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
4607974 ANTI-STREPTOLYSIN O 300 0 67.15 4010 4607982 S.CEREVISIAE IGG 300 0 123.63 4010 4607990 S.CEREVISIAE IGA 300 0 123.63 4010 4608006 P-ANCA, IFA 300 0 123.63 4010 4608014 BRAIN NATRIUR PEPTID 300 0 198.45 4010 4608022 RHEUMATOID FACTOR,FL 300 0 88.53 4010 4608030 KAPPA/LAMBDA IGA NEP 300 0 41.99 4010 4608048 KAPPA/LAMBDA IGG NEP 300 0 41.99 4010 4608055 KAPPA/LAMBDA IGM NEP 300 0 41.99 4010 4608063 LT. CHAINS KAPPA 300 0 41.99 4010 4608071 LT. CHAINS LAMBDA 300 0 41.99 4010 4608089 ZONISAMIDE 300 0 101.53 4010 4608097 ANTICARDIOLIPIN AB 300 0 0 4010 4608105 TOTAL OPIATES 300 0 126.69 4010 4608121 OLANZAPINE 300 0 109.92 4010 4608139 VARICELLA AB IGG,EIA 300 0 45.6 4010 4608147 VARICELLA AB IGM,EIA 300 0 97.7 4010 4608154 CREAT.URINE,RANDOM 300 0 13.72 4010 4608162 METHYLMALONIC ACID 300 0 35.88 4010 4608170 MUMPS AB,IGM 300 0 106.08 4010 4608188 MUMPS AB,IGG 300 0 132.7 4010 4608196 LYME,DNA,PCR,BLOOD 300 0 264.81 4010 4608204 IGE 300 0 124.41 4010 4608212 H.PYLORI AB IGG 300 0 67.93 4010 4608220 PROLACTIN 300 0 174.79 4010 4608238 IGE 300 0 124.41 4010 4608246 IGA 300 0 67.15 4010 4608253 IGM 300 0 67.15 4010 4608261 PNEUMOCOCCAL ABS 300 0 67.15 4010 4608279 TETANUS AB IGG 300 0 67.15 4010 4608287 DIPHTHERIA AB IGG 300 0 59.54 4010 4608295 HEMOPHILUS INFLU B 300 0 59.54 4010 4608303 IGG1 SUBCLASS 300 0 67.15 4010 4608311 IGG2 SUBCLASS 300 0 67.15 4010 4608329 IGG3 SUBCLASS 300 0 67.15 4010 4608337 IGG4 SUBCLASS 300 0 67.15 4010 4608345 VALPROIC ACID,FREE 300 0 41.21 4010 4608352 CARNITINE,URINE 300 0 129.74 4010 4608360 ACYLCARNITINE,URINE 300 0 51.16 4010 4608386 C.TRACHOMATIS AMP 300 0 264.81 4010 4608394 N.GONORRHOEAE AMP 300 0 264.81 4010 4608410 PROMYELOCYTIC LEUKEM 300 0 0 4010 4608428 CMV DNA,PCR 300 0 296.92 4010 4608436 ARSENIC,HAIR 300 0 88.53 4010 4608444 ARSENIC,NAILS 300 0 88.53 4010 4608451 STRONGYLOIDES AB IGG 300 0 138.91 4010 4608469 GAMMA HYDROXYBUTRIC 300 0 158.31 4010
4608477 IGG B2 GLYCOPROTEIN 300 0 109.8 4010 4608485 IGM B2 GLYCOPROTEIN 300 0 109.8 4010 4608493 IGA B2 GLYCOPROTEIN 300 0 109.8 4010 4608501 DNA PROBE,EACH 310 0 148.07 4010 4608519 IN SITU HYBRIDIZATIO 310 0 133.58 4010 4608535 RHEUMATOID FACTOR,FL 300 0 119.08 4010 4608543 GASTRIC OCCULT BLOOD 300 0 19.83 4010 4608550 ANTITHROMBIN III,AG 300 0 65.65 4010 4608568 QUETIAPINE LEVEL 300 0 107.18 4010 4608576 CELEBREX 300 0 182.39 4010 4608584 LEUKOCYTE ALK.PHOS. 300 0 74.82 4010 4608592 DNA,SINGLE STRANDED 300 0 80.15 4010 4608600 AMIKACIN,TROUGH 300 0 88.53 4010 4608618 AMIKACIN,PEAK 300 0 90.09 4010 4608626 AFP,DIANON 300 0 73.54 4010 4608634 POLIO TYPE 1 300 0 88.53 4010 4608642 POLIO TYPE 2 300 0 88.53 4010 4608659 POLIO TYPE 3 300 0 88.53 4010 4608667 METHADONE,SERUM 300 0 186.3 4010 4608675 VON WILLEBRAND MULTI 300 0 221.17 4010 4608683 BABESIOSIS DNA,PCR 300 0 92.51 4010 4608717 NEOCOMPLETE PARANEOP 300 0 0 4010 4608725 PHOSPHOFRUCTOKINASE 300 0 114.47 4010 4608733 E.HISTOLYTICA AB EIA 300 0 174.79 4010 4608741 INHIBIN A (UCONN) 300 0 83.2 4010 4608758 ALPHA FETOPROTEIN 300 0 73.54 4010 4608766 PLT AGG,EA. AGENT 300 0 76.38 4010 4608774 MTHFR A1298C MUTATIO 300 0 0 4010 4608790 ANTI MITOCHOND.TITER 300 0 28.02 4010 4608808 HYDROCODONE 300 0 96.14 4010 4608816 GRANULOCYTE AB 300 0 70.7 4010 4608824 SOURCE 300 0 0 4010 4608840 CYCLIC CITRULLINE AB 300 0 163.35 4010 4608857 INHIBIN A 300 0 43.52 4010 4608865 HEPARIN ANTI XA 300 0 145.8 4010 4608873 LEGIONELLA IGM 300 0 92.37 4010 4608881 LEGIONELLA AB 300 0 109.92 4010 4608899 INHIBIN A 300 0 254.15 4010 4608907 CENTROMERE AB 300 0 119.92 4010 4608956 SOLUBLE TRANSFERRIN 300 0 264.81 4010 4608964 RETROVIRAL SEROLOGY 300 0 877.88 4010 4608972 RETROVIRAL SEROLOGY 300 0 3274.25 4010 4608980 EA.ADD.DRUG RESISTAN 300 0 872.37 4010 4608998 HERPES SIMPLEX CULT 300 0 102.34 4010 4609004 HSV TYPING 300 0 0 4010 4609012 17 OH PREGNENOLONE 300 0 169.46 4010 4609020 5'NUCLEOTIDASE 300 0 93.86 4010
- 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 and 62: 4605101 ASPERGILLUS FUMIGAT. 300 0
- Page 63 and 64: 4606471 PARIETAL CELL AB 300 0 90.8
- Page 65: 4607453 IGG,SERUM (CSFI) 300 0 70.9
- 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
- Page 113 and 114: 6702245 CT UP EXT W/ CON-RT 352 0 1
- Page 115 and 116: 6801187 CHEST INS & EXP LAT 320 0 1
4608477 IGG B2 GLYCOPROTEIN 300 0 109.8 4010<br />
4608485 IGM B2 GLYCOPROTEIN 300 0 109.8 4010<br />
4608493 IGA B2 GLYCOPROTEIN 300 0 109.8 4010<br />
4608501 DNA PROBE,EACH 310 0 148.07 4010<br />
4608519 IN SITU HYBRIDIZATIO 310 0 133.58 4010<br />
4608535 RHEUMATOID FA<strong>CT</strong>OR,FL 300 0 119.08 4010<br />
4608543 GASTRIC OCCULT BLOOD 300 0 19.83 4010<br />
4608550 ANTITHROMBIN III,AG 300 0 65.65 4010<br />
4608568 QUETIAPINE LEVEL 300 0 107.18 4010<br />
4608576 CELEBREX 300 0 182.39 4010<br />
4608584 LEUKOCYTE ALK.PHOS. 300 0 74.82 4010<br />
4608592 DNA,SINGLE STRANDED 300 0 80.15 4010<br />
4608600 AMIKACIN,TROUGH 300 0 88.53 4010<br />
4608618 AMIKACIN,PEAK 300 0 90.09 4010<br />
4608626 AFP,DIANON 300 0 73.54 4010<br />
4608634 POLIO TYPE 1 300 0 88.53 4010<br />
4608642 POLIO TYPE 2 300 0 88.53 4010<br />
4608659 POLIO TYPE 3 300 0 88.53 4010<br />
4608667 METHADONE,SERUM 300 0 186.3 4010<br />
4608675 VON WILLEBRAND MULTI 300 0 221.17 4010<br />
4608683 BABESIOSIS DNA,PCR 300 0 92.51 4010<br />
4608717 NEOCOMPLETE PARANEOP 300 0 0 4010<br />
4608725 PHOSPHOFRU<strong>CT</strong>OKINASE 300 0 114.47 4010<br />
4608733 E.HISTOLYTICA AB EIA 300 0 174.79 4010<br />
4608741 INHIBIN A (UCONN) 300 0 83.2 4010<br />
4608758 ALPHA FETOPROTEIN 300 0 73.54 4010<br />
4608766 PLT AGG,EA. AGENT 300 0 76.38 4010<br />
4608774 MTHFR A1298C MUTATIO 300 0 0 4010<br />
4608790 ANTI MITOCHOND.TITER 300 0 28.02 4010<br />
4608808 HYDROCODONE 300 0 96.14 4010<br />
4608816 GRANULOCYTE AB 300 0 70.7 4010<br />
4608824 SOURCE 300 0 0 4010<br />
4608840 CYCLIC CITRULLINE AB 300 0 163.35 4010<br />
4608857 INHIBIN A 300 0 43.52 4010<br />
4608865 HEPARIN ANTI XA 300 0 145.8 4010<br />
4608873 LEGIONELLA IGM 300 0 92.37 4010<br />
4608881 LEGIONELLA AB 300 0 109.92 4010<br />
4608899 INHIBIN A 300 0 254.15 4010<br />
4608907 CENTROMERE AB 300 0 119.92 4010<br />
4608956 SOLUBLE TRANSFERRIN 300 0 264.81 4010<br />
4608964 RETROVIRAL SEROLOGY 300 0 877.88 4010<br />
4608972 RETROVIRAL SEROLOGY 300 0 3274.25 4010<br />
4608980 EA.ADD.DRUG RESISTAN 300 0 872.37 4010<br />
4608998 HERPES SIMPLEX CULT 300 0 102.34 4010<br />
4609004 HSV TYPING 300 0 0 4010<br />
4609012 17 OH PREGNENOLONE 300 0 169.46 4010<br />
4609020 5'NUCLEOTIDASE 300 0 93.86 4010
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