10.12.2012 Views

Description - DE Medical Assistance Program

Description - DE Medical Assistance Program

Description - DE Medical Assistance Program

SHOW MORE
SHOW LESS

Create successful ePaper yourself

Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.

86817 HLA TYPING, DR/DQ 3 $90.38<br />

86821 LYMPHOCYTE CULTURE, MIXED 3 $79.25<br />

86822 LYMPHOCYTE CULTURE, PRIMED 3 $51.31<br />

86825 HLA X-MATCH, NON-CYTOTOXIC 3 $112.74<br />

86826 HLA X-MATCH, NON-CYT ADD-ON 3 $37.58<br />

86849 IMMUNOLOGY PROCEDURE 5 $0.00<br />

86850 RBC ANTIBODY SCREEN 3 $15.00<br />

86860 RBC ANTIBODY ELUTION 5 $0.00<br />

86870 RBC ANTIBODY I<strong>DE</strong>NTIFICATION 3 $15.00<br />

86880 COOMBS TEST, DIRECT 3 $7.55<br />

86885 COOMBS TEST, INDIRECT, QUAL 3 $8.04<br />

86886 COOMBS TEST, INDIRECT, TITER 3 $7.26<br />

86890 AUTOLOGOUS BLOOD PROCESS 5 $0.00<br />

86891 AUTOLOGOUS BLOOD, OP SALVAGE 5 $0.00<br />

86900 BLOOD TYPING, ABO 3 $4.18<br />

86901 BLOOD TYPING, RH (D) 3 $4.18<br />

86903 BLOOD TYPING, ANTIGEN SCREEN 3 $13.25<br />

86904 BLOOD TYPING, PATIENT SERUM 3 $13.35<br />

86905 BLOOD TYPING, RBC ANTIGENS 3 $5.37<br />

86906 BLOOD TYPING, RH PHENOTYPE 3 $10.88<br />

86910 BLOOD TYPING, PATERNITY TEST 9 $0.00<br />

86911 BLOOD TYPING, ANTIGEN SYSTEM 9 $0.00<br />

86915 BONE MARROW/STEM CELL PREP O $0.00<br />

86920 COMPATIBILITY TEST, SPIN 3 $36.00<br />

86921 COMPATIBILITY TEST, INCUBATE 3 $36.00<br />

86922 COMPATIBILITY TEST, ANTIGLOB 3 $36.00<br />

86923 COMPATIBILITY TEST, ELECTRIC 6 $0.00<br />

86927 PLASMA, FRESH FROZEN 5 $0.00<br />

86930 FROZEN BLOOD PREP 5 $0.00<br />

86931 FROZEN BLOOD THAW 5 $0.00<br />

86932 FROZEN BLOOD FREEZE/THAW 5 $0.00<br />

86940 HEMOLYSINS/AGGLUTININS, AUTO 3 $8.57<br />

86941 HEMOLYSINS/AGGLUTININS 3 $16.70<br />

86945 BLOOD PRODUCT/IRRADIATION 3 $42.00<br />

86950 LEUKACYTE TRANSFUSION 5 $0.00<br />

86960 VOL REDUCTION OF BLOOD/PROD 6 $0.00<br />

86965 POOLING BLOOD PLATELETS 5 $0.00<br />

86970 RBC PRETREATMENT 5 $0.00<br />

86971 RBC PRETREATMENT 5 $0.00<br />

86972 RBC PRETREATMENT 5 $0.00<br />

86975 RBC PRETREATMENT, SERUM 5 $0.00<br />

86976 RBC PRETREATMENT, SERUM 5 $0.00<br />

86977 RBC PRETREATMENT, SERUM 5 $0.00<br />

86978 RBC PRETREATMENT, SERUM 5 $0.00<br />

86985 SPLIT BLOOD OR PRODUCTS 5 $0.00<br />

86999 TRANSFUSION PROCEDURE 5 $0.00<br />

87001 SMALL ANIMAL INOCULATION 3 $18.55<br />

87003 SMALL ANIMAL INOCULATION 3 $23.63<br />

87015 SPECIMEN CONCENTRATION 3 $9.38

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!