER LEG-LEFT 7 7 LOWER LEG-RIGHT
- Page 584 and 585: GASTRO TUBE REPLACEMENT 1 1 INSERT
- Page 586 and 587: MAMMO DUCT PROC-RT 1 1 HIP-2 VIEWS
- Page 588 and 589: PYROPHOSPHATE 7 7 I 123 - 200 2 2 S
- Page 590 and 591: US-BIOPSY PROC-PANCR 0 0 US-BIOPSY-
- Page 594 and 595: CT CHEST HIGH RESOLU 0 W/O 0 CT CHE
- Page 596 and 597: CT INTRAPERI CATHETER 0 0 CT INTRAP
- Page 598 and 599: FOOT LT(2 VIEWS) 0 0 FOOT RT(2 VIEW
- Page 600 and 601: CERV SPINE TWO VIEW0 0 CERV SPINE W
- Page 602 and 603: LS SPINE&OBL&FLEX&EX 0 6 VW 0 LS SP
- Page 604 and 605: MRI WRIST WO CON 0LT PLF 0 MRI-WRIS
- Page 606 and 607: CALCITRIOL 0.25 MCG 5 CAP 5 ALLOPUR
- Page 608 and 609: CALCIUM CHLORIDE 10% 0 VIAL 0 CANDE
- Page 610 and 611: DEXAMETHASONE 492 4MG/ML VIAL 492 D
- Page 612 and 613: FIORINAL CAP GENERIC 2 CAP 2 FLUNIS
- Page 614 and 615: HUMALOG MIX 75/250 INSULIN 0 ITRACO
- Page 616 and 617: METHENAMINE 1 GM 0TAB 0 METHOCARBAM
- Page 618 and 619: NITROGLYCERIN 0.4MG 0 SL SP 0 NITRO
- Page 620 and 621: PROCHLORPERAZINE 110 MG VI 1 PROCAI
- Page 622 and 623: TOBRAMYCIN 80 MG/2ML 11 VIAL11 TOBR
- Page 624 and 625: AMIODARONE 200 MG 16 TAB 16 CAFFEIN
- Page 626 and 627: VITAMIN E 200 UNIT 0CAP 0 LAMOTRIGI
- Page 628 and 629: ATORVASTATIN 40205 MG TAB 205 GUAIF
- Page 630 and 631: FLUVASTATIN 20 MG 0CAP 0 CASTOR OIL
- Page 632 and 633: PRAMIPEXOLE .25MG 0TAB 0 AMOXICILLI
- Page 634 and 635: ERTAPENEM 1GM ADDV 0 0 GLYCOPYRROLA
- Page 636 and 637: FOSPROPOFOL 1050MG/30ML 0 0 HAVRIX
- Page 638 and 639: BACITRACIN 50 MU INJ 4 VIAL 4 DRONE
- Page 640 and 641: ACETAMINOPH 100MG/ML 0 DROP0 REPAGL
MRI-LS SPINE W/O CON 43 43<br />
MRI-LS SPINE W/CONT 1 1<br />
MRI-LS SPINE W/WO 6CO<br />
6<br />
MRI-MRCP 4 4<br />
MRI-NECK W/O CONTRAST 0 0<br />
MRI-NECK W/CONTRAST 0 0<br />
MRI-NECK W/WO CONTRA 2 2<br />
MRI-ORBITS W/O CONTR 0 0<br />
MRI-ORBITS W/CONTR0 0<br />
MRI-ORBITS W/WO CONT 0 0<br />
MRI-PELVIS W/O CONTR 0 0<br />
MRI-PELVIS W/CONTRAS 0 0<br />
MRI-PELVIS W/WO CONT 5 5<br />
MRI-D SPINE W/O CONT 3 3<br />
MRI-D SPINE W CONTRA 0 0<br />
MRI-D SPINE W/WO CON 4 4<br />
MRI-TMJ BILAT 0 0<br />
MRI-TMJ UNILAT-LT 0 0<br />
MRI-TMJ UNILAT-RT 0 0<br />
MRI-SHLDR WO CON-LT 8 8<br />
MRI-SHLDR WO CON-RT 8 8<br />
MRI-SHLDR W CON-LT0 0<br />
MRI-SHLDR W CON-RT0 0<br />
MRI-SHLDR W/WO CO-LT 0 0<br />
MRI-SHLDR W/WO CO-RT 0 0<br />
MRI-SHLDR-ARTHRO-LT 3 3<br />
MRI-SHLDR-ARTHRO-RT 5 5<br />
MRI-KNEE WO CON-LT 19 19<br />
MRI-KNEE WO CON-RT 13 13<br />
MRI-KNEE W CONT-LT0 0<br />
MRI-KNEE W CONT-RT0 0<br />
MRI-KNEE W/WO CO-LT 0 0<br />
MRI-KNEE W/WO CO-RT 0 0<br />
MRI-WRIST WO CON-LT 2 2<br />
MRI-WRIST WO CON-RT 0 0<br />
MRI-WRIST W CON-LT1 1<br />
MRI-WRIST W CON-RT0 0<br />
MRI-WRIST W/WO CO-LT 0 0<br />
MRI-WRIST W/WO CO-RT 1 1<br />
MRI-ELBOW WO CON-LT 1 1<br />
MRI-ELBOW WO CON-RT 2 2<br />
MRI-ELBOW W CON-LT 0 0<br />
MRI-ELBOW W CON-RT 0 0<br />
MRI-ELBOW W/WO CO-LT 0 0<br />
MRI-ELBOW W/WO CO-RT 0 0<br />
MRI-UPEX NO JT WO-LT 0 0<br />
MRI-UPEX NO JT WO-RT 0 0