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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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4610135 COXSACKIE B2 AB 300 0 87.75 4010<br />

4610143 COXSACKIE B3 AB 300 0 87.75 4010<br />

4610150 COXSACKIE B4 AB 300 0 87.75 4010<br />

4610168 COXSACKIE B5 AB 300 0 87.75 4010<br />

4610176 COXSACKIE B6 AB 300 0 87.75 4010<br />

4610184 IGG,ANTI-IGA AB 300 0 116.03 4010<br />

4610192 LYME DNA PCR,URINE 300 0 219.05 4010<br />

4610200 RBC 300 0 19.11 4010<br />

4610218 HEMOGLOBIN 300 0 14.5 4010<br />

4610226 HEMATOCRIT 300 0 26.33 4010<br />

4610234 LCM IGG AB 300 0 95.42 4010<br />

4610242 LCM IGM AB 300 0 95.42 4010<br />

4610259 BETAPACE LEVEL 300 0 119.8 4010<br />

4610267 H.INFLUENZAE TYPE B 300 0 47.32 4010<br />

4610275 STREP.PNEUMONIAE 300 0 39.72 4010<br />

4610283 N.MENINGITIDIS GP A 300 0 39.72 4010<br />

4610291 N.MENINGITIDIS GP B 300 0 39.72 4010<br />

4610309 N.MENINGITIDIS GP C 300 0 39.72 4010<br />

4610317 N.MENINGITIDIS GP Y 300 0 39.72 4010<br />

4610325 N.MENINGITIDIS GPW13 300 0 39.72 4010<br />

4610333 GP B STREPTOCOCCUS 300 0 39.72 4010<br />

4610341 E.COLI AG 300 0 39.72 4010<br />

4610358 CSF HSV 300 0 264.81 4010<br />

4610366 ENTEROVIRUS,PCR 300 0 338.13 4010<br />

4610416 ALDOSTERONE,PLASMA 300 0 278.59 4010<br />

4610424 ASPERGILLUS 300 0 76.31 4010<br />

4610432 GEL DIFF.EA AG/AB 300 0 46.54 4010<br />

4610440 ADENOVIRUS CULTURE 300 0 80.93 4010<br />

4610457 ADENOVIRUS TISS INOC 300 0 106.02 4010<br />

4610465 CMV DNA,QL,PCR 300 0 303.75 4010<br />

4610473 TPMT MUTATION ANALYS 300 0 371.25 4010<br />

4610481 VIRAL CULTURE,COMPRE 300 0 101.09 4010<br />

4610499 FREE KAPPA,SERUM 300 0 188.5 4010<br />

4610507 FREE LAMBDA,SERUM 300 0 188.5 4010<br />

4610515 ACHR BLOCKING AB 300 0 209.11 4010<br />

4610523 ACHR MODULATING AB 300 0 278.59 4010<br />

4610531 SKELETAL MUSCLE AB 300 0 258.77 4010<br />

4610549 DHEA,URINE 300 0 329.75 4010<br />

4610556 REDUCING SUBST.FECES 300 0 77.81 4010<br />

4610564 ENTEROVIRUS CULTURE 300 0 167.12 4010<br />

4610572 CRYPTOCOCCUS AG,SERU 300 0 62.9 4010<br />

4610580 LYME,PCR,FLUID 300 0 113.75 4010<br />

4610598 LYME,PCR,CSF 300 0 113.75 4010<br />

4610606 LYME WB IGG/IGM,CSF 300 0 145.08 4010<br />

4610614 HSV I,IGG 300 0 100.38 4010<br />

4610622 HSV II,IGG 300 0 98.56 4010<br />

4610630 LYME WB IGG/IGM FLD. 300 0 145.08 4010

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