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
4605879 METHADONE,UR 300 0 100.75 4010 4605887 HEPATITIS E IGM 300 0 133.58 4010 4605895 HEPATITIS E IGG 300 0 106.08 4010 4605937 EPM1 300 0 0 4010 4605978 VITAMIN B12 300 0 124.41 4010 4605986 FOLATE 300 0 124.41 4010 4605994 FERRITIN 300 0 106.08 4010 4606000 BENZENE 300 0 93.86 4010 4606018 FACTOR 5 LEIDEN 300 0 101.25 4010 4606034 HLAB INTERPRETATION 300 0 0 4010 4606059 WESTERN EQUINE ENCEP 300 0 679.5 4010 4606067 CALIF.EQUINE ENCEPH 300 0 568.4 4010 4606075 EASTERN EQUINE ENCEP 300 0 53.43 4010 4606083 ST LOUIS EQUINE ENCE 300 0 53.43 4010 4606091 WEST NILE,SER,ACUTE 300 0 0 4010 4606109 WEST NILE,SER,CONVAL 300 0 0 4010 4606117 WEST NILE,CSF,ACUTE 300 0 0 4010 4606125 WEST NILE,CSF,CONVAL 300 0 0 4010 4606158 TISSUE CULT.NON-NEOP 310 0 397.26 4010 4606166 TISSUE CULT.NEOPLAST 310 0 455.35 4010 4606174 CHROMOSOME ANAL.5CEL 310 0 602.65 4010 4606182 CHR.ANAL.ADD.KARYOTY 310 0 151.13 4010 4606190 ADD.CELLS COUNTED 310 0 115.25 4010 4606208 FRAGILE X CHROMOSOME 300 0 0 4010 4606216 CHROMOSOMAL/LEUKEMIA 300 0 0 4010 4606224 DIPHTHERIA TOXOID AB 300 0 106.08 4010 4606240 PNEUMO TYPE 3 AB 300 0 104.59 4010 4606257 PNEUMO TYPE 7F AB 300 0 104.59 4010 4606265 PNEUMO TYPE 9N AB 300 0 104.59 4010 4606273 PNEUMO TYPE 14 AB 300 0 104.59 4010 4606281 IGM (HIS) 300 0 74.82 4010 4606299 IGA (HIS) 300 0 74.82 4010 4606307 IGG (HIS) 300 0 74.82 4010 4606315 IGE (HIS) 300 0 74.82 4010 4606323 IGG SUBCLASS 1 (HIS) 300 0 108.36 4010 4606331 IGG SUBCLASS 2 (HIS) 300 0 108.36 4010 4606349 IGG SUBCLASS 3 (HIS) 300 0 108.36 4010 4606356 IGG SUBCLASS 4 (HIS) 300 0 108.36 4010 4606380 3LA DR4 300 0 27.5 4010 4606398 PROSTAGLANDIN D2 300 0 240.44 4010 4606406 IGA TRANSGLUTAMINASE 300 0 55.05 4010 4606414 RETROVIRAL SEROLOGY 300 0 346.85 4010 4606422 PHOSPHOGLYCERATE KIN 300 0 156.46 4010 4606430 PROTEIN C,FUNCTIONAL 300 0 161.79 4010 4606448 PROTEIN S,FUNCTIONAL 300 0 175.07 4010 4606455 ANA AB/LUPUS PROF 300 0 90.81 4010 4606463 SMOOTH MUSCLE AB 300 0 90.81 4010
4606471 PARIETAL CELL AB 300 0 90.81 4010 4606489 MITOCHONDRIAL AB 300 0 90.81 4010 4606497 C3/ LUPUS PROF 300 0 90.81 4010 4606505 C4 / LUPUS PROF 300 0 90.81 4010 4606513 SS-B AB/LUPUS PROF 300 0 135.07 4010 4606521 SS-A AB/LUPUS PROF 300 0 135.07 4010 4606539 SM AB EIA/LUPUS PROF 300 0 135.07 4010 4606547 SM/RNP AB LUPUS PROF 300 0 135.07 4010 4606554 RIBOSOMAL P PROTEIN 300 0 84.7 4010 4606562 SCL-70 AB/LUPUS PROF 300 0 135.07 4010 4606570 THYROID PEROXIDASE 300 0 109.92 4010 4606588 MYOCARDIAL AB/LUPUS 300 0 90.81 4010 4606596 RETICULIN AB/LUPUS 300 0 90.81 4010 4606604 DNA AB/LUPUS PROF 300 0 104.59 4010 4606612 STRIATED MUSCLE AB 300 0 90.81 4010 4606620 RHEUMATOID FACTOR/LU 300 0 42.77 4010 4606638 N-METHYLHISTAMINE 300 0 172.51 4010 4606646 CREATININE,24HR UR 300 0 13.72 4010 4606653 EHRLICHIOSIS,PCR 300 0 235.82 4010 4606661 COMPLEMENT AG,EACH 300 0 42.68 4010 4606679 IGG PHOSPHATIDYLSERI 300 0 155.68 4010 4606687 IGM PHOSPHATIDYLSERI 300 0 155.68 4010 4606695 TOTAL AMYLASE 300 0 93.86 4010 4606703 PANCREATIC ISOENZYME 300 0 93.86 4010 4606745 CMV AB,IGG 300 0 108.36 4010 4606752 CMV AB,IGM 300 0 115.25 4010 4606760 ADENOVIRUS AB 300 0 98.48 4010 4606778 CHLAMYDIA GROUP AB 300 0 122.85 4010 4606786 OPIATES,QUANTITATIVE 300 0 117.52 4010 4606794 CD3% 300 0 243.63 4010 4606802 CD3/CD4(HELPER)ABS 300 0 238.19 4010 4606810 ABS.LYMPH CT. 300 0 28.21 4010 4606828 PYRUVATE KINASE,RBC 300 0 127.47 4010 4606836 TROPHERYMA WHIPPELII 300 0 352.63 4010 4606844 CARDIO CRP/SENSITIVE 300 0 79.37 4010 4606851 H.PYLORI,IGM 300 0 109.92 4010 4606869 H.PYLORI,IGA 300 0 131.3 4010 4606877 MICROSPORIDIA,STOOL 310 0 108.36 4010 4606885 IGA SUBCLASSES 1 300 0 136.63 4010 4606893 IGA SUBCLASSES 2 300 0 141.96 4010 4606901 IGA TOTAL 300 0 70.98 4010 4606919 HGE IGG TITER 300 0 116.81 4010 4606927 HGE IGM TITER 300 0 116.81 4010 4606935 INHIBIN A 300 0 168.24 4010 4606943 H.PYLORI CULTURE 300 0 127.47 4010 4606950 FACTOR VIII 300 0 29.95 4010 4606968 FACTOR 8 INHIBITOR 300 0 45.79 4010
- 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 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: 4605101 ASPERGILLUS FUMIGAT. 300 0
- 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
- Page 99 and 100: 6103758 BONE DENSITY FX EVAL 320 0
- Page 101 and 102: 6108906 CYSTO SCOUT FILM 320 0 108.
- Page 103 and 104: 6113864 SHLDR-ARTH PRO/INS-RT 761 0
- Page 105 and 106: 6201206 MYO-IMAGING-INFARCT 340 0 9
- Page 107 and 108: 6306005 COLOR FLOW DOPPLER 480 0 25
- Page 109 and 110: 6390132 US-MIDLINE CATHETER 278 0 1
- Page 111 and 112: 6502124 MRI-UP EX NO JT W-LT 610 0
4605879 METHADONE,UR 300 0 100.75 4010<br />
4605887 HEPATITIS E IGM 300 0 133.58 4010<br />
4605895 HEPATITIS E IGG 300 0 106.08 4010<br />
4605937 EPM1 300 0 0 4010<br />
4605978 VITAMIN B12 300 0 124.41 4010<br />
4605986 FOLATE 300 0 124.41 4010<br />
4605994 FERRITIN 300 0 106.08 4010<br />
4606000 BENZENE 300 0 93.86 4010<br />
4606018 FA<strong>CT</strong>OR 5 LEIDEN 300 0 101.25 4010<br />
4606034 HLAB INTERPRETATION 300 0 0 4010<br />
4606059 WESTERN EQUINE ENCEP 300 0 679.5 4010<br />
4606067 CALIF.EQUINE ENCEPH 300 0 568.4 4010<br />
4606075 EASTERN EQUINE ENCEP 300 0 53.43 4010<br />
4606083 ST LOUIS EQUINE ENCE 300 0 53.43 4010<br />
4606091 WEST NILE,SER,ACUTE 300 0 0 4010<br />
4606109 WEST NILE,SER,CONVAL 300 0 0 4010<br />
4606117 WEST NILE,CSF,ACUTE 300 0 0 4010<br />
4606125 WEST NILE,CSF,CONVAL 300 0 0 4010<br />
4606158 TISSUE CULT.NON-NEOP 310 0 397.26 4010<br />
4606166 TISSUE CULT.NEOPLAST 310 0 455.35 4010<br />
4606174 CHROMOSOME ANAL.5CEL 310 0 602.65 4010<br />
4606182 CHR.ANAL.ADD.KARYOTY 310 0 151.13 4010<br />
4606190 ADD.CELLS COUNTED 310 0 115.25 4010<br />
4606208 FRAGILE X CHROMOSOME 300 0 0 4010<br />
4606216 CHROMOSOMAL/LEUKEMIA 300 0 0 4010<br />
4606224 DIPHTHERIA TOXOID AB 300 0 106.08 4010<br />
4606240 PNEUMO TYPE 3 AB 300 0 104.59 4010<br />
4606257 PNEUMO TYPE 7F AB 300 0 104.59 4010<br />
4606265 PNEUMO TYPE 9N AB 300 0 104.59 4010<br />
4606273 PNEUMO TYPE 14 AB 300 0 104.59 4010<br />
4606281 IGM (HIS) 300 0 74.82 4010<br />
4606299 IGA (HIS) 300 0 74.82 4010<br />
4606307 IGG (HIS) 300 0 74.82 4010<br />
4606315 IGE (HIS) 300 0 74.82 4010<br />
4606323 IGG SUBCLASS 1 (HIS) 300 0 108.36 4010<br />
4606331 IGG SUBCLASS 2 (HIS) 300 0 108.36 4010<br />
4606349 IGG SUBCLASS 3 (HIS) 300 0 108.36 4010<br />
4606356 IGG SUBCLASS 4 (HIS) 300 0 108.36 4010<br />
4606380 3LA DR4 300 0 27.5 4010<br />
4606398 PROSTAGLANDIN D2 300 0 240.44 4010<br />
4606406 IGA TRANSGLUTAMINASE 300 0 55.05 4010<br />
4606414 RETROVIRAL SEROLOGY 300 0 346.85 4010<br />
4606422 PHOSPHOGLYCERATE KIN 300 0 156.46 4010<br />
4606430 PROTEIN C,FUN<strong>CT</strong>IONAL 300 0 161.79 4010<br />
4606448 PROTEIN S,FUN<strong>CT</strong>IONAL 300 0 175.07 4010<br />
4606455 ANA AB/LUPUS PROF 300 0 90.81 4010<br />
4606463 SMOOTH MUSCLE AB 300 0 90.81 4010
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