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
POST-OP SHOE 0 0 T-LOOP ELECTRODE 0 0 BALLOON EXTRACT TX12 0 0 STIFCOR BX NEEDLE 0 0 STIF CORE BRON NEEDL 0 0 PICC LINE CATH 0 0 STAT LOCK 0 0 PROBE INJ GOLD 10FR0 0 LUMBAR PUNCTURE 0TRAY 0 EPIDURAL TRAY 0 0 ACL SUTURE TI-CRON0 0 ART BANANA KNIFE 1 1 ART BIO-FASTAK 0 0 ART BIO-SUTURE TAK0 0 ART C-REAMER 10MM0 0 ART C-REAMER 8MM0 0 ART C-REAMER 9MM0 0 ART ESU PROBE/HNDL0 0 ART OATS SET 10MM0 0 ART OATS SET 6MM 0 0 ART OATS SET 8MM 0 0 ART TUBING PATIENT0 0 ENT EAR CANAL STRIP0 0 ENT NASAL THERMSPLNT 0 0 ENT STIM PROBE 0 0 5.5 BIO CORK SUTURE 0 ANCHR 0 EXFIX EBI FIXA 042000 0 EXFIX EBI FIXA 043000 0 EXFIX MON OFFSET CLMP 0 0 EXFIX MON SNGL CLMP 0 0 EXFIX SYN CLAMPS 0 0 EXFIX SYN ROD 200 0 0 EXFIX SYN ROD 220 0 0 EXFIX SYN ROD 240 0 0 EXFIX SUN SCHANZ SCW 0 0 EYE ADAPT MALE/MALE 0 0 EYE CORNEAL PUNCH 07.75 0 EYE CORNEAL PUNCH 08.0 0 EYE CORNEAL TISSUE0 0 EYE CORNEAL TRESPHINE 0 7.5 0 EYE LENS GLIDE 0 0 EYE MEROCEL DRAIN0 0 EYE PACK ANT VITRECT 0 0 EYE PACK ANT VITRECTOMY 0 0 EYE PACK AQUALASE0 0 EYE PACK MICROCEAL0 0 EYE PACK POSTERIOR,VENTU 0 0
EYE RETROBULBAR NDL 0 0 EYE SCLERAL BUCK ALL 0 0 EYE SPHERE 0 0 LAP ENDOLOOP 0 0 LAP VERES NDL 150MM 0 0 MESH PERFIX, LG 1 1 MESH PERFIX, MED 0 0 MIS U DRAPE 0 0 MIS VACUSTAT BULLDOG 0 0 ORT CONSTAVAC CBC 0II 0 ORT CONSTAVAC DRN 0 1/4 0 ORT CONSTAVAC DRN 0 1/8 0 ORT DALL-MILE PL 100 0 ORT DALL-MILE PL 120 0 ORT DALL-MILE PL 6.50 0 ORT GRAFT BONEPLAST 0 0 ORT MITEK FASTIN RC0 0 ORT MITEK ROT CUFF0 0 ORT RUSH PIN 0 0 ORT RUSH PIN 0 0 ORT SPECIMEN SOCK0 0 ORT SPECIMEN SOCK0 0 ORT STEIN PIN SM 7/64 0 0 ORT STEIN PIN SM 9/64 0 0 ORT STEIN PIN SM 5/64 0 0 ORT STEIN PIN SM 9/64 0 0 ORT STEIN PIN SM 9/64 0 0 ORT STEIN PIN SM 9/64 0 0 ORT STEIN PIN SM 9/64 0 0 ORT STEIN PIN SM 9/64 0 0 ORT STEIN PIN SM 9/64 0 0 URO STENT URET 4.80X 26 0 TIER 1 MISC JOINT IMPLANT 0 0 COLLAGEN IMPLANT 0URINARY 0 SHAVER 2.0MM 0 0 SHAVER 2.0MM FULL 0RA 0 SHAVER BURR OV.6MM 0 0 SHAVER BURR OVA4.0MM0 0 SHAVER BURR SHER 4.5 0 0 SHAVER CUDA 3.5 0 0 SHAVER CUDA MERL 04.2 0 STAPLE POLY ROTIC 0 0 STAPLE ROTIC 55&3.50 0 STAPLE ROTIC 55-4.80 0 STAPLE ROTIC 55-4.80 0 STAPLE TA 90 0 0 STAPLE TA 90 0 0
- Page 644 and 645: SP-CANCEL VISIT DLS0 0 SP-ABSENT DL
- Page 646 and 647: CHCKOT ORTH PROS 0PER 15 0 WHEELCHA
- Page 648 and 649: OT AQUATIC REHAB/15 0 MIN 0 OT ORTH
- Page 650 and 651: HIP STRAP (PROC) PLF0 0 SENSORY INT
- Page 652 and 653: M V V 0 0 METHACHOLINE EVAL5 5 ARTE
- Page 654 and 655: SWALLOW D/C STATUS 1 1 SWALLOW D/C
- Page 656 and 657: VOICE CURRENT STATUS 0 0 VOICE CURR
- Page 658 and 659: CARRY CURRENT STATUS 2 2 CARRY CURR
- Page 660 and 661: CARRY D/C STATUS 0 0 SELF CARE CURR
- Page 662 and 663: SUPP BLUE CROSS -237 ALLOW -237 SUP
- Page 664 and 665: GOLDEN RULE ALLOW -38 -38 GREAT WES
- Page 666 and 667: H/L SAGA ADMINISTRATION 0 0 H/L SAG
- Page 668 and 669: TFR FROM B/D TO A/R3 3 TFR FROM A/R
- Page 670 and 671: PHYS PRAC ATHENA CASH 0 0 MEDICAL O
- Page 672 and 673: CAFETERIA SALES CAFE 0 0 CAFETERIA
- Page 674 and 675: LABORATORY - UTILITIES 0 0 CARDIA R
- Page 676 and 677: OPER OF PLANT-GAS0 0 NON MEDICAL SU
- Page 678 and 679: PERSONAL PYMT (P/R -37DED) -37 TCOR
- Page 680 and 681: BLUE CROSS OF RI PAYMENT -88 -88 OU
- Page 682 and 683: SEVEN CORNERS PAYMENT 0 0 IMG PAYME
- Page 684 and 685: ZZ OHM UNSPECIFIED 0PYMT 0 ZZ STERL
- Page 686 and 687: SITE ASSESSMENT 0 0 SITE ASSESSMENT
- Page 688 and 689: TX COCCYGEAL FX 0 0 HIP DISLOCW/O A
- Page 690 and 691: CL INTE FACE7.6-12.50 0 LYR FACE 12
- Page 692 and 693: THORACENTESIS W/TUBE 0 0 TUBE THOR
- Page 696 and 697: SYN L PL DCP BR 07 H0 0 SYN L PL DC
- Page 698 and 699: FULVESTRANT 125 MG 0 SYRING 0 CYTAR
- Page 700 and 701: KENNEDY DISEASE DNA 0 0 APOLIPO.E G
- Page 702 and 703: MEN2/FMTC MUTATIONS 0 0 COMPLETE CM
- Page 704 and 705: PCR BY IMUGEN 0 0 A PHAGOCYTOPHILUM
- Page 706 and 707: PLANAR CARDIAC RE&EX 0 0 PLANAR CAR
- Page 708 and 709: PROCAINAMIDE SR 500 MG TA 0 TEGASER
- Page 710 and 711: DLSN MOIST HEAT/CRYO(PROC 0 0 FUNCT
- Page 712 and 713: PLFD WHFOADDSPREXT 0 L3835 0 PLFD W
- Page 714 and 715: VIDEO FLUORO EVAL I0 0 OT REEVAL CP
- Page 716 and 717: DLSN OT WHFOADMPFLXIL3860 0 0 DLSN
- Page 718 and 719: PRO FEE FAMILY THERAPY 0 0 PROF FEE
- Page 720 and 721: MISC MEDICARE MCO 0 PMT 0 NATIONAL
- Page 722 and 723: ART OATS 07MM 0 0 ART OATS 08MM 0 0
POST-OP SHOE 0 0<br />
T-LOOP ELE<strong>CT</strong>RODE 0 0<br />
BALLOON EXTRA<strong>CT</strong> TX12 0 0<br />
STIFCOR BX NEEDLE 0 0<br />
STIF CORE BRON NEEDL 0 0<br />
PICC LINE CATH 0 0<br />
STAT LOCK 0 0<br />
PROBE INJ GOLD 10FR0 0<br />
LUMBAR PUN<strong>CT</strong>URE 0TRAY<br />
0<br />
EPIDURAL TRAY 0 0<br />
ACL SUTURE TI-CRON0 0<br />
ART BANANA KNIFE 1 1<br />
ART BIO-FASTAK 0 0<br />
ART BIO-SUTURE TAK0 0<br />
ART C-REAMER 10MM0 0<br />
ART C-REAMER 8MM0 0<br />
ART C-REAMER 9MM0 0<br />
ART ESU PROBE/HNDL0 0<br />
ART OATS SET 10MM0 0<br />
ART OATS SET 6MM 0 0<br />
ART OATS SET 8MM 0 0<br />
ART TUBING PATIENT0 0<br />
ENT EAR CANAL STRIP0 0<br />
ENT NASAL THERMSPLNT 0 0<br />
ENT STIM PROBE 0 0<br />
5.5 BIO CORK SUTURE 0 ANCHR 0<br />
EXFIX EBI FIXA 042000 0<br />
EXFIX EBI FIXA 043000 0<br />
EXFIX MON OFFSET CLMP 0 0<br />
EXFIX MON SNGL CLMP 0 0<br />
EXFIX SYN CLAMPS 0 0<br />
EXFIX SYN ROD 200 0 0<br />
EXFIX SYN ROD 220 0 0<br />
EXFIX SYN ROD 240 0 0<br />
EXFIX SUN SCHANZ SCW 0 0<br />
EYE ADAPT MALE/MALE 0 0<br />
EYE CORNEAL PUNCH 07.75<br />
0<br />
EYE CORNEAL PUNCH 08.0<br />
0<br />
EYE CORNEAL TISSUE0 0<br />
EYE CORNEAL TRESPHINE 0 7.5 0<br />
EYE LENS GLIDE 0 0<br />
EYE MEROCEL DRAIN0 0<br />
EYE PACK ANT VITRE<strong>CT</strong> 0 0<br />
EYE PACK ANT VITRE<strong>CT</strong>OMY 0 0<br />
EYE PACK AQUALASE0 0<br />
EYE PACK MICROCEAL0 0<br />
EYE PACK POSTERIOR,VENTU 0 0
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