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
4622643 UREAPLASMA MYCOPLASMA HOMINIS 300 0 80.52 4010 4622650 MYCOBACTERIA CULTURE 300 0 56.55 4010 4622668 OVA AND PARASITE SMEARS 300 0 46.59 4010 4622676 FLOURESCENT STAIN/ACID STAIN 300 0 28.11 4010 4622684 FUNGUS STAIN 300 0 28.11 4010 4622692 SMEAR COMPLEX STAIN 300 0 65.1 4010 4622700 VIRAL CULTURE, GENERAL 300 0 136.43 4010 4622718 VIRUS INOCULATION TISSUE 300 0 136.43 4010 4622726 VIRUS INNOCULATION SHELL VIA 300 0 25.61 4010 4622742 VIRAL CULT, RAPID, RESPIRATORY 300 0 25.61 4010 4622759 GENET VIRUS ISOLATE HSV 300 0 179.19 4010 4622767 VIRUS, VARICELLA ZOSTER AG, DFA 300 0 62.79 4010 4622775 HBSAG SCREEN 300 0 54.05 4010 4622783 CMV QUANT DNA PCR(PLASMA) 300 0 224.22 4010 4622791 HBV REAL TIME PCR, QUANT 300 0 224.22 4010 4622809 HCV RT PCR QUANT(NON GRAPH) 300 0 224.22 4010 4622817 VZV REAL TIME PCR 300 0 183.69 4010 4622825 CRYPTOCOCCUS ANTIGEN, SERUM 300 0 15 4010 4622833 SIROLIMUS(RAPAMUNE), BLOOD 300 0 72.6 4010 4622841 TACROLIMUS(FK506)BLOOD 300 0 71.85 4010 4622858 PTHRP(PTH RELATED PEPTIDE) 300 0 73.97 4010 4622866 QUETIAPINE(SEROQUEL) 300 0 169.87 4010 4622874 RISPERIDONE(RISPERDAL)SERUM 300 0 94.53 4010 4622882 TAY SACHS, BIOCHEMICAL, SERUM 300 0 0 4010 4622890 PTH, INTACT 300 0 216.05 4010 4622908 PSA TOTAL 300 0 96.29 4010 4622916 PSA, ULTRASENSITIVE, W/O SERIAL 300 0 96.29 4010 4622924 PSA FREE 300 0 96.29 4010 4622932 PROTEIN, BODY FLUID 300 0 19.5 4010 4622940 PROTOPORPHYRIN FEP/ZPP 300 0 75.11 4010 4622957 RENIN ACTIVITY, PLASMA 300 0 115.14 4010 4622965 SELENIUM, BLOOD 300 0 133.62 4010 4622973 SELENIUM, SERUM/PLASMA 300 0 133.62 4010 4622981 SEROTONIN, WHOLE BLOOD 300 0 91.1 4010 4622999 SEX HORM BINDING GLOB, SERUM 300 0 113.75 4010 4623005 TESTERONE FREE 300 0 133.28 4010 4623021 TESTOSTERONE TOTAL 300 0 135.14 4010 4623047 REVERSE T3, SERUM 300 0 82.49 4010 4623054 PTT-LA MIX 300 0 33.9 4010 4623062 STREPTOZYME 300 0 30.23 4010 4623070 SJOGRENS AB, ANTI SS A/SS B 300 0 93.86 4010 4623088 RETICULIN IGA ANTIBODIES 300 0 63.11 4010 4623096 TETANUS ANTITOXOID IGG AB 300 0 78.48 4010 4623104 RABIES NEUT ABS TITRAT(RFFIT) 300 0 88.47 4010 4623112 SACCHAROMYCES CEREVISIAE PANEL 300 0 64.2 4010 4623120 HIV-2 ANTIBODY SCREEN 300 0 70.79 4010 4623138 RUBELLA ANTIBODIES, IGG 300 0 75.33 4010
4623146 RUBEOLA ANTIBODIES, IGG 300 0 67.46 4010 4623153 RUBEOLA ANTIBODIES, IGM 300 0 67.46 4010 4623161 T PALLIDUM AB (FTA-AB) 300 0 71.85 4010 4623179 RNA, REAL TIME PCR(NON GRAPH) 300 0 659.03 4010 4623187 POTATO WHITE, IGG 300 0 41.02 4010 4623195 ORANGE, IGG 300 0 41.02 4010 4623203 LAMB'S QUARTER, IGE 300 0 41.02 4010 4623211 BLUEGRASS KENTUCKY, IGE 300 0 41.02 4010 4623229 MUGWORT, IGE 300 0 41.02 4010 4623237 PLANTAIN ENGLISH, IGE 300 0 41.02 4010 4623245 PINE WHITE, IGE 300 0 41.02 4010 4623252 YEAST BAKERS, IGE 300 0 41.02 4010 4623260 GLUTEN, IGE 300 0 41.02 4010 4623278 TOMATO, IGE 300 0 41.02 4010 4623286 POTATO WHITE, IGE 300 0 41.02 4010 4623294 CHICKEN, IGE 300 0 41.02 4010 4623302 PORK, IGE 300 0 41.02 4010 4623310 BEEF, IGE 300 0 41.02 4010 4623328 RICE, IGE 300 0 41.02 4010 4623336 BLUE CHEESE MOLD, IGE 300 0 41.02 4010 4623344 APPLE, IGE 300 0 41.02 4010 4623351 OAT, IGE 300 0 41.02 4010 4623369 BANANA, IGE 300 0 41.02 4010 4623377 STRAWBERRY, IGE 300 0 41.02 4010 4623385 GRAPE, IGE 300 0 41.02 4010 4623393 BROCCOLI, IGE 300 0 41.02 4010 4623401 BARLEY WHOLE GRAIN, IGE 300 0 41.02 4010 4623419 CARROT, IGE 300 0 41.02 4010 4623427 PEANUT, IGE 300 0 41.02 4010 4623435 CARMINE/RED DYE-COCHINEAL, IGE 300 0 41.02 4010 4623443 CASHEW NUT, IGE 300 0 41.02 4010 4623450 ORANGE, IGE 300 0 41.02 4010 4623468 MACADAMIA NUT, IGE 300 0 41.02 4010 4623476 PECAN NUT, IGE 300 0 41.02 4010 4623484 EGG YOLK, IGE 300 0 41.02 4010 4623492 CASEIN, IGE 300 0 41.02 4010 4623500 PEACH, IGE 300 0 41.02 4010 4623518 TURKEY, IGE 300 0 41.02 4010 4623526 PEAR, IGE 300 0 41.02 4010 4623534 BLUEBERRY, IGE 300 0 41.02 4010 4623542 GREEN PEA, IGE 300 0 41.02 4010 4623559 GREEN BEAN, IGE 300 0 41.02 4010 4623567 WHEY, IGE 300 0 41.02 4010 4623575 WALNUT FOOD, IGE 300 0 41.02 4010 4623583 YOGURT, IGE 300 0 41.02 4010 4623591 GARLIC, IGE 300 0 41.02 4010 4623609 SHRIMP, IGE 300 0 41.02 4010
- 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 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: 4622148 THYROID STIM IMMUNOGLOBULIN
- 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
- Page 127 and 128: 7501794 CHOLESTYRAMINE/SUCRO PACKET
- Page 129 and 130: 7502768 DULOXETINE 30MG. CAP EC 250
- Page 131 and 132: 7503741 HALOPERIDOL LACTATE VIAL 63
- Page 133 and 134: 7504723 LIDOCAINE HCL/D7.5W INJ 250
- Page 135 and 136: 7505704 MULTIVITAMINS THERAP 250 0
- Page 137 and 138: 7506645 PHENAZOPYRIDINE HCL TAB 250
4622643 UREAPLASMA MYCOPLASMA HOMINIS 300 0 80.52 4010<br />
4622650 MYCOBA<strong>CT</strong>ERIA CULTURE 300 0 56.55 4010<br />
4622668 OVA AND PARASITE SMEARS 300 0 46.59 4010<br />
4622676 FLOURESCENT STAIN/ACID STAIN 300 0 28.11 4010<br />
4622684 FUNGUS STAIN 300 0 28.11 4010<br />
4622692 SMEAR COMPLEX STAIN 300 0 65.1 4010<br />
4622700 VIRAL CULTURE, GENERAL 300 0 136.43 4010<br />
4622718 VIRUS INOCULATION TISSUE 300 0 136.43 4010<br />
4622726 VIRUS INNOCULATION SHELL VIA 300 0 25.61 4010<br />
4622742 VIRAL CULT, RAPID, RESPIRATORY 300 0 25.61 4010<br />
4622759 GENET VIRUS ISOLATE HSV 300 0 179.19 4010<br />
4622767 VIRUS, VARICELLA ZOSTER AG, DFA 300 0 62.79 4010<br />
4622775 HBSAG SCREEN 300 0 54.05 4010<br />
4622783 CMV QUANT DNA PCR(PLASMA) 300 0 224.22 4010<br />
4622791 HBV REAL TIME PCR, QUANT 300 0 224.22 4010<br />
4622809 HCV RT PCR QUANT(NON GRAPH) 300 0 224.22 4010<br />
4622817 VZV REAL TIME PCR 300 0 183.69 4010<br />
4622825 CRYPTOCOCCUS ANTIGEN, SERUM 300 0 15 4010<br />
4622833 SIROLIMUS(RAPAMUNE), BLOOD 300 0 72.6 4010<br />
4622841 TACROLIMUS(FK506)BLOOD 300 0 71.85 4010<br />
4622858 PTHRP(PTH RELATED PEPTIDE) 300 0 73.97 4010<br />
4622866 QUETIAPINE(SEROQUEL) 300 0 169.87 4010<br />
4622874 RISPERIDONE(RISPERDAL)SERUM 300 0 94.53 4010<br />
4622882 TAY SACHS, BIOCHEMICAL, SERUM 300 0 0 4010<br />
4622890 PTH, INTA<strong>CT</strong> 300 0 216.05 4010<br />
4622908 PSA TOTAL 300 0 96.29 4010<br />
4622916 PSA, ULTRASENSITIVE, W/O SERIAL 300 0 96.29 4010<br />
4622924 PSA FREE 300 0 96.29 4010<br />
4622932 PROTEIN, BODY FLUID 300 0 19.5 4010<br />
4622940 PROTOPORPHYRIN FEP/ZPP 300 0 75.11 4010<br />
4622957 RENIN A<strong>CT</strong>IVITY, PLASMA 300 0 115.14 4010<br />
4622965 SELENIUM, BLOOD 300 0 133.62 4010<br />
4622973 SELENIUM, SERUM/PLASMA 300 0 133.62 4010<br />
4622981 SEROTONIN, WHOLE BLOOD 300 0 91.1 4010<br />
4622999 SEX HORM BINDING GLOB, SERUM 300 0 113.75 4010<br />
4623005 TESTERONE FREE 300 0 133.28 4010<br />
4623021 TESTOSTERONE TOTAL 300 0 135.14 4010<br />
4623047 REVERSE T3, SERUM 300 0 82.49 4010<br />
4623054 PTT-LA MIX 300 0 33.9 4010<br />
4623062 STREPTOZYME 300 0 30.23 4010<br />
4623070 SJOGRENS AB, ANTI SS A/SS B 300 0 93.86 4010<br />
4623088 RETICULIN IGA ANTIBODIES 300 0 63.11 4010<br />
4623096 TETANUS ANTITOXOID IGG AB 300 0 78.48 4010<br />
4623104 RABIES NEUT ABS TITRAT(RFFIT) 300 0 88.47 4010<br />
4623112 SACCHAROMYCES CEREVISIAE PANEL 300 0 64.2 4010<br />
4623120 HIV-2 ANTIBODY SCREEN 300 0 70.79 4010<br />
4623138 RUBELLA ANTIBODIES, IGG 300 0 75.33 4010