chrg# cdsc cdept csrv cupr crev# 3095 med/surg, semi ... - CT.gov
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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

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<strong>CT</strong> CHEST HIGH RESOLU 0 W/O 0<br />

<strong>CT</strong> CHEST W CONTRAST 50 50<br />

<strong>CT</strong> CHEST W&W/O CONT 0 0<br />

<strong>CT</strong> CHEST W/O CONTRAS 45 45<br />

<strong>CT</strong> D SPINE W/CONTRAS 0 0<br />

<strong>CT</strong> DORSAL SPINE 1 1<br />

<strong>CT</strong> FACIAL/MAND W/CONTRAST 1 1<br />

<strong>CT</strong> FACIAL/MAND W/O 10 CON 10<br />

<strong>CT</strong> FACIAL/MAND W/WO 0 CONTR0<br />

<strong>CT</strong> HEAD W & W/O CONT 6 6<br />

<strong>CT</strong> HEAD W CONTRAST 4 4<br />

<strong>CT</strong> HEAD W/O CONTRAST 201 201<br />

<strong>CT</strong> I.A.M. W/CONTRAST 0 0<br />

<strong>CT</strong> I.A.M. W/O CONTRA 0 0<br />

<strong>CT</strong> LO EXT W /CON-LT0 0<br />

<strong>CT</strong> LO EXT W/CON RT0 0<br />

<strong>CT</strong> LO EXT WO CON-LT4 4<br />

<strong>CT</strong> LO EXT WO CON-RT5 5<br />

SCANOGRAM-LEGS 0 0<br />

<strong>CT</strong> LUMBAR SP W/CON0 0<br />

<strong>CT</strong> LUMBAR SPINE W/O 5 CONTR 5<br />

<strong>CT</strong> NECK W/CONTRAST 12 12<br />

<strong>CT</strong> NECK W/O CONTRAST 2 2<br />

<strong>CT</strong> NECK W/WO CONTRAS 0 0<br />

<strong>CT</strong> ORBITS W/CONTRAST 0 0<br />

<strong>CT</strong> ORBITS W/O CONT3 3<br />

<strong>CT</strong> ORBITS W/WO CONTR 0 0<br />

<strong>CT</strong> PELVIS W / CONTRAST 0 0<br />

<strong>CT</strong> PELVIS W&W/O CONT 0 0<br />

<strong>CT</strong> PELVIS W/O CONTRA 3 3<br />

<strong>CT</strong> PITUITARY W/CONT 0 0<br />

<strong>CT</strong> PITUITARY W/O CON 0 0<br />

<strong>CT</strong> PITUITARY W/WO 0CONTR<br />

0<br />

<strong>CT</strong> SAC/COCC W/CONTRA 0 0<br />

<strong>CT</strong> SAC/COCC W/O CONT 0 0<br />

<strong>CT</strong> SI JTS W/CONTRAST 0 0<br />

<strong>CT</strong> SI JTS W/O CONTRA0 0<br />

<strong>CT</strong> SINUS W/CONTRAST 0 0<br />

<strong>CT</strong> SINUS W/O CONTRAS 27 27<br />

<strong>CT</strong> SINUS W/WO CONTRA 0 0<br />

<strong>CT</strong> TEMP BNS W/O CONT 4 4<br />

<strong>CT</strong> TEMP BNS W/WO 0CON<br />

0<br />

<strong>CT</strong> TEMP BONES W/CONT 0 0<br />

<strong>CT</strong> TM JOINTS 0 0<br />

<strong>CT</strong> UP EX W/WO CO-LT 0 0<br />

<strong>CT</strong> UP EX WO CON-LT2 2<br />

<strong>CT</strong> UP EX WO CON-RT2 2

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