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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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4604609 IBT RAST ALLERGEN 12 300 0 26.85 4010<br />

4604617 SGPG 300 0 0 4010<br />

4604625 FETAL HGB QUANT. 300 0 83.2 4010<br />

4604633 ANTI-RETICULIN, IGA 300 0 90.81 4010<br />

4604641 TOPAMAX(TOPIRAMATE) 300 0 104.59 4010<br />

4604658 ORGANIC ACIDS,PLASMA 300 0 109.14 4010<br />

4604666 HELICOBA<strong>CT</strong>ER AG,STOO 300 0 242.9 4010<br />

4604674 URINE ETP,RANDOM 300 0 106.08 4010<br />

4604682 TOTAL PROT,UR,RANDOM 300 0 52.32 4010<br />

4604690 LISTERIA AB,CSF 300 0 204.56 4010<br />

4604716 AFP 300 0 79.13 4010<br />

4604724 HCG 300 0 32.57 4010<br />

4604732 ESTRIOL 300 0 86 4010<br />

4604740 METHOTREXATE 300 0 77.87 4010<br />

4604757 TETRAHYDROCANNABINOL 300 0 72.09 4010<br />

4604765 CARBOXY-THC 300 0 48.95 4010<br />

4604773 FLUORIDE 300 0 148.85 4010<br />

4604781 CHLAMYDIA,DIRE<strong>CT</strong> AG 300 0 95.42 4010<br />

4604799 IGF BINDING PROTEIN3 300 0 117.52 4010<br />

4604807 HEPATITIS BE AG 300 0 87.04 4010<br />

4604815 HEPATITIS BE AB 300 0 88.53 4010<br />

4604823 NARCOLEPSY ASSOC AG 300 0 430.43 4010<br />

4604831 TRYPSINOGEN,SERUM 300 0 154.18 4010<br />

4604849 ANTI-OVARIAN ANTIBOD 300 0 123.63 4010<br />

4604856 A1 ANTITRYPSIN PHENO 300 0 109.92 4010<br />

4604864 ARYLSULPHATASE A A<strong>CT</strong> 300 0 269.43 4010<br />

4604872 FK506 300 0 71.78 4010<br />

4604880 RETROVIRAL SEROLOGY 300 0 363.29 4010<br />

4604898 FREE CORTISOL,BLOOD 300 0 145.8 4010<br />

4604906 DEXAMETHASONE 300 0 129.74 4010<br />

4604914 T CELLS,TOTAL <strong>CT</strong>. 300 0 233.38 4010<br />

4604922 WBC 300 0 14.23 4010<br />

4604930 ABS. CD4 &CD8 300 0 128.14 4010<br />

4604948 FLOW CYTOMETRY 300 0 130.63 4010<br />

4604955 LSD CONFIRM. BY GCMS 300 0 148.85 4010<br />

4604963 LUVOX LEVEL 300 0 109.92 4010<br />

4604989 CHROMOGRANIN-A 300 0 125.91 4010<br />

4604997 HEP B CORE AB, IGM 300 0 97.7 4010<br />

4605002 ADENOSINE DEAMINASE 300 0 66.43 4010<br />

4605010 PNEUMOCYSTIS CARINII 300 0 135.85 4010<br />

4605028 ALPHA SUBUNIT 300 0 127.47 4010<br />

4605036 GLUT.ACID DECARBX AB 300 0 122.14 4010<br />

4605044 COZ PLASTIC OCC HEAL 300 0 154.18 4010<br />

4605069 ALPHA 1 ACID GLYCOPR 300 0 82.42 4010<br />

4605077 MICROPOLYSPORA FAENI 300 0 93.86 4010<br />

4605085 THEROA<strong>CT</strong>INOMYCES SPP 300 0 76.31 4010<br />

4605093 ALTERIA ALTERNATA 300 0 93.86 4010

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