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
4613584 GLYCOMARK 300 0 136.34 4010 4613592 STREPTOMYCIN 300 0 370.5 4010 4613600 THYROXIN BINDING CAPACITY 300 0 52.58 4010 4613626 DEOXYCORTICOSTERONE 300 0 110.12 4010 4613634 ALDACTONE/SPIRONOLACTONE 300 0 210.6 4010 4613642 CHROMATIN ANTIBODY 300 0 107.25 4010 4613659 BK VIRUS DNA, QN, PCR 300 0 729.3 4010 4613667 HA1C WITH MPG 300 0 93.21 4010 4613675 CITRATE URINE, RANDOM 300 0 337.35 4010 4613683 ESTRIOL 300 0 62.6 4010 4613691 ASPERGILLUS ANTIBODY 300 0 20.7 4010 4613709 TIN 300 0 195 4010 4613717 NICOTINE/COTININE, URINE 300 0 99.45 4010 4613725 LYME DISEASE C6 ANTIBODY 300 0 487.5 4010 4613733 PROTEIN S ANTIGEN, TOTAL AND FREE 300 0 702 4010 4613741 ATOMOXETINE 300 0 349.05 4010 4613758 VITAMIN D 300 0 82.68 4010 4613766 HEPATITIS A AB, IGM 300 0 187.68 4010 4613774 KRAS 300 0 1012.5 4010 4613816 INFLUENZA A RNA 300 0 229.13 4010 4613824 SWINE FLU H1 GENE 300 0 229.13 4010 4613832 PL-7 AUTOABS 300 0 160.16 4010 4613840 PL-12 AUTOABS 300 0 160.16 4010 4613857 MI-2 AUTOABS 300 0 160.16 4010 4613865 KU AUTOABS 300 0 160.16 4010 4613873 EJ AUTOABS 300 0 160.16 4010 4613881 OG AUTOABS 300 0 160.16 4010 4613899 SRP AUTOABS 300 0 160.16 4010 4613907 JO-1 AUTOABS 300 0 160.16 4010 4613915 REFLEX HPV DNA 300 0 99.94 4010 4613923 COMPLEMENT-C5 300 0 160.37 4010 4613931 OVA AND PARASITES 300 0 321.53 4010 4613949 TRICHROME 300 0 241.57 4010 4613956 ABILIFY 300 0 158.31 4010 4613964 PT-QUEST 300 0 49.83 4010 4613972 PTT-LA 300 0 49.83 4010 4613980 PHENOBARBITAL 300 0 44.68 4010 4613998 ANA SCREEN 300 0 42.97 4010 4614004 ANA TITER 300 0 15.35 4010 4614012 ANA PATTERN 300 0 0 4010 4614020 CRYPTOCOCCUS AG, CSF 300 0 33.11 4010 4614038 LEGIONELLA AG, URINE 300 0 35.61 4010 4614046 BUPRENORPHINE, URINE 300 0 339.3 4010 4614053 COTININE, URINE 300 0 132.6 4010 4614061 AMPHETAMINES, UR QUANT 300 0 188.08 4010 4614079 STRIATED MUSCLE AB 300 0 52.92 4010 4614087 T3 ANTIBODY 300 0 230.1 4010
4614095 LIDOCAINE AUTO ABS 300 0 263.25 4010 4614103 FREE HEMOGLOBIN, URINE 300 0 109.2 4010 4614111 PH, URINE 300 0 29.82 4010 4614129 CALCIUM, URINE 300 0 29.82 4010 4614137 URIC ACID, URINE 300 0 29.82 4010 4614145 CITRATE, URINE 300 0 38.22 4010 4614152 SODIUM, URINE 300 0 29.82 4010 4614160 SULFATE, URINE 300 0 29.82 4010 4614178 PHOSPHORUS, URINE 300 0 29.82 4010 4614186 MAGNESIUM, URINE 300 0 29.82 4010 4614194 POTASSIUM, URINE 300 0 29.82 4010 4614202 CREATININE, URINE 300 0 29.82 4010 4614210 CALCIUM OXALATE, URINE 300 0 29.82 4010 4614236 BETA-HYDROXYBUTYRATE 300 0 126 4010 4614244 IRON, LIVER TISSUE 300 0 180.48 4010 4614251 CREATININE, URINE, QUEST 300 0 14.46 4010 4614269 EARLY ALZHEIMERS EVALUATION 300 0 45.66 4010 4614285 LEFLUNOMIDE 300 0 273 4010 4614350 ANTI NEURONAL NUC AB TYPE 1 300 0 97.33 4010 4614368 ANTI NEURONAL NUC AB TYPE 2 300 0 97.33 4010 4614376 ANTI NEURONAL NUC AB TYPE 3 300 0 97.33 4010 4614384 ANTI GLIAL NUC AN TYPE 1 300 0 97.33 4010 4614392 PURKINJE CELL CYTO AB TYPE 1 300 0 97.33 4010 4614400 PURKINJE CELL CYTO AB TYPE 2 300 0 97.33 4010 4614418 PURKINJE CELL CYTO AB TYPE TR 300 0 97.33 4010 4614426 AMPHIPHYSIS AB 300 0 97.33 4010 4614434 CRMP 5 IG G 300 0 97.33 4010 4614442 STRIATED MUSCLE AB 300 0 104.56 4010 4614459 P/Q TYPE CA CHANNEL AB 300 0 95.13 4010 4614467 N TYPE CA CHANNEL AB 300 0 95.13 4010 4614475 ACH REC BINDING AB 300 0 95.13 4010 4614483 ACHR GANGLIONIC NEURONAL AB 300 0 95.13 4010 4614491 NEURONAL (V-G)K+ CHANNEL AB 300 0 95.13 4010 4614509 RETOVIRAL SEROLOGY 300 0 1755 4010 4614574 TAY SACHS MUTATION ANALYSIS 300 0 11.19 4010 4614590 PRO-BNP NT 300 0 188.67 4010 4614608 TARTRATE RESISTANT ACID PHOS 300 0 119.68 4010 4614616 CYMBALTA 300 0 312 4010 4614624 THYROTROPIN 300 0 401.7 4010 4614632 CODEINE ALLERGEN 300 0 78 4010 4614640 PORPHYRINS, FECAL, QUALITATIVE 300 0 116.26 4010 4614673 XYLENE PANEL 300 0 124.26 4010 4614715 COMPLETE MYOTONIA EVALUATION 300 0 11.48 4010 4614731 17 OH PROGESTERONE 300 0 77.82 4010 4614749 ANA SCREEN 300 0 42.97 4010 4614756 5HIAA UR, 24 HR 300 0 30.94 4010 4614764 ACETYLCHOLINE MODULATING AB 300 0 33.74 4010
- 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 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: 4613063 TISSUE PREP 300 0 82.42 401
- 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
- Page 117 and 118: 6802128 MAMMO DIAG DIGITAL RIGHT 40
- Page 119 and 120: 6901607 FINGER 2 OR MORE RT 320 0 1
- Page 121 and 122: 7000094 MRI-CHEST W/WO CONTR PLF 61
- Page 123 and 124: 7001084 MRI-LOEX NO JT W/WO RT-PLF
- Page 125 and 126: 7500820 ASPIRIN 325 MG TAB 250 0 0
4613584 GLYCOMARK 300 0 136.34 4010<br />
4613592 STREPTOMYCIN 300 0 370.5 4010<br />
4613600 THYROXIN BINDING CAPACITY 300 0 52.58 4010<br />
4613626 DEOXYCORTICOSTERONE 300 0 110.12 4010<br />
4613634 ALDA<strong>CT</strong>ONE/SPIRONOLA<strong>CT</strong>ONE 300 0 210.6 4010<br />
4613642 CHROMATIN ANTIBODY 300 0 107.25 4010<br />
4613659 BK VIRUS DNA, QN, PCR 300 0 729.3 4010<br />
4613667 HA1C WITH MPG 300 0 93.21 4010<br />
4613675 CITRATE URINE, RANDOM 300 0 337.35 4010<br />
4613683 ESTRIOL 300 0 62.6 4010<br />
4613691 ASPERGILLUS ANTIBODY 300 0 20.7 4010<br />
4613709 TIN 300 0 195 4010<br />
4613717 NICOTINE/COTININE, URINE 300 0 99.45 4010<br />
4613725 LYME DISEASE C6 ANTIBODY 300 0 487.5 4010<br />
4613733 PROTEIN S ANTIGEN, TOTAL AND FREE 300 0 702 4010<br />
4613741 ATOMOXETINE 300 0 349.05 4010<br />
4613758 VITAMIN D 300 0 82.68 4010<br />
4613766 HEPATITIS A AB, IGM 300 0 187.68 4010<br />
4613774 KRAS 300 0 1012.5 4010<br />
4613816 INFLUENZA A RNA 300 0 229.13 4010<br />
4613824 SWINE FLU H1 GENE 300 0 229.13 4010<br />
4613832 PL-7 AUTOABS 300 0 160.16 4010<br />
4613840 PL-12 AUTOABS 300 0 160.16 4010<br />
4613857 MI-2 AUTOABS 300 0 160.16 4010<br />
4613865 KU AUTOABS 300 0 160.16 4010<br />
4613873 EJ AUTOABS 300 0 160.16 4010<br />
4613881 OG AUTOABS 300 0 160.16 4010<br />
4613899 SRP AUTOABS 300 0 160.16 4010<br />
4613907 JO-1 AUTOABS 300 0 160.16 4010<br />
4613915 REFLEX HPV DNA 300 0 99.94 4010<br />
4613923 COMPLEMENT-C5 300 0 160.37 4010<br />
4613931 OVA AND PARASITES 300 0 321.53 4010<br />
4613949 TRICHROME 300 0 241.57 4010<br />
4613956 ABILIFY 300 0 158.31 4010<br />
4613964 PT-QUEST 300 0 49.83 4010<br />
4613972 PTT-LA 300 0 49.83 4010<br />
4613980 PHENOBARBITAL 300 0 44.68 4010<br />
4613998 ANA SCREEN 300 0 42.97 4010<br />
4614004 ANA TITER 300 0 15.35 4010<br />
4614012 ANA PATTERN 300 0 0 4010<br />
4614020 CRYPTOCOCCUS AG, CSF 300 0 33.11 4010<br />
4614038 LEGIONELLA AG, URINE 300 0 35.61 4010<br />
4614046 BUPRENORPHINE, URINE 300 0 339.3 4010<br />
4614053 COTININE, URINE 300 0 132.6 4010<br />
4614061 AMPHETAMINES, UR QUANT 300 0 188.08 4010<br />
4614079 STRIATED MUSCLE AB 300 0 52.92 4010<br />
4614087 T3 ANTIBODY 300 0 230.1 4010
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