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
SYN L PL DCP BR 07 H0 0 SYN L PL DCP BR 08 H0 0 STAPLE TA 90 0 0 STAPLE TA 90 0 0 STAPLE TA 90 0 0 SYN L PL DCP BR 14 H0 0 STAPLE TA 90 0 0 STAPLE TA 90 0 0 SYN L PL DCP NR 06 H0 0 STAPLE TA 90 0 0 SYN L PL DCP NR 12 H0 0 STAPLE TA 90 0 0 STAPLE TA 90 0 0 STAPLE TA 90 0 0 STAPLE TA 90 0 0 STAPLE TA 90 0 0 STAPLE TA 90 0 0 SYN L SCR CORT 14-70 0 SYN L SCR CORT 14-70 0 SYN L SCR CORT 14-70 0 SYN L SCR CORT 14-70 0 SYN L SCR CORT 14-70 0 SYN L SCR CORT 14-70 0 SYN L SCR CORT 14-70 0 SYN L SCR CORT 14-70 0 SYN L SCR CORT 14-70 0 SYN L SCR CORT 14-70 0 SYN L SCR CORT 14-70 0 SYN L SCR CORT 14-70 0 SYN L SCR CORT 14-70 0 SYN L SCR CORT 14-70 0 SYN L SCR CORT 14-70 0 SYN L SCR CORT 14-70 0 SYN L SCR CORT 14-70 0 SYN L SCR CORT 14-70 0 TOT JOINT DEVICE IMPLANT 0 0 TOT KNIFE SLIT BLADE0 0 URO CATH MALECOT 0ALL 0 URO CATH MALECOT 0ALL 0 URO CATH SUPRABLCYSTOSCO 0 0 URO PROSTH PENILE 0NON-IN 0 URO PROTH PENILE INFLAT 0 0 URO TURP BALL 24 0 0 IMPLANTABLE JOINT 0DEVICE 0 MISC IMPLANT SCREW/ANCHOR 0 0 TKA 3-M STYLE SAW BLADE 0 0 TKA TRIA PS TIBIAL INSERT 0 0
AMNIO SUPPLIES 0 0 INTRATHECAL ADMIN0 0 CHEMO UNSPECIFIED0 0 FLU VACCINE ADMIN0 0 ONCOLOGY E&M LEVEL 0 3 0 DELIVERY ROOM TWINS 0 0 ONC IV THER 1ST HR 0 0 ONC IV THER ADD'L HR 0 0 IV TX ADD'L SQ < 1 HR0 0 IV TX CONCURR INF 0 0 IV TX HYDRA ADD'L HR0 0 ONC INJECTED SC,IM0 0 IV PUSH INITIAL 0 0 IVP EA ADD'L SEQ 0 0 IVP SEQ SAME DRUG 0>30 MIN 0 CHEMO INFUSD 1ST HR 0 0 CHEMO INFUSD AD'L 0HR 0 CHEM INF SEQ 1ST HR0 0 CHEMO CNS REQ SPINAL 0 0 CHEMO IVP INITIAL 0 0 CHEMO IVP EA ADD'L0 0 INTRATHECAL ADMIN0 0 CHEMO SC/IM NON-HORM 0 0 CHEMO SC/IM HORMONAL 0 0 CHEMO UNSPECIFIED0 0 BLOOD ADMIN-ONCOLOGY 0 0 PORT FLUSH 0 0 FLU VACCINE ADMIN0 0 PNEUMON VACCINE 0ADMIN 0 CARMUSTINE 100 MG 0 VIAL 0 DACARBAZINE 100 MG 0 VIAL 0 CLADRIBINE 1 MG/ML 0 VIAL 0 DOCETAXEL 80 MG VIAL 0 0 ALDESLEUKIN 22MMU 0 VIAL 0 INTRON A (10MM UNITS/ML) 0 0 ROFERON-A 9MM U/0.5ML 0 KIT 0 THIOTEPA 15 MG VIAL0 0 LEUCOVORIN 100 MG 0VIAL 0 CARBOPLATIN 150 MG 0 VIAL 0 CYTARABINE 100 MG 0VIAL 0 GEMCITABINE 1 GM VIAL 0 0 PENTOSTATIN 10 MG 0VIAL 0 ZOLADEX 10.8 MG SYRINGE 0 K 0 INTRON A 5MM UNITS 0 INJ PE 0 INTRON A 10 MMU VIAL 0 0 INTRON A 3MM UNITS 0 INJ PE 0 OXALIPLATIN 100 MG 0VIAL 0
- 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 694 and 695: POST-OP SHOE 0 0 T-LOOP ELECTRODE 0
- 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
SYN L PL DCP BR 07 H0 0<br />
SYN L PL DCP BR 08 H0 0<br />
STAPLE TA 90 0 0<br />
STAPLE TA 90 0 0<br />
STAPLE TA 90 0 0<br />
SYN L PL DCP BR 14 H0 0<br />
STAPLE TA 90 0 0<br />
STAPLE TA 90 0 0<br />
SYN L PL DCP NR 06 H0 0<br />
STAPLE TA 90 0 0<br />
SYN L PL DCP NR 12 H0 0<br />
STAPLE TA 90 0 0<br />
STAPLE TA 90 0 0<br />
STAPLE TA 90 0 0<br />
STAPLE TA 90 0 0<br />
STAPLE TA 90 0 0<br />
STAPLE TA 90 0 0<br />
SYN L SCR CORT 14-70 0<br />
SYN L SCR CORT 14-70 0<br />
SYN L SCR CORT 14-70 0<br />
SYN L SCR CORT 14-70 0<br />
SYN L SCR CORT 14-70 0<br />
SYN L SCR CORT 14-70 0<br />
SYN L SCR CORT 14-70 0<br />
SYN L SCR CORT 14-70 0<br />
SYN L SCR CORT 14-70 0<br />
SYN L SCR CORT 14-70 0<br />
SYN L SCR CORT 14-70 0<br />
SYN L SCR CORT 14-70 0<br />
SYN L SCR CORT 14-70 0<br />
SYN L SCR CORT 14-70 0<br />
SYN L SCR CORT 14-70 0<br />
SYN L SCR CORT 14-70 0<br />
SYN L SCR CORT 14-70 0<br />
SYN L SCR CORT 14-70 0<br />
TOT JOINT DEVICE IMPLANT 0 0<br />
TOT KNIFE SLIT BLADE0 0<br />
URO CATH MALECOT 0ALL<br />
0<br />
URO CATH MALECOT 0ALL<br />
0<br />
URO CATH SUPRABLCYSTOSCO 0 0<br />
URO PROSTH PENILE 0NON-IN<br />
0<br />
URO PROTH PENILE INFLAT 0 0<br />
URO TURP BALL 24 0 0<br />
IMPLANTABLE JOINT 0DEVICE<br />
0<br />
MISC IMPLANT SCREW/ANCHOR 0 0<br />
TKA 3-M STYLE SAW BLADE 0 0<br />
TKA TRIA PS TIBIAL INSERT 0 0
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