Carle Eureka Hospital
Carle Eureka Hospital
2020-12-17T02:37:23Z
2020-12-20T00:21:46Z
Microsoft
16.00
11700
28800
0
0
False
False
Last Update Date: 01/01/2021 |
Facility ID |
Code |
Description |
CPT/HCPCS Code |
Revenue Code |
Gross Charge/Unit |
Cash Price |
Min Allowable |
Max Allowable |
Aetna Rental Network |
Health Alliance Carle EP |
HFN/Zelis PPO |
HFN Zelis Platinum |
Humana Commercial |
Carle Eureka Hospital |
1331891823 |
INSULIN LIKE GROWTH FACTOR 1 |
84305 |
0301 |
70 |
70 |
21 |
63.7 |
49 |
21 |
63.7 |
50.4 |
59.5 |
Carle Eureka Hospital |
1334071297 |
XRAY CHEST THREE VIEWS |
71047 |
0324 |
300 |
300 |
90 |
273 |
210 |
90 |
273 |
216 |
255 |
Carle Eureka Hospital |
1314250628 |
ECHO PEDS CONG ANOM LIMITED |
93304 |
0480 |
1075 |
1075 |
322.5 |
978.25 |
752.5 |
322.5 |
978.25 |
774 |
913.75 |
Carle Eureka Hospital |
1314250629 |
ECHO PED CONG ANOM COMP |
93303 |
0480 |
935 |
935 |
280.5 |
850.85 |
654.5 |
280.5 |
850.85 |
673.19999999999993 |
794.75 |
Carle Eureka Hospital |
1314250630 |
ECHO DOPPLER PW CW LIMITED |
93321 |
0480 |
175 |
175 |
52.5 |
159.25 |
122.49999999999999 |
52.5 |
159.25 |
126 |
148.75 |
Carle Eureka Hospital |
1314250631 |
ECHO DOPPLER PW CW COMPLETE |
93320 |
0480 |
385 |
385 |
115.5 |
350.35 |
269.5 |
115.5 |
350.35 |
277.2 |
327.25 |
Carle Eureka Hospital |
1314250632 |
ECHO DOPPLER COLOR VEL MAPPING |
93325 |
0480 |
355 |
355 |
106.5 |
323.05 |
248.49999999999997 |
106.5 |
323.05 |
255.6 |
301.75 |
Carle Eureka Hospital |
1314250667 |
HOLTER SCANNING 48 HR |
93226 |
0731 |
440 |
440 |
132 |
400.40000000000003 |
308 |
132 |
400.40000000000003 |
316.8 |
374 |
Carle Eureka Hospital |
1314250668 |
HOLTER RECORD/HOOKUP 48 HR |
93225 |
0731 |
360 |
360 |
108 |
327.60000000000002 |
251.99999999999997 |
108 |
327.60000000000002 |
259.2 |
306 |
Carle Eureka Hospital |
1314250779 |
CARDIAC REHAB PH 3/ EACH |
93797 |
0943 |
5 |
5 |
1.5 |
4.55 |
3.5 |
1.5 |
4.55 |
3.5999999999999996 |
4.25 |
Carle Eureka Hospital |
1314250923 |
ECHO 2D M MODE COMPLETE |
93306 |
0480 |
1485 |
1485 |
445.5 |
1351.3500000000001 |
1039.5 |
445.5 |
1351.3500000000001 |
1069.2 |
1262.25 |
Carle Eureka Hospital |
1314250928 |
HOLTER RECD/HOOK UPTO 24H |
93225 |
0731 |
480 |
480 |
144 |
436.8 |
336 |
144 |
436.8 |
345.59999999999997 |
408 |
Carle Eureka Hospital |
1314250932 |
EKG |
93005 |
0730 |
195 |
195 |
58.5 |
177.45000000000002 |
136.5 |
58.5 |
177.45000000000002 |
140.4 |
165.75 |
Carle Eureka Hospital |
1314250989 |
ECHO CONTRAST 1.5 ML |
Q9957 |
0636 |
312 |
312 |
93.6 |
283.92 |
218.39999999999998 |
93.6 |
283.92 |
224.64 |
265.2 |
Carle Eureka Hospital |
1314260245 |
EKG PEDS |
93005 |
0730 |
195 |
195 |
58.5 |
177.45000000000002 |
136.5 |
58.5 |
177.45000000000002 |
140.4 |
165.75 |
Carle Eureka Hospital |
1314260388 |
STRESS ECHO C CON/ECHO PORTN |
C8928 |
0483 |
2170 |
2170 |
651 |
1974.7 |
1519 |
651 |
1974.7 |
1562.3999999999999 |
1844.5 |
Carle Eureka Hospital |
1314260673 |
CARD REHAB P2 NONMONITOR EXER |
93797 |
0943 |
115 |
115 |
34.5 |
104.65 |
80.5 |
34.5 |
104.65 |
82.8 |
97.75 |
Carle Eureka Hospital |
1314261189 |
ECHO 2D MMODE COMPLETE W CON |
C8929 |
0480 |
2170 |
2170 |
651 |
1974.7 |
1519 |
651 |
1974.7 |
1562.3999999999999 |
1844.5 |
Carle Eureka Hospital |
1314261190 |
ECHO 2D M MODE LIMITED W CON |
C8924 |
0480 |
1150 |
1150 |
345 |
1046.5 |
805 |
345 |
1046.5 |
828 |
977.5 |
Carle Eureka Hospital |
1314261324 |
ECHO STRESS W EKG WO CONTRAST |
93351 |
0483 |
2250 |
2250 |
675 |
2047.5 |
1575 |
675 |
2047.5 |
1620 |
1912.5 |
Carle Eureka Hospital |
1314261325 |
ECHO STRESS W EKG W CONTRAST |
93351 |
0483 |
2935 |
2935 |
880.5 |
2670.85 |
2054.5 |
880.5 |
2670.85 |
2113.1999999999998 |
2494.75 |
Carle Eureka Hospital |
1314261326 |
ECHO STRESS WEKG WO CON WPHARM |
93351 |
0483 |
2250 |
2250 |
675 |
2047.5 |
1575 |
675 |
2047.5 |
1620 |
1912.5 |
Carle Eureka Hospital |
1314261327 |
ECHO STRESS W EKG W CON WPHARM |
93351 |
0483 |
2935 |
2935 |
880.5 |
2670.85 |
2054.5 |
880.5 |
2670.85 |
2113.1999999999998 |
2494.75 |
Carle Eureka Hospital |
1314261360 |
MYOCARDIAL STRAIN IMAGING |
93356 |
0480 |
400 |
400 |
120 |
364 |
280 |
120 |
364 |
288 |
340 |
Carle Eureka Hospital |
1302300005 |
ROOM MED SURG W TELEMETRY ENU |
0214 |
1360 |
1360 |
408 |
1237.6000000000001 |
951.99999999999989 |
408 |
1237.6000000000001 |
979.19999999999993 |
1156 |
Carle Eureka Hospital |
1302300012 |
ROOM MED SURG ENU |
0120 |
850 |
850 |
255 |
773.5 |
595 |
255 |
773.5 |
612 |
722.5 |
Carle Eureka Hospital |
1302300019 |
ROOM SWING CUSTODIAL ENU |
0120 |
220 |
220 |
66 |
200.20000000000002 |
154 |
66 |
200.20000000000002 |
158.4 |
187 |
Carle Eureka Hospital |
1302300020 |
ROOM SWING SKILL ENU |
0120 |
235 |
235 |
70.5 |
213.85 |
164.5 |
70.5 |
213.85 |
169.2 |
199.75 |
Carle Eureka Hospital |
1302300043 |
ROOM HOSPICE BED ENU |
0656 |
765 |
765 |
229.5 |
696.15 |
535.5 |
229.5 |
696.15 |
550.79999999999995 |
650.25 |
Carle Eureka Hospital |
1302300052 |
ROOM RESPITE CARE BED ENU |
0655 |
765 |
765 |
229.5 |
696.15 |
535.5 |
229.5 |
696.15 |
550.79999999999995 |
650.25 |
Carle Eureka Hospital |
1302310079 |
CATH INDWELL BLADDER SIMPLE |
51702 |
0361 |
210 |
210 |
63 |
191.1 |
147 |
63 |
191.1 |
151.19999999999999 |
178.5 |
Carle Eureka Hospital |
1302310109 |
CODE BLUE |
0480 |
1035 |
1035 |
310.5 |
941.85 |
724.5 |
310.5 |
941.85 |
745.19999999999993 |
879.75 |
Carle Eureka Hospital |
1302310304 |
OBSERVATION PER HR |
G0378 |
0762 |
40 |
40 |
12 |
36.4 |
28 |
12 |
36.4 |
28.799999999999997 |
34 |
Carle Eureka Hospital |
1302310305 |
OBSERVATION PER HR TELEMETRY |
G0378 |
0762 |
64 |
64 |
19.2 |
58.24 |
44.8 |
19.2 |
58.24 |
46.08 |
54.4 |
Carle Eureka Hospital |
1302310557 |
OBSERVATION DIRECT ADM |
G0379 |
0762 |
130 |
130 |
39 |
118.3 |
91 |
39 |
118.3 |
93.6 |
110.5 |
Carle Eureka Hospital |
1302320288 |
SYSTEM CHEST TUBE |
0272 |
312 |
312 |
93.6 |
283.92 |
218.39999999999998 |
93.6 |
283.92 |
224.64 |
265.2 |
Carle Eureka Hospital |
1302320935 |
SUPPLIES PICC LINE |
0272 |
230 |
230 |
69 |
209.3 |
161 |
69 |
209.3 |
165.6 |
195.5 |
Carle Eureka Hospital |
1302322214 |
WOUND VAC FOAM |
0272 |
110 |
110 |
33 |
100.10000000000001 |
77 |
33 |
100.10000000000001 |
79.2 |
93.5 |
Carle Eureka Hospital |
1302322259 |
BOOT WAFFLE |
0272 |
108 |
108 |
32.4 |
98.28 |
75.599999999999994 |
32.4 |
98.28 |
77.759999999999991 |
91.8 |
Carle Eureka Hospital |
1302322407 |
KIT PREVALON TURNING POSITION |
0272 |
550 |
550 |
165 |
500.5 |
385 |
165 |
500.5 |
396 |
467.5 |
Carle Eureka Hospital |
1302350451 |
IV INF THERAPEUTIC EA ADD HR |
96366 |
0260 |
210 |
210 |
63 |
191.1 |
147 |
63 |
191.1 |
151.19999999999999 |
178.5 |
Carle Eureka Hospital |
1302350453 |
IV INF THERAPEUTIC UP TO 1HR |
96365 |
0260 |
635 |
635 |
190.5 |
577.85 |
444.5 |
190.5 |
577.85 |
457.2 |
539.75 |
Carle Eureka Hospital |
1302350457 |
GASTRIC INTUBATION/LAVAGE |
43753 |
0761 |
930 |
930 |
279 |
846.30000000000007 |
651 |
279 |
846.30000000000007 |
669.6 |
790.5 |
Carle Eureka Hospital |
1302350480 |
INSERT VENOUS CENTRAL LINE |
0360 |
1660 |
1660 |
498 |
1510.6000000000001 |
1162 |
498 |
1510.6000000000001 |
1195.2 |
1411 |
Carle Eureka Hospital |
1302350484 |
INJECTION SUB-Q/IM |
96372 |
0260 |
125 |
125 |
37.5 |
113.75 |
87.5 |
37.5 |
113.75 |
90 |
106.25 |
Carle Eureka Hospital |
1302350490 |
IV PUSH INITIAL DRUG |
96374 |
0260 |
234 |
234 |
70.2 |
212.94 |
163.79999999999998 |
70.2 |
212.94 |
168.48 |
198.9 |
Carle Eureka Hospital |
1302350603 |
IV PUSH EA SEQUENTIAL DRUG |
96376 |
0260 |
153 |
153 |
45.9 |
139.23000000000002 |
107.1 |
45.9 |
139.23000000000002 |
110.16 |
130.04999999999998 |
Carle Eureka Hospital |
1302350885 |
ADMIN IMMUNIZATION |
90471 |
0771 |
120 |
120 |
36 |
109.2 |
84 |
36 |
109.2 |
86.399999999999991 |
102 |
Carle Eureka Hospital |
1302350895 |
EXCISION NAIL & MATRIX |
11750 |
0761 |
880 |
880 |
264 |
800.80000000000007 |
616 |
264 |
800.80000000000007 |
633.6 |
748 |
Carle Eureka Hospital |
1302360067 |
ADMIN PNEUMOCOCCAL VACCINE |
G0009 |
0771 |
94 |
94 |
28.2 |
85.54 |
65.8 |
28.2 |
85.54 |
67.679999999999993 |
79.899999999999991 |
Carle Eureka Hospital |
1302360068 |
ADMIN INFLUENZA VIRUS VACINE |
G0008 |
0771 |
94 |
94 |
28.2 |
85.54 |
65.8 |
28.2 |
85.54 |
67.679999999999993 |
79.899999999999991 |
Carle Eureka Hospital |
1302360263 |
ADMIN TB SKIN TEST |
86580 |
0300 |
77 |
77 |
23.099999999999998 |
70.070000000000007 |
53.9 |
23.099999999999998 |
70.070000000000007 |
55.44 |
65.45 |
Carle Eureka Hospital |
1302360269 |
US PV RESIDUAL URINE |
51798 |
0361 |
230 |
230 |
69 |
209.3 |
161 |
69 |
209.3 |
165.6 |
195.5 |
Carle Eureka Hospital |
1302360274 |
IV PUSH EA ADD DRUG |
96375 |
0260 |
168 |
168 |
50.4 |
152.88 |
117.6 |
50.4 |
152.88 |
120.96 |
142.79999999999998 |
Carle Eureka Hospital |
1302360275 |
IV INF CONCURRENT THERAPEUTIC |
96368 |
0260 |
345 |
345 |
103.5 |
313.95 |
241.49999999999997 |
103.5 |
313.95 |
248.39999999999998 |
293.25 |
Carle Eureka Hospital |
1302360276 |
IV INF SEQUENTIAL THER UP TO 1 |
96367 |
0260 |
210 |
210 |
63 |
191.1 |
147 |
63 |
191.1 |
151.19999999999999 |
178.5 |
Carle Eureka Hospital |
1302360293 |
INSERT STRAIGHT CATH THERAPEUT |
51701 |
0361 |
195 |
195 |
58.5 |
177.45000000000002 |
136.5 |
58.5 |
177.45000000000002 |
140.4 |
165.75 |
Carle Eureka Hospital |
1302360373 |
IV INF HYDRATION EA ADD HR |
96361 |
0260 |
170 |
170 |
51 |
154.70000000000002 |
118.99999999999999 |
51 |
154.70000000000002 |
122.39999999999999 |
144.5 |
Carle Eureka Hospital |
1302360374 |
IV INF HYDRATION UP TO 1HR |
96360 |
0260 |
585 |
585 |
175.5 |
532.35 |
409.5 |
175.5 |
532.35 |
421.2 |
497.25 |
Carle Eureka Hospital |
1302360696 |
BLOOD TRANSFUSION DAILY |
36430 |
0391 |
1020 |
1020 |
306 |
928.2 |
714 |
306 |
928.2 |
734.4 |
867 |
Carle Eureka Hospital |
1302360801 |
CATH FOR URINE SPECIMEN |
P9612 |
0300 |
21 |
21 |
6.3 |
19.11 |
14.7 |
6.3 |
19.11 |
15.12 |
17.849999999999998 |
Carle Eureka Hospital |
1302360804 |
NURSING E/M ESTAB LVL 1 |
99211 |
0761 |
100 |
100 |
30 |
91 |
70 |
30 |
91 |
72 |
85 |
Carle Eureka Hospital |
1314010056 |
BIPAP SETUP/SUPPLIES |
0410 |
204 |
204 |
61.199999999999996 |
185.64000000000001 |
142.79999999999998 |
61.199999999999996 |
185.64000000000001 |
146.88 |
173.4 |
Carle Eureka Hospital |
1314010541 |
PULMONARY STRESS TEST |
94618 |
0460 |
400 |
400 |
120 |
364 |
280 |
120 |
364 |
288 |
340 |
Carle Eureka Hospital |
1314020026 |
AMBUBAG |
0271 |
42 |
42 |
12.6 |
38.22 |
29.4 |
12.6 |
38.22 |
30.24 |
35.699999999999996 |
Carle Eureka Hospital |
1314020103 |
STRAP BIPAP CHIN |
0271 |
29 |
29 |
8.6999999999999993 |
26.39 |
20.299999999999997 |
8.6999999999999993 |
26.39 |
20.88 |
24.65 |
Carle Eureka Hospital |
1314020104 |
CIRCUIT BIPAP |
0271 |
39 |
39 |
11.7 |
35.49 |
27.299999999999997 |
11.7 |
35.49 |
28.08 |
33.15 |
Carle Eureka Hospital |
1314020105 |
STRAP BIPAP HEAD |
0271 |
27 |
27 |
8.1 |
24.57 |
18.899999999999999 |
8.1 |
24.57 |
19.439999999999998 |
22.95 |
Carle Eureka Hospital |
1314020106 |
MASK BIPAP |
0272 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
1314020293 |
CIRCUIT IPPB |
0271 |
10 |
10 |
3 |
9.1 |
7 |
3 |
9.1 |
7.1999999999999993 |
8.5 |
Carle Eureka Hospital |
1314020629 |
SETUP/SUPPLIES HHN |
0272 |
24 |
24 |
7.1999999999999993 |
21.84 |
16.799999999999997 |
7.1999999999999993 |
21.84 |
17.28 |
20.399999999999999 |
Carle Eureka Hospital |
1314020679 |
KIT ASTHMA |
0271 |
121 |
121 |
36.299999999999997 |
110.11 |
84.699999999999989 |
36.299999999999997 |
110.11 |
87.11999999999999 |
102.85 |
Carle Eureka Hospital |
1314020747 |
SPACER MDI |
0272 |
48 |
48 |
14.399999999999999 |
43.68 |
33.599999999999994 |
14.399999999999999 |
43.68 |
34.56 |
40.799999999999997 |
Carle Eureka Hospital |
1314020866 |
OXYGEN DAILY CHARGE |
0272 |
194 |
194 |
58.199999999999996 |
176.54 |
135.79999999999998 |
58.199999999999996 |
176.54 |
139.68 |
164.9 |
Carle Eureka Hospital |
1314020920 |
DEVICE PEAK FLOW |
0272 |
47 |
47 |
14.1 |
42.77 |
32.9 |
14.1 |
42.77 |
33.839999999999996 |
39.949999999999996 |
Carle Eureka Hospital |
1314021291 |
FLUTTER VALVE SUPPLY |
0272 |
92 |
92 |
27.599999999999998 |
83.72 |
64.399999999999991 |
27.599999999999998 |
83.72 |
66.239999999999995 |
78.2 |
Carle Eureka Hospital |
1314022288 |
HHF WWO OXYGEN DAILY |
0271 |
194 |
194 |
58.199999999999996 |
176.54 |
135.79999999999998 |
58.199999999999996 |
176.54 |
139.68 |
164.9 |
Carle Eureka Hospital |
1314050232 |
SPIROMETERY PULMONARY FUNCTION |
94010 |
0460 |
190 |
190 |
57 |
172.9 |
133 |
57 |
172.9 |
136.79999999999998 |
161.5 |
Carle Eureka Hospital |
1314050320 |
PULSE OXIMETRY PRE/POST EXER |
94761 |
0460 |
74 |
74 |
22.2 |
67.34 |
51.8 |
22.2 |
67.34 |
53.28 |
62.9 |
Carle Eureka Hospital |
1314050321 |
PULSE OXIMETRY OVERNIGHT |
94762 |
0460 |
470 |
470 |
141 |
427.7 |
329 |
141 |
427.7 |
338.4 |
399.5 |
Carle Eureka Hospital |
1314050323 |
PULSE OXIMETRY ASSESSMENT |
94760 |
0460 |
48 |
48 |
14.399999999999999 |
43.68 |
33.599999999999994 |
14.399999999999999 |
43.68 |
34.56 |
40.799999999999997 |
Carle Eureka Hospital |
1314050325 |
PULSE OXIMETER DAILY CHARGE |
94762 |
0460 |
470 |
470 |
141 |
427.7 |
329 |
141 |
427.7 |
338.4 |
399.5 |
Carle Eureka Hospital |
1314050354 |
CHEST PT MANUAL EA ADD |
94668 |
0410 |
103 |
103 |
30.9 |
93.73 |
72.099999999999994 |
30.9 |
93.73 |
74.16 |
87.55 |
Carle Eureka Hospital |
1314050355 |
CHEST PT MANUAL INITIAL |
94667 |
0410 |
103 |
103 |
30.9 |
93.73 |
72.099999999999994 |
30.9 |
93.73 |
74.16 |
87.55 |
Carle Eureka Hospital |
1314050359 |
PH ANALYSIS PLEURAL FLUID |
83986 |
0301 |
80 |
80 |
24 |
72.8 |
56 |
24 |
72.8 |
57.599999999999994 |
68 |
Carle Eureka Hospital |
1314050360 |
PH ANALYSIS ARTERIAL BLOOD |
82800 |
0300 |
100 |
100 |
30 |
91 |
70 |
30 |
91 |
72 |
85 |
Carle Eureka Hospital |
1314050361 |
PFT PROVOCHOLINE CHALLENGE |
94070 |
0460 |
855 |
855 |
256.5 |
778.05000000000007 |
598.5 |
256.5 |
778.05000000000007 |
615.6 |
726.75 |
Carle Eureka Hospital |
1314050362 |
PFT PRE-POST BRONCHODILATOR |
94060 |
0460 |
550 |
550 |
165 |
500.5 |
385 |
165 |
500.5 |
396 |
467.5 |
Carle Eureka Hospital |
1314050383 |
PEAK FLOW MEASUREMENT |
94150 |
0460 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
1314050401 |
NEBULIZER TX PENTAMIDINE |
94642 |
0410 |
385 |
385 |
115.5 |
350.35 |
269.5 |
115.5 |
350.35 |
277.2 |
327.25 |
Carle Eureka Hospital |
1314050456 |
IONIZED CALCIUM |
82330 |
0301 |
130 |
130 |
39 |
118.3 |
91 |
39 |
118.3 |
93.6 |
110.5 |
Carle Eureka Hospital |
1314050522 |
INCENTIVE SPIROMETER W INSTRUC |
0271 |
130 |
130 |
39 |
118.3 |
91 |
39 |
118.3 |
93.6 |
110.5 |
Carle Eureka Hospital |
1314050561 |
GLUCOSE |
82947 |
0301 |
75 |
75 |
22.5 |
68.25 |
52.5 |
22.5 |
68.25 |
54 |
63.75 |
Carle Eureka Hospital |
1314050605 |
ELECTROLYTE PANEL |
80051 |
0301 |
115 |
115 |
34.5 |
104.65 |
80.5 |
34.5 |
104.65 |
82.8 |
97.75 |
Carle Eureka Hospital |
1314050633 |
EEG AWAKE/ASLEEP/PHOTIC/HV |
95819 |
0740 |
1430 |
1430 |
429 |
1301.3 |
1000.9999999999999 |
429 |
1301.3 |
1029.5999999999999 |
1215.5 |
Carle Eureka Hospital |
1314050677 |
COOXIMETRY |
82810 |
0301 |
93 |
93 |
27.9 |
84.63000000000001 |
65.099999999999994 |
27.9 |
84.63000000000001 |
66.959999999999994 |
79.05 |
Carle Eureka Hospital |
1314050802 |
BIPAP DAILY CHARGE |
94660 |
0410 |
365 |
365 |
109.5 |
332.15000000000003 |
255.49999999999997 |
109.5 |
332.15000000000003 |
262.8 |
310.25 |
Carle Eureka Hospital |
1314050816 |
ARTERIAL PUNCTURE W BLOOD DRW |
36600 |
0920 |
44 |
44 |
13.2 |
40.04 |
30.799999999999997 |
13.2 |
40.04 |
31.68 |
37.4 |
Carle Eureka Hospital |
1314050878 |
BLOOD GAS ANALYSIS |
82803 |
0301 |
235 |
235 |
70.5 |
213.85 |
164.5 |
70.5 |
213.85 |
169.2 |
199.75 |
Carle Eureka Hospital |
1314050889 |
ACT-ACTIVATED CLOTTING TIME |
85347 |
0301 |
81 |
81 |
24.3 |
73.710000000000008 |
56.699999999999996 |
24.3 |
73.710000000000008 |
58.32 |
68.849999999999994 |
Carle Eureka Hospital |
1314060010 |
HOME RESP THERAPY DEMO |
94664 |
0410 |
145 |
145 |
43.5 |
131.95000000000002 |
101.5 |
43.5 |
131.95000000000002 |
104.39999999999999 |
123.25 |
Carle Eureka Hospital |
1314060021 |
EEG EXTENDED MONITOR > 1 HR |
95813 |
0740 |
1400 |
1400 |
420 |
1274 |
979.99999999999989 |
420 |
1274 |
1008 |
1190 |
Carle Eureka Hospital |
1314060022 |
EEG EXTENDED MONITOR 41-60M |
95812 |
0740 |
1255 |
1255 |
376.5 |
1142.05 |
878.5 |
376.5 |
1142.05 |
903.6 |
1066.75 |
Carle Eureka Hospital |
1314060273 |
VENT CHARGE FIRST DAY |
94002 |
0410 |
1700 |
1700 |
510 |
1547 |
1190 |
510 |
1547 |
1224 |
1445 |
Carle Eureka Hospital |
1314060296 |
BEDSIDE SPIRO PRE&POST BRONCHO |
94060 |
0460 |
550 |
550 |
165 |
500.5 |
385 |
165 |
500.5 |
396 |
467.5 |
Carle Eureka Hospital |
1314060297 |
BEDSIDE SPIROMETRY |
94010 |
0460 |
190 |
190 |
57 |
172.9 |
133 |
57 |
172.9 |
136.79999999999998 |
161.5 |
Carle Eureka Hospital |
1314060853 |
PLETHYS LUNG VOL/AIRWAY RESIST |
94726 |
0460 |
710 |
710 |
213 |
646.1 |
496.99999999999994 |
213 |
646.1 |
511.2 |
603.5 |
Carle Eureka Hospital |
1314060854 |
DIFFUSING CAPACITY |
94729 |
0460 |
260 |
260 |
78 |
236.6 |
182 |
78 |
236.6 |
187.2 |
221 |
Carle Eureka Hospital |
1314061146 |
SLEEP STUDY W CPAP SERVICE |
95811 |
0740 |
4670 |
4670 |
1401 |
4249.7 |
3269 |
1401 |
4249.7 |
3362.4 |
3969.5 |
Carle Eureka Hospital |
1314061147 |
SLEEP STUDY WO CPAP SERVICE |
95810 |
0740 |
4670 |
4670 |
1401 |
4249.7 |
3269 |
1401 |
4249.7 |
3362.4 |
3969.5 |
Carle Eureka Hospital |
1314061167 |
SLEEP STUDY HOME UNATTENDED |
G0399 |
0740 |
475 |
475 |
142.5 |
432.25 |
332.5 |
142.5 |
432.25 |
342 |
403.75 |
Carle Eureka Hospital |
1314061272 |
CHEST PT VEST INITIAL OR SUB |
94669 |
0410 |
103 |
103 |
30.9 |
93.73 |
72.099999999999994 |
30.9 |
93.73 |
74.16 |
87.55 |
Carle Eureka Hospital |
1314061273 |
RESP TX INITIAL OR SUB |
94640 |
0410 |
120 |
120 |
36 |
109.2 |
84 |
36 |
109.2 |
86.399999999999991 |
102 |
Carle Eureka Hospital |
1314090155 |
INSERT ART LINE |
36620 |
0361 |
1585 |
1585 |
475.5 |
1442.3500000000001 |
1109.5 |
475.5 |
1442.3500000000001 |
1141.2 |
1347.25 |
Carle Eureka Hospital |
1314202201 |
CARDIAC RHB PH2 EXERCISE/EA |
93798 |
0943 |
215 |
215 |
64.5 |
195.65 |
150.5 |
64.5 |
195.65 |
154.79999999999998 |
182.75 |
Carle Eureka Hospital |
1314210488 |
HOLTER SCANNING UP TO 24 HR |
93226 |
0731 |
475 |
475 |
142.5 |
432.25 |
332.5 |
142.5 |
432.25 |
342 |
403.75 |
Carle Eureka Hospital |
1314220891 |
6 MINUTE WALK TEST |
94618 |
0460 |
145 |
145 |
43.5 |
131.95000000000002 |
101.5 |
43.5 |
131.95000000000002 |
104.39999999999999 |
123.25 |
Carle Eureka Hospital |
1314250310 |
AMB CARDIAC TELE UP TO 30 DAYS |
93270 |
0730 |
155 |
155 |
46.5 |
141.05000000000001 |
108.5 |
46.5 |
141.05000000000001 |
111.6 |
131.75 |
Carle Eureka Hospital |
1314250326 |
PULMONARY REHAB PH 2/ SESSION |
97150 |
0410 |
93 |
93 |
27.9 |
84.63000000000001 |
65.099999999999994 |
27.9 |
84.63000000000001 |
66.959999999999994 |
79.05 |
Carle Eureka Hospital |
1314250328 |
PULM REHAB PH 3/EACH |
94799 |
0410 |
5 |
5 |
1.5 |
4.55 |
3.5 |
1.5 |
4.55 |
3.5999999999999996 |
4.25 |
Carle Eureka Hospital |
1314250610 |
EKG STRESS |
93017 |
0482 |
765 |
765 |
229.5 |
696.15 |
535.5 |
229.5 |
696.15 |
550.79999999999995 |
650.25 |
Carle Eureka Hospital |
1314250622 |
ECHO 2D M MODE LIMITED |
93308 |
0480 |
745 |
745 |
223.5 |
677.95 |
521.5 |
223.5 |
677.95 |
536.4 |
633.25 |
Carle Eureka Hospital |
1314250627 |
ECHO STRESS |
93350 |
0480 |
1485 |
1485 |
445.5 |
1351.3500000000001 |
1039.5 |
445.5 |
1351.3500000000001 |
1069.2 |
1262.25 |
Carle Eureka Hospital |
1321002341 |
CANNULA WO TROCAR 5 X 100 MM |
0272 |
14 |
14 |
4.2 |
12.74 |
9.7999999999999989 |
4.2 |
12.74 |
10.08 |
11.9 |
Carle Eureka Hospital |
1321010000 |
INSERTION ARROW CATH |
0360 |
440 |
440 |
132 |
400.40000000000003 |
308 |
132 |
400.40000000000003 |
316.8 |
374 |
Carle Eureka Hospital |
1321010003 |
3000CC LR NACL OR H20 IRRIGANT |
0258 |
22 |
22 |
6.6 |
20.02 |
15.399999999999999 |
6.6 |
20.02 |
15.84 |
18.7 |
Carle Eureka Hospital |
1321010049 |
AVITINE |
0637 |
404 |
404 |
121.19999999999999 |
367.64 |
282.79999999999995 |
121.19999999999999 |
367.64 |
290.88 |
343.4 |
Carle Eureka Hospital |
1321010065 |
BROVIAC INSERTION |
0360 |
680 |
680 |
204 |
618.80000000000007 |
475.99999999999994 |
204 |
618.80000000000007 |
489.59999999999997 |
578 |
Carle Eureka Hospital |
1321010072 |
CATARACT SURGERY PKG |
0360 |
3480 |
3480 |
1044 |
3166.8 |
2436 |
1044 |
3166.8 |
2505.6 |
2958 |
Carle Eureka Hospital |
1321010073 |
CATH INSERT LEONARD/HICKMAN |
0360 |
815 |
815 |
244.5 |
741.65 |
570.5 |
244.5 |
741.65 |
586.79999999999995 |
692.75 |
Carle Eureka Hospital |
1321010086 |
CLASS I |
0360 |
625 |
625 |
187.5 |
568.75 |
437.5 |
187.5 |
568.75 |
450 |
531.25 |
Carle Eureka Hospital |
1321010089 |
CLASS II |
0360 |
2180 |
2180 |
654 |
1983.8 |
1526 |
654 |
1983.8 |
1569.6 |
1853 |
Carle Eureka Hospital |
1321010093 |
CLASS III |
0360 |
2750 |
2750 |
825 |
2502.5 |
1924.9999999999998 |
825 |
2502.5 |
1980 |
2337.5 |
Carle Eureka Hospital |
1321010096 |
CLASS IV |
0360 |
4195 |
4195 |
1258.5 |
3817.4500000000003 |
2936.5 |
1258.5 |
3817.4500000000003 |
3020.4 |
3565.75 |
Carle Eureka Hospital |
1321010099 |
CLASS V |
0360 |
5905 |
5905 |
1771.5 |
5373.55 |
4133.5 |
1771.5 |
5373.55 |
4251.5999999999995 |
5019.25 |
Carle Eureka Hospital |
1321010102 |
CLASS VI |
0360 |
7345 |
7345 |
2203.5 |
6683.95 |
5141.5 |
2203.5 |
6683.95 |
5288.4 |
6243.25 |
Carle Eureka Hospital |
1321010109 |
CODE BLUE OR |
92950 |
0480 |
1430 |
1430 |
429 |
1301.3 |
1000.9999999999999 |
429 |
1301.3 |
1029.5999999999999 |
1215.5 |
Carle Eureka Hospital |
1321010210 |
GLYCINE 1.5% 3000 CC |
0258 |
47 |
47 |
14.1 |
42.77 |
32.9 |
14.1 |
42.77 |
33.839999999999996 |
39.949999999999996 |
Carle Eureka Hospital |
1321010223 |
INDIGO LASEROPTIC SYSTEM |
0272 |
5572 |
5572 |
1671.6 |
5070.5200000000004 |
3900.3999999999996 |
1671.6 |
5070.5200000000004 |
4011.8399999999997 |
4736.2 |
Carle Eureka Hospital |
1321010263 |
LITHOTRIPSY PROBE |
0272 |
554 |
554 |
166.2 |
504.14000000000004 |
387.79999999999995 |
166.2 |
504.14000000000004 |
398.88 |
470.9 |
Carle Eureka Hospital |
1321010276 |
MISC OPERATING RM I |
0360 |
24 |
24 |
7.1999999999999993 |
21.84 |
16.799999999999997 |
7.1999999999999993 |
21.84 |
17.28 |
20.399999999999999 |
Carle Eureka Hospital |
1321010277 |
MISC OPERATING RM II |
0360 |
170 |
170 |
51 |
154.70000000000002 |
118.99999999999999 |
51 |
154.70000000000002 |
122.39999999999999 |
144.5 |
Carle Eureka Hospital |
1321010278 |
MISC OPERATING RM III |
0360 |
340 |
340 |
102 |
309.40000000000003 |
237.99999999999997 |
102 |
309.40000000000003 |
244.79999999999998 |
289 |
Carle Eureka Hospital |
1321010289 |
MYRINGOTOMY W TUBE |
0360 |
630 |
630 |
189 |
573.30000000000007 |
441 |
189 |
573.30000000000007 |
453.59999999999997 |
535.5 |
Carle Eureka Hospital |
1321010432 |
SOL. SOD CHLOR.IRRIG. 1000 CC |
0258 |
58 |
58 |
17.399999999999999 |
52.78 |
40.599999999999994 |
17.399999999999999 |
52.78 |
41.76 |
49.3 |
Carle Eureka Hospital |
1321010433 |
SOL. WATER IRRIG 1000 CC |
0258 |
58 |
58 |
17.399999999999999 |
52.78 |
40.599999999999994 |
17.399999999999999 |
52.78 |
41.76 |
49.3 |
Carle Eureka Hospital |
1321010464 |
TTS DILATATION |
0360 |
450 |
450 |
135 |
409.5 |
315 |
135 |
409.5 |
324 |
382.5 |
Carle Eureka Hospital |
1321010477 |
VITRECTOMY |
0360 |
850 |
850 |
255 |
773.5 |
595 |
255 |
773.5 |
612 |
722.5 |
Carle Eureka Hospital |
1321010485 |
XYLOCAINE JELLY 2% |
0637 |
53 |
53 |
15.899999999999999 |
48.230000000000004 |
37.099999999999994 |
15.899999999999999 |
48.230000000000004 |
38.159999999999997 |
45.05 |
Carle Eureka Hospital |
1321020027 |
ANCHORS VESICA SUTURE |
0272 |
649 |
649 |
194.7 |
590.59 |
454.29999999999995 |
194.7 |
590.59 |
467.28 |
551.65 |
Carle Eureka Hospital |
1321020032 |
ANCHOR CLIP ANGLED 82-8591 |
0272 |
124 |
124 |
37.199999999999996 |
112.84 |
86.8 |
37.199999999999996 |
112.84 |
89.28 |
105.39999999999999 |
Carle Eureka Hospital |
1321020046 |
SUPPLIES ARTHROSCOPY |
0272 |
1334 |
1334 |
400.2 |
1213.94 |
933.8 |
400.2 |
1213.94 |
960.48 |
1133.8999999999999 |
Carle Eureka Hospital |
1321020052 |
AUTOSUTURE TA-90 LONG |
0272 |
237 |
237 |
71.099999999999994 |
215.67000000000002 |
165.89999999999998 |
71.099999999999994 |
215.67000000000002 |
170.64 |
201.45 |
Carle Eureka Hospital |
1321020053 |
AUTOSUTURE CEEA 25/28/31 |
0272 |
1248 |
1248 |
374.4 |
1135.68 |
873.59999999999991 |
374.4 |
1135.68 |
898.56 |
1060.8 |
Carle Eureka Hospital |
1321020054 |
AUTOSUTURE ROTIC. 55-3.5/4.8/ |
0272 |
1321 |
1321 |
396.3 |
1202.1100000000001 |
924.69999999999993 |
396.3 |
1202.1100000000001 |
951.12 |
1122.8499999999999 |
Carle Eureka Hospital |
1321020056 |
AUTOSUTURE TA90 3.5/4.8 |
0272 |
493 |
493 |
147.9 |
448.63 |
345.09999999999997 |
147.9 |
448.63 |
354.96 |
419.05 |
Carle Eureka Hospital |
1321020070 |
BAG UA DRAINAGE 2000CC |
0272 |
38 |
38 |
11.4 |
34.58 |
26.599999999999998 |
11.4 |
34.58 |
27.36 |
32.299999999999997 |
Carle Eureka Hospital |
1321020071 |
BAG UA DRAINAGE 4000 CC |
0272 |
42 |
42 |
12.6 |
38.22 |
29.4 |
12.6 |
38.22 |
30.24 |
35.699999999999996 |
Carle Eureka Hospital |
1321020072 |
BAG UA LEG |
0271 |
13 |
13 |
3.9 |
11.83 |
9.1 |
3.9 |
11.83 |
9.36 |
11.049999999999999 |
Carle Eureka Hospital |
1321020077 |
BALLOON DILATION CATHETER |
0272 |
533 |
533 |
159.9 |
485.03000000000003 |
373.09999999999997 |
159.9 |
485.03000000000003 |
383.76 |
453.05 |
Carle Eureka Hospital |
1321020079 |
BALLOON INSERT DATASCOPE 34/40 |
0272 |
2537 |
2537 |
761.1 |
2308.67 |
1775.8999999999999 |
761.1 |
2308.67 |
1826.6399999999999 |
2156.4499999999998 |
Carle Eureka Hospital |
1321020080 |
BALLOON UROMAX |
0272 |
847 |
847 |
254.1 |
770.77 |
592.9 |
254.1 |
770.77 |
609.84 |
719.94999999999993 |
Carle Eureka Hospital |
1321020090 |
BLANKET BEAR HUGGER |
0272 |
121 |
121 |
36.299999999999997 |
110.11 |
84.699999999999989 |
36.299999999999997 |
110.11 |
87.11999999999999 |
102.85 |
Carle Eureka Hospital |
1321020095 |
BAG BILE |
0271 |
35 |
35 |
10.5 |
31.85 |
24.5 |
10.5 |
31.85 |
25.2 |
29.75 |
Carle Eureka Hospital |
1321020102 |
FORCEPS BIOPSY DISP |
0272 |
81 |
81 |
24.3 |
73.710000000000008 |
56.699999999999996 |
24.3 |
73.710000000000008 |
58.32 |
68.849999999999994 |
Carle Eureka Hospital |
1321020107 |
CAUTERY BIPOLAR CORD |
0272 |
20 |
20 |
6 |
18.2 |
14 |
6 |
18.2 |
14.399999999999999 |
17 |
Carle Eureka Hospital |
1321020115 |
BLADE SAW ALL |
0272 |
209 |
209 |
62.699999999999996 |
190.19 |
146.29999999999998 |
62.699999999999996 |
190.19 |
150.47999999999999 |
177.65 |
Carle Eureka Hospital |
1321020135 |
BONE PLUGS ORTHO |
0278 |
310 |
310 |
93 |
282.10000000000002 |
217 |
93 |
282.10000000000002 |
223.2 |
263.5 |
Carle Eureka Hospital |
1321020142 |
SUPPLIES BOWEL |
0272 |
321 |
321 |
96.3 |
292.11 |
224.7 |
96.3 |
292.11 |
231.12 |
272.84999999999997 |
Carle Eureka Hospital |
1321020144 |
SUPPLIES BREAST BIOPSY |
0272 |
123 |
123 |
36.9 |
111.93 |
86.1 |
36.9 |
111.93 |
88.56 |
104.55 |
Carle Eureka Hospital |
1321020179 |
CAST LONG LEG |
0271 |
123 |
123 |
36.9 |
111.93 |
86.1 |
36.9 |
111.93 |
88.56 |
104.55 |
Carle Eureka Hospital |
1321020184 |
CAST SHORT ARM |
0271 |
40 |
40 |
12 |
36.4 |
28 |
12 |
36.4 |
28.799999999999997 |
34 |
Carle Eureka Hospital |
1321020185 |
CAST SHORT LEG |
0271 |
68 |
68 |
20.399999999999999 |
61.88 |
47.599999999999994 |
20.399999999999999 |
61.88 |
48.96 |
57.8 |
Carle Eureka Hospital |
1321020187 |
CAST SYNTHETIC LONG ARM |
0271 |
272 |
272 |
81.599999999999994 |
247.52 |
190.39999999999998 |
81.599999999999994 |
247.52 |
195.84 |
231.2 |
Carle Eureka Hospital |
1321020188 |
CAST SYNTHETIC LONG LEG |
0271 |
588 |
588 |
176.4 |
535.08000000000004 |
411.59999999999997 |
176.4 |
535.08000000000004 |
423.35999999999996 |
499.8 |
Carle Eureka Hospital |
1321020189 |
CAST SYNTHETIC SHORT ARM |
0271 |
172 |
172 |
51.6 |
156.52000000000001 |
120.39999999999999 |
51.6 |
156.52000000000001 |
123.83999999999999 |
146.19999999999999 |
Carle Eureka Hospital |
1321020190 |
CAST SYNTHETIC SHORT LEG |
0271 |
295 |
295 |
88.5 |
268.45 |
206.5 |
88.5 |
268.45 |
212.4 |
250.75 |
Carle Eureka Hospital |
1321020204 |
CATH FOLEY 24 30 CC 3 WAY |
0272 |
64 |
64 |
19.2 |
58.24 |
44.8 |
19.2 |
58.24 |
46.08 |
54.4 |
Carle Eureka Hospital |
1321020205 |
CATH FOLEY ALL SIZES |
0272 |
59 |
59 |
17.7 |
53.690000000000005 |
41.3 |
17.7 |
53.690000000000005 |
42.48 |
50.15 |
Carle Eureka Hospital |
1321020207 |
CATH GROSHONG MRI DUAL IMPLANT |
C1751 |
0278 |
2233 |
2233 |
669.9 |
2032.03 |
1563.1 |
669.9 |
2032.03 |
1607.76 |
1898.05 |
Carle Eureka Hospital |
1321020208 |
CATH GROSHONG MULTI LUMEN KIT0 |
0272 |
1193 |
1193 |
357.9 |
1085.6300000000001 |
835.09999999999991 |
357.9 |
1085.6300000000001 |
858.95999999999992 |
1014.05 |
Carle Eureka Hospital |
1321020234 |
CATH SECURE |
0272 |
10 |
10 |
3 |
9.1 |
7 |
3 |
9.1 |
7.1999999999999993 |
8.5 |
Carle Eureka Hospital |
1321020236 |
CATH STAMEY |
0272 |
122 |
122 |
36.6 |
111.02000000000001 |
85.399999999999991 |
36.6 |
111.02000000000001 |
87.84 |
103.7 |
Carle Eureka Hospital |
1321020246 |
CATH URETERAL |
0272 |
191 |
191 |
57.3 |
173.81 |
133.69999999999999 |
57.3 |
173.81 |
137.51999999999998 |
162.35 |
Carle Eureka Hospital |
1321020249 |
CATHETER ALL PURPOSE 16FR |
0272 |
10 |
10 |
3 |
9.1 |
7 |
3 |
9.1 |
7.1999999999999993 |
8.5 |
Carle Eureka Hospital |
1321020266 |
CAUTERY EXTENDER |
0272 |
26 |
26 |
7.8 |
23.66 |
18.2 |
7.8 |
23.66 |
18.72 |
22.099999999999998 |
Carle Eureka Hospital |
1321020268 |
CAUTERY SUCTION |
0272 |
35 |
35 |
10.5 |
31.85 |
24.5 |
10.5 |
31.85 |
25.2 |
29.75 |
Carle Eureka Hospital |
1321020270 |
SUPPLIES CBI IRRIGATION |
0272 |
35 |
35 |
10.5 |
31.85 |
24.5 |
10.5 |
31.85 |
25.2 |
29.75 |
Carle Eureka Hospital |
1321020273 |
CARTRIDGE CEMENT GUN |
0272 |
177 |
177 |
53.1 |
161.07 |
123.89999999999999 |
53.1 |
161.07 |
127.44 |
150.44999999999999 |
Carle Eureka Hospital |
1321020289 |
CHOLANGIOCATH ALL SIZES |
0272 |
31 |
31 |
9.2999999999999989 |
28.21 |
21.7 |
9.2999999999999989 |
28.21 |
22.32 |
26.349999999999998 |
Carle Eureka Hospital |
1321020290 |
SUPPLIES CHOLECYSTECTOMY |
0272 |
454 |
454 |
136.19999999999999 |
413.14 |
317.79999999999995 |
136.19999999999999 |
413.14 |
326.88 |
385.9 |
Carle Eureka Hospital |
1321020296 |
CLASS VII |
0360 |
14625 |
14625 |
4387.5 |
13308.75 |
10237.5 |
4387.5 |
13308.75 |
10530 |
12431.25 |
Carle Eureka Hospital |
1321020305 |
CLIPS LARGE/ORANGE |
0272 |
77 |
77 |
23.099999999999998 |
70.070000000000007 |
53.9 |
23.099999999999998 |
70.070000000000007 |
55.44 |
65.45 |
Carle Eureka Hospital |
1321020306 |
CLIPS MEDIUM/LARGE |
0272 |
40 |
40 |
12 |
36.4 |
28 |
12 |
36.4 |
28.799999999999997 |
34 |
Carle Eureka Hospital |
1321020308 |
CLIPS SMALL/YELLOW |
0272 |
45 |
45 |
13.5 |
40.950000000000003 |
31.499999999999996 |
13.5 |
40.950000000000003 |
32.4 |
38.25 |
Carle Eureka Hospital |
1321020344 |
CUFF TOURNIQUET |
0272 |
63 |
63 |
18.899999999999999 |
57.330000000000005 |
44.099999999999994 |
18.899999999999999 |
57.330000000000005 |
45.36 |
53.55 |
Carle Eureka Hospital |
1321020354 |
DERMATONE WITH BLADE |
0272 |
158 |
158 |
47.4 |
143.78 |
110.6 |
47.4 |
143.78 |
113.75999999999999 |
134.29999999999998 |
Carle Eureka Hospital |
1321020376 |
STRAP DOVER CATH |
0272 |
11 |
11 |
3.3 |
10.01 |
7.6999999999999993 |
3.3 |
10.01 |
7.92 |
9.35 |
Carle Eureka Hospital |
1321020381 |
DRAIN JACKSON PRATT W RESERVOI |
0272 |
105 |
105 |
31.5 |
95.55 |
73.5 |
31.5 |
95.55 |
75.599999999999994 |
89.25 |
Carle Eureka Hospital |
1321020383 |
DRAIN JACKSON-PRATT |
0272 |
62 |
62 |
18.599999999999998 |
56.42 |
43.4 |
18.599999999999998 |
56.42 |
44.64 |
52.699999999999996 |
Carle Eureka Hospital |
1321020384 |
DRAIN T 5 INCH ALL SIZES |
0272 |
28 |
28 |
8.4 |
25.48 |
19.599999999999998 |
8.4 |
25.48 |
20.16 |
23.8 |
Carle Eureka Hospital |
1321020391 |
DRESSING GELFOAM SPONGE SZ LRG |
0272 |
90 |
90 |
27 |
81.900000000000006 |
62.999999999999993 |
27 |
81.900000000000006 |
64.8 |
76.5 |
Carle Eureka Hospital |
1321020399 |
DRESSING SURGICEL |
0272 |
124 |
124 |
37.199999999999996 |
112.84 |
86.8 |
37.199999999999996 |
112.84 |
89.28 |
105.39999999999999 |
Carle Eureka Hospital |
1321020404 |
DRILL BIT |
0272 |
45 |
45 |
13.5 |
40.950000000000003 |
31.499999999999996 |
13.5 |
40.950000000000003 |
32.4 |
38.25 |
Carle Eureka Hospital |
1321020412 |
TUBE EAR ALL SIZES |
0272 |
86 |
86 |
25.8 |
78.260000000000005 |
60.199999999999996 |
25.8 |
78.260000000000005 |
61.919999999999995 |
73.099999999999994 |
Carle Eureka Hospital |
1321020448 |
ENDO KITTNER |
0272 |
34 |
34 |
10.199999999999999 |
30.94 |
23.799999999999997 |
10.199999999999999 |
30.94 |
24.48 |
28.9 |
Carle Eureka Hospital |
1321020450 |
SUTURE DEVICE ENDO |
0272 |
459 |
459 |
137.69999999999999 |
417.69 |
321.29999999999995 |
137.69999999999999 |
417.69 |
330.47999999999996 |
390.15 |
Carle Eureka Hospital |
1321020451 |
SUTURE RELOAD ENDO |
0272 |
72 |
72 |
21.599999999999998 |
65.52 |
50.4 |
21.599999999999998 |
65.52 |
51.839999999999996 |
61.199999999999996 |
Carle Eureka Hospital |
1321020452 |
POUCH ENDOCATCH SPECIMEN |
0272 |
480 |
480 |
144 |
436.8 |
336 |
144 |
436.8 |
345.59999999999997 |
408 |
Carle Eureka Hospital |
1321020453 |
ELECTRODE HOOK ENDO |
0272 |
178 |
178 |
53.4 |
161.98000000000002 |
124.6 |
53.4 |
161.98000000000002 |
128.16 |
151.29999999999998 |
Carle Eureka Hospital |
1321020454 |
IRRIGATOR STRYKER ENDO-FLO |
0272 |
231 |
231 |
69.3 |
210.21 |
161.69999999999999 |
69.3 |
210.21 |
166.32 |
196.35 |
Carle Eureka Hospital |
1321020455 |
ENDOLOOP EACH |
0272 |
64 |
64 |
19.2 |
58.24 |
44.8 |
19.2 |
58.24 |
46.08 |
54.4 |
Carle Eureka Hospital |
1321020456 |
ENDOPATH EZ45G |
0272 |
864 |
864 |
259.2 |
786.24 |
604.79999999999995 |
259.2 |
786.24 |
622.07999999999993 |
734.4 |
Carle Eureka Hospital |
1321020457 |
ENDOPATH ZR45B/ZR45G (RELOAD) |
0272 |
350 |
350 |
105 |
318.5 |
244.99999999999997 |
105 |
318.5 |
252 |
297.5 |
Carle Eureka Hospital |
1321020485 |
ESMARK |
0272 |
49 |
49 |
14.7 |
44.59 |
34.299999999999997 |
14.7 |
44.59 |
35.28 |
41.65 |
Carle Eureka Hospital |
1321020488 |
LIGACLIPS ETHICON |
0272 |
190 |
190 |
57 |
172.9 |
133 |
57 |
172.9 |
136.79999999999998 |
161.5 |
Carle Eureka Hospital |
1321020492 |
FIXTURES EXTERNAL |
0278 |
2400 |
2400 |
720 |
2184 |
1680 |
720 |
2184 |
1728 |
2040 |
Carle Eureka Hospital |
1321020533 |
STAPLER GIA 35V |
0272 |
833 |
833 |
249.89999999999998 |
758.03 |
583.09999999999991 |
249.89999999999998 |
758.03 |
599.76 |
708.05 |
Carle Eureka Hospital |
1321020535 |
AUTOSUTURE GIA-60 RELOADER |
0272 |
281 |
281 |
84.3 |
255.71 |
196.7 |
84.3 |
255.71 |
202.32 |
238.85 |
Carle Eureka Hospital |
1321020536 |
AUTOSUTURE GIA-60 STAPLER |
0272 |
448 |
448 |
134.4 |
407.68 |
313.59999999999997 |
134.4 |
407.68 |
322.56 |
380.8 |
Carle Eureka Hospital |
1321020537 |
AUTOSUTURE GIA-80 RELOADER |
0272 |
358 |
358 |
107.39999999999999 |
325.78000000000003 |
250.6 |
107.39999999999999 |
325.78000000000003 |
257.76 |
304.3 |
Carle Eureka Hospital |
1321020538 |
GIA-80 STAPLERAUTOSUTURE |
0272 |
594 |
594 |
178.2 |
540.54 |
415.79999999999995 |
178.2 |
540.54 |
427.68 |
504.9 |
Carle Eureka Hospital |
1321020541 |
PATCH GORTEX SOFT TISSUE |
0278 |
1884 |
1884 |
565.19999999999993 |
1714.44 |
1318.8 |
565.19999999999993 |
1714.44 |
1356.48 |
1601.3999999999999 |
Carle Eureka Hospital |
1321020565 |
SUPPLIES GRAM |
0272 |
890 |
890 |
267 |
809.9 |
623 |
267 |
809.9 |
640.79999999999995 |
756.5 |
Carle Eureka Hospital |
1321020568 |
CATH GROSHONG MULTI LUMEN KIT7 |
C1751 |
0272 |
1018 |
1018 |
305.39999999999998 |
926.38 |
712.59999999999991 |
305.39999999999998 |
926.38 |
732.95999999999992 |
865.3 |
Carle Eureka Hospital |
1321020577 |
GUIDEWIRE GLIDEWIRES |
0272 |
154 |
154 |
46.199999999999996 |
140.14000000000001 |
107.8 |
46.199999999999996 |
140.14000000000001 |
110.88 |
130.9 |
Carle Eureka Hospital |
1321020581 |
GUIDEWIRE J&J CORDIS 503SERIES |
0272 |
251 |
251 |
75.3 |
228.41 |
175.7 |
75.3 |
228.41 |
180.72 |
213.35 |
Carle Eureka Hospital |
1321020588 |
GUIDEWIRE URO |
0272 |
77 |
77 |
23.099999999999998 |
70.070000000000007 |
53.9 |
23.099999999999998 |
70.070000000000007 |
55.44 |
65.45 |
Carle Eureka Hospital |
1321020625 |
SUPPLIES HEMI ARTHROPLASTY |
0272 |
743 |
743 |
222.9 |
676.13 |
520.1 |
222.9 |
676.13 |
534.96 |
631.54999999999995 |
Carle Eureka Hospital |
1321020626 |
HEMICLIPS MEDIUM |
0278 |
90 |
90 |
27 |
81.900000000000006 |
62.999999999999993 |
27 |
81.900000000000006 |
64.8 |
76.5 |
Carle Eureka Hospital |
1321020636 |
SUPPLIES HIP PINNING |
0272 |
445 |
445 |
133.5 |
404.95 |
311.5 |
133.5 |
404.95 |
320.39999999999998 |
378.25 |
Carle Eureka Hospital |
1321020637 |
FORCEPS DISP HOT BIOPSY |
0272 |
124 |
124 |
37.199999999999996 |
112.84 |
86.8 |
37.199999999999996 |
112.84 |
89.28 |
105.39999999999999 |
Carle Eureka Hospital |
1321020641 |
IMMOBILIZER KNEE |
0271 |
217 |
217 |
65.099999999999994 |
197.47 |
151.89999999999998 |
65.099999999999994 |
197.47 |
156.23999999999998 |
184.45 |
Carle Eureka Hospital |
1321020644 |
IMPLANT DEVICE TVT J&J510041 |
0278 |
2578 |
2578 |
773.4 |
2345.98 |
1804.6 |
773.4 |
2345.98 |
1856.1599999999999 |
2191.2999999999997 |
Carle Eureka Hospital |
1321020646 |
IMPLANTS TOE |
0278 |
528 |
528 |
158.4 |
480.48 |
369.59999999999997 |
158.4 |
480.48 |
380.15999999999997 |
448.8 |
Carle Eureka Hospital |
1321020661 |
LENS INTRAOCCULAR |
V2630 |
0276 |
3454 |
3454 |
1036.2 |
3143.1400000000003 |
2417.7999999999997 |
1036.2 |
3143.1400000000003 |
2486.88 |
2935.9 |
Carle Eureka Hospital |
1321020669 |
JEJUNOSTOMY |
0272 |
545 |
545 |
163.5 |
495.95 |
381.5 |
163.5 |
495.95 |
392.4 |
463.25 |
Carle Eureka Hospital |
1321020687 |
KIT CVP INSERT |
0272 |
177 |
177 |
53.1 |
161.07 |
123.89999999999999 |
53.1 |
161.07 |
127.44 |
150.44999999999999 |
Carle Eureka Hospital |
1321020690 |
KIT ENDO HERNIA |
0272 |
1864 |
1864 |
559.19999999999993 |
1696.24 |
1304.8 |
559.19999999999993 |
1696.24 |
1342.08 |
1584.3999999999999 |
Carle Eureka Hospital |
1321020694 |
KIT GROSHONG CATH SINGLE LUMEN |
C1751 |
0278 |
939 |
939 |
281.7 |
854.49 |
657.3 |
281.7 |
854.49 |
676.07999999999993 |
798.15 |
Carle Eureka Hospital |
1321020716 |
SUPPLIES LAP CHOLEYCYSTECTOMY |
0272 |
1243 |
1243 |
372.9 |
1131.1300000000001 |
870.09999999999991 |
372.9 |
1131.1300000000001 |
894.95999999999992 |
1056.55 |
Carle Eureka Hospital |
1321020728 |
LIGATOR HEMORRHOID BANDITO |
0272 |
132 |
132 |
39.6 |
120.12 |
92.399999999999991 |
39.6 |
120.12 |
95.039999999999992 |
112.2 |
Carle Eureka Hospital |
1321020731 |
SUPPLIES LIVER BIOPSY |
0272 |
123 |
123 |
36.9 |
111.93 |
86.1 |
36.9 |
111.93 |
88.56 |
104.55 |
Carle Eureka Hospital |
1321020738 |
PACK LOWER EXTREMITY |
0272 |
89 |
89 |
26.7 |
80.990000000000009 |
62.3 |
26.7 |
80.990000000000009 |
64.08 |
75.649999999999991 |
Carle Eureka Hospital |
1321020742 |
MESH MARLEY |
0278 |
265 |
265 |
79.5 |
241.15 |
185.5 |
79.5 |
241.15 |
190.79999999999998 |
225.25 |
Carle Eureka Hospital |
1321020744 |
MASTECTOMY SUPPLIES |
0272 |
555 |
555 |
166.5 |
505.05 |
388.5 |
166.5 |
505.05 |
399.59999999999997 |
471.75 |
Carle Eureka Hospital |
1321020750 |
CAUTERY TIP MEGADYNE |
0272 |
14 |
14 |
4.2 |
12.74 |
9.7999999999999989 |
4.2 |
12.74 |
10.08 |
11.9 |
Carle Eureka Hospital |
1321020752 |
MESH COMPOSITE 8X10 BARD |
0278 |
4411 |
4411 |
1323.3 |
4014.01 |
3087.7 |
1323.3 |
4014.01 |
3175.92 |
3749.35 |
Carle Eureka Hospital |
1321020759 |
MESH PROLENE 12X12 |
0278 |
417 |
417 |
125.1 |
379.47 |
291.89999999999998 |
125.1 |
379.47 |
300.24 |
354.45 |
Carle Eureka Hospital |
1321020760 |
MESH PROLENE 3X5 |
C1781 |
0278 |
154 |
154 |
46.199999999999996 |
140.14000000000001 |
107.8 |
46.199999999999996 |
140.14000000000001 |
110.88 |
130.9 |
Carle Eureka Hospital |
1321020761 |
MESH PROLENE 6X6 |
C1781 |
0278 |
387 |
387 |
116.1 |
352.17 |
270.89999999999998 |
116.1 |
352.17 |
278.64 |
328.95 |
Carle Eureka Hospital |
1321020762 |
MESH PROLENE HSM/L/XL |
C1781 |
0278 |
417 |
417 |
125.1 |
379.47 |
291.89999999999998 |
125.1 |
379.47 |
300.24 |
354.45 |
Carle Eureka Hospital |
1321020776 |
MITEK GII SNAP PAK ANCHOR |
0272 |
477 |
477 |
143.1 |
434.07 |
333.9 |
143.1 |
434.07 |
343.44 |
405.45 |
Carle Eureka Hospital |
1321020777 |
MITEK SUPER ANCHOR ORTHO |
0278 |
588 |
588 |
176.4 |
535.08000000000004 |
411.59999999999997 |
176.4 |
535.08000000000004 |
423.35999999999996 |
499.8 |
Carle Eureka Hospital |
1321020778 |
MITEX ANCHOR MINI |
0272 |
549 |
549 |
164.7 |
499.59000000000003 |
384.29999999999995 |
164.7 |
499.59000000000003 |
395.28 |
466.65 |
Carle Eureka Hospital |
1321020779 |
MIXED KIT I |
0272 |
70 |
70 |
21 |
63.7 |
49 |
21 |
63.7 |
50.4 |
59.5 |
Carle Eureka Hospital |
1321020780 |
MIXED KIT II |
0272 |
152 |
152 |
45.6 |
138.32 |
106.39999999999999 |
45.6 |
138.32 |
109.44 |
129.19999999999999 |
Carle Eureka Hospital |
1321020781 |
MIXER CEMENT SUPERBOWL ZIMMER |
0272 |
139 |
139 |
41.699999999999996 |
126.49000000000001 |
97.3 |
41.699999999999996 |
126.49000000000001 |
100.08 |
118.14999999999999 |
Carle Eureka Hospital |
1321020802 |
NEEDLE TRUCUT BIOPSY |
0272 |
58 |
58 |
17.399999999999999 |
52.78 |
40.599999999999994 |
17.399999999999999 |
52.78 |
41.76 |
49.3 |
Carle Eureka Hospital |
1321020839 |
SHOES ORTHO ALL SIZES |
0272 |
54 |
54 |
16.2 |
49.14 |
37.799999999999997 |
16.2 |
49.14 |
38.879999999999995 |
45.9 |
Carle Eureka Hospital |
1321020909 |
PACK T & A CUSTOM |
0272 |
250 |
250 |
75 |
227.5 |
175 |
75 |
227.5 |
180 |
212.5 |
Carle Eureka Hospital |
1321020925 |
DRAIN PENROSE ALL SIZES |
0272 |
10 |
10 |
3 |
9.1 |
7 |
3 |
9.1 |
7.1999999999999993 |
8.5 |
Carle Eureka Hospital |
1321020941 |
PIN STEINMEN |
0278 |
28 |
28 |
8.4 |
25.48 |
19.599999999999998 |
8.4 |
25.48 |
20.16 |
23.8 |
Carle Eureka Hospital |
1321020994 |
POLYP SNARE DISP |
0272 |
43 |
43 |
12.9 |
39.130000000000003 |
30.099999999999998 |
12.9 |
39.130000000000003 |
30.959999999999997 |
36.549999999999997 |
Carle Eureka Hospital |
1321020997 |
PREMIUM PLUS CEEA ATUOSUTURE |
0272 |
760 |
760 |
228 |
691.6 |
532 |
228 |
691.6 |
547.19999999999993 |
646 |
Carle Eureka Hospital |
1321021010 |
PROSTATIC BIOPSY NEEDLE |
0272 |
175 |
175 |
52.5 |
159.25 |
122.49999999999999 |
52.5 |
159.25 |
126 |
148.75 |
Carle Eureka Hospital |
1321021028 |
RELOAD CUTTER LINEAR GIA 55MM |
0272 |
235 |
235 |
70.5 |
213.85 |
164.5 |
70.5 |
213.85 |
169.2 |
199.75 |
Carle Eureka Hospital |
1321021029 |
RELOAD CUTTER LINEAR GIA 75MM |
0272 |
348 |
348 |
104.39999999999999 |
316.68 |
243.6 |
104.39999999999999 |
316.68 |
250.56 |
295.8 |
Carle Eureka Hospital |
1321021043 |
ROTICULATOR ATUOSUTURE |
0272 |
654 |
654 |
196.2 |
595.14 |
457.79999999999995 |
196.2 |
595.14 |
470.88 |
555.9 |
Carle Eureka Hospital |
1321021044 |
TUBE SALEM SUMP |
0272 |
17 |
17 |
5.0999999999999996 |
15.47 |
11.899999999999999 |
5.0999999999999996 |
15.47 |
12.24 |
14.45 |
Carle Eureka Hospital |
1321021046 |
SLEEVE SCD |
0271 |
129 |
129 |
38.699999999999996 |
117.39 |
90.3 |
38.699999999999996 |
117.39 |
92.88 |
109.64999999999999 |
Carle Eureka Hospital |
1321021181 |
SUCTION/IRRIGATION SIMPULSE |
0272 |
134 |
134 |
40.199999999999996 |
121.94 |
93.8 |
40.199999999999996 |
121.94 |
96.47999999999999 |
113.89999999999999 |
Carle Eureka Hospital |
1321021184 |
SLEEVE SEQUENTIAL DEVICE |
0272 |
152 |
152 |
45.6 |
138.32 |
106.39999999999999 |
45.6 |
138.32 |
109.44 |
129.19999999999999 |
Carle Eureka Hospital |
1321021254 |
STENT URETERAL |
0278 |
426 |
426 |
127.8 |
387.66 |
298.2 |
127.8 |
387.66 |
306.71999999999997 |
362.09999999999997 |
Carle Eureka Hospital |
1321021262 |
STOCKINETTE 6 IN (6 FT) |
0271 |
21 |
21 |
6.3 |
19.11 |
14.7 |
6.3 |
19.11 |
15.12 |
17.849999999999998 |
Carle Eureka Hospital |
1321021272 |
STONE BASKET W/WO FILIFORM |
0272 |
247 |
247 |
74.099999999999994 |
224.77 |
172.89999999999998 |
74.099999999999994 |
224.77 |
177.84 |
209.95 |
Carle Eureka Hospital |
1321021273 |
STONE BASKETS ALL SIZES |
0278 |
543 |
543 |
162.9 |
494.13 |
380.09999999999997 |
162.9 |
494.13 |
390.96 |
461.55 |
Carle Eureka Hospital |
1321021274 |
STONE DISLODGER BARD LOOP |
0278 |
291 |
291 |
87.3 |
264.81 |
203.7 |
87.3 |
264.81 |
209.51999999999998 |
247.35 |
Carle Eureka Hospital |
1321021280 |
SUCTION CANISTER |
0271 |
11 |
11 |
3.3 |
10.01 |
7.6999999999999993 |
3.3 |
10.01 |
7.92 |
9.35 |
Carle Eureka Hospital |
1321021285 |
SUPPLIES HYSTERECTOMY |
0272 |
743 |
743 |
222.9 |
676.13 |
520.1 |
222.9 |
676.13 |
534.96 |
631.54999999999995 |
Carle Eureka Hospital |
1321021288 |
SUPPLIES TOTAL HIP |
0272 |
434 |
434 |
130.19999999999999 |
394.94 |
303.79999999999995 |
130.19999999999999 |
394.94 |
312.47999999999996 |
368.9 |
Carle Eureka Hospital |
1321021289 |
SUPPLIES TOTAL KNEE |
0272 |
2002 |
2002 |
600.6 |
1821.8200000000002 |
1401.3999999999999 |
600.6 |
1821.8200000000002 |
1441.44 |
1701.7 |
Carle Eureka Hospital |
1321021293 |
SUPPORT SCROTAL |
0271 |
29 |
29 |
8.6999999999999993 |
26.39 |
20.299999999999997 |
8.6999999999999993 |
26.39 |
20.88 |
24.65 |
Carle Eureka Hospital |
1321021296 |
SURGICAL STAPLER TA-90 |
0272 |
540 |
540 |
162 |
491.40000000000003 |
378 |
162 |
491.40000000000003 |
388.8 |
459 |
Carle Eureka Hospital |
1321021298 |
SURGICEL |
0278 |
54 |
54 |
16.2 |
49.14 |
37.799999999999997 |
16.2 |
49.14 |
38.879999999999995 |
45.9 |
Carle Eureka Hospital |
1321021305 |
SUTURE |
0272 |
21 |
21 |
6.3 |
19.11 |
14.7 |
6.3 |
19.11 |
15.12 |
17.849999999999998 |
Carle Eureka Hospital |
1321021309 |
SUTURE ENDOLOOP |
0272 |
77 |
77 |
23.099999999999998 |
70.070000000000007 |
53.9 |
23.099999999999998 |
70.070000000000007 |
55.44 |
65.45 |
Carle Eureka Hospital |
1321021310 |
SUTURE ETHIBOND 0 XLH |
0272 |
21 |
21 |
6.3 |
19.11 |
14.7 |
6.3 |
19.11 |
15.12 |
17.849999999999998 |
Carle Eureka Hospital |
1321021311 |
SUTURE ETHIBOND 2/0, SH-1 |
0272 |
518 |
518 |
155.4 |
471.38 |
362.59999999999997 |
155.4 |
471.38 |
372.96 |
440.3 |
Carle Eureka Hospital |
1321021312 |
SUTURE ETHIBOND 2/0, SH-2 |
0272 |
250 |
250 |
75 |
227.5 |
175 |
75 |
227.5 |
180 |
212.5 |
Carle Eureka Hospital |
1321021313 |
SUTURE ETHIBOND 4/0, SH-1 |
0272 |
15 |
15 |
4.5 |
13.65 |
10.5 |
4.5 |
13.65 |
10.799999999999999 |
12.75 |
Carle Eureka Hospital |
1321021314 |
SUTURE ETHIBOND 5/0, RB-1 |
0272 |
15 |
15 |
4.5 |
13.65 |
10.5 |
4.5 |
13.65 |
10.799999999999999 |
12.75 |
Carle Eureka Hospital |
1321021315 |
SUTURE ETHIBOND O |
0272 |
9 |
9 |
2.6999999999999997 |
8.19 |
6.3 |
2.6999999999999997 |
8.19 |
6.4799999999999995 |
7.6499999999999995 |
Carle Eureka Hospital |
1321021316 |
SUTURE ETHIBOND SJ |
0272 |
14 |
14 |
4.2 |
12.74 |
9.7999999999999989 |
4.2 |
12.74 |
10.08 |
11.9 |
Carle Eureka Hospital |
1321021317 |
SUTURE ETHIBOND TIE #0 |
0272 |
5 |
5 |
1.5 |
4.55 |
3.5 |
1.5 |
4.55 |
3.5999999999999996 |
4.25 |
Carle Eureka Hospital |
1321021318 |
SUTURE ETHIBOND 2/0 |
0272 |
51 |
51 |
15.299999999999999 |
46.410000000000004 |
35.699999999999996 |
15.299999999999999 |
46.410000000000004 |
36.72 |
43.35 |
Carle Eureka Hospital |
1321021319 |
SUTURE ETHILON 2/0 - FS |
0272 |
8 |
8 |
2.4 |
7.28 |
5.6 |
2.4 |
7.28 |
5.76 |
6.8 |
Carle Eureka Hospital |
1321021320 |
SUTURE EYE 8-0 9-0 10-0 |
0272 |
106 |
106 |
31.799999999999997 |
96.460000000000008 |
74.199999999999989 |
31.799999999999997 |
96.460000000000008 |
76.319999999999993 |
90.1 |
Carle Eureka Hospital |
1321021321 |
SUTURE GORTEX |
0272 |
106 |
106 |
31.799999999999997 |
96.460000000000008 |
74.199999999999989 |
31.799999999999997 |
96.460000000000008 |
76.319999999999993 |
90.1 |
Carle Eureka Hospital |
1321021322 |
SUTURE MERSILENE |
0272 |
142 |
142 |
42.6 |
129.22 |
99.399999999999991 |
42.6 |
129.22 |
102.24 |
120.7 |
Carle Eureka Hospital |
1321021323 |
SUTURE MICROSURGICAL/PLASTIC |
0272 |
89 |
89 |
26.7 |
80.990000000000009 |
62.3 |
26.7 |
80.990000000000009 |
64.08 |
75.649999999999991 |
Carle Eureka Hospital |
1321021324 |
SUTURE MONO 3/0 PS-2 |
0272 |
15 |
15 |
4.5 |
13.65 |
10.5 |
4.5 |
13.65 |
10.799999999999999 |
12.75 |
Carle Eureka Hospital |
1321021325 |
SUTURE MULTIPLE E-PAC |
0272 |
287 |
287 |
86.1 |
261.17 |
200.89999999999998 |
86.1 |
261.17 |
206.64 |
243.95 |
Carle Eureka Hospital |
1321021326 |
SUTURE NEEDLE/TIE/REEL |
0272 |
18 |
18 |
5.3999999999999995 |
16.38 |
12.6 |
5.3999999999999995 |
16.38 |
12.959999999999999 |
15.299999999999999 |
Carle Eureka Hospital |
1321021327 |
SUTURE NURLON OS-8 |
0272 |
49 |
49 |
14.7 |
44.59 |
34.299999999999997 |
14.7 |
44.59 |
35.28 |
41.65 |
Carle Eureka Hospital |
1321021328 |
SUTURE PRO MULTI 5/0 C-1 |
0272 |
84 |
84 |
25.2 |
76.44 |
58.8 |
25.2 |
76.44 |
60.48 |
71.399999999999991 |
Carle Eureka Hospital |
1321021329 |
SUTURE PRO MULTI 7/0 BV175-6 |
0272 |
164 |
164 |
49.199999999999996 |
149.24 |
114.8 |
49.199999999999996 |
149.24 |
118.08 |
139.4 |
Carle Eureka Hospital |
1321021330 |
SUTURE PRO MULTI 7/0 CC |
0272 |
151 |
151 |
45.3 |
137.41 |
105.69999999999999 |
45.3 |
137.41 |
108.72 |
128.35 |
Carle Eureka Hospital |
1321021331 |
SUTURE PRO MULTI 8/0 BV175-6 |
0272 |
165 |
165 |
49.5 |
150.15 |
115.49999999999999 |
49.5 |
150.15 |
118.8 |
140.25 |
Carle Eureka Hospital |
1321021333 |
SUTURE PROLENE #1 TP-1 |
0272 |
13 |
13 |
3.9 |
11.83 |
9.1 |
3.9 |
11.83 |
9.36 |
11.049999999999999 |
Carle Eureka Hospital |
1321021334 |
SUTURE PROLENE 2/0 MH |
0272 |
15 |
15 |
4.5 |
13.65 |
10.5 |
4.5 |
13.65 |
10.799999999999999 |
12.75 |
Carle Eureka Hospital |
1321021335 |
SUTURE PROLENE 2/0 SH |
0272 |
15 |
15 |
4.5 |
13.65 |
10.5 |
4.5 |
13.65 |
10.799999999999999 |
12.75 |
Carle Eureka Hospital |
1321021336 |
SUTURE PROLENE 3/0 SH8522 |
0272 |
15 |
15 |
4.5 |
13.65 |
10.5 |
4.5 |
13.65 |
10.799999999999999 |
12.75 |
Carle Eureka Hospital |
1321021337 |
SUTURE PROLENE 3/0 SH8534 |
0272 |
15 |
15 |
4.5 |
13.65 |
10.5 |
4.5 |
13.65 |
10.799999999999999 |
12.75 |
Carle Eureka Hospital |
1321021338 |
SUTURE PROLENE 4/0 BB |
0272 |
18 |
18 |
5.3999999999999995 |
16.38 |
12.6 |
5.3999999999999995 |
16.38 |
12.959999999999999 |
15.299999999999999 |
Carle Eureka Hospital |
1321021339 |
SUTURE PROLENE 4/0 RB-1 |
0272 |
35 |
35 |
10.5 |
31.85 |
24.5 |
10.5 |
31.85 |
25.2 |
29.75 |
Carle Eureka Hospital |
1321021340 |
SUTURE PROLENE 4/0 SH |
0272 |
15 |
15 |
4.5 |
13.65 |
10.5 |
4.5 |
13.65 |
10.799999999999999 |
12.75 |
Carle Eureka Hospital |
1321021341 |
SUTURE PROLENE 5/0 C-1 |
0272 |
25 |
25 |
7.5 |
22.75 |
17.5 |
7.5 |
22.75 |
18 |
21.25 |
Carle Eureka Hospital |
1321021342 |
SUTURE PROLENE 5/0 RB-1 |
0272 |
8 |
8 |
2.4 |
7.28 |
5.6 |
2.4 |
7.28 |
5.76 |
6.8 |
Carle Eureka Hospital |
1321021343 |
SUTURE PROLENE 6/0 C-1 |
0272 |
21 |
21 |
6.3 |
19.11 |
14.7 |
6.3 |
19.11 |
15.12 |
17.849999999999998 |
Carle Eureka Hospital |
1321021344 |
SUTURE PROLENE 6/0 CC |
0272 |
40 |
40 |
12 |
36.4 |
28 |
12 |
36.4 |
28.799999999999997 |
34 |
Carle Eureka Hospital |
1321021345 |
SUTURE PROLENE 7/0 CC |
0272 |
40 |
40 |
12 |
36.4 |
28 |
12 |
36.4 |
28.799999999999997 |
34 |
Carle Eureka Hospital |
1321021347 |
SUTURE PURSESTRING |
0272 |
233 |
233 |
69.899999999999991 |
212.03 |
163.1 |
69.899999999999991 |
212.03 |
167.76 |
198.04999999999998 |
Carle Eureka Hospital |
1321021349 |
SUTURE SILK #2 TIE |
0272 |
7 |
7 |
2.1 |
6.37 |
4.8999999999999995 |
2.1 |
6.37 |
5.04 |
5.95 |
Carle Eureka Hospital |
1321021350 |
SUTURE STEEL #5 |
0272 |
28 |
28 |
8.4 |
25.48 |
19.599999999999998 |
8.4 |
25.48 |
20.16 |
23.8 |
Carle Eureka Hospital |
1321021351 |
SUTURE STEEL #6 |
0272 |
58 |
58 |
17.399999999999999 |
52.78 |
40.599999999999994 |
17.399999999999999 |
52.78 |
41.76 |
49.3 |
Carle Eureka Hospital |
1321021352 |
SUTURE VASCULAR & DOUBLE-ARME |
0272 |
89 |
89 |
26.7 |
80.990000000000009 |
62.3 |
26.7 |
80.990000000000009 |
64.08 |
75.649999999999991 |
Carle Eureka Hospital |
1321021353 |
SUTURE VICRYL #1 CT-1 |
0272 |
8 |
8 |
2.4 |
7.28 |
5.6 |
2.4 |
7.28 |
5.76 |
6.8 |
Carle Eureka Hospital |
1321021354 |
SUTURE VICRYL 3/0 CT-1 |
0272 |
8 |
8 |
2.4 |
7.28 |
5.6 |
2.4 |
7.28 |
5.76 |
6.8 |
Carle Eureka Hospital |
1321021355 |
SUTURE VICRYL 3/0 PS-2 |
0272 |
14 |
14 |
4.2 |
12.74 |
9.7999999999999989 |
4.2 |
12.74 |
10.08 |
11.9 |
Carle Eureka Hospital |
1321021356 |
SUTURE VICRYL 4/0 PS-2 |
0272 |
14 |
14 |
4.2 |
12.74 |
9.7999999999999989 |
4.2 |
12.74 |
10.08 |
11.9 |
Carle Eureka Hospital |
1321021357 |
SUTURE VICRYL CT-1 |
0272 |
8 |
8 |
2.4 |
7.28 |
5.6 |
2.4 |
7.28 |
5.76 |
6.8 |
Carle Eureka Hospital |
1321021358 |
SUTURE/STAPLE REMOVAL SUPPLIE |
0272 |
11 |
11 |
3.3 |
10.01 |
7.6999999999999993 |
3.3 |
10.01 |
7.92 |
9.35 |
Carle Eureka Hospital |
1321021367 |
TAPE TENSION VAGINAL |
0272 |
1425 |
1425 |
427.5 |
1296.75 |
997.49999999999989 |
427.5 |
1296.75 |
1026 |
1211.25 |
Carle Eureka Hospital |
1321021374 |
TIP SUCTION KAM VAC |
0271 |
64 |
64 |
19.2 |
58.24 |
44.8 |
19.2 |
58.24 |
46.08 |
54.4 |
Carle Eureka Hospital |
1321021384 |
TRAY CATH W FOLEY & BAG |
0272 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
1321021388 |
TRAY ENDOCHOLE ETHICON ENDO |
0272 |
1310 |
1310 |
393 |
1192.1000000000001 |
916.99999999999989 |
393 |
1192.1000000000001 |
943.19999999999993 |
1113.5 |
Carle Eureka Hospital |
1321021402 |
TRAY THORACENTESIS |
0272 |
187 |
187 |
56.1 |
170.17000000000002 |
130.9 |
56.1 |
170.17000000000002 |
134.63999999999999 |
158.94999999999999 |
Carle Eureka Hospital |
1321021408 |
TUBE CRAWFORD |
0272 |
194 |
194 |
58.199999999999996 |
176.54 |
135.79999999999998 |
58.199999999999996 |
176.54 |
139.68 |
164.9 |
Carle Eureka Hospital |
1321021428 |
TUBING RECIRCUIT SMOKE EVAC |
0272 |
281 |
281 |
84.3 |
255.71 |
196.7 |
84.3 |
255.71 |
202.32 |
238.85 |
Carle Eureka Hospital |
1321021430 |
TUBING SET FOR ARTHROSCOPY PUM |
0272 |
325 |
325 |
97.5 |
295.75 |
227.49999999999997 |
97.5 |
295.75 |
234 |
276.25 |
Carle Eureka Hospital |
1321021434 |
SUPPLIES TUR |
0272 |
1408 |
1408 |
422.4 |
1281.28 |
985.59999999999991 |
422.4 |
1281.28 |
1013.76 |
1196.8 |
Carle Eureka Hospital |
1321021505 |
CUTTER ENDO ARTICULAR ATW |
0272 |
946 |
946 |
283.8 |
860.86 |
662.19999999999993 |
283.8 |
860.86 |
681.12 |
804.1 |
Carle Eureka Hospital |
1321021506 |
RELOAD CUTTER ARTICULAR |
0272 |
341 |
341 |
102.3 |
310.31 |
238.7 |
102.3 |
310.31 |
245.51999999999998 |
289.84999999999997 |
Carle Eureka Hospital |
1321021513 |
BLADE ARTHROSCOPY |
0272 |
262 |
262 |
78.599999999999994 |
238.42000000000002 |
183.39999999999998 |
78.599999999999994 |
238.42000000000002 |
188.64 |
222.7 |
Carle Eureka Hospital |
1321021517 |
TOURNIQUET CUFF ALL SZS |
0272 |
75 |
75 |
22.5 |
68.25 |
52.5 |
22.5 |
68.25 |
54 |
63.75 |
Carle Eureka Hospital |
1321021526 |
TROCAR 5MM SHORT/LONG |
0272 |
152 |
152 |
45.6 |
138.32 |
106.39999999999999 |
45.6 |
138.32 |
109.44 |
129.19999999999999 |
Carle Eureka Hospital |
1321021527 |
TROCAR 10/11/12 |
0272 |
219 |
219 |
65.7 |
199.29000000000002 |
153.29999999999998 |
65.7 |
199.29000000000002 |
157.68 |
186.15 |
Carle Eureka Hospital |
1321021582 |
SEPRAFILM |
0272 |
407 |
407 |
122.1 |
370.37 |
284.89999999999998 |
122.1 |
370.37 |
293.03999999999996 |
345.95 |
Carle Eureka Hospital |
1321021636 |
POLAR ICE KNEE KIT |
0272 |
354 |
354 |
106.2 |
322.14 |
247.79999999999998 |
106.2 |
322.14 |
254.88 |
300.89999999999998 |
Carle Eureka Hospital |
1321021640 |
STAPLER RELOAD ENDO HERNIA |
0272 |
205 |
205 |
61.5 |
186.55 |
143.5 |
61.5 |
186.55 |
147.6 |
174.25 |
Carle Eureka Hospital |
1321021650 |
MESH KUGEL COMP 7X9 |
C1781 |
0278 |
3654 |
3654 |
1096.2 |
3325.1400000000003 |
2557.7999999999997 |
1096.2 |
3325.1400000000003 |
2630.88 |
3105.9 |
Carle Eureka Hospital |
1321021651 |
MESH KUGEL OVAL MED |
C1781 |
0278 |
2129 |
2129 |
638.69999999999993 |
1937.39 |
1490.3 |
638.69999999999993 |
1937.39 |
1532.8799999999999 |
1809.6499999999999 |
Carle Eureka Hospital |
1321021652 |
MESH KUGEL OVAL LARGE |
C1781 |
0278 |
2701 |
2701 |
810.3 |
2457.9100000000003 |
1890.6999999999998 |
810.3 |
2457.9100000000003 |
1944.72 |
2295.85 |
Carle Eureka Hospital |
1321021653 |
MESH PATCH VENTRALEX MED |
C1781 |
0278 |
1247 |
1247 |
374.09999999999997 |
1134.77 |
872.9 |
374.09999999999997 |
1134.77 |
897.83999999999992 |
1059.95 |
Carle Eureka Hospital |
1321021654 |
MESH KUGEL SMALL CIRCLE |
C1781 |
0278 |
1184 |
1184 |
355.2 |
1077.44 |
828.8 |
355.2 |
1077.44 |
852.48 |
1006.4 |
Carle Eureka Hospital |
1321021655 |
MESH KUGEL XLARGE |
C1781 |
0278 |
4331 |
4331 |
1299.3 |
3941.21 |
3031.7 |
1299.3 |
3941.21 |
3118.3199999999997 |
3681.35 |
Carle Eureka Hospital |
1321021673 |
SUTURE 8 PACK GENERAL |
0272 |
169 |
169 |
50.699999999999996 |
153.79 |
118.3 |
50.699999999999996 |
153.79 |
121.67999999999999 |
143.65 |
Carle Eureka Hospital |
1321021742 |
TRICAR 11MM |
0272 |
89 |
89 |
26.7 |
80.990000000000009 |
62.3 |
26.7 |
80.990000000000009 |
64.08 |
75.649999999999991 |
Carle Eureka Hospital |
1321021743 |
TROCAR 5MM LONG |
0272 |
70 |
70 |
21 |
63.7 |
49 |
21 |
63.7 |
50.4 |
59.5 |
Carle Eureka Hospital |
1321021744 |
TROCAR 12MM |
0272 |
88 |
88 |
26.4 |
80.08 |
61.599999999999994 |
26.4 |
80.08 |
63.36 |
74.8 |
Carle Eureka Hospital |
1321021745 |
TROCAR 5MM SHORT |
0272 |
43 |
43 |
12.9 |
39.130000000000003 |
30.099999999999998 |
12.9 |
39.130000000000003 |
30.959999999999997 |
36.549999999999997 |
Carle Eureka Hospital |
1321021746 |
CANNULA THREADED |
0272 |
49 |
49 |
14.7 |
44.59 |
34.299999999999997 |
14.7 |
44.59 |
35.28 |
41.65 |
Carle Eureka Hospital |
1321021747 |
CANNULA TROCAR - NO STPCK |
0272 |
21 |
21 |
6.3 |
19.11 |
14.7 |
6.3 |
19.11 |
15.12 |
17.849999999999998 |
Carle Eureka Hospital |
1321021748 |
SLING FIXATION SYSTEM W/OBT |
C1763 |
0278 |
2425 |
2425 |
727.5 |
2206.75 |
1697.5 |
727.5 |
2206.75 |
1746 |
2061.25 |
Carle Eureka Hospital |
1321021751 |
CEMENT W/ANTIBIOTIC |
0272 |
1141 |
1141 |
342.3 |
1038.31 |
798.69999999999993 |
342.3 |
1038.31 |
821.52 |
969.85 |
Carle Eureka Hospital |
1321021756 |
EYE LENS MULTI-FOCAL |
0276 |
2425 |
2425 |
727.5 |
2206.75 |
1697.5 |
727.5 |
2206.75 |
1746 |
2061.25 |
Carle Eureka Hospital |
1321021767 |
DISPOSABLE HASSON TROCAR (12MM |
0272 |
76 |
76 |
22.8 |
69.16 |
53.199999999999996 |
22.8 |
69.16 |
54.72 |
64.599999999999994 |
Carle Eureka Hospital |
1321021768 |
PNEUMO NEEDLE |
0272 |
39 |
39 |
11.7 |
35.49 |
27.299999999999997 |
11.7 |
35.49 |
28.08 |
33.15 |
Carle Eureka Hospital |
1321021769 |
BALLOON BULB |
0272 |
386 |
386 |
115.8 |
351.26 |
270.2 |
115.8 |
351.26 |
277.92 |
328.09999999999997 |
Carle Eureka Hospital |
1321021770 |
OVAL DISTENTION BALLOON |
0272 |
458 |
458 |
137.4 |
416.78000000000003 |
320.59999999999997 |
137.4 |
416.78000000000003 |
329.76 |
389.3 |
Carle Eureka Hospital |
1321021907 |
LASER FIBER |
0272 |
2022 |
2022 |
606.6 |
1840.02 |
1415.3999999999999 |
606.6 |
1840.02 |
1455.84 |
1718.7 |
Carle Eureka Hospital |
1321022015 |
BARD FLEXI TIP DISP SCLERO NDL |
0272 |
51 |
51 |
15.299999999999999 |
46.410000000000004 |
35.699999999999996 |
15.299999999999999 |
46.410000000000004 |
36.72 |
43.35 |
Carle Eureka Hospital |
1321022103 |
TROCAR 5MM DISP W CANNULA |
0272 |
59 |
59 |
17.7 |
53.690000000000005 |
41.3 |
17.7 |
53.690000000000005 |
42.48 |
50.15 |
Carle Eureka Hospital |
1321022104 |
TUBINGSET IRRIG LAP DAVOL XSTR |
0272 |
56 |
56 |
16.8 |
50.96 |
39.199999999999996 |
16.8 |
50.96 |
40.32 |
47.6 |
Carle Eureka Hospital |
1321022105 |
TUBING SET INSUFFLATION 10 FT |
0272 |
13 |
13 |
3.9 |
11.83 |
9.1 |
3.9 |
11.83 |
9.36 |
11.049999999999999 |
Carle Eureka Hospital |
1321022106 |
BALLOON OVAL PREPERITON DISTEN |
0272 |
644 |
644 |
193.2 |
586.04 |
450.79999999999995 |
193.2 |
586.04 |
463.68 |
547.4 |
Carle Eureka Hospital |
1321022107 |
TROCAR STRUC BAL W INFL BULB |
0272 |
355 |
355 |
106.5 |
323.05 |
248.49999999999997 |
106.5 |
323.05 |
255.6 |
301.75 |
Carle Eureka Hospital |
1321022108 |
BALLON OVAL PREPERI DISTEN W B |
0272 |
562 |
562 |
168.6 |
511.42 |
393.4 |
168.6 |
511.42 |
404.64 |
477.7 |
Carle Eureka Hospital |
1321022157 |
COLD THERAPY COMPRESSION WRAP |
0272 |
82 |
82 |
24.599999999999998 |
74.62 |
57.4 |
24.599999999999998 |
74.62 |
59.04 |
69.7 |
Carle Eureka Hospital |
1321022233 |
CLIP RESOLUTION 235 CM |
0278 |
761 |
761 |
228.29999999999998 |
692.51 |
532.69999999999993 |
228.29999999999998 |
692.51 |
547.91999999999996 |
646.85 |
Carle Eureka Hospital |
1321022234 |
PROLAPSE AND HEMORRHOID SET |
0272 |
903 |
903 |
270.89999999999998 |
821.73 |
632.09999999999991 |
270.89999999999998 |
821.73 |
650.16 |
767.55 |
Carle Eureka Hospital |
1321022235 |
FORCEPT HOT BIOPSY RADIAL JAW |
0272 |
166 |
166 |
49.8 |
151.06 |
116.19999999999999 |
49.8 |
151.06 |
119.52 |
141.1 |
Carle Eureka Hospital |
1321022255 |
STRYKEFLOWII WTIP SUC/IRRI |
0272 |
108 |
108 |
32.4 |
98.28 |
75.599999999999994 |
32.4 |
98.28 |
77.759999999999991 |
91.8 |
Carle Eureka Hospital |
1321022256 |
CLOSESURE SYSTEM 90414 |
0272 |
236 |
236 |
70.8 |
214.76000000000002 |
165.2 |
70.8 |
214.76000000000002 |
169.92 |
200.6 |
Carle Eureka Hospital |
1321022257 |
ENDOPATH BABCOCK W RATCHET 5MM |
0272 |
255 |
255 |
76.5 |
232.05 |
178.5 |
76.5 |
232.05 |
183.6 |
216.75 |
Carle Eureka Hospital |
1321022277 |
DEVICE LAPSNC GAS CONDITIONING |
0272 |
170 |
170 |
51 |
154.70000000000002 |
118.99999999999999 |
51 |
154.70000000000002 |
122.39999999999999 |
144.5 |
Carle Eureka Hospital |
1321022703 |
ENDOCLIP II AUTO SUT APP 10MM |
0272 |
142 |
142 |
42.6 |
129.22 |
99.399999999999991 |
42.6 |
129.22 |
102.24 |
120.7 |
Carle Eureka Hospital |
1321022704 |
ENDOCLIP III AUTO SUT APP 5MM |
0272 |
294 |
294 |
88.2 |
267.54000000000002 |
205.79999999999998 |
88.2 |
267.54000000000002 |
211.67999999999998 |
249.9 |
Carle Eureka Hospital |
1321040609 |
PHASE I RECOVERY FIRST 30 MIN |
0710 |
385 |
385 |
115.5 |
350.35 |
269.5 |
115.5 |
350.35 |
277.2 |
327.25 |
Carle Eureka Hospital |
1321040610 |
PHASE I RECOVERY EA ADD 30 MIN |
0710 |
195 |
195 |
58.5 |
177.45000000000002 |
136.5 |
58.5 |
177.45000000000002 |
140.4 |
165.75 |
Carle Eureka Hospital |
1321050497 |
INJECT PERIPHERAL NERVE BLOCK |
64450 |
0361 |
1680 |
1680 |
504 |
1528.8 |
1176 |
504 |
1528.8 |
1209.5999999999999 |
1428 |
Carle Eureka Hospital |
1321050675 |
ANOSCOPY BASIC |
0360 |
130 |
130 |
39 |
118.3 |
91 |
39 |
118.3 |
93.6 |
110.5 |
Carle Eureka Hospital |
1321050676 |
ANOSCOPY COMPLEX |
0360 |
1215 |
1215 |
364.5 |
1105.6500000000001 |
850.5 |
364.5 |
1105.6500000000001 |
874.8 |
1032.75 |
Carle Eureka Hospital |
1321050677 |
PROCTO SIGMOID BASIC |
0360 |
1020 |
1020 |
306 |
928.2 |
714 |
306 |
928.2 |
734.4 |
867 |
Carle Eureka Hospital |
1321050678 |
PROCTO SIGMOID COMPLEX |
0360 |
1225 |
1225 |
367.5 |
1114.75 |
857.5 |
367.5 |
1114.75 |
882 |
1041.25 |
Carle Eureka Hospital |
1321050679 |
GASTROSCOPY EGD BASIC |
0360 |
1480 |
1480 |
444 |
1346.8 |
1036 |
444 |
1346.8 |
1065.5999999999999 |
1258 |
Carle Eureka Hospital |
1321050680 |
GASTROSCOPY EGD COMPLEX |
0360 |
1775 |
1775 |
532.5 |
1615.25 |
1242.5 |
532.5 |
1615.25 |
1278 |
1508.75 |
Carle Eureka Hospital |
1321050681 |
COLONOSCOPY BASIC |
0360 |
1665 |
1665 |
499.5 |
1515.15 |
1165.5 |
499.5 |
1515.15 |
1198.8 |
1415.25 |
Carle Eureka Hospital |
1321050682 |
COLONOSCOPY COMPLEX |
0360 |
1995 |
1995 |
598.5 |
1815.45 |
1396.5 |
598.5 |
1815.45 |
1436.3999999999999 |
1695.75 |
Carle Eureka Hospital |
1321050683 |
BRONCHOSCOPY BASIC |
0360 |
1975 |
1975 |
592.5 |
1797.25 |
1382.5 |
592.5 |
1797.25 |
1422 |
1678.75 |
Carle Eureka Hospital |
1321050684 |
BRONCHOSCOPY COMPLEX |
0360 |
2365 |
2365 |
709.5 |
2152.15 |
1655.5 |
709.5 |
2152.15 |
1702.8 |
2010.25 |
Carle Eureka Hospital |
1321050689 |
SMALL BOWEL ENDOSCOPY BASIC |
0360 |
1705 |
1705 |
511.5 |
1551.55 |
1193.5 |
511.5 |
1551.55 |
1227.5999999999999 |
1449.25 |
Carle Eureka Hospital |
1321050690 |
SMALL BOWEL ENDOSCOPY COMPLEX |
0360 |
2065 |
2065 |
619.5 |
1879.15 |
1445.5 |
619.5 |
1879.15 |
1486.8 |
1755.25 |
Carle Eureka Hospital |
1321050761 |
CHEMO IV PUSH INITIAL DRUG |
96409 |
0335 |
805 |
805 |
241.5 |
732.55000000000007 |
563.5 |
241.5 |
732.55000000000007 |
579.6 |
684.25 |
Carle Eureka Hospital |
1321050813 |
ARTHROCENTESIS MAJ JNT WO IMAG |
20610 |
0361 |
760 |
760 |
228 |
691.6 |
532 |
228 |
691.6 |
547.19999999999993 |
646 |
Carle Eureka Hospital |
1321050904 |
INJECT TRIGGER PT THREE OR MOR |
20553 |
0361 |
760 |
760 |
228 |
691.6 |
532 |
228 |
691.6 |
547.19999999999993 |
646 |
Carle Eureka Hospital |
1321050907 |
INJECT TRIGGER PT 1-2 MUSCLE |
20552 |
0361 |
760 |
760 |
228 |
691.6 |
532 |
228 |
691.6 |
547.19999999999993 |
646 |
Carle Eureka Hospital |
1321060355 |
BLD DRAW FROM CENTRAL LINE |
36591 |
0300 |
230 |
230 |
69 |
209.3 |
161 |
69 |
209.3 |
165.6 |
195.5 |
Carle Eureka Hospital |
1321060399 |
SI JNT ARTHRO INJ W IMAGE |
27096 |
0361 |
1680 |
1680 |
504 |
1528.8 |
1176 |
504 |
1528.8 |
1209.5999999999999 |
1428 |
Carle Eureka Hospital |
1321060413 |
TRANSF INJ L/S EA ADD LVL W GU |
64484 |
0361 |
1040 |
1040 |
312 |
946.4 |
728 |
312 |
946.4 |
748.8 |
884 |
Carle Eureka Hospital |
1321060416 |
TRANSF INJ L/S SING LVL W GUI |
64483 |
0361 |
2080 |
2080 |
624 |
1892.8 |
1456 |
624 |
1892.8 |
1497.6 |
1768 |
Carle Eureka Hospital |
1321060419 |
FACET INJ L/S 3RD+EA AD LVL W |
64495 |
0361 |
1040 |
1040 |
312 |
946.4 |
728 |
312 |
946.4 |
748.8 |
884 |
Carle Eureka Hospital |
1321060422 |
FACET INJ L/S SINGLE LVL W IMA |
64493 |
0361 |
2080 |
2080 |
624 |
1892.8 |
1456 |
624 |
1892.8 |
1497.6 |
1768 |
Carle Eureka Hospital |
1321060425 |
FACET INJ C/T SINGLE LVL W IMA |
64490 |
0361 |
2080 |
2080 |
624 |
1892.8 |
1456 |
624 |
1892.8 |
1497.6 |
1768 |
Carle Eureka Hospital |
1321060428 |
FACET INJ C/T 3RD&E AD LVL W I |
64492 |
0361 |
1040 |
1040 |
312 |
946.4 |
728 |
312 |
946.4 |
748.8 |
884 |
Carle Eureka Hospital |
1321060432 |
EPID C/T INJ EA LVL W IMAGE |
62321 |
0361 |
1680 |
1680 |
504 |
1528.8 |
1176 |
504 |
1528.8 |
1209.5999999999999 |
1428 |
Carle Eureka Hospital |
1321060436 |
EPID INJ L/S/C EA LVL W IMAGE |
62323 |
0361 |
1680 |
1680 |
504 |
1528.8 |
1176 |
504 |
1528.8 |
1209.5999999999999 |
1428 |
Carle Eureka Hospital |
1321060439 |
ILIONGUINAL HYPOGASTRIC NB |
64425 |
0361 |
1680 |
1680 |
504 |
1528.8 |
1176 |
504 |
1528.8 |
1209.5999999999999 |
1428 |
Carle Eureka Hospital |
1321060659 |
FACET INJ C/T 2ND LEVEL W IMAG |
64491 |
0361 |
1040 |
1040 |
312 |
946.4 |
728 |
312 |
946.4 |
748.8 |
884 |
Carle Eureka Hospital |
1321060661 |
FACET INJ L/S 2ND LEVEL W IMAG |
64494 |
0361 |
1040 |
1040 |
312 |
946.4 |
728 |
312 |
946.4 |
748.8 |
884 |
Carle Eureka Hospital |
1321060674 |
ARTHROCENTESIS SMALL JOINT/BUR |
20600 |
0361 |
760 |
760 |
228 |
691.6 |
532 |
228 |
691.6 |
547.19999999999993 |
646 |
Carle Eureka Hospital |
1321060676 |
ARTHROCENT INTERMED JOINT/BURS |
20605 |
0361 |
760 |
760 |
228 |
691.6 |
532 |
228 |
691.6 |
547.19999999999993 |
646 |
Carle Eureka Hospital |
1321060683 |
INTERCOSTAL NERVE BLOCK SINGLE |
64420 |
0361 |
1680 |
1680 |
504 |
1528.8 |
1176 |
504 |
1528.8 |
1209.5999999999999 |
1428 |
Carle Eureka Hospital |
1321060685 |
INTERCOST NERV BLCK MULTIPLE |
64421 |
0361 |
2080 |
2080 |
624 |
1892.8 |
1456 |
624 |
1892.8 |
1497.6 |
1768 |
Carle Eureka Hospital |
1321060696 |
BLOOD TRANSFUSION DAILY |
36430 |
0391 |
1020 |
1020 |
306 |
928.2 |
714 |
306 |
928.2 |
734.4 |
867 |
Carle Eureka Hospital |
1321060900 |
FACET INJ C/T SNGL LVL BIL W I |
6449050 |
0361 |
3120 |
3120 |
936 |
2839.2000000000003 |
2184 |
936 |
2839.2000000000003 |
2246.4 |
2652 |
Carle Eureka Hospital |
1321060902 |
FACET INJ C/T 2ND LVL BIL W IM |
6449150 |
0361 |
1560 |
1560 |
468 |
1419.6000000000001 |
1092 |
468 |
1419.6000000000001 |
1123.2 |
1326 |
Carle Eureka Hospital |
1321060904 |
FACET INJ C/T 3+ LVL BIL W IMA |
6449250 |
0361 |
1560 |
1560 |
468 |
1419.6000000000001 |
1092 |
468 |
1419.6000000000001 |
1123.2 |
1326 |
Carle Eureka Hospital |
1321060906 |
FACET INJ L/S SNGL LVL BIL W I |
6449350 |
0361 |
3120 |
3120 |
936 |
2839.2000000000003 |
2184 |
936 |
2839.2000000000003 |
2246.4 |
2652 |
Carle Eureka Hospital |
1321060908 |
FACET INJ L/S 2ND LVL BIL W IM |
6449450 |
0361 |
1560 |
1560 |
468 |
1419.6000000000001 |
1092 |
468 |
1419.6000000000001 |
1123.2 |
1326 |
Carle Eureka Hospital |
1321060910 |
FACET INJ L/S 3+ LVL BIL W IMA |
6449550 |
0361 |
1560 |
1560 |
468 |
1419.6000000000001 |
1092 |
468 |
1419.6000000000001 |
1123.2 |
1326 |
Carle Eureka Hospital |
1321061251 |
PARAVERT FACET JNT CR/THR W IM |
64633 |
0361 |
3323 |
3323 |
996.9 |
3023.9300000000003 |
2326.1 |
996.9 |
3023.9300000000003 |
2392.56 |
2824.5499999999997 |
Carle Eureka Hospital |
1321061252 |
PARAVER FACT JNT CR/TH EA AD W |
64634 |
0361 |
831 |
831 |
249.29999999999998 |
756.21 |
581.69999999999993 |
249.29999999999998 |
756.21 |
598.31999999999994 |
706.35 |
Carle Eureka Hospital |
1321061253 |
PARAVERT FACET JNT LM/SAC W IM |
64635 |
0361 |
3323 |
3323 |
996.9 |
3023.9300000000003 |
2326.1 |
996.9 |
3023.9300000000003 |
2392.56 |
2824.5499999999997 |
Carle Eureka Hospital |
1321061254 |
PARAVER FACT JNT LM/SC EA AD W |
64636 |
0361 |
831 |
831 |
249.29999999999998 |
756.21 |
581.69999999999993 |
249.29999999999998 |
756.21 |
598.31999999999994 |
706.35 |
Carle Eureka Hospital |
1321061259 |
EPID C/T INJ EA LVL WO IMAGE |
62320 |
0361 |
1680 |
1680 |
504 |
1528.8 |
1176 |
504 |
1528.8 |
1209.5999999999999 |
1428 |
Carle Eureka Hospital |
1321061260 |
EPID INJ L/S/C EA LVL WO IMAG |
62322 |
0361 |
1680 |
1680 |
504 |
1528.8 |
1176 |
504 |
1528.8 |
1209.5999999999999 |
1428 |
Carle Eureka Hospital |
1321061261 |
SI JNT ARTHRO INJ W IMAGE BIL |
2709650 |
0361 |
2520 |
2520 |
756 |
2293.2000000000003 |
1764 |
756 |
2293.2000000000003 |
1814.3999999999999 |
2142 |
Carle Eureka Hospital |
1321061262 |
PARAFACET LM/SC JNT W IM BIL |
6463550 |
0361 |
4985 |
4985 |
1495.5 |
4536.3500000000004 |
3489.5 |
1495.5 |
4536.3500000000004 |
3589.2 |
4237.25 |
Carle Eureka Hospital |
1321061267 |
CHEMODENERV MUSC FACIAL BIL |
64615 |
0361 |
726 |
726 |
217.79999999999998 |
660.66 |
508.2 |
217.79999999999998 |
660.66 |
522.72 |
617.1 |
Carle Eureka Hospital |
1321061268 |
CHEMODENERV MUSC NECK UNI |
64616 |
0361 |
726 |
726 |
217.79999999999998 |
660.66 |
508.2 |
217.79999999999998 |
660.66 |
522.72 |
617.1 |
Carle Eureka Hospital |
1321061275 |
NEUROLYTC BLOCK PERIP NRVE UNI |
64640 |
0361 |
2080 |
2080 |
624 |
1892.8 |
1456 |
624 |
1892.8 |
1497.6 |
1768 |
Carle Eureka Hospital |
1321061276 |
NEUROLYTC BLOCK PERIP NRVE BIL |
6464050 |
0361 |
3120 |
3120 |
936 |
2839.2000000000003 |
2184 |
936 |
2839.2000000000003 |
2246.4 |
2652 |
Carle Eureka Hospital |
1321061297 |
LYSIS EPIDURAL ADHESIONS |
62264 |
0361 |
2778 |
2778 |
833.4 |
2527.98 |
1944.6 |
833.4 |
2527.98 |
2000.1599999999999 |
2361.2999999999997 |
Carle Eureka Hospital |
1321061312 |
PARAFACET CR/THR JNT W IM BIL |
6463350 |
0361 |
4986 |
4986 |
1495.8 |
4537.26 |
3490.2 |
1495.8 |
4537.26 |
3589.92 |
4238.0999999999995 |
Carle Eureka Hospital |
1321061321 |
TRANSF INJ L/S BIL W GUIDE |
6448350 |
0361 |
3120 |
3120 |
936 |
2839.2000000000003 |
2184 |
936 |
2839.2000000000003 |
2246.4 |
2652 |
Carle Eureka Hospital |
1321061332 |
NERVE BLK GREATER OCCIPITAL |
64405 |
0361 |
762 |
762 |
228.6 |
693.42000000000007 |
533.4 |
228.6 |
693.42000000000007 |
548.64 |
647.69999999999993 |
Carle Eureka Hospital |
1321061333 |
NERVE BLK GREATER OCCIPITAL BI |
6440550 |
0361 |
1143 |
1143 |
342.9 |
1040.1300000000001 |
800.09999999999991 |
342.9 |
1040.1300000000001 |
822.95999999999992 |
971.55 |
Carle Eureka Hospital |
1321410232 |
INSETION FOLEY CATHETER |
51702 |
0361 |
185 |
185 |
55.5 |
168.35 |
129.5 |
55.5 |
168.35 |
133.19999999999999 |
157.25 |
Carle Eureka Hospital |
1321420935 |
SUPPLIES PICC LINE |
C1751 |
0272 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
1321440611 |
RECOVERY PHASE II FIRST 30 MIN |
0710 |
210 |
210 |
63 |
191.1 |
147 |
63 |
191.1 |
151.19999999999999 |
178.5 |
Carle Eureka Hospital |
1321440614 |
RECOVERY PHASE II EA ADD 3OMIN |
0710 |
190 |
190 |
57 |
172.9 |
133 |
57 |
172.9 |
136.79999999999998 |
161.5 |
Carle Eureka Hospital |
1321450171 |
US GUIDE VASCULAR ACCESS |
76937 |
0402 |
345 |
345 |
103.5 |
313.95 |
241.49999999999997 |
103.5 |
313.95 |
248.39999999999998 |
293.25 |
Carle Eureka Hospital |
1321450356 |
PHLEBOTOMY THERAPEUTIC PER UNI |
99195 |
0940 |
180 |
180 |
54 |
163.80000000000001 |
125.99999999999999 |
54 |
163.80000000000001 |
129.6 |
153 |
Carle Eureka Hospital |
1321450452 |
IV INF THERAPEUTIC EA ADD HR |
96366 |
0260 |
210 |
210 |
63 |
191.1 |
147 |
63 |
191.1 |
151.19999999999999 |
178.5 |
Carle Eureka Hospital |
1321450453 |
IV INF THERAPEUTIC UP TO 1HR |
96365 |
0260 |
635 |
635 |
190.5 |
577.85 |
444.5 |
190.5 |
577.85 |
457.2 |
539.75 |
Carle Eureka Hospital |
1321450484 |
INJECTION SUB-Q/IM |
96372 |
0260 |
125 |
125 |
37.5 |
113.75 |
87.5 |
37.5 |
113.75 |
90 |
106.25 |
Carle Eureka Hospital |
1321450490 |
IV PUSH INITIAL DRUG |
96374 |
0260 |
234 |
234 |
70.2 |
212.94 |
163.79999999999998 |
70.2 |
212.94 |
168.48 |
198.9 |
Carle Eureka Hospital |
1321450603 |
IV PUSH EA SEQUENTIAL DRUG |
96376 |
0260 |
153 |
153 |
45.9 |
139.23000000000002 |
107.1 |
45.9 |
139.23000000000002 |
110.16 |
130.04999999999998 |
Carle Eureka Hospital |
1321450695 |
CODE BLUE |
92950 |
0480 |
1430 |
1430 |
429 |
1301.3 |
1000.9999999999999 |
429 |
1301.3 |
1029.5999999999999 |
1215.5 |
Carle Eureka Hospital |
1321450761 |
CHEMO IV PUSH INITIAL DRUG |
96409 |
0335 |
805 |
805 |
241.5 |
732.55000000000007 |
563.5 |
241.5 |
732.55000000000007 |
579.6 |
684.25 |
Carle Eureka Hospital |
1321450764 |
CHEMO ADMIN SUBQ/IM NON HORMON |
96401 |
0331 |
335 |
335 |
100.5 |
304.85000000000002 |
234.49999999999997 |
100.5 |
304.85000000000002 |
241.2 |
284.75 |
Carle Eureka Hospital |
1321450885 |
ADMININSTRATION IMMUNIZATION |
90471 |
0761 |
120 |
120 |
36 |
109.2 |
84 |
36 |
109.2 |
86.399999999999991 |
102 |
Carle Eureka Hospital |
1321460005 |
CHEMO ADMIN IV INFUSION 1 HR |
96413 |
0335 |
925 |
925 |
277.5 |
841.75 |
647.5 |
277.5 |
841.75 |
666 |
786.25 |
Carle Eureka Hospital |
1321460008 |
CHEMO ADMIN IV INF EA ADD HR |
96415 |
0335 |
334 |
334 |
100.2 |
303.94 |
233.79999999999998 |
100.2 |
303.94 |
240.48 |
283.89999999999998 |
Carle Eureka Hospital |
1321460217 |
PROCEDURE CANCLED PRIO TO ANES |
0360 |
135 |
135 |
40.5 |
122.85000000000001 |
94.5 |
40.5 |
122.85000000000001 |
97.2 |
114.75 |
Carle Eureka Hospital |
1321460263 |
ADMIN TB SKIN TEST |
86580 |
0300 |
44 |
44 |
13.2 |
40.04 |
30.799999999999997 |
13.2 |
40.04 |
31.68 |
37.4 |
Carle Eureka Hospital |
1321460269 |
US PV RESIDUAL URINE |
51798 |
0361 |
230 |
230 |
69 |
209.3 |
161 |
69 |
209.3 |
165.6 |
195.5 |
Carle Eureka Hospital |
1321460274 |
IV PUSH EA ADD DRUG |
96375 |
0260 |
168 |
168 |
50.4 |
152.88 |
117.6 |
50.4 |
152.88 |
120.96 |
142.79999999999998 |
Carle Eureka Hospital |
1321460275 |
IV INF CONCURRENT THERAPEUTIC |
96368 |
0260 |
345 |
345 |
103.5 |
313.95 |
241.49999999999997 |
103.5 |
313.95 |
248.39999999999998 |
293.25 |
Carle Eureka Hospital |
1321460276 |
IV INF SEQUENTIAL THER UP TO 1 |
96367 |
0260 |
210 |
210 |
63 |
191.1 |
147 |
63 |
191.1 |
151.19999999999999 |
178.5 |
Carle Eureka Hospital |
1321460293 |
INSERT STRAIGHT CATH THERAPEUT |
51701 |
0361 |
195 |
195 |
58.5 |
177.45000000000002 |
136.5 |
58.5 |
177.45000000000002 |
140.4 |
165.75 |
Carle Eureka Hospital |
1321460357 |
BLD DRAW W COMPLETELY IMPL VAD |
36591 |
0361 |
230 |
230 |
69 |
209.3 |
161 |
69 |
209.3 |
165.6 |
195.5 |
Carle Eureka Hospital |
1321460371 |
CHEMO IV PUSH EA ADD DRUG |
96411 |
0335 |
345 |
345 |
103.5 |
313.95 |
241.49999999999997 |
103.5 |
313.95 |
248.39999999999998 |
293.25 |
Carle Eureka Hospital |
1321460372 |
CHEMO ADMIN IV INF SEQ 1 HR |
96417 |
0335 |
335 |
335 |
100.5 |
304.85000000000002 |
234.49999999999997 |
100.5 |
304.85000000000002 |
241.2 |
284.75 |
Carle Eureka Hospital |
1321460373 |
IV INF HYDRATION EA ADD HR |
96361 |
0260 |
170 |
170 |
51 |
154.70000000000002 |
118.99999999999999 |
51 |
154.70000000000002 |
122.39999999999999 |
144.5 |
Carle Eureka Hospital |
1321460374 |
IV INF HYDRATION UP TO 1HR |
96360 |
0260 |
585 |
585 |
175.5 |
532.35 |
409.5 |
175.5 |
532.35 |
421.2 |
497.25 |
Carle Eureka Hospital |
1321460696 |
BLOOD TRANSFUSION DAILY |
36430 |
0391 |
1020 |
1020 |
306 |
928.2 |
714 |
306 |
928.2 |
734.4 |
867 |
Carle Eureka Hospital |
1321460804 |
NURSING E/M ESTAB LVL 1 |
99211 |
0761 |
100 |
100 |
30 |
91 |
70 |
30 |
91 |
72 |
85 |
Carle Eureka Hospital |
1321460805 |
NURSING E/M ESTAB LVL 2 |
99212 |
0761 |
115 |
115 |
34.5 |
104.65 |
80.5 |
34.5 |
104.65 |
82.8 |
97.75 |
Carle Eureka Hospital |
1321460806 |
NURSING E/M ESTAB LVL 3 |
99213 |
0761 |
145 |
145 |
43.5 |
131.95000000000002 |
101.5 |
43.5 |
131.95000000000002 |
104.39999999999999 |
123.25 |
Carle Eureka Hospital |
1321460807 |
NURSING E/M ESTAB LVL 4 |
99214 |
0761 |
190 |
190 |
57 |
172.9 |
133 |
57 |
172.9 |
136.79999999999998 |
161.5 |
Carle Eureka Hospital |
1321460808 |
NURSING E/M ESTAB LVL 5 |
99215 |
0761 |
204 |
204 |
61.199999999999996 |
185.64000000000001 |
142.79999999999998 |
61.199999999999996 |
185.64000000000001 |
146.88 |
173.4 |
Carle Eureka Hospital |
1321460809 |
NURSING E/M NEW LVL 1 |
99201 |
0761 |
115 |
115 |
34.5 |
104.65 |
80.5 |
34.5 |
104.65 |
82.8 |
97.75 |
Carle Eureka Hospital |
1321460810 |
NURSING E/M NEW LVL 2 |
99202 |
0761 |
145 |
145 |
43.5 |
131.95000000000002 |
101.5 |
43.5 |
131.95000000000002 |
104.39999999999999 |
123.25 |
Carle Eureka Hospital |
1321460811 |
NURSING E/M NEW LVL 3 |
99203 |
0761 |
190 |
190 |
57 |
172.9 |
133 |
57 |
172.9 |
136.79999999999998 |
161.5 |
Carle Eureka Hospital |
1321460812 |
NURSING E/M NEW LVL 4 |
99204 |
0761 |
204 |
204 |
61.199999999999996 |
185.64000000000001 |
142.79999999999998 |
61.199999999999996 |
185.64000000000001 |
146.88 |
173.4 |
Carle Eureka Hospital |
1321460813 |
NURSING E/M NEW LVL 5 |
99205 |
0761 |
300 |
300 |
90 |
273 |
210 |
90 |
273 |
216 |
255 |
Carle Eureka Hospital |
1321460928 |
THORACENTESIS ASP W IMAGING |
32555 |
0361 |
1499 |
1499 |
449.7 |
1364.0900000000001 |
1049.3 |
449.7 |
1364.0900000000001 |
1079.28 |
1274.1499999999999 |
Carle Eureka Hospital |
1321461208 |
PORT FLUSH |
96523 |
0260 |
190 |
190 |
57 |
172.9 |
133 |
57 |
172.9 |
136.79999999999998 |
161.5 |
Carle Eureka Hospital |
1321490112 |
DECLOT PERM CATH W THROMBO |
36593 |
0361 |
650 |
650 |
195 |
591.5 |
454.99999999999994 |
195 |
591.5 |
468 |
552.5 |
Carle Eureka Hospital |
1322050484 |
INJECTION SUB-Q/IM |
96372 |
0260 |
125 |
125 |
37.5 |
113.75 |
87.5 |
37.5 |
113.75 |
90 |
106.25 |
Carle Eureka Hospital |
1322050904 |
INJECT TRIGGER PT THREE OR MOR |
20553 |
0510 |
760 |
760 |
228 |
691.6 |
532 |
228 |
691.6 |
547.19999999999993 |
646 |
Carle Eureka Hospital |
1322050907 |
INJECT TRIGGER PT 1-2 MUSCLE |
20552 |
0510 |
760 |
760 |
228 |
691.6 |
532 |
228 |
691.6 |
547.19999999999993 |
646 |
Carle Eureka Hospital |
1322061062 |
PAIN VISIT EST MINIMAL 5 |
99211 |
0510 |
100 |
100 |
30 |
91 |
70 |
30 |
91 |
72 |
85 |
Carle Eureka Hospital |
1322061063 |
PAIN VISIT EST STRTFWD 10 |
99212 |
0510 |
115 |
115 |
34.5 |
104.65 |
80.5 |
34.5 |
104.65 |
82.8 |
97.75 |
Carle Eureka Hospital |
1322061064 |
PAIN VISIT EST LOW COMP |
99213 |
0510 |
145 |
145 |
43.5 |
131.95000000000002 |
101.5 |
43.5 |
131.95000000000002 |
104.39999999999999 |
123.25 |
Carle Eureka Hospital |
1322061065 |
PAIN VISIT EST MOD COMP |
99214 |
0510 |
190 |
190 |
57 |
172.9 |
133 |
57 |
172.9 |
136.79999999999998 |
161.5 |
Carle Eureka Hospital |
1322061066 |
PAIN VISIT EST HIGH COMP |
99215 |
0510 |
204 |
204 |
61.199999999999996 |
185.64000000000001 |
142.79999999999998 |
61.199999999999996 |
185.64000000000001 |
146.88 |
173.4 |
Carle Eureka Hospital |
1322061067 |
PAIN VISIT NEW STRTFWD 10 |
99201 |
0510 |
115 |
115 |
34.5 |
104.65 |
80.5 |
34.5 |
104.65 |
82.8 |
97.75 |
Carle Eureka Hospital |
1322061068 |
PAIN VISIT NEW STRTFWD 20 |
99202 |
0510 |
145 |
145 |
43.5 |
131.95000000000002 |
101.5 |
43.5 |
131.95000000000002 |
104.39999999999999 |
123.25 |
Carle Eureka Hospital |
1322061069 |
PAIN VISIT NEW LOW COMP |
99203 |
0510 |
190 |
190 |
57 |
172.9 |
133 |
57 |
172.9 |
136.79999999999998 |
161.5 |
Carle Eureka Hospital |
1322061070 |
PAIN VISIT NEW MOD COMP |
99204 |
0510 |
204 |
204 |
61.199999999999996 |
185.64000000000001 |
142.79999999999998 |
61.199999999999996 |
185.64000000000001 |
146.88 |
173.4 |
Carle Eureka Hospital |
1322061071 |
PAIN VISIT NEW HIGH COMP |
99205 |
0510 |
300 |
300 |
90 |
273 |
210 |
90 |
273 |
216 |
255 |
Carle Eureka Hospital |
1322061367 |
VIRTUAL ORIGINATE SITE FAC FEE |
Q3014 |
0780 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
1323002377 |
CL TX SHLDR DISLOC/FX GT W MAN |
23665 |
0450 |
1560 |
1560 |
468 |
1419.6000000000001 |
1092 |
468 |
1419.6000000000001 |
1123.2 |
1326 |
Carle Eureka Hospital |
1323010304 |
OBSERVATION PER HR |
G0378 |
0762 |
40 |
40 |
12 |
36.4 |
28 |
12 |
36.4 |
28.799999999999997 |
34 |
Carle Eureka Hospital |
1323010305 |
OBSERVATION TELE PER HR ETS |
G0378 |
0762 |
64 |
64 |
19.2 |
58.24 |
44.8 |
19.2 |
58.24 |
46.08 |
54.4 |
Carle Eureka Hospital |
1323020288 |
SYSTEM CHEST TUBE |
0272 |
365 |
365 |
109.5 |
332.15000000000003 |
255.49999999999997 |
109.5 |
332.15000000000003 |
262.8 |
310.25 |
Carle Eureka Hospital |
1323021359 |
SUTURES |
0272 |
27 |
27 |
8.1 |
24.57 |
18.899999999999999 |
8.1 |
24.57 |
19.439999999999998 |
22.95 |
Carle Eureka Hospital |
1323040620 |
MOD SEDATION 1 ST 15 MIN |
99152 |
0370 |
345 |
345 |
103.5 |
313.95 |
241.49999999999997 |
103.5 |
313.95 |
248.39999999999998 |
293.25 |
Carle Eureka Hospital |
1323040621 |
MOD SEDATION EA ADD 15 MIN |
99153 |
0370 |
110 |
110 |
33 |
100.10000000000001 |
77 |
33 |
100.10000000000001 |
79.2 |
93.5 |
Carle Eureka Hospital |
1323050150 |
ED SERVICE LEVEL V |
99285 |
0450 |
1400 |
1400 |
420 |
1274 |
979.99999999999989 |
420 |
1274 |
1008 |
1190 |
Carle Eureka Hospital |
1323050153 |
ED SERVICE LEVEL IV |
99284 |
0450 |
900 |
900 |
270 |
819 |
630 |
270 |
819 |
648 |
765 |
Carle Eureka Hospital |
1323050155 |
ED SERVICE LEVEL III |
99283 |
0450 |
600 |
600 |
180 |
546 |
420 |
180 |
546 |
432 |
510 |
Carle Eureka Hospital |
1323050157 |
ED SERVICE LEVEL II |
99282 |
0450 |
350 |
350 |
105 |
318.5 |
244.99999999999997 |
105 |
318.5 |
252 |
297.5 |
Carle Eureka Hospital |
1323050158 |
ED SERVICE LEVEL I |
99281 |
0450 |
225 |
225 |
67.5 |
204.75 |
157.5 |
67.5 |
204.75 |
162 |
191.25 |
Carle Eureka Hospital |
1323050179 |
CHEST TUBE THORACOSTOMY |
32551 |
0450 |
1235 |
1235 |
370.5 |
1123.8500000000001 |
864.5 |
370.5 |
1123.8500000000001 |
889.19999999999993 |
1049.75 |
Carle Eureka Hospital |
1323050209 |
STRAPPING SHOULDER APPLICATION |
29240 |
0450 |
170 |
170 |
51 |
154.70000000000002 |
118.99999999999999 |
51 |
154.70000000000002 |
122.39999999999999 |
144.5 |
Carle Eureka Hospital |
1323050213 |
STRAPPING HAND/FINGER |
29280 |
0450 |
155 |
155 |
46.5 |
141.05000000000001 |
108.5 |
46.5 |
141.05000000000001 |
111.6 |
131.75 |
Carle Eureka Hospital |
1323050214 |
STRAPPING ELBOW/WRIST |
29260 |
0450 |
160 |
160 |
48 |
145.6 |
112 |
48 |
145.6 |
115.19999999999999 |
136 |
Carle Eureka Hospital |
1323050215 |
STRAPPING ANKLE/FOOT |
29540 |
0450 |
290 |
290 |
87 |
263.90000000000003 |
203 |
87 |
263.90000000000003 |
208.79999999999998 |
246.5 |
Carle Eureka Hospital |
1323050216 |
STRAPPING KNEE |
29530 |
0450 |
185 |
185 |
55.5 |
168.35 |
129.5 |
55.5 |
168.35 |
133.19999999999999 |
157.25 |
Carle Eureka Hospital |
1323050254 |
REPAIR WOUND SUPERFICIAL SIMPL |
12020 |
0450 |
1630 |
1630 |
489 |
1483.3 |
1141 |
489 |
1483.3 |
1173.5999999999999 |
1385.5 |
Carle Eureka Hospital |
1323050258 |
REPAIR SMP SCLP/TRNK/7.6-12.5 |
12004 |
0450 |
675 |
675 |
202.5 |
614.25 |
472.49999999999994 |
202.5 |
614.25 |
486 |
573.75 |
Carle Eureka Hospital |
1323050259 |
REPAIR SMP SCLP/TRNK 20.1-30 |
12006 |
0450 |
1170 |
1170 |
351 |
1064.7 |
819 |
351 |
1064.7 |
842.4 |
994.5 |
Carle Eureka Hospital |
1323050260 |
REPAIR SMP SCLP/TRNK/E 2.6-7.5 |
12002 |
0450 |
545 |
545 |
163.5 |
495.95 |
381.5 |
163.5 |
495.95 |
392.4 |
463.25 |
Carle Eureka Hospital |
1323050261 |
REPAIR SMP SCLP/TRNK 12.6-20 |
12005 |
0450 |
850 |
850 |
255 |
773.5 |
595 |
255 |
773.5 |
612 |
722.5 |
Carle Eureka Hospital |
1323050262 |
REPAIR SMP SCLP/TRNK/EXT <2.5C |
12001 |
0450 |
500 |
500 |
150 |
455 |
350 |
150 |
455 |
360 |
425 |
Carle Eureka Hospital |
1323050266 |
REP CMPLX SCLP/ARM/LEG 1.1-2.5 |
13120 |
0450 |
1245 |
1245 |
373.5 |
1132.95 |
871.5 |
373.5 |
1132.95 |
896.4 |
1058.25 |
Carle Eureka Hospital |
1323050269 |
REPAIR NAIL BED |
11760 |
0450 |
885 |
885 |
265.5 |
805.35 |
619.5 |
265.5 |
805.35 |
637.19999999999993 |
752.25 |
Carle Eureka Hospital |
1323050270 |
REPAIR MOUTH COMPLEX> 2.5CM |
40831 |
0450 |
1345 |
1345 |
403.5 |
1223.95 |
941.49999999999989 |
403.5 |
1223.95 |
968.4 |
1143.25 |
Carle Eureka Hospital |
1323050273 |
REP CMPLX SCLP/ARM/LEG EA AD 5 |
13122 |
0450 |
790 |
790 |
237 |
718.9 |
553 |
237 |
718.9 |
568.79999999999995 |
671.5 |
Carle Eureka Hospital |
1323050276 |
REPAIR SMP FACE 7.6 to12.5CM |
12015 |
0450 |
875 |
875 |
262.5 |
796.25 |
612.5 |
262.5 |
796.25 |
630 |
743.75 |
Carle Eureka Hospital |
1323050277 |
REPAIR SMP FACE 5.1-7.5CM |
12014 |
0450 |
800 |
800 |
240 |
728 |
560 |
240 |
728 |
576 |
680 |
Carle Eureka Hospital |
1323050279 |
REPAIR SMP FACE 2.6-5.0CM |
12013 |
0450 |
675 |
675 |
202.5 |
614.25 |
472.49999999999994 |
202.5 |
614.25 |
486 |
573.75 |
Carle Eureka Hospital |
1323050281 |
REPAIR SMP FACE <2.5CM |
12011 |
0450 |
515 |
515 |
154.5 |
468.65000000000003 |
360.5 |
154.5 |
468.65000000000003 |
370.8 |
437.75 |
Carle Eureka Hospital |
1323050282 |
REP CMPLX EYE/NS/ER/LP 1.1-2.5 |
13151 |
0450 |
1515 |
1515 |
454.5 |
1378.65 |
1060.5 |
454.5 |
1378.65 |
1090.8 |
1287.75 |
Carle Eureka Hospital |
1323050284 |
REP CMPLX EYE/NS/ER/LP 2.6-7.5 |
13152 |
0450 |
1555 |
1555 |
466.5 |
1415.05 |
1088.5 |
466.5 |
1415.05 |
1119.5999999999999 |
1321.75 |
Carle Eureka Hospital |
1323050287 |
REP CMPLX SCLP/ARM/LEG 2.6-7.5 |
13121 |
0450 |
1315 |
1315 |
394.5 |
1196.6500000000001 |
920.49999999999989 |
394.5 |
1196.6500000000001 |
946.8 |
1117.75 |
Carle Eureka Hospital |
1323050290 |
REPAIR WOUND ANT TONGUE <2.5CM |
41250 |
0450 |
765 |
765 |
229.5 |
696.15 |
535.5 |
229.5 |
696.15 |
550.79999999999995 |
650.25 |
Carle Eureka Hospital |
1323050293 |
AVULSION NAIL PLATE 1ST SIMPLE |
11730 |
0450 |
310 |
310 |
93 |
282.10000000000002 |
217 |
93 |
282.10000000000002 |
223.2 |
263.5 |
Carle Eureka Hospital |
1323050294 |
REMOVAL FB MUSCLE SIMPLE |
20520 |
0450 |
1530 |
1530 |
459 |
1392.3 |
1071 |
459 |
1392.3 |
1101.5999999999999 |
1300.5 |
Carle Eureka Hospital |
1323050296 |
REMOVAL FB NASAL |
30300 |
0450 |
360 |
360 |
108 |
327.60000000000002 |
251.99999999999997 |
108 |
327.60000000000002 |
259.2 |
306 |
Carle Eureka Hospital |
1323050297 |
REMOVAL FB FOOT SUBCUTANEOUS |
28190 |
0450 |
1620 |
1620 |
486 |
1474.2 |
1134 |
486 |
1474.2 |
1166.3999999999999 |
1377 |
Carle Eureka Hospital |
1323050299 |
REMOVAL FB EYE CORNEA WO SLIT |
65220 |
0450 |
530 |
530 |
159 |
482.3 |
371 |
159 |
482.3 |
381.59999999999997 |
450.5 |
Carle Eureka Hospital |
1323050300 |
REMOVAL FB EYE CONJUNTC SUPERF |
65205 |
0450 |
440 |
440 |
132 |
400.40000000000003 |
308 |
132 |
400.40000000000003 |
316.8 |
374 |
Carle Eureka Hospital |
1323050301 |
REMOVAL FB EYE CONJUNCT EMBEDD |
65210 |
0450 |
714 |
714 |
214.2 |
649.74 |
499.79999999999995 |
214.2 |
649.74 |
514.07999999999993 |
606.9 |
Carle Eureka Hospital |
1323050302 |
REMOVAL FB EYE CORN W SLIT LAM |
65222 |
0450 |
400 |
400 |
120 |
364 |
280 |
120 |
364 |
288 |
340 |
Carle Eureka Hospital |
1323050304 |
REMOVAL BOOT/BODY CAST |
29700 |
0450 |
305 |
305 |
91.5 |
277.55 |
213.5 |
91.5 |
277.55 |
219.6 |
259.25 |
Carle Eureka Hospital |
1323050305 |
REMOV IMPACT CERUMEN INSTR UNI |
69210 |
0450 |
195 |
195 |
58.5 |
177.45000000000002 |
136.5 |
58.5 |
177.45000000000002 |
140.4 |
165.75 |
Carle Eureka Hospital |
1323050306 |
REMOVAL FB EAR |
69200 |
0450 |
360 |
360 |
108 |
327.60000000000002 |
251.99999999999997 |
108 |
327.60000000000002 |
259.2 |
306 |
Carle Eureka Hospital |
1323050318 |
LUMBAR PUNCTURE DIAGNOSTIC |
62270 |
0450 |
1035 |
1035 |
310.5 |
941.85 |
724.5 |
310.5 |
941.85 |
745.19999999999993 |
879.75 |
Carle Eureka Hospital |
1323050431 |
REP LAYER FACE 5.1-7.5CM |
12053 |
0450 |
826 |
826 |
247.79999999999998 |
751.66000000000008 |
578.19999999999993 |
247.79999999999998 |
751.66000000000008 |
594.72 |
702.1 |
Carle Eureka Hospital |
1323050433 |
REP LAYER FACE 2.6-5.0CM |
12052 |
0450 |
1215 |
1215 |
364.5 |
1105.6500000000001 |
850.5 |
364.5 |
1105.6500000000001 |
874.8 |
1032.75 |
Carle Eureka Hospital |
1323050434 |
REP LAYER FACE 0-2.5CM |
12051 |
0450 |
550 |
550 |
165 |
500.5 |
385 |
165 |
500.5 |
396 |
467.5 |
Carle Eureka Hospital |
1323050438 |
REP LAYER NCK/HND/FT 2.6-7.5CM |
12042 |
0450 |
1155 |
1155 |
346.5 |
1051.05 |
808.5 |
346.5 |
1051.05 |
831.6 |
981.75 |
Carle Eureka Hospital |
1323050439 |
REP LAYER NCK/HND/FT 0-2.5CM |
12041 |
0450 |
980 |
980 |
294 |
891.80000000000007 |
686 |
294 |
891.80000000000007 |
705.6 |
833 |
Carle Eureka Hospital |
1323050441 |
REP LAYER SCLP/TRNK/7.6-12.5 |
12034 |
0450 |
1290 |
1290 |
387 |
1173.9000000000001 |
902.99999999999989 |
387 |
1173.9000000000001 |
928.8 |
1096.5 |
Carle Eureka Hospital |
1323050443 |
REP LAYER SCLP/TRNK/ 2.6-7.5 |
12032 |
0450 |
1155 |
1155 |
346.5 |
1051.05 |
808.5 |
346.5 |
1051.05 |
831.6 |
981.75 |
Carle Eureka Hospital |
1323050444 |
REP LAYER SCLP/TRNK/EXT <2.5CM |
12031 |
0450 |
1110 |
1110 |
333 |
1010.1 |
777 |
333 |
1010.1 |
799.19999999999993 |
943.5 |
Carle Eureka Hospital |
1323050445 |
REP LAYER SCLP/TRNK/ 12.6-20 |
12035 |
0450 |
1170 |
1170 |
351 |
1064.7 |
819 |
351 |
1064.7 |
842.4 |
994.5 |
Carle Eureka Hospital |
1323050451 |
IV INF THERAPEUTIC EA ADD HR |
96366 |
0260 |
210 |
210 |
63 |
191.1 |
147 |
63 |
191.1 |
151.19999999999999 |
178.5 |
Carle Eureka Hospital |
1323050453 |
IV INF THERAPEUTIC UP TO 1HR |
96365 |
0260 |
635 |
635 |
190.5 |
577.85 |
444.5 |
190.5 |
577.85 |
457.2 |
539.75 |
Carle Eureka Hospital |
1323050454 |
IRRIGATION BLADDER |
51700 |
0450 |
780 |
780 |
234 |
709.80000000000007 |
546 |
234 |
709.80000000000007 |
561.6 |
663 |
Carle Eureka Hospital |
1323050457 |
GASTRIC INTUBATION/LAVAGE |
43753 |
0450 |
930 |
930 |
279 |
846.30000000000007 |
651 |
279 |
846.30000000000007 |
669.6 |
790.5 |
Carle Eureka Hospital |
1323050458 |
INTUBATION |
31500 |
0450 |
787 |
787 |
236.1 |
716.17000000000007 |
550.9 |
236.1 |
716.17000000000007 |
566.64 |
668.94999999999993 |
Carle Eureka Hospital |
1323050481 |
TRANSVENOUS TEMP PACEMAKER SNG |
33210 |
0450 |
6875 |
6875 |
2062.5 |
6256.25 |
4812.5 |
2062.5 |
6256.25 |
4950 |
5843.75 |
Carle Eureka Hospital |
1323050484 |
INJECTION SUB-Q/IM |
96372 |
0260 |
125 |
125 |
37.5 |
113.75 |
87.5 |
37.5 |
113.75 |
90 |
106.25 |
Carle Eureka Hospital |
1323050490 |
IV PUSH INITIAL DRUG |
96374 |
0260 |
234 |
234 |
70.2 |
212.94 |
163.79999999999998 |
70.2 |
212.94 |
168.48 |
198.9 |
Carle Eureka Hospital |
1323050497 |
INJECTION PERIPHERAL NERVE BLO |
64450 |
0450 |
1680 |
1680 |
504 |
1528.8 |
1176 |
504 |
1528.8 |
1209.5999999999999 |
1428 |
Carle Eureka Hospital |
1323050528 |
REMOVAL FB SUBCUT TISSUE SIMPL |
10120 |
0450 |
690 |
690 |
207 |
627.9 |
482.99999999999994 |
207 |
627.9 |
496.79999999999995 |
586.5 |
Carle Eureka Hospital |
1323050530 |
INCISION THROMBOSED HEMORRHOID |
46083 |
0450 |
950 |
950 |
285 |
864.5 |
665 |
285 |
864.5 |
684 |
807.5 |
Carle Eureka Hospital |
1323050531 |
I&D HEMATOMA/SEROMA/FLUID |
10140 |
0450 |
3160 |
3160 |
948 |
2875.6 |
2212 |
948 |
2875.6 |
2275.1999999999998 |
2686 |
Carle Eureka Hospital |
1323050532 |
I&D DENTOALVEOLAR STRUCTURES |
41800 |
0450 |
438 |
438 |
131.4 |
398.58000000000004 |
306.59999999999997 |
131.4 |
398.58000000000004 |
315.36 |
372.3 |
Carle Eureka Hospital |
1323050533 |
I&D PERINEAL/VULVA ABSCESS |
56405 |
0450 |
1055 |
1055 |
316.5 |
960.05000000000007 |
738.5 |
316.5 |
960.05000000000007 |
759.6 |
896.75 |
Carle Eureka Hospital |
1323050534 |
I&D ABSCESS SIMPLE |
10060 |
0450 |
675 |
675 |
202.5 |
614.25 |
472.49999999999994 |
202.5 |
614.25 |
486 |
573.75 |
Carle Eureka Hospital |
1323050535 |
I&D PILONIDAL CYST SIMPLE |
10080 |
0450 |
730 |
730 |
219 |
664.30000000000007 |
510.99999999999994 |
219 |
664.30000000000007 |
525.6 |
620.5 |
Carle Eureka Hospital |
1323050536 |
I&D PERIANAL ABSCESS |
46050 |
0450 |
2300 |
2300 |
690 |
2093 |
1610 |
690 |
2093 |
1656 |
1955 |
Carle Eureka Hospital |
1323050537 |
I&D PERIRECT OR ISCHIAL ABSCES |
46040 |
0450 |
3860 |
3860 |
1158 |
3512.6 |
2702 |
1158 |
3512.6 |
2779.2 |
3281 |
Carle Eureka Hospital |
1323050538 |
I&D ABSCESS FINGER SIMPLE |
26010 |
0450 |
610 |
610 |
183 |
555.1 |
427 |
183 |
555.1 |
439.2 |
518.5 |
Carle Eureka Hospital |
1323050539 |
I&D ABSCESS COMPLICATED |
10061 |
0450 |
1020 |
1020 |
306 |
928.2 |
714 |
306 |
928.2 |
734.4 |
867 |
Carle Eureka Hospital |
1323050582 |
EVACUATION SUBUNGUAL HEMATOMA |
11740 |
0450 |
195 |
195 |
58.5 |
177.45000000000002 |
136.5 |
58.5 |
177.45000000000002 |
140.4 |
165.75 |
Carle Eureka Hospital |
1323050603 |
IV PUSH EA SEQUENTIAL DRUG |
96376 |
0260 |
153 |
153 |
45.9 |
139.23000000000002 |
107.1 |
45.9 |
139.23000000000002 |
110.16 |
130.04999999999998 |
Carle Eureka Hospital |
1323050618 |
BURN CARE 1ST DEGREE |
16000 |
0450 |
370 |
370 |
111 |
336.7 |
259 |
111 |
336.7 |
266.39999999999998 |
314.5 |
Carle Eureka Hospital |
1323050628 |
CLSD TX RADIAL HEAD/NCK FX W M |
24655 |
0450 |
1710 |
1710 |
513 |
1556.1000000000001 |
1197 |
513 |
1556.1000000000001 |
1231.2 |
1453.5 |
Carle Eureka Hospital |
1323050634 |
BURN CARE SMALL |
16020 |
0450 |
510 |
510 |
153 |
464.1 |
357 |
153 |
464.1 |
367.2 |
433.5 |
Carle Eureka Hospital |
1323050635 |
BURN CARE MEDIUM |
16025 |
0450 |
620 |
620 |
186 |
564.20000000000005 |
434 |
186 |
564.20000000000005 |
446.4 |
527 |
Carle Eureka Hospital |
1323050636 |
BURN CARE LARGE |
16030 |
0450 |
790 |
790 |
237 |
718.9 |
553 |
237 |
718.9 |
568.79999999999995 |
671.5 |
Carle Eureka Hospital |
1323050638 |
I&D EXTERNAL EAR ABS/HEM/ SMP |
69000 |
0450 |
1190 |
1190 |
357 |
1082.9000000000001 |
833 |
357 |
1082.9000000000001 |
856.8 |
1011.5 |
Carle Eureka Hospital |
1323050662 |
DEBRIDE SKIN & SUBQ 1ST 20CM2 |
11042 |
0450 |
965 |
965 |
289.5 |
878.15 |
675.5 |
289.5 |
878.15 |
694.8 |
820.25 |
Carle Eureka Hospital |
1323050667 |
DEBRIDEMENT EXT ECZEMATOUS TO |
11000 |
0450 |
460 |
460 |
138 |
418.6 |
322 |
138 |
418.6 |
331.2 |
391 |
Carle Eureka Hospital |
1323050674 |
ED LEVEL VI CRIT CARE ADD 30 M |
99292 |
0450 |
1200 |
1200 |
360 |
1092 |
840 |
360 |
1092 |
864 |
1020 |
Carle Eureka Hospital |
1323050675 |
ED LEVEL VI CRIT CARE 30-74 |
99291 |
0450 |
1710 |
1710 |
513 |
1556.1000000000001 |
1197 |
513 |
1556.1000000000001 |
1231.2 |
1453.5 |
Carle Eureka Hospital |
1323050678 |
CONTL NASAL HEMORRHAGE ANTER |
30901 |
0450 |
360 |
360 |
108 |
327.60000000000002 |
251.99999999999997 |
108 |
327.60000000000002 |
259.2 |
306 |
Carle Eureka Hospital |
1323050679 |
CONTL NASAL HEMORRH POSTERIOR |
30905 |
0450 |
400 |
400 |
120 |
364 |
280 |
120 |
364 |
288 |
340 |
Carle Eureka Hospital |
1323050695 |
CODE BLUE |
92950 |
0450 |
1430 |
1430 |
429 |
1301.3 |
1000.9999999999999 |
429 |
1301.3 |
1029.5999999999999 |
1215.5 |
Carle Eureka Hospital |
1323050699 |
CLSD TX ANKLE TRIMALLEO W MANI |
27818 |
0450 |
2180 |
2180 |
654 |
1983.8 |
1526 |
654 |
1983.8 |
1569.6 |
1853 |
Carle Eureka Hospital |
1323050705 |
DISLOCATION SHOULDER W ANES |
23655 |
0450 |
3955 |
3955 |
1186.5 |
3599.05 |
2768.5 |
1186.5 |
3599.05 |
2847.6 |
3361.75 |
Carle Eureka Hospital |
1323050706 |
DISLOCATION SHOULDER |
23650 |
0450 |
720 |
720 |
216 |
655.20000000000005 |
503.99999999999994 |
216 |
655.20000000000005 |
518.4 |
612 |
Carle Eureka Hospital |
1323050710 |
CLSD TX RAD & ULNA SHAFT W MAN |
25565 |
0450 |
1770 |
1770 |
531 |
1610.7 |
1239 |
531 |
1610.7 |
1274.3999999999999 |
1504.5 |
Carle Eureka Hospital |
1323050714 |
CLSD TX DIST RAD/ULNA (COLLES) |
25600 |
0450 |
800 |
800 |
240 |
728 |
560 |
240 |
728 |
576 |
680 |
Carle Eureka Hospital |
1323050715 |
CLSD DIST RAD SHAFT W MANIP |
25605 |
0450 |
1505 |
1505 |
451.5 |
1369.55 |
1053.5 |
451.5 |
1369.55 |
1083.5999999999999 |
1279.25 |
Carle Eureka Hospital |
1323050718 |
CLSD TX PHAL SHAFT FX W MANIP |
26725 |
0450 |
880 |
880 |
264 |
800.80000000000007 |
616 |
264 |
800.80000000000007 |
633.6 |
748 |
Carle Eureka Hospital |
1323050721 |
DISLOCATION RADIAL HEAD W MANI |
24640 |
0450 |
685 |
685 |
205.5 |
623.35 |
479.49999999999994 |
205.5 |
623.35 |
493.2 |
582.25 |
Carle Eureka Hospital |
1323050722 |
DISLOCATION MTP JOINT |
28630 |
0450 |
580 |
580 |
174 |
527.80000000000007 |
406 |
174 |
527.80000000000007 |
417.59999999999997 |
493 |
Carle Eureka Hospital |
1323050724 |
DISLOCATION MCP SINGLE W MANIP |
26700 |
0450 |
720 |
720 |
216 |
655.20000000000005 |
503.99999999999994 |
216 |
655.20000000000005 |
518.4 |
612 |
Carle Eureka Hospital |
1323050726 |
CLSD TX METACARPAL FX W MANIP |
26605 |
0450 |
1020 |
1020 |
306 |
928.2 |
714 |
306 |
928.2 |
734.4 |
867 |
Carle Eureka Hospital |
1323050731 |
DISLOCATION FINGER/THUMB |
26770 |
0450 |
510 |
510 |
153 |
464.1 |
357 |
153 |
464.1 |
367.2 |
433.5 |
Carle Eureka Hospital |
1323050737 |
CLSD TX GREAT TOE FX WO MANIP |
28490 |
0450 |
460 |
460 |
138 |
418.6 |
322 |
138 |
418.6 |
331.2 |
391 |
Carle Eureka Hospital |
1323050739 |
CLSD TX OTHER TOES W MANIP |
28515 |
0450 |
640 |
640 |
192 |
582.4 |
448 |
192 |
582.4 |
460.79999999999995 |
544 |
Carle Eureka Hospital |
1323050740 |
DISLOCATION ELBOW |
24600 |
0450 |
880 |
880 |
264 |
800.80000000000007 |
616 |
264 |
800.80000000000007 |
633.6 |
748 |
Carle Eureka Hospital |
1323050741 |
CLSD TX DISTAL FIB FX W MANIP |
27788 |
0450 |
1710 |
1710 |
513 |
1556.1000000000001 |
1197 |
513 |
1556.1000000000001 |
1231.2 |
1453.5 |
Carle Eureka Hospital |
1323050748 |
DISLOCATION CMC THUMB W MANIP |
26641 |
0450 |
725 |
725 |
217.5 |
659.75 |
507.49999999999994 |
217.5 |
659.75 |
522 |
616.25 |
Carle Eureka Hospital |
1323050752 |
CLSD TX ANKLE BIMALLEO FX W MA |
27810 |
0450 |
3615 |
3615 |
1084.5 |
3289.65 |
2530.5 |
1084.5 |
3289.65 |
2602.7999999999997 |
3072.75 |
Carle Eureka Hospital |
1323050755 |
DISLOCATION TMJ |
21480 |
0450 |
650 |
650 |
195 |
591.5 |
454.99999999999994 |
195 |
591.5 |
468 |
552.5 |
Carle Eureka Hospital |
1323050771 |
CATH INDWELL BLADDER SIMPLE |
51702 |
0450 |
210 |
210 |
63 |
191.1 |
147 |
63 |
191.1 |
151.19999999999999 |
178.5 |
Carle Eureka Hospital |
1323050772 |
CATH INDWELL COMPLICATED |
51703 |
0450 |
460 |
460 |
138 |
418.6 |
322 |
138 |
418.6 |
331.2 |
391 |
Carle Eureka Hospital |
1323050777 |
CARDIOVERSION EXTERNAL |
92960 |
0450 |
1735 |
1735 |
520.5 |
1578.8500000000001 |
1214.5 |
520.5 |
1578.8500000000001 |
1249.2 |
1474.75 |
Carle Eureka Hospital |
1323050810 |
PUNCTURE ASPIRATION |
10160 |
0450 |
580 |
580 |
174 |
527.80000000000007 |
406 |
174 |
527.80000000000007 |
417.59999999999997 |
493 |
Carle Eureka Hospital |
1323050813 |
ARTHROCENT MAJ JNT WO IMAGE |
20610 |
0450 |
760 |
760 |
228 |
691.6 |
532 |
228 |
691.6 |
547.19999999999993 |
646 |
Carle Eureka Hospital |
1323050814 |
ARTHROCENT INTMED JNT WO IMAGE |
20605 |
0450 |
760 |
760 |
228 |
691.6 |
532 |
228 |
691.6 |
547.19999999999993 |
646 |
Carle Eureka Hospital |
1323050827 |
APPL SPLINT SHORT LEG |
29515 |
0450 |
495 |
495 |
148.5 |
450.45 |
346.5 |
148.5 |
450.45 |
356.4 |
420.75 |
Carle Eureka Hospital |
1323050828 |
APPL SPLINT SHORT ARM |
29125 |
0450 |
430 |
430 |
129 |
391.3 |
301 |
129 |
391.3 |
309.59999999999997 |
365.5 |
Carle Eureka Hospital |
1323050829 |
APPL SPLINT LONG LEG |
29505 |
0450 |
495 |
495 |
148.5 |
450.45 |
346.5 |
148.5 |
450.45 |
356.4 |
420.75 |
Carle Eureka Hospital |
1323050830 |
APPL SPLINT LONG ARM |
29105 |
0450 |
550 |
550 |
165 |
500.5 |
385 |
165 |
500.5 |
396 |
467.5 |
Carle Eureka Hospital |
1323050832 |
APPL SPLINT FINGER STATIC |
29130 |
0450 |
180 |
180 |
54 |
163.80000000000001 |
125.99999999999999 |
54 |
163.80000000000001 |
129.6 |
153 |
Carle Eureka Hospital |
1323050835 |
APPL CAST PATELLAR TENDON BEAR |
29435 |
0450 |
405 |
405 |
121.5 |
368.55 |
283.5 |
121.5 |
368.55 |
291.59999999999997 |
344.25 |
Carle Eureka Hospital |
1323050840 |
APPL CAST HAND FOREARM |
29085 |
0450 |
420 |
420 |
126 |
382.2 |
294 |
126 |
382.2 |
302.39999999999998 |
357 |
Carle Eureka Hospital |
1323050844 |
ANOSCOPY |
46600 |
0450 |
235 |
235 |
70.5 |
213.85 |
164.5 |
70.5 |
213.85 |
169.2 |
199.75 |
Carle Eureka Hospital |
1323050885 |
ADMIN IMMUNIZATION |
90471 |
0771 |
120 |
120 |
36 |
109.2 |
84 |
36 |
109.2 |
86.399999999999991 |
102 |
Carle Eureka Hospital |
1323050895 |
EXCISION NAIL & MATRIX |
11750 |
0450 |
880 |
880 |
264 |
800.80000000000007 |
616 |
264 |
800.80000000000007 |
633.6 |
748 |
Carle Eureka Hospital |
1323050907 |
INJECTION TRIGGER PT 1-2 MUSCL |
20552 |
0450 |
760 |
760 |
228 |
691.6 |
532 |
228 |
691.6 |
547.19999999999993 |
646 |
Carle Eureka Hospital |
1323050919 |
ADMIN IMMUNIZATION EA ADD VACC |
90472 |
0771 |
64 |
64 |
19.2 |
58.24 |
44.8 |
19.2 |
58.24 |
46.08 |
54.4 |
Carle Eureka Hospital |
1323050940 |
DISLOCATION INTERPHAL JOINT |
28660 |
0450 |
800 |
800 |
240 |
728 |
560 |
240 |
728 |
576 |
680 |
Carle Eureka Hospital |
1323050949 |
EXCISION SKIN OF NAIL FOLD |
11765 |
0450 |
870 |
870 |
261 |
791.7 |
609 |
261 |
791.7 |
626.4 |
739.5 |
Carle Eureka Hospital |
1323050972 |
I&D BARTHOLIN GLAND ABSCESS |
56420 |
0450 |
550 |
550 |
165 |
500.5 |
385 |
165 |
500.5 |
396 |
467.5 |
Carle Eureka Hospital |
1323050979 |
DRAINAGE MOUTH ABSCESS SIMPLE |
40800 |
0450 |
340 |
340 |
102 |
309.40000000000003 |
237.99999999999997 |
102 |
309.40000000000003 |
244.79999999999998 |
289 |
Carle Eureka Hospital |
1323050990 |
STRAPPING TOES |
29550 |
0450 |
180 |
180 |
54 |
163.80000000000001 |
125.99999999999999 |
54 |
163.80000000000001 |
129.6 |
153 |
Carle Eureka Hospital |
1323060023 |
CONTL NASAL HEMORRH ANTER COMP |
30903 |
0450 |
440 |
440 |
132 |
400.40000000000003 |
308 |
132 |
400.40000000000003 |
316.8 |
374 |
Carle Eureka Hospital |
1323060029 |
REPAIR LIP FULL THCK 1/2 VERT |
40652 |
0450 |
1530 |
1530 |
459 |
1392.3 |
1071 |
459 |
1392.3 |
1101.5999999999999 |
1300.5 |
Carle Eureka Hospital |
1323060032 |
CRITICAL CARE NRSG 30-74 MOD |
9929125 |
0450 |
1650 |
1650 |
495 |
1501.5 |
1155 |
495 |
1501.5 |
1188 |
1402.5 |
Carle Eureka Hospital |
1323060043 |
CHANGE CYSTOSTOMY TUBE SIMPLE |
51705 |
0450 |
780 |
780 |
234 |
709.80000000000007 |
546 |
234 |
709.80000000000007 |
561.6 |
663 |
Carle Eureka Hospital |
1323060059 |
CLSD TX DIST PHALANGEAL W MANI |
26755 |
0450 |
720 |
720 |
216 |
655.20000000000005 |
503.99999999999994 |
216 |
655.20000000000005 |
518.4 |
612 |
Carle Eureka Hospital |
1323060085 |
HYPER KERATOTIC SING LESION PA |
11055 |
0450 |
300 |
300 |
90 |
273 |
210 |
90 |
273 |
216 |
255 |
Carle Eureka Hospital |
1323060247 |
EXC BENGN LESION .5CM OR LESS |
11420 |
0450 |
1860 |
1860 |
558 |
1692.6000000000001 |
1302 |
558 |
1692.6000000000001 |
1339.2 |
1581 |
Carle Eureka Hospital |
1323060269 |
US PV RESIDUAL URINE |
51798 |
0450 |
230 |
230 |
69 |
209.3 |
161 |
69 |
209.3 |
165.6 |
195.5 |
Carle Eureka Hospital |
1323060274 |
IV PUSH EA ADD DRUG |
96375 |
0260 |
168 |
168 |
50.4 |
152.88 |
117.6 |
50.4 |
152.88 |
120.96 |
142.79999999999998 |
Carle Eureka Hospital |
1323060275 |
IV INF CONCURRENT THERAPEUTIC |
96368 |
0260 |
345 |
345 |
103.5 |
313.95 |
241.49999999999997 |
103.5 |
313.95 |
248.39999999999998 |
293.25 |
Carle Eureka Hospital |
1323060276 |
IV INF SEQUENTIAL THER UP TO 1 |
96367 |
0260 |
210 |
210 |
63 |
191.1 |
147 |
63 |
191.1 |
151.19999999999999 |
178.5 |
Carle Eureka Hospital |
1323060293 |
INSERT STRAIGHT CATH THERAPEUT |
51701 |
0450 |
195 |
195 |
58.5 |
177.45000000000002 |
136.5 |
58.5 |
177.45000000000002 |
140.4 |
165.75 |
Carle Eureka Hospital |
1323060373 |
IV INF HYDRATION EA ADD HR |
96361 |
0260 |
170 |
170 |
51 |
154.70000000000002 |
118.99999999999999 |
51 |
154.70000000000002 |
122.39999999999999 |
144.5 |
Carle Eureka Hospital |
1323060374 |
IV INF HYDRATION UP TO 1HR |
96360 |
0260 |
585 |
585 |
175.5 |
532.35 |
409.5 |
175.5 |
532.35 |
421.2 |
497.25 |
Carle Eureka Hospital |
1323060375 |
CONT NASAL HEM SIMPLE BIL |
3090150 |
0450 |
450 |
450 |
135 |
409.5 |
315 |
135 |
409.5 |
324 |
382.5 |
Carle Eureka Hospital |
1323060696 |
ADMINISTRATION BLOOD |
36430 |
0391 |
1020 |
1020 |
306 |
928.2 |
714 |
306 |
928.2 |
734.4 |
867 |
Carle Eureka Hospital |
1323060777 |
NERVE BLOCK TRIGEMINAL |
64400 |
0450 |
735 |
735 |
220.5 |
668.85 |
514.5 |
220.5 |
668.85 |
529.19999999999993 |
624.75 |
Carle Eureka Hospital |
1323060801 |
CATH FOR URINE SPECIMEN |
P9612 |
0300 |
21 |
21 |
6.3 |
19.11 |
14.7 |
6.3 |
19.11 |
15.12 |
17.849999999999998 |
Carle Eureka Hospital |
1323060803 |
I&D PILONIDAL CYST COMPLEX |
10081 |
0450 |
1373 |
1373 |
411.9 |
1249.43 |
961.09999999999991 |
411.9 |
1249.43 |
988.56 |
1167.05 |
Carle Eureka Hospital |
1323060862 |
VENIPUNCTURE FOR LEGAL REVIEW |
36415 |
0300 |
21 |
21 |
6.3 |
19.11 |
14.7 |
6.3 |
19.11 |
15.12 |
17.849999999999998 |
Carle Eureka Hospital |
1323060927 |
THORACENTESIS ASP WO IMAGING |
32554 |
0450 |
1795 |
1795 |
538.5 |
1633.45 |
1256.5 |
538.5 |
1633.45 |
1292.3999999999999 |
1525.75 |
Carle Eureka Hospital |
1323061045 |
PLEURAL DRAIN INDWELL WO IMAGE |
32556 |
0450 |
1550 |
1550 |
465 |
1410.5 |
1085 |
465 |
1410.5 |
1116 |
1317.5 |
Carle Eureka Hospital |
1323061080 |
INJ TENDON SHEATH OR LIGAMENT |
20550 |
0450 |
705 |
705 |
211.5 |
641.55000000000007 |
493.49999999999994 |
211.5 |
641.55000000000007 |
507.59999999999997 |
599.25 |
Carle Eureka Hospital |
1323061081 |
REM FB UP ARM ELBOW SQ |
24200 |
0450 |
1140 |
1140 |
342 |
1037.4000000000001 |
798 |
342 |
1037.4000000000001 |
820.8 |
969 |
Carle Eureka Hospital |
1323061114 |
REMOVE IMPACT CERUMEN INSTR BI |
6921050 |
0450 |
195 |
195 |
58.5 |
177.45000000000002 |
136.5 |
58.5 |
177.45000000000002 |
140.4 |
165.75 |
Carle Eureka Hospital |
1323061118 |
APPL SPLINT SHORT ARM BIL |
2912550 |
0450 |
645 |
645 |
193.5 |
586.95000000000005 |
451.49999999999994 |
193.5 |
586.95000000000005 |
464.4 |
548.25 |
Carle Eureka Hospital |
1323061162 |
CHEMICAL CAUTERY TISSUE |
17250 |
0450 |
430 |
430 |
129 |
391.3 |
301 |
129 |
391.3 |
309.59999999999997 |
365.5 |
Carle Eureka Hospital |
1323061165 |
CANALITH REPOSITIONING PROC |
95992 |
0450 |
120 |
120 |
36 |
109.2 |
84 |
36 |
109.2 |
86.399999999999991 |
102 |
Carle Eureka Hospital |
1323061166 |
EXC THROMBOSED HEMORRHOID EXT |
46320 |
0450 |
3510 |
3510 |
1053 |
3194.1 |
2457 |
1053 |
3194.1 |
2527.1999999999998 |
2983.5 |
Carle Eureka Hospital |
1323061168 |
INC AND DRG BURSA FOOT |
28001 |
0450 |
2865 |
2865 |
859.5 |
2607.15 |
2005.4999999999998 |
859.5 |
2607.15 |
2062.7999999999997 |
2435.25 |
Carle Eureka Hospital |
1323061181 |
REMOV IMPACT CERUMEN IRRIG UNI |
69209 |
0450 |
180 |
180 |
54 |
163.80000000000001 |
125.99999999999999 |
54 |
163.80000000000001 |
129.6 |
153 |
Carle Eureka Hospital |
1323061182 |
REMOV IMPACT CERUMEN IRRIG BIL |
6920950 |
0450 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
1323061196 |
APPL SPLINT LONG ARM BIL |
2910550 |
0450 |
550 |
550 |
165 |
500.5 |
385 |
165 |
500.5 |
396 |
467.5 |
Carle Eureka Hospital |
1323061211 |
REMOVAL FB EAR BILATERAL |
6920050 |
0450 |
360 |
360 |
108 |
327.60000000000002 |
251.99999999999997 |
108 |
327.60000000000002 |
259.2 |
306 |
Carle Eureka Hospital |
1323061212 |
APPL SPLINT LONG LEG BIL |
2950550 |
0450 |
495 |
495 |
148.5 |
450.45 |
346.5 |
148.5 |
450.45 |
356.4 |
420.75 |
Carle Eureka Hospital |
1323061269 |
REPAIR FINGER TENDON EACH |
26418 |
0450 |
3820 |
3820 |
1146 |
3476.2000000000003 |
2674 |
1146 |
3476.2000000000003 |
2750.4 |
3247 |
Carle Eureka Hospital |
1323061310 |
CHANGE GTUBE WO IMAGE |
43762 |
0450 |
500 |
500 |
150 |
455 |
350 |
150 |
455 |
360 |
425 |
Carle Eureka Hospital |
1323090023 |
AVULSION NAIL PLATE EA ADD |
11732 |
0450 |
165 |
165 |
49.5 |
150.15 |
115.49999999999999 |
49.5 |
150.15 |
118.8 |
140.25 |
Carle Eureka Hospital |
1323090028 |
DEBRID OPEN WOUND <20SQCM |
97597 |
0450 |
383 |
383 |
114.89999999999999 |
348.53000000000003 |
268.09999999999997 |
114.89999999999999 |
348.53000000000003 |
275.76 |
325.55 |
Carle Eureka Hospital |
1323090038 |
INTRAOSSEOUS INFUSION |
36680 |
0450 |
550 |
550 |
165 |
500.5 |
385 |
165 |
500.5 |
396 |
467.5 |
Carle Eureka Hospital |
1323090144 |
EXCISION BENIGN LESION 1.1-2.0 |
11402 |
0450 |
1010 |
1010 |
303 |
919.1 |
707 |
303 |
919.1 |
727.19999999999993 |
858.5 |
Carle Eureka Hospital |
1323090148 |
TRIMMING NAILS |
11719 |
0450 |
215 |
215 |
64.5 |
195.65 |
150.5 |
64.5 |
195.65 |
154.79999999999998 |
182.75 |
Carle Eureka Hospital |
1323550530 |
INCISION THROMBOSED HEMORRHOID |
46083 |
0516 |
600 |
600 |
180 |
546 |
420 |
180 |
546 |
432 |
510 |
Carle Eureka Hospital |
1323510111 |
EUREKA COLLEGE SPORTS SERVICE |
99395 |
0510 |
65 |
65 |
19.5 |
59.15 |
45.5 |
19.5 |
59.15 |
46.8 |
55.25 |
Carle Eureka Hospital |
1323510175 |
EUREKA COLLEGE BASIC SERVICE |
99211 |
0510 |
40 |
40 |
12 |
36.4 |
28 |
12 |
36.4 |
28.799999999999997 |
34 |
Carle Eureka Hospital |
1323510260 |
LIMITED SPORTS/CHEER PHYSICAL |
0510 |
36 |
36 |
10.799999999999999 |
32.76 |
25.2 |
10.799999999999999 |
32.76 |
25.919999999999998 |
30.599999999999998 |
Carle Eureka Hospital |
1323550173 |
URINE DIPSTICK |
81002 |
0300 |
37 |
37 |
11.1 |
33.67 |
25.9 |
11.1 |
33.67 |
26.64 |
31.45 |
Carle Eureka Hospital |
1323550206 |
STREP A SCREEN |
87081 |
0300 |
97 |
97 |
29.099999999999998 |
88.27 |
67.899999999999991 |
29.099999999999998 |
88.27 |
69.84 |
82.45 |
Carle Eureka Hospital |
1323550209 |
STRAPPING SHOULDER APPLICATION |
29240 |
0516 |
170 |
170 |
51 |
154.70000000000002 |
118.99999999999999 |
51 |
154.70000000000002 |
122.39999999999999 |
144.5 |
Carle Eureka Hospital |
1323550213 |
STRAPPING HAND/FINGER |
29280 |
0516 |
155 |
155 |
46.5 |
141.05000000000001 |
108.5 |
46.5 |
141.05000000000001 |
111.6 |
131.75 |
Carle Eureka Hospital |
1323550214 |
STRAPPING ELBOW/WRIST |
29260 |
0516 |
160 |
160 |
48 |
145.6 |
112 |
48 |
145.6 |
115.19999999999999 |
136 |
Carle Eureka Hospital |
1323550215 |
STRAPPING ANKLE/FOOT |
29540 |
0516 |
290 |
290 |
87 |
263.90000000000003 |
203 |
87 |
263.90000000000003 |
208.79999999999998 |
246.5 |
Carle Eureka Hospital |
1323550216 |
STRAPPING KNEE |
29530 |
0516 |
185 |
185 |
55.5 |
168.35 |
129.5 |
55.5 |
168.35 |
133.19999999999999 |
157.25 |
Carle Eureka Hospital |
1323550254 |
REPAIR WOUND SUPERFICIAL SIMPL |
12020 |
0516 |
1630 |
1630 |
489 |
1483.3 |
1141 |
489 |
1483.3 |
1173.5999999999999 |
1385.5 |
Carle Eureka Hospital |
1323550258 |
REPAIR SMP SCLP/TRNK/7.6-12.5 |
12004 |
0516 |
675 |
675 |
202.5 |
614.25 |
472.49999999999994 |
202.5 |
614.25 |
486 |
573.75 |
Carle Eureka Hospital |
1323550260 |
REPAIR SMP SCLP/TRNK/E 2.6-7.5 |
12002 |
0516 |
545 |
545 |
163.5 |
495.95 |
381.5 |
163.5 |
495.95 |
392.4 |
463.25 |
Carle Eureka Hospital |
1323550269 |
REPAIR NAIL BED |
11760 |
0516 |
885 |
885 |
265.5 |
805.35 |
619.5 |
265.5 |
805.35 |
637.19999999999993 |
752.25 |
Carle Eureka Hospital |
1323550279 |
REPAIR SMP FACE 2.6-5.0CM |
12013 |
0510 |
675 |
675 |
202.5 |
614.25 |
472.49999999999994 |
202.5 |
614.25 |
486 |
573.75 |
Carle Eureka Hospital |
1323550281 |
REPAIR SMP FACE <2.5CM |
12011 |
0516 |
515 |
515 |
154.5 |
468.65000000000003 |
360.5 |
154.5 |
468.65000000000003 |
370.8 |
437.75 |
Carle Eureka Hospital |
1323550284 |
REP CMPLX EYE/NS/ER/LP 2.6-7.5 |
13152 |
0516 |
1555 |
1555 |
466.5 |
1415.05 |
1088.5 |
466.5 |
1415.05 |
1119.5999999999999 |
1321.75 |
Carle Eureka Hospital |
1323550293 |
AVULSION NAIL PLATE 1ST SIMPLE |
11730 |
0516 |
310 |
310 |
93 |
282.10000000000002 |
217 |
93 |
282.10000000000002 |
223.2 |
263.5 |
Carle Eureka Hospital |
1323550294 |
REMOVAL FB MUSCLE SIMPLE |
20520 |
0516 |
1530 |
1530 |
459 |
1392.3 |
1071 |
459 |
1392.3 |
1101.5999999999999 |
1300.5 |
Carle Eureka Hospital |
1323550296 |
REMOVAL FB NASAL |
30300 |
0516 |
360 |
360 |
108 |
327.60000000000002 |
251.99999999999997 |
108 |
327.60000000000002 |
259.2 |
306 |
Carle Eureka Hospital |
1323550297 |
REMOVAL FB FOOT SUBCUTANEOUS |
28190 |
0510 |
1620 |
1620 |
486 |
1474.2 |
1134 |
486 |
1474.2 |
1166.3999999999999 |
1377 |
Carle Eureka Hospital |
1323550299 |
REMOVAL FB EYE CORNEA WO SLIT |
65220 |
0516 |
530 |
530 |
159 |
482.3 |
371 |
159 |
482.3 |
381.59999999999997 |
450.5 |
Carle Eureka Hospital |
1323550300 |
REMOVAL FB EYE CONJUNTC SUPERF |
65205 |
0516 |
440 |
440 |
132 |
400.40000000000003 |
308 |
132 |
400.40000000000003 |
316.8 |
374 |
Carle Eureka Hospital |
1323550301 |
REMOVAL FB EYE CONJUNCT EMBEDD |
65210 |
0516 |
714 |
714 |
214.2 |
649.74 |
499.79999999999995 |
214.2 |
649.74 |
514.07999999999993 |
606.9 |
Carle Eureka Hospital |
1323550305 |
REMOV IMPACT CERUMEN INSTR UNI |
69210 |
0516 |
195 |
195 |
58.5 |
177.45000000000002 |
136.5 |
58.5 |
177.45000000000002 |
140.4 |
165.75 |
Carle Eureka Hospital |
1323550306 |
REMOVAL FB EAR |
69200 |
0516 |
360 |
360 |
108 |
327.60000000000002 |
251.99999999999997 |
108 |
327.60000000000002 |
259.2 |
306 |
Carle Eureka Hospital |
1323550433 |
REP LAYER FACE 2.6-5.0CM |
12052 |
0516 |
840 |
840 |
252 |
764.4 |
588 |
252 |
764.4 |
604.79999999999995 |
714 |
Carle Eureka Hospital |
1323550434 |
REP LAYER FACE 0-2.5CM |
12051 |
0516 |
550 |
550 |
165 |
500.5 |
385 |
165 |
500.5 |
396 |
467.5 |
Carle Eureka Hospital |
1323550438 |
REP LAYER NCK/HND/FT 2.6-7.5CM |
12042 |
0516 |
1155 |
1155 |
346.5 |
1051.05 |
808.5 |
346.5 |
1051.05 |
831.6 |
981.75 |
Carle Eureka Hospital |
1323550439 |
REP LAYER NCK/HND/FT 0-2.5CM |
12041 |
0516 |
980 |
980 |
294 |
891.80000000000007 |
686 |
294 |
891.80000000000007 |
705.6 |
833 |
Carle Eureka Hospital |
1323550453 |
IV INF THERAPEUTIC UP TO 1HR |
96365 |
0260 |
635 |
635 |
190.5 |
577.85 |
444.5 |
190.5 |
577.85 |
457.2 |
539.75 |
Carle Eureka Hospital |
1323550454 |
IRRIGATION BLADDER |
51700 |
0516 |
780 |
780 |
234 |
709.80000000000007 |
546 |
234 |
709.80000000000007 |
561.6 |
663 |
Carle Eureka Hospital |
1323550484 |
INJECTION SUB-Q/IM |
96372 |
0260 |
125 |
125 |
37.5 |
113.75 |
87.5 |
37.5 |
113.75 |
90 |
106.25 |
Carle Eureka Hospital |
1323550490 |
IV PUSH INITIAL DRUG |
96374 |
0260 |
234 |
234 |
70.2 |
212.94 |
163.79999999999998 |
70.2 |
212.94 |
168.48 |
198.9 |
Carle Eureka Hospital |
1323550497 |
INJECTION PERIPHERAL NERVE BLO |
64450 |
0516 |
1680 |
1680 |
504 |
1528.8 |
1176 |
504 |
1528.8 |
1209.5999999999999 |
1428 |
Carle Eureka Hospital |
1323550532 |
I&D DENTOALVEOLAR STRUCTURES |
41800 |
0516 |
438 |
438 |
131.4 |
398.58000000000004 |
306.59999999999997 |
131.4 |
398.58000000000004 |
315.36 |
372.3 |
Carle Eureka Hospital |
1323550533 |
I&D PERINEAL/VULVA ABSCESS |
56405 |
0516 |
1055 |
1055 |
316.5 |
960.05000000000007 |
738.5 |
316.5 |
960.05000000000007 |
759.6 |
896.75 |
Carle Eureka Hospital |
1323550534 |
I&D ABSCESS SIMPLE |
10060 |
0516 |
675 |
675 |
202.5 |
614.25 |
472.49999999999994 |
202.5 |
614.25 |
486 |
573.75 |
Carle Eureka Hospital |
1323550536 |
I&D PERIANAL ABSCESS |
46050 |
0516 |
1800 |
1800 |
540 |
1638 |
1260 |
540 |
1638 |
1296 |
1530 |
Carle Eureka Hospital |
1323550539 |
I&D ABSCESS COMPLICATED |
10061 |
0516 |
1020 |
1020 |
306 |
928.2 |
714 |
306 |
928.2 |
734.4 |
867 |
Carle Eureka Hospital |
1323550550 |
HEMOCULT |
82270 |
0300 |
42 |
42 |
12.6 |
38.22 |
29.4 |
12.6 |
38.22 |
30.24 |
35.699999999999996 |
Carle Eureka Hospital |
1323550562 |
GASTROCULT |
82271 |
0300 |
38 |
38 |
11.4 |
34.58 |
26.599999999999998 |
11.4 |
34.58 |
27.36 |
32.299999999999997 |
Carle Eureka Hospital |
1323550582 |
EVACUATION SUBUNGUAL HEMATOMA |
11740 |
0516 |
195 |
195 |
58.5 |
177.45000000000002 |
136.5 |
58.5 |
177.45000000000002 |
140.4 |
165.75 |
Carle Eureka Hospital |
1323550603 |
IV PUSH EA SEQUENTIAL DRUG |
96376 |
0260 |
153 |
153 |
45.9 |
139.23000000000002 |
107.1 |
45.9 |
139.23000000000002 |
110.16 |
130.04999999999998 |
Carle Eureka Hospital |
1323550618 |
BURN CARE 1ST DEGREE |
16000 |
0516 |
370 |
370 |
111 |
336.7 |
259 |
111 |
336.7 |
266.39999999999998 |
314.5 |
Carle Eureka Hospital |
1323550634 |
BURN CARE SMALL |
16020 |
0516 |
510 |
510 |
153 |
464.1 |
357 |
153 |
464.1 |
367.2 |
433.5 |
Carle Eureka Hospital |
1323550638 |
I&D EXTERNAL EAR ABS/HEM/ SMP |
69000 |
0516 |
1190 |
1190 |
357 |
1082.9000000000001 |
833 |
357 |
1082.9000000000001 |
856.8 |
1011.5 |
Carle Eureka Hospital |
1323550664 |
DEBRIDEMENT NAILS 1-5 ANY METH |
11720 |
0516 |
145 |
145 |
43.5 |
131.95000000000002 |
101.5 |
43.5 |
131.95000000000002 |
104.39999999999999 |
123.25 |
Carle Eureka Hospital |
1323550667 |
DEBRIDEMENT EXT ECZEMATOUS TO |
11000 |
0450 |
460 |
460 |
138 |
418.6 |
322 |
138 |
418.6 |
331.2 |
391 |
Carle Eureka Hospital |
1323550678 |
CONTL NASAL HEMORRHAGE ANTER |
30901 |
0516 |
360 |
360 |
108 |
327.60000000000002 |
251.99999999999997 |
108 |
327.60000000000002 |
259.2 |
306 |
Carle Eureka Hospital |
1323550721 |
DISLOCATION RADIAL HEAD W MANI |
24640 |
0516 |
685 |
685 |
205.5 |
623.35 |
479.49999999999994 |
205.5 |
623.35 |
493.2 |
582.25 |
Carle Eureka Hospital |
1323550728 |
CLSD TX MEDIAL ANKLE FX W MANI |
27762 |
0450 |
2223 |
2223 |
666.9 |
2022.93 |
1556.1 |
666.9 |
2022.93 |
1600.56 |
1889.55 |
Carle Eureka Hospital |
1323550731 |
DISLOCATION FINGER/THUMB |
26770 |
0516 |
510 |
510 |
153 |
464.1 |
357 |
153 |
464.1 |
367.2 |
433.5 |
Carle Eureka Hospital |
1323550739 |
CLSD TX OTHER TOES W MANIP |
28515 |
0516 |
640 |
640 |
192 |
582.4 |
448 |
192 |
582.4 |
460.79999999999995 |
544 |
Carle Eureka Hospital |
1323550752 |
CLSD TX ANKLE BIMALLEO FX W MA |
27810 |
0516 |
2776 |
2776 |
832.8 |
2526.1600000000003 |
1943.1999999999998 |
832.8 |
2526.1600000000003 |
1998.72 |
2359.6 |
Carle Eureka Hospital |
1323550771 |
CATH INDWELL BLADDER SIMPLE |
51702 |
0516 |
210 |
210 |
63 |
191.1 |
147 |
63 |
191.1 |
151.19999999999999 |
178.5 |
Carle Eureka Hospital |
1323550785 |
REPAR SMP SCLP/TRNK/EXT<2.5C |
12001 |
0516 |
500 |
500 |
150 |
455 |
350 |
150 |
455 |
360 |
425 |
Carle Eureka Hospital |
1323550787 |
REMOVAL FB SUBQ TISSUE SIMPL |
10120 |
0516 |
690 |
690 |
207 |
627.9 |
482.99999999999994 |
207 |
627.9 |
496.79999999999995 |
586.5 |
Carle Eureka Hospital |
1323550810 |
PUNCTURE ASPIRATION |
10160 |
0516 |
580 |
580 |
174 |
527.80000000000007 |
406 |
174 |
527.80000000000007 |
417.59999999999997 |
493 |
Carle Eureka Hospital |
1323550813 |
ARTHROCENT MAJ JNT WO IMAGE |
20610 |
0516 |
760 |
760 |
228 |
691.6 |
532 |
228 |
691.6 |
547.19999999999993 |
646 |
Carle Eureka Hospital |
1323550814 |
ARTHROCENT INTMED JNT WO IMAGE |
20605 |
0516 |
760 |
760 |
228 |
691.6 |
532 |
228 |
691.6 |
547.19999999999993 |
646 |
Carle Eureka Hospital |
1323550827 |
APPL SPLINT SHORT LEG |
29515 |
0516 |
495 |
495 |
148.5 |
450.45 |
346.5 |
148.5 |
450.45 |
356.4 |
420.75 |
Carle Eureka Hospital |
1323550828 |
APPL SPLINT SHORT ARM |
29125 |
0516 |
430 |
430 |
129 |
391.3 |
301 |
129 |
391.3 |
309.59999999999997 |
365.5 |
Carle Eureka Hospital |
1323550829 |
APPL SPLINT LONG LEG |
29505 |
0516 |
495 |
495 |
148.5 |
450.45 |
346.5 |
148.5 |
450.45 |
356.4 |
420.75 |
Carle Eureka Hospital |
1323550830 |
APPL SPLINT LONG ARM |
29105 |
0516 |
550 |
550 |
165 |
500.5 |
385 |
165 |
500.5 |
396 |
467.5 |
Carle Eureka Hospital |
1323550832 |
APPL SPLINT FINGER STATIC |
29130 |
0516 |
180 |
180 |
54 |
163.80000000000001 |
125.99999999999999 |
54 |
163.80000000000001 |
129.6 |
153 |
Carle Eureka Hospital |
1323550885 |
ADMININSTRATION IMMUNIZATION |
90471 |
0771 |
120 |
120 |
36 |
109.2 |
84 |
36 |
109.2 |
86.399999999999991 |
102 |
Carle Eureka Hospital |
1323550895 |
EXCISION NAIL & MATRIX |
11750 |
0516 |
880 |
880 |
264 |
800.80000000000007 |
616 |
264 |
800.80000000000007 |
633.6 |
748 |
Carle Eureka Hospital |
1323550949 |
EXCISION SKIN OF NAIL FOLD |
11765 |
0516 |
870 |
870 |
261 |
791.7 |
609 |
261 |
791.7 |
626.4 |
739.5 |
Carle Eureka Hospital |
1323550972 |
I&D BARTHOLIN GLAND ABSCESS |
56420 |
0516 |
550 |
550 |
165 |
500.5 |
385 |
165 |
500.5 |
396 |
467.5 |
Carle Eureka Hospital |
1323550979 |
DRAINAGE MOUTH ABSCESS SIMPLE |
40800 |
0450 |
340 |
340 |
102 |
309.40000000000003 |
237.99999999999997 |
102 |
309.40000000000003 |
244.79999999999998 |
289 |
Carle Eureka Hospital |
1323550990 |
STRAPPING TOES |
29550 |
0516 |
180 |
180 |
54 |
163.80000000000001 |
125.99999999999999 |
54 |
163.80000000000001 |
129.6 |
153 |
Carle Eureka Hospital |
1323560269 |
US PV RESIDUAL URINE |
51798 |
0516 |
230 |
230 |
69 |
209.3 |
161 |
69 |
209.3 |
165.6 |
195.5 |
Carle Eureka Hospital |
1323560274 |
IV PUSH EA ADD DRUG |
96375 |
0260 |
168 |
168 |
50.4 |
152.88 |
117.6 |
50.4 |
152.88 |
120.96 |
142.79999999999998 |
Carle Eureka Hospital |
1323560293 |
INSERT STRAIGHT CATH THERAPEUT |
51701 |
0516 |
195 |
195 |
58.5 |
177.45000000000002 |
136.5 |
58.5 |
177.45000000000002 |
140.4 |
165.75 |
Carle Eureka Hospital |
1323560373 |
IV INF HYDRATION EA ADD HR |
96361 |
0260 |
170 |
170 |
51 |
154.70000000000002 |
118.99999999999999 |
51 |
154.70000000000002 |
122.39999999999999 |
144.5 |
Carle Eureka Hospital |
1323560374 |
IV INF HYDRATION UP TO 1HR |
96360 |
0260 |
585 |
585 |
175.5 |
532.35 |
409.5 |
175.5 |
532.35 |
421.2 |
497.25 |
Carle Eureka Hospital |
1323560777 |
NERVE BLOCK TRIGEMINAL |
64400 |
0516 |
735 |
735 |
220.5 |
668.85 |
514.5 |
220.5 |
668.85 |
529.19999999999993 |
624.75 |
Carle Eureka Hospital |
1323560801 |
CATH FOR URINE SPECIMEN |
P9612 |
0300 |
21 |
21 |
6.3 |
19.11 |
14.7 |
6.3 |
19.11 |
15.12 |
17.849999999999998 |
Carle Eureka Hospital |
1323561062 |
URGENT CARE E/M ESTAB LVL 1 |
99211 |
0516 |
100 |
100 |
30 |
91 |
70 |
30 |
91 |
72 |
85 |
Carle Eureka Hospital |
1323561063 |
URGENT CARE E/M ESTAB LVL 2 |
99212 |
0516 |
115 |
115 |
34.5 |
104.65 |
80.5 |
34.5 |
104.65 |
82.8 |
97.75 |
Carle Eureka Hospital |
1323561064 |
URGENT CARE E/M ESTAB LVL 3 |
99213 |
0516 |
145 |
145 |
43.5 |
131.95000000000002 |
101.5 |
43.5 |
131.95000000000002 |
104.39999999999999 |
123.25 |
Carle Eureka Hospital |
1323561065 |
URGENT CARE E/M ESTAB LVL 4 |
99214 |
0516 |
190 |
190 |
57 |
172.9 |
133 |
57 |
172.9 |
136.79999999999998 |
161.5 |
Carle Eureka Hospital |
1323561066 |
URGENT CARE E/M ESTAB LVL 5 |
99215 |
0516 |
204 |
204 |
61.199999999999996 |
185.64000000000001 |
142.79999999999998 |
61.199999999999996 |
185.64000000000001 |
146.88 |
173.4 |
Carle Eureka Hospital |
1323561067 |
URGENT CARE E/M NEW LVL 1 |
99201 |
0516 |
115 |
115 |
34.5 |
104.65 |
80.5 |
34.5 |
104.65 |
82.8 |
97.75 |
Carle Eureka Hospital |
1323561068 |
URGENT CARE E/M NEW LVL 2 |
99202 |
0516 |
145 |
145 |
43.5 |
131.95000000000002 |
101.5 |
43.5 |
131.95000000000002 |
104.39999999999999 |
123.25 |
Carle Eureka Hospital |
1323561069 |
URGENT CARE E/M NEW LVL 3 |
99203 |
0516 |
190 |
190 |
57 |
172.9 |
133 |
57 |
172.9 |
136.79999999999998 |
161.5 |
Carle Eureka Hospital |
1323561070 |
URGENT CARE E/M NEW LVL 4 |
99204 |
0516 |
204 |
204 |
61.199999999999996 |
185.64000000000001 |
142.79999999999998 |
61.199999999999996 |
185.64000000000001 |
146.88 |
173.4 |
Carle Eureka Hospital |
1323561071 |
URGENT CARE E/M NEW LVL 5 |
99205 |
0516 |
300 |
300 |
90 |
273 |
210 |
90 |
273 |
216 |
255 |
Carle Eureka Hospital |
1323561114 |
REMOVE IMPACT CERUMEN INSTR BI |
6921050 |
0516 |
240 |
240 |
72 |
218.4 |
168 |
72 |
218.4 |
172.79999999999998 |
204 |
Carle Eureka Hospital |
1323561165 |
CANALITH REPOSITIONING PROC |
95992 |
0516 |
120 |
120 |
36 |
109.2 |
84 |
36 |
109.2 |
86.399999999999991 |
102 |
Carle Eureka Hospital |
1323561181 |
REMOV IMPACT CERUMEN IRRIG UNI |
69209 |
0516 |
180 |
180 |
54 |
163.80000000000001 |
125.99999999999999 |
54 |
163.80000000000001 |
129.6 |
153 |
Carle Eureka Hospital |
1323561182 |
REMOV IMPACT CERUMEN IRRIG BIL |
6920950 |
0516 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
1323561208 |
PORT FLUSH |
96523 |
0510 |
190 |
190 |
57 |
172.9 |
133 |
57 |
172.9 |
136.79999999999998 |
161.5 |
Carle Eureka Hospital |
1323561299 |
SHAVING SKIN LESION 0.6-1.0 CM |
11301 |
0510 |
175 |
175 |
52.5 |
159.25 |
122.49999999999999 |
52.5 |
159.25 |
126 |
148.75 |
Carle Eureka Hospital |
1323561339 |
UNLISTED PROC EXT EAR |
69399 |
0516 |
500 |
500 |
150 |
455 |
350 |
150 |
455 |
360 |
425 |
Carle Eureka Hospital |
1323590028 |
DEBRID OPEN WOUND <20SQCM |
97597 |
0516 |
383 |
383 |
114.89999999999999 |
348.53000000000003 |
268.09999999999997 |
114.89999999999999 |
348.53000000000003 |
275.76 |
325.55 |
Carle Eureka Hospital |
1330900640 |
MNT-REAS/INTERV-INDIVID 97803 |
97803 |
0942 |
77 |
77 |
23.099999999999998 |
70.070000000000007 |
53.9 |
23.099999999999998 |
70.070000000000007 |
55.44 |
65.45 |
Carle Eureka Hospital |
1330900641 |
MNT-INITAL ASS/INTV-IND 97802 |
97802 |
0942 |
77 |
77 |
23.099999999999998 |
70.070000000000007 |
53.9 |
23.099999999999998 |
70.070000000000007 |
55.44 |
65.45 |
Carle Eureka Hospital |
1330900642 |
MNT - GROUP 97804 |
97804 |
0942 |
72 |
72 |
21.599999999999998 |
65.52 |
50.4 |
21.599999999999998 |
65.52 |
51.839999999999996 |
61.199999999999996 |
Carle Eureka Hospital |
1330950650 |
DIABETES EDUC RN INDIVID 30MIN |
G0108 |
0942 |
190 |
190 |
57 |
172.9 |
133 |
57 |
172.9 |
136.79999999999998 |
161.5 |
Carle Eureka Hospital |
1330950651 |
DIABETES EDUC RN GROUP 30 MIN |
G0109 |
0942 |
53 |
53 |
15.899999999999999 |
48.230000000000004 |
37.099999999999994 |
15.899999999999999 |
48.230000000000004 |
38.159999999999997 |
45.05 |
Carle Eureka Hospital |
1330950652 |
DIABETES EDUC RD INDIVID 30MIN |
G0108 |
0942 |
190 |
190 |
57 |
172.9 |
133 |
57 |
172.9 |
136.79999999999998 |
161.5 |
Carle Eureka Hospital |
1330950653 |
DIABETES EDUC RD GROUP 30MIN |
G0109 |
0942 |
53 |
53 |
15.899999999999999 |
48.230000000000004 |
37.099999999999994 |
15.899999999999999 |
48.230000000000004 |
38.159999999999997 |
45.05 |
Carle Eureka Hospital |
1330990134 |
CONTIN GLUCOSE MON TEC SEN REM |
95250 |
0920 |
670 |
670 |
201 |
609.70000000000005 |
468.99999999999994 |
201 |
609.70000000000005 |
482.4 |
569.5 |
Carle Eureka Hospital |
1331090677 |
VENIPUNCTURE |
36415 |
0300 |
21 |
21 |
6.3 |
19.11 |
14.7 |
6.3 |
19.11 |
15.12 |
17.849999999999998 |
Carle Eureka Hospital |
1331091109 |
TRAINING |
0300 |
75 |
75 |
22.5 |
68.25 |
52.5 |
22.5 |
68.25 |
54 |
63.75 |
Carle Eureka Hospital |
1331091484 |
THIN PREP (CYTOLOGY) |
88112 |
0311 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
1331091485 |
INFLUENZA A |
87804 |
0302 |
125 |
125 |
37.5 |
113.75 |
87.5 |
37.5 |
113.75 |
90 |
106.25 |
Carle Eureka Hospital |
1331091486 |
INFLUENZA B |
87804 |
0302 |
125 |
125 |
37.5 |
113.75 |
87.5 |
37.5 |
113.75 |
90 |
106.25 |
Carle Eureka Hospital |
1331290064 |
ANTITHROMBIN III |
85300 |
0300 |
135 |
135 |
40.5 |
122.85000000000001 |
94.5 |
40.5 |
122.85000000000001 |
97.2 |
114.75 |
Carle Eureka Hospital |
1331290087 |
BLEEDING TIME DUKE |
85002 |
0305 |
98 |
98 |
29.4 |
89.18 |
68.599999999999994 |
29.4 |
89.18 |
70.56 |
83.3 |
Carle Eureka Hospital |
1331290088 |
BLEEDING TIME IVY |
85002 |
0300 |
98 |
98 |
29.4 |
89.18 |
68.599999999999994 |
29.4 |
89.18 |
70.56 |
83.3 |
Carle Eureka Hospital |
1331290121 |
CBC AUTOMATED DIFF |
85025 |
0300 |
74 |
74 |
22.2 |
67.34 |
51.8 |
22.2 |
67.34 |
53.28 |
62.9 |
Carle Eureka Hospital |
1331290130 |
OBSCN |
82270 |
0301 |
42 |
42 |
12.6 |
38.22 |
29.4 |
12.6 |
38.22 |
30.24 |
35.699999999999996 |
Carle Eureka Hospital |
1331290184 |
CSF CELL COUNT AND DIFFERENTIA |
89051 |
0300 |
110 |
110 |
33 |
100.10000000000001 |
77 |
33 |
100.10000000000001 |
79.2 |
93.5 |
Carle Eureka Hospital |
1331290287 |
FECAL FAT QUALITATIVE |
82705 |
0301 |
105 |
105 |
31.5 |
95.55 |
73.5 |
31.5 |
95.55 |
75.599999999999994 |
89.25 |
Carle Eureka Hospital |
1331290295 |
FIBRIN SPLIT PRODUCTS-SEMI-QNT |
85362 |
0300 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
1331290296 |
FIBRINOGEN |
85384 |
0300 |
140 |
140 |
42 |
127.4 |
98 |
42 |
127.4 |
100.8 |
119 |
Carle Eureka Hospital |
1331290299 |
FLUID MISC CELL CT AND DIFF |
89051 |
0300 |
110 |
110 |
33 |
100.10000000000001 |
77 |
33 |
100.10000000000001 |
79.2 |
93.5 |
Carle Eureka Hospital |
1331290350 |
HEMATOCRIT |
85014 |
0300 |
35 |
35 |
10.5 |
31.85 |
24.5 |
10.5 |
31.85 |
25.2 |
29.75 |
Carle Eureka Hospital |
1331290352 |
HEMOGLOBIN |
85018 |
0300 |
38 |
38 |
11.4 |
34.58 |
26.599999999999998 |
11.4 |
34.58 |
27.36 |
32.299999999999997 |
Carle Eureka Hospital |
1331290355 |
CBC NO DIFFERENTIAL |
85027 |
0300 |
64 |
64 |
19.2 |
58.24 |
44.8 |
19.2 |
58.24 |
46.08 |
54.4 |
Carle Eureka Hospital |
1331290357 |
HEMOSIDERIN-URINE |
83070 |
0300 |
72 |
72 |
21.599999999999998 |
65.52 |
50.4 |
21.599999999999998 |
65.52 |
51.839999999999996 |
61.199999999999996 |
Carle Eureka Hospital |
1331290456 |
NASAL SMEAR FOR EOSINOPHILS |
89190 |
0300 |
62 |
62 |
18.599999999999998 |
56.42 |
43.4 |
18.599999999999998 |
56.42 |
44.64 |
52.699999999999996 |
Carle Eureka Hospital |
1331290464 |
OCCULT BLOOD GASTRIC |
82271 |
0301 |
31 |
31 |
9.2999999999999989 |
28.21 |
21.7 |
9.2999999999999989 |
28.21 |
22.32 |
26.349999999999998 |
Carle Eureka Hospital |
1331290474 |
PARTIAL THROMBOPLASTIN TIME |
85730 |
0300 |
93 |
93 |
27.9 |
84.63000000000001 |
65.099999999999994 |
27.9 |
84.63000000000001 |
66.959999999999994 |
79.05 |
Carle Eureka Hospital |
1331290499 |
PLATELET COUNT |
85049 |
0300 |
42 |
42 |
12.6 |
38.22 |
29.4 |
12.6 |
38.22 |
30.24 |
35.699999999999996 |
Carle Eureka Hospital |
1331290531 |
PROTHROMBIN TIME |
85610 |
0300 |
72 |
72 |
21.599999999999998 |
65.52 |
50.4 |
21.599999999999998 |
65.52 |
51.839999999999996 |
61.199999999999996 |
Carle Eureka Hospital |
1331290542 |
RBC RED BLOOD CELL COUNT |
85041 |
0300 |
25 |
25 |
7.5 |
22.75 |
17.5 |
7.5 |
22.75 |
18 |
21.25 |
Carle Eureka Hospital |
1331290558 |
RETICULOCYTE COUNT |
85045 |
0300 |
90 |
90 |
27 |
81.900000000000006 |
62.999999999999993 |
27 |
81.900000000000006 |
64.8 |
76.5 |
Carle Eureka Hospital |
1331290571 |
SEDIMENTATION RATE |
85652 |
0300 |
66 |
66 |
19.8 |
60.06 |
46.199999999999996 |
19.8 |
60.06 |
47.519999999999996 |
56.1 |
Carle Eureka Hospital |
1331290572 |
SEMEN ANALYSIS FERTILITY |
89320 |
0300 |
220 |
220 |
66 |
200.20000000000002 |
154 |
66 |
200.20000000000002 |
158.4 |
187 |
Carle Eureka Hospital |
1331290577 |
SICKLE CELL SCREEN |
85660 |
0300 |
68 |
68 |
20.399999999999999 |
61.88 |
47.599999999999994 |
20.399999999999999 |
61.88 |
48.96 |
57.8 |
Carle Eureka Hospital |
1331290589 |
SPECIFIC GRAVITY MISC |
84315 |
0301 |
31 |
31 |
9.2999999999999989 |
28.21 |
21.7 |
9.2999999999999989 |
28.21 |
22.32 |
26.349999999999998 |
Carle Eureka Hospital |
1331290590 |
SPERM COUNT POST SURGERY |
89321 |
0300 |
135 |
135 |
40.5 |
122.85000000000001 |
94.5 |
40.5 |
122.85000000000001 |
97.2 |
114.75 |
Carle Eureka Hospital |
1331290594 |
STOOL FOR LEUKOCYTES |
83630 |
0301 |
185 |
185 |
55.5 |
168.35 |
129.5 |
55.5 |
168.35 |
133.19999999999999 |
157.25 |
Carle Eureka Hospital |
1331290599 |
SYNOVIAL FLD CELL CT AND DIFF |
89051 |
0300 |
110 |
110 |
33 |
100.10000000000001 |
77 |
33 |
100.10000000000001 |
79.2 |
93.5 |
Carle Eureka Hospital |
1331290600 |
SYNOVIAL FLUID CRYSTAL EXAM |
89060 |
0300 |
69 |
69 |
20.7 |
62.79 |
48.3 |
20.7 |
62.79 |
49.68 |
58.65 |
Carle Eureka Hospital |
1331290604 |
SYNOVIAL FLUID MUCIN CLOT |
83872 |
0300 |
61 |
61 |
18.3 |
55.510000000000005 |
42.699999999999996 |
18.3 |
55.510000000000005 |
43.92 |
51.85 |
Carle Eureka Hospital |
1331290615 |
THROMBIN TIME |
85670 |
0300 |
84 |
84 |
25.2 |
76.44 |
58.8 |
25.2 |
76.44 |
60.48 |
71.399999999999991 |
Carle Eureka Hospital |
1331290626 |
TOTAL EOSINOPHIL COUNT |
85048 |
0300 |
52 |
52 |
15.6 |
47.32 |
36.4 |
15.6 |
47.32 |
37.44 |
44.199999999999996 |
Carle Eureka Hospital |
1331290654 |
URINALYSIS MACROSCOPIC |
81003 |
0307 |
44 |
44 |
13.2 |
40.04 |
30.799999999999997 |
13.2 |
40.04 |
31.68 |
37.4 |
Carle Eureka Hospital |
1331290655 |
URINALYSIS MICROSCOPIC |
81015 |
0300 |
71 |
71 |
21.3 |
64.61 |
49.699999999999996 |
21.3 |
64.61 |
51.12 |
60.35 |
Carle Eureka Hospital |
1331290658 |
URINE BLOOD |
82271 |
0300 |
38 |
38 |
11.4 |
34.58 |
26.599999999999998 |
11.4 |
34.58 |
27.36 |
32.299999999999997 |
Carle Eureka Hospital |
1331290662 |
URINE GLUCOSE |
81003 |
0300 |
44 |
44 |
13.2 |
40.04 |
30.799999999999997 |
13.2 |
40.04 |
31.68 |
37.4 |
Carle Eureka Hospital |
1331290663 |
URINE KETONES |
81003 |
0300 |
44 |
44 |
13.2 |
40.04 |
30.799999999999997 |
13.2 |
40.04 |
31.68 |
37.4 |
Carle Eureka Hospital |
1331290664 |
URINE PH |
81003 |
0300 |
44 |
44 |
13.2 |
40.04 |
30.799999999999997 |
13.2 |
40.04 |
31.68 |
37.4 |
Carle Eureka Hospital |
1331290665 |
URINE REDUCING SUBSTANCE |
81002 |
0301 |
37 |
37 |
11.1 |
33.67 |
25.9 |
11.1 |
33.67 |
26.64 |
31.45 |
Carle Eureka Hospital |
1331290666 |
URINE SPECIFIC GRAVITY |
81002 |
0300 |
37 |
37 |
11.1 |
33.67 |
25.9 |
11.1 |
33.67 |
26.64 |
31.45 |
Carle Eureka Hospital |
1331290667 |
UROBILINOGEN |
81002 |
0300 |
37 |
37 |
11.1 |
33.67 |
25.9 |
11.1 |
33.67 |
26.64 |
31.45 |
Carle Eureka Hospital |
1331290687 |
WBC COUNT AND DIFFERENTIAL |
85007 |
0300 |
47 |
47 |
14.1 |
42.77 |
32.9 |
14.1 |
42.77 |
33.839999999999996 |
39.949999999999996 |
Carle Eureka Hospital |
1331290688 |
WBC DIFFERENTIAL |
85007 |
0300 |
47 |
47 |
14.1 |
42.77 |
32.9 |
14.1 |
42.77 |
33.839999999999996 |
39.949999999999996 |
Carle Eureka Hospital |
1331290692 |
WHITE BLOOD CELL COUNT |
85048 |
0300 |
53 |
53 |
15.899999999999999 |
48.230000000000004 |
37.099999999999994 |
15.899999999999999 |
48.230000000000004 |
38.159999999999997 |
45.05 |
Carle Eureka Hospital |
1331290702 |
COMPLETE BLOOD COUNT CAT |
0305 |
7.25 |
7.25 |
2.1749999999999998 |
6.5975000000000001 |
5.0749999999999993 |
2.1749999999999998 |
6.5975000000000001 |
5.22 |
6.1624999999999996 |
Carle Eureka Hospital |
1331290703 |
COMPLETE BLOOD COUNT CAT |
0305 |
6.5 |
6.5 |
1.95 |
5.915 |
4.55 |
1.95 |
5.915 |
4.68 |
5.5249999999999995 |
Carle Eureka Hospital |
1331290704 |
COMPLETE BLOOD COUNT VET OTHER |
0305 |
7.25 |
7.25 |
2.1749999999999998 |
6.5975000000000001 |
5.0749999999999993 |
2.1749999999999998 |
6.5975000000000001 |
5.22 |
6.1624999999999996 |
Carle Eureka Hospital |
1331291005 |
CSF COUNT-NO DIFF CHARGE |
89050 |
0300 |
89 |
89 |
26.7 |
80.990000000000009 |
62.3 |
26.7 |
80.990000000000009 |
64.08 |
75.649999999999991 |
Carle Eureka Hospital |
1331291006 |
CSF COUNT WITH DIFF CHARGE |
89051 |
0300 |
110 |
110 |
33 |
100.10000000000001 |
77 |
33 |
100.10000000000001 |
79.2 |
93.5 |
Carle Eureka Hospital |
1331291007 |
FLUID COUNT-NO DIFF CHARGE |
89050 |
0300 |
89 |
89 |
26.7 |
80.990000000000009 |
62.3 |
26.7 |
80.990000000000009 |
64.08 |
75.649999999999991 |
Carle Eureka Hospital |
1331291008 |
FLUID COUNT WITH DIFF CHARGE |
89051 |
0300 |
110 |
110 |
33 |
100.10000000000001 |
77 |
33 |
100.10000000000001 |
79.2 |
93.5 |
Carle Eureka Hospital |
1331291012 |
MANUAL RETICULACYTE COUNT |
85044 |
0305 |
64 |
64 |
19.2 |
58.24 |
44.8 |
19.2 |
58.24 |
46.08 |
54.4 |
Carle Eureka Hospital |
1331291178 |
HEMOGM CHARGE TEST |
85027 |
0305 |
64 |
64 |
19.2 |
58.24 |
44.8 |
19.2 |
58.24 |
46.08 |
54.4 |
Carle Eureka Hospital |
1331291179 |
MANUAL DIFF CHARGE TEST |
85007 |
0305 |
32 |
32 |
9.6 |
29.12 |
22.4 |
9.6 |
29.12 |
23.04 |
27.2 |
Carle Eureka Hospital |
1331291249 |
OBSTETRICS PANEL |
80055 |
0300 |
495 |
495 |
148.5 |
450.45 |
346.5 |
148.5 |
450.45 |
356.4 |
420.75 |
Carle Eureka Hospital |
1331291300 |
OCCULT BLOOD FECAL SCREEN IMMU |
82274 |
0301 |
55 |
55 |
16.5 |
50.050000000000004 |
38.5 |
16.5 |
50.050000000000004 |
39.6 |
46.75 |
Carle Eureka Hospital |
1331291617 |
URINE MACROSCOPIC |
81003 |
0307 |
39 |
39 |
11.7 |
35.49 |
27.299999999999997 |
11.7 |
35.49 |
28.08 |
33.15 |
Carle Eureka Hospital |
1331291618 |
URINE WITH MICROSCOPIC |
81001 |
0307 |
54 |
54 |
16.2 |
49.14 |
37.799999999999997 |
16.2 |
49.14 |
38.879999999999995 |
45.9 |
Carle Eureka Hospital |
1331291803 |
P2Y12 |
85576 |
0305 |
185 |
185 |
55.5 |
168.35 |
129.5 |
55.5 |
168.35 |
133.19999999999999 |
157.25 |
Carle Eureka Hospital |
1331490007 |
ACETAMINOPHEN |
80329 |
0300 |
185 |
185 |
55.5 |
168.35 |
129.5 |
55.5 |
168.35 |
133.19999999999999 |
157.25 |
Carle Eureka Hospital |
1331490016 |
ALBUMIN |
82040 |
0300 |
55 |
55 |
16.5 |
50.050000000000004 |
38.5 |
16.5 |
50.050000000000004 |
39.6 |
46.75 |
Carle Eureka Hospital |
1331490021 |
ALKALINE PHOSPHATASE |
84075 |
0300 |
53 |
53 |
15.899999999999999 |
48.230000000000004 |
37.099999999999994 |
15.899999999999999 |
48.230000000000004 |
38.159999999999997 |
45.05 |
Carle Eureka Hospital |
1331490027 |
ALT (SGPT) |
84460 |
0300 |
56 |
56 |
16.8 |
50.96 |
39.199999999999996 |
16.8 |
50.96 |
40.32 |
47.6 |
Carle Eureka Hospital |
1331490029 |
AMIKACIN PEAK |
80150 |
0300 |
410 |
410 |
123 |
373.1 |
287 |
123 |
373.1 |
295.2 |
348.5 |
Carle Eureka Hospital |
1331490035 |
AMMONIA PLASMA |
82140 |
0300 |
140 |
140 |
42 |
127.4 |
98 |
42 |
127.4 |
100.8 |
119 |
Carle Eureka Hospital |
1331490036 |
AMYLASE |
82150 |
0300 |
98 |
98 |
29.4 |
89.18 |
68.599999999999994 |
29.4 |
89.18 |
70.56 |
83.3 |
Carle Eureka Hospital |
1331490067 |
ARTERIAL BLOOD GAS |
82803 |
0300 |
175 |
175 |
52.5 |
159.25 |
122.49999999999999 |
52.5 |
159.25 |
126 |
148.75 |
Carle Eureka Hospital |
1331490072 |
AST SGOT |
84450 |
0300 |
75 |
75 |
22.5 |
68.25 |
52.5 |
22.5 |
68.25 |
54 |
63.75 |
Carle Eureka Hospital |
1331490075 |
BASIC METABOLIC PANEL |
80048 |
0300 |
120 |
120 |
36 |
109.2 |
84 |
36 |
109.2 |
86.399999999999991 |
102 |
Carle Eureka Hospital |
1331490080 |
BHCG-QUANTITATIVE |
84702 |
0300 |
140 |
140 |
42 |
127.4 |
98 |
42 |
127.4 |
100.8 |
119 |
Carle Eureka Hospital |
1331490081 |
BILIRUBIN DIRECT |
82248 |
0300 |
49 |
49 |
14.7 |
44.59 |
34.299999999999997 |
14.7 |
44.59 |
35.28 |
41.65 |
Carle Eureka Hospital |
1331490082 |
BILIRUBIN NEONATAL DIRECT |
82248 |
0301 |
49 |
49 |
14.7 |
44.59 |
34.299999999999997 |
14.7 |
44.59 |
35.28 |
41.65 |
Carle Eureka Hospital |
1331490083 |
BILIRUBIN NEONATAL TOTAL |
82247 |
0300 |
58 |
58 |
17.399999999999999 |
52.78 |
40.599999999999994 |
17.399999999999999 |
52.78 |
41.76 |
49.3 |
Carle Eureka Hospital |
1331490085 |
BILIRUBIN TOTAL |
82247 |
0300 |
75 |
75 |
22.5 |
68.25 |
52.5 |
22.5 |
68.25 |
54 |
63.75 |
Carle Eureka Hospital |
1331490103 |
BUN |
84520 |
0300 |
50 |
50 |
15 |
45.5 |
35 |
15 |
45.5 |
36 |
42.5 |
Carle Eureka Hospital |
1331490108 |
CALCIUM |
82310 |
0300 |
50 |
50 |
15 |
45.5 |
35 |
15 |
45.5 |
36 |
42.5 |
Carle Eureka Hospital |
1331490116 |
CARBAMAZEPINE-TEGRETOL |
80156 |
0300 |
155 |
155 |
46.5 |
141.05000000000001 |
108.5 |
46.5 |
141.05000000000001 |
111.6 |
131.75 |
Carle Eureka Hospital |
1331490117 |
CARBON DIOXIDE-TCO2 |
82374 |
0300 |
63 |
63 |
18.899999999999999 |
57.330000000000005 |
44.099999999999994 |
18.899999999999999 |
57.330000000000005 |
45.36 |
53.55 |
Carle Eureka Hospital |
1331490118 |
CARBON MONOXIDE |
82375 |
0300 |
81 |
81 |
24.3 |
73.710000000000008 |
56.699999999999996 |
24.3 |
73.710000000000008 |
58.32 |
68.849999999999994 |
Carle Eureka Hospital |
1331490131 |
CHLORIDE |
82435 |
0300 |
61 |
61 |
18.3 |
55.510000000000005 |
42.699999999999996 |
18.3 |
55.510000000000005 |
43.92 |
51.85 |
Carle Eureka Hospital |
1331490134 |
CHOLESTEROL |
82465 |
0300 |
74 |
74 |
22.2 |
67.34 |
51.8 |
22.2 |
67.34 |
53.28 |
62.9 |
Carle Eureka Hospital |
1331490139 |
CKMB |
82553 |
0300 |
140 |
140 |
42 |
127.4 |
98 |
42 |
127.4 |
100.8 |
119 |
Carle Eureka Hospital |
1331490140 |
CK-TOTAL |
82550 |
0300 |
114 |
114 |
34.199999999999996 |
103.74000000000001 |
79.8 |
34.199999999999996 |
103.74000000000001 |
82.08 |
96.899999999999991 |
Carle Eureka Hospital |
1331490156 |
COMPREHENSIVE METABOLIC PANEL |
80053 |
0300 |
185 |
185 |
55.5 |
168.35 |
129.5 |
55.5 |
168.35 |
133.19999999999999 |
157.25 |
Carle Eureka Hospital |
1331490163 |
CREATININE |
82565 |
0300 |
53 |
53 |
15.899999999999999 |
48.230000000000004 |
37.099999999999994 |
15.899999999999999 |
48.230000000000004 |
38.159999999999997 |
45.05 |
Carle Eureka Hospital |
1331490164 |
CREATININE CLEARANCE 24HR UR |
82575 |
0300 |
180 |
180 |
54 |
163.80000000000001 |
125.99999999999999 |
54 |
163.80000000000001 |
129.6 |
153 |
Carle Eureka Hospital |
1331490165 |
CREATININE URINE RANDOM |
82570 |
0300 |
79 |
79 |
23.7 |
71.89 |
55.3 |
23.7 |
71.89 |
56.879999999999995 |
67.149999999999991 |
Carle Eureka Hospital |
1331490166 |
CREATININE-24HR URINE |
82570 |
0300 |
91 |
91 |
27.3 |
82.81 |
63.699999999999996 |
27.3 |
82.81 |
65.52 |
77.349999999999994 |
Carle Eureka Hospital |
1331490176 |
CRP QUANTITATIVE |
86140 |
0300 |
97 |
97 |
29.099999999999998 |
88.27 |
67.899999999999991 |
29.099999999999998 |
88.27 |
69.84 |
82.45 |
Carle Eureka Hospital |
1331490193 |
CSF GLUCOSE |
82945 |
0300 |
83 |
83 |
24.9 |
75.53 |
58.099999999999994 |
24.9 |
75.53 |
59.76 |
70.55 |
Carle Eureka Hospital |
1331490202 |
CSF PROTEIN |
84157 |
0300 |
81 |
81 |
24.3 |
73.710000000000008 |
56.699999999999996 |
24.3 |
73.710000000000008 |
58.32 |
68.849999999999994 |
Carle Eureka Hospital |
1331490251 |
D-DIMER |
85379 |
0305 |
120 |
120 |
36 |
109.2 |
84 |
36 |
109.2 |
86.399999999999991 |
102 |
Carle Eureka Hospital |
1331490256 |
DIGOXIN LANOXIN |
80162 |
0300 |
125 |
125 |
37.5 |
113.75 |
87.5 |
37.5 |
113.75 |
90 |
106.25 |
Carle Eureka Hospital |
1331490264 |
DRUG SCREEN COLLECTION FEE |
0300 |
34 |
34 |
10.199999999999999 |
30.94 |
23.799999999999997 |
10.199999999999999 |
30.94 |
24.48 |
28.9 |
Carle Eureka Hospital |
1331490266 |
DRUG SCREEN SUBSTANCE ABUSE |
80307 |
0300 |
85 |
85 |
25.5 |
77.350000000000009 |
59.499999999999993 |
25.5 |
77.350000000000009 |
61.199999999999996 |
72.25 |
Carle Eureka Hospital |
1331490267 |
ELECTROLYTE PANEL |
80051 |
0300 |
115 |
115 |
34.5 |
104.65 |
80.5 |
34.5 |
104.65 |
82.8 |
97.75 |
Carle Eureka Hospital |
1331490276 |
ESTRADIOL |
82670 |
0300 |
206 |
206 |
61.8 |
187.46 |
144.19999999999999 |
61.8 |
187.46 |
148.32 |
175.1 |
Carle Eureka Hospital |
1331490280 |
ETHANOL-SERUM CLINICAL |
80320 |
0300 |
200 |
200 |
60 |
182 |
140 |
60 |
182 |
144 |
170 |
Carle Eureka Hospital |
1331490291 |
FERRITIN |
82728 |
0300 |
172 |
172 |
51.6 |
156.52000000000001 |
120.39999999999999 |
51.6 |
156.52000000000001 |
123.83999999999999 |
146.19999999999999 |
Carle Eureka Hospital |
1331490301 |
FLUID MISC-GLUCOSE |
82945 |
0300 |
83 |
83 |
24.9 |
75.53 |
58.099999999999994 |
24.9 |
75.53 |
59.76 |
70.55 |
Carle Eureka Hospital |
1331490303 |
FLUID MISC-PROTEIN |
84157 |
0300 |
81 |
81 |
24.3 |
73.710000000000008 |
56.699999999999996 |
24.3 |
73.710000000000008 |
58.32 |
68.849999999999994 |
Carle Eureka Hospital |
1331490304 |
FLUIDMISC-LD |
83615 |
0300 |
76 |
76 |
22.8 |
69.16 |
53.199999999999996 |
22.8 |
69.16 |
54.72 |
64.599999999999994 |
Carle Eureka Hospital |
1331490306 |
FOLATE-SERUM |
82746 |
0300 |
140 |
140 |
42 |
127.4 |
98 |
42 |
127.4 |
100.8 |
119 |
Carle Eureka Hospital |
1331490307 |
FOLLICLE STIMULATING HORMONE |
83001 |
0300 |
214 |
214 |
64.2 |
194.74 |
149.79999999999998 |
64.2 |
194.74 |
154.07999999999998 |
181.9 |
Carle Eureka Hospital |
1331490321 |
GENTAMICIN-PEAK LEVEL |
80170 |
0300 |
205 |
205 |
61.5 |
186.55 |
143.5 |
61.5 |
186.55 |
147.6 |
174.25 |
Carle Eureka Hospital |
1331490322 |
GENTAMICIN-RANDOM LEVEL |
80170 |
0300 |
205 |
205 |
61.5 |
186.55 |
143.5 |
61.5 |
186.55 |
147.6 |
174.25 |
Carle Eureka Hospital |
1331490323 |
GENTAMICIN-TROUGH LEVEL |
80170 |
0300 |
205 |
205 |
61.5 |
186.55 |
143.5 |
61.5 |
186.55 |
147.6 |
174.25 |
Carle Eureka Hospital |
1331490324 |
GGTP |
82977 |
0300 |
105 |
105 |
31.5 |
95.55 |
73.5 |
31.5 |
95.55 |
75.599999999999994 |
89.25 |
Carle Eureka Hospital |
1331490327 |
GLUCOSE |
82947 |
0300 |
70 |
70 |
21 |
63.7 |
49 |
21 |
63.7 |
50.4 |
59.5 |
Carle Eureka Hospital |
1331490328 |
GLUCOSE 1 HR PP 50 GM DOSE |
82950 |
0300 |
54 |
54 |
16.2 |
49.14 |
37.799999999999997 |
16.2 |
49.14 |
38.879999999999995 |
45.9 |
Carle Eureka Hospital |
1331490329 |
GLUCOSE 2HR PP |
82947 |
0300 |
70 |
70 |
21 |
63.7 |
49 |
21 |
63.7 |
50.4 |
59.5 |
Carle Eureka Hospital |
1331490331 |
GLUCOSE RANDOM |
82947 |
0300 |
70 |
70 |
21 |
63.7 |
49 |
21 |
63.7 |
50.4 |
59.5 |
Carle Eureka Hospital |
1331490343 |
HDL CHOLESTEROL |
83718 |
0300 |
115 |
115 |
34.5 |
104.65 |
80.5 |
34.5 |
104.65 |
82.8 |
97.75 |
Carle Eureka Hospital |
1331490353 |
HEMOGLOBIN A1C |
83036 |
0301 |
104 |
104 |
31.2 |
94.64 |
72.8 |
31.2 |
94.64 |
74.88 |
88.399999999999991 |
Carle Eureka Hospital |
1331490359 |
HEPATIC FUNCTION PANEL |
80076 |
0300 |
162 |
162 |
48.6 |
147.42000000000002 |
113.39999999999999 |
48.6 |
147.42000000000002 |
116.64 |
137.69999999999999 |
Carle Eureka Hospital |
1331490360 |
HEPATITIS A ANTIBODY IGM |
86709 |
0300 |
190 |
190 |
57 |
172.9 |
133 |
57 |
172.9 |
136.79999999999998 |
161.5 |
Carle Eureka Hospital |
1331490361 |
HEPATITIS B CORE ANTIBODY IGM |
86705 |
0300 |
160 |
160 |
48 |
145.6 |
112 |
48 |
145.6 |
115.19999999999999 |
136 |
Carle Eureka Hospital |
1331490362 |
HEPATITIS B SURFACE ANTIBODY |
86706 |
0300 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
1331490363 |
HEPATITIS B SURFACE ANTIGEN |
87340 |
0300 |
119 |
119 |
35.699999999999996 |
108.29 |
83.3 |
35.699999999999996 |
108.29 |
85.679999999999993 |
101.14999999999999 |
Carle Eureka Hospital |
1331490364 |
HEPATITIS C ANTIBODY |
86803 |
0300 |
140 |
140 |
42 |
127.4 |
98 |
42 |
127.4 |
100.8 |
119 |
Carle Eureka Hospital |
1331490365 |
HEPATITIS PANEL ACUTE |
80074 |
0300 |
541 |
541 |
162.29999999999998 |
492.31 |
378.7 |
162.29999999999998 |
492.31 |
389.52 |
459.84999999999997 |
Carle Eureka Hospital |
1331490394 |
IRON |
83540 |
0300 |
106 |
106 |
31.799999999999997 |
96.460000000000008 |
74.199999999999989 |
31.799999999999997 |
96.460000000000008 |
76.319999999999993 |
90.1 |
Carle Eureka Hospital |
1331490399 |
KETONES ACETONE-SERUM |
82009 |
0300 |
54 |
54 |
16.2 |
49.14 |
37.799999999999997 |
16.2 |
49.14 |
38.879999999999995 |
45.9 |
Carle Eureka Hospital |
1331490405 |
LACTIC ACID |
83605 |
0300 |
100 |
100 |
30 |
91 |
70 |
30 |
91 |
72 |
85 |
Carle Eureka Hospital |
1331490408 |
LDH |
83615 |
0300 |
89 |
89 |
26.7 |
80.990000000000009 |
62.3 |
26.7 |
80.990000000000009 |
64.08 |
75.649999999999991 |
Carle Eureka Hospital |
1331490430 |
LH - LUTEINIZING HORMONE |
83002 |
0300 |
183 |
183 |
54.9 |
166.53 |
128.1 |
54.9 |
166.53 |
131.76 |
155.54999999999998 |
Carle Eureka Hospital |
1331490432 |
LIPASE |
83690 |
0300 |
115 |
115 |
34.5 |
104.65 |
80.5 |
34.5 |
104.65 |
82.8 |
97.75 |
Carle Eureka Hospital |
1331490433 |
LIPID PANEL |
80061 |
0300 |
183 |
183 |
54.9 |
166.53 |
128.1 |
54.9 |
166.53 |
131.76 |
155.54999999999998 |
Carle Eureka Hospital |
1331490434 |
LITHIUM |
80178 |
0300 |
102 |
102 |
30.599999999999998 |
92.820000000000007 |
71.399999999999991 |
30.599999999999998 |
92.820000000000007 |
73.44 |
86.7 |
Carle Eureka Hospital |
1331490440 |
MAGNESIUM |
83735 |
0300 |
109 |
109 |
32.699999999999996 |
99.19 |
76.3 |
32.699999999999996 |
99.19 |
78.48 |
92.649999999999991 |
Carle Eureka Hospital |
1331490448 |
MICROALBUMIN-RANDOM URINE |
82043 |
0300 |
122 |
122 |
36.6 |
111.02000000000001 |
85.399999999999991 |
36.6 |
111.02000000000001 |
87.84 |
103.7 |
Carle Eureka Hospital |
1331490453 |
MYOGLOBIN |
83874 |
0300 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
1331490454 |
MYOGLOBIN URINE QUANT |
83874 |
0300 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
1331490467 |
OSMOLALITY SERUM |
83930 |
0300 |
93 |
93 |
27.9 |
84.63000000000001 |
65.099999999999994 |
27.9 |
84.63000000000001 |
66.959999999999994 |
79.05 |
Carle Eureka Hospital |
1331490468 |
OSMOLALITY URINE |
83935 |
0300 |
91 |
91 |
27.3 |
82.81 |
63.699999999999996 |
27.3 |
82.81 |
65.52 |
77.349999999999994 |
Carle Eureka Hospital |
1331490478 |
PERIOD AND VOLUME |
81050 |
0300 |
31 |
31 |
9.2999999999999989 |
28.21 |
21.7 |
9.2999999999999989 |
28.21 |
22.32 |
26.349999999999998 |
Carle Eureka Hospital |
1331490481 |
PG TEST FOR FETAL MATURITY |
84081 |
0300 |
425 |
425 |
127.5 |
386.75 |
297.5 |
127.5 |
386.75 |
306 |
361.25 |
Carle Eureka Hospital |
1331490483 |
PH MISC |
83986 |
0300 |
37 |
37 |
11.1 |
33.67 |
25.9 |
11.1 |
33.67 |
26.64 |
31.45 |
Carle Eureka Hospital |
1331490484 |
PHENOBARBITAL |
80184 |
0300 |
175 |
175 |
52.5 |
159.25 |
122.49999999999999 |
52.5 |
159.25 |
126 |
148.75 |
Carle Eureka Hospital |
1331490486 |
PHENYTOIN DILANTIN |
80185 |
0300 |
130 |
130 |
39 |
118.3 |
91 |
39 |
118.3 |
93.6 |
110.5 |
Carle Eureka Hospital |
1331490490 |
PHOSPHORUS |
84100 |
0300 |
54 |
54 |
16.2 |
49.14 |
37.799999999999997 |
16.2 |
49.14 |
38.879999999999995 |
45.9 |
Carle Eureka Hospital |
1331490506 |
POTASSIUM |
84132 |
0300 |
53 |
53 |
15.899999999999999 |
48.230000000000004 |
37.099999999999994 |
15.899999999999999 |
48.230000000000004 |
38.159999999999997 |
45.05 |
Carle Eureka Hospital |
1331490507 |
POTASSIUM-24HR URINE |
84133 |
0300 |
88 |
88 |
26.4 |
80.08 |
61.599999999999994 |
26.4 |
80.08 |
63.36 |
74.8 |
Carle Eureka Hospital |
1331490508 |
POTASSIUM-RANDOM URINE |
84133 |
0300 |
67 |
67 |
20.099999999999998 |
60.97 |
46.9 |
20.099999999999998 |
60.97 |
48.239999999999995 |
56.949999999999996 |
Carle Eureka Hospital |
1331490509 |
PREALBUMIN TRANSTHYRETIN |
84134 |
0300 |
132 |
132 |
39.6 |
120.12 |
92.399999999999991 |
39.6 |
120.12 |
95.039999999999992 |
112.2 |
Carle Eureka Hospital |
1331490511 |
PREG TEST HCG URINE QUAL |
81025 |
0300 |
76 |
76 |
22.8 |
69.16 |
53.199999999999996 |
22.8 |
69.16 |
54.72 |
64.599999999999994 |
Carle Eureka Hospital |
1331490513 |
PREG TEST-HCG SERUM QUAL |
84703 |
0300 |
84 |
84 |
25.2 |
76.44 |
58.8 |
25.2 |
76.44 |
60.48 |
71.399999999999991 |
Carle Eureka Hospital |
1331490521 |
PROGESTERONE |
84144 |
0300 |
240 |
240 |
72 |
218.4 |
168 |
72 |
218.4 |
172.79999999999998 |
204 |
Carle Eureka Hospital |
1331490524 |
PROLACTIN |
84146 |
0300 |
220 |
220 |
66 |
200.20000000000002 |
154 |
66 |
200.20000000000002 |
158.4 |
187 |
Carle Eureka Hospital |
1331490525 |
PSA DIAGNOSTIC |
84153 |
0300 |
152 |
152 |
45.6 |
138.32 |
106.39999999999999 |
45.6 |
138.32 |
109.44 |
129.19999999999999 |
Carle Eureka Hospital |
1331490526 |
PSA SCREENING |
84153 |
0301 |
152 |
152 |
45.6 |
138.32 |
106.39999999999999 |
45.6 |
138.32 |
109.44 |
129.19999999999999 |
Carle Eureka Hospital |
1331490529 |
PROTEIN-24HR URINE |
84156 |
0300 |
105 |
105 |
31.5 |
95.55 |
73.5 |
31.5 |
95.55 |
75.599999999999994 |
89.25 |
Carle Eureka Hospital |
1331490530 |
PROTEIN-RANDOM URINE |
84156 |
0300 |
87 |
87 |
26.099999999999998 |
79.17 |
60.9 |
26.099999999999998 |
79.17 |
62.64 |
73.95 |
Carle Eureka Hospital |
1331490554 |
RENAL FUNCTION PANEL |
80069 |
0300 |
145 |
145 |
43.5 |
131.95000000000002 |
101.5 |
43.5 |
131.95000000000002 |
104.39999999999999 |
123.25 |
Carle Eureka Hospital |
1331490568 |
RUBELLA ANTIBODY-IGG |
86762 |
0300 |
102 |
102 |
30.599999999999998 |
92.820000000000007 |
71.399999999999991 |
30.599999999999998 |
92.820000000000007 |
73.44 |
86.7 |
Carle Eureka Hospital |
1331490570 |
SALICYLATE |
80329 |
0300 |
160 |
160 |
48 |
145.6 |
112 |
48 |
145.6 |
115.19999999999999 |
136 |
Carle Eureka Hospital |
1331490580 |
SODIUM |
84295 |
0300 |
79 |
79 |
23.7 |
71.89 |
55.3 |
23.7 |
71.89 |
56.879999999999995 |
67.149999999999991 |
Carle Eureka Hospital |
1331490582 |
SODIUM-24HR URINE |
84300 |
0300 |
88 |
88 |
26.4 |
80.08 |
61.599999999999994 |
26.4 |
80.08 |
63.36 |
74.8 |
Carle Eureka Hospital |
1331490583 |
SODIUM-RANDOM URINE |
84300 |
0300 |
72 |
72 |
21.599999999999998 |
65.52 |
50.4 |
21.599999999999998 |
65.52 |
51.839999999999996 |
61.199999999999996 |
Carle Eureka Hospital |
1331490603 |
SYNOVIAL FLUID GLUCOSE |
82945 |
0300 |
83 |
83 |
24.9 |
75.53 |
58.099999999999994 |
24.9 |
75.53 |
59.76 |
70.55 |
Carle Eureka Hospital |
1331490605 |
SYNOVIAL FLUID PROTEIN |
84157 |
0300 |
79 |
79 |
23.7 |
71.89 |
55.3 |
23.7 |
71.89 |
56.879999999999995 |
67.149999999999991 |
Carle Eureka Hospital |
1331490606 |
SYNOVIAL FLUID URIC ACID |
84560 |
0300 |
98 |
98 |
29.4 |
89.18 |
68.599999999999994 |
29.4 |
89.18 |
70.56 |
83.3 |
Carle Eureka Hospital |
1331490607 |
T3 BY RIA |
84480 |
0300 |
110 |
110 |
33 |
100.10000000000001 |
77 |
33 |
100.10000000000001 |
79.2 |
93.5 |
Carle Eureka Hospital |
1331490609 |
T4 - THYROXINE |
84436 |
0300 |
89 |
89 |
26.7 |
80.990000000000009 |
62.3 |
26.7 |
80.990000000000009 |
64.08 |
75.649999999999991 |
Carle Eureka Hospital |
1331490610 |
T4 FREE |
84439 |
0300 |
132 |
132 |
39.6 |
120.12 |
92.399999999999991 |
39.6 |
120.12 |
95.039999999999992 |
112.2 |
Carle Eureka Hospital |
1331490621 |
TOBRAMCIN-TROUGH LEVEL |
80200 |
0300 |
165 |
165 |
49.5 |
150.15 |
115.49999999999999 |
49.5 |
150.15 |
118.8 |
140.25 |
Carle Eureka Hospital |
1331490622 |
TOBRAMYCIN-PEAK LEVEL |
80200 |
0300 |
165 |
165 |
49.5 |
150.15 |
115.49999999999999 |
49.5 |
150.15 |
118.8 |
140.25 |
Carle Eureka Hospital |
1331490623 |
TOBRAMYCIN-RANDOM LEVEL |
80200 |
0300 |
165 |
165 |
49.5 |
150.15 |
115.49999999999999 |
49.5 |
150.15 |
118.8 |
140.25 |
Carle Eureka Hospital |
1331490627 |
TOTAL IRON BINDING CAPACITY |
83550 |
0300 |
82 |
82 |
24.599999999999998 |
74.62 |
57.4 |
24.599999999999998 |
74.62 |
59.04 |
69.7 |
Carle Eureka Hospital |
1331490628 |
TOTAL PROTEIN-SERUM |
84155 |
0300 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
1331490638 |
TRIGLYCERIDES |
84478 |
0300 |
92 |
92 |
27.599999999999998 |
83.72 |
64.399999999999991 |
27.599999999999998 |
83.72 |
66.239999999999995 |
78.2 |
Carle Eureka Hospital |
1331490640 |
TROPONIN I |
84484 |
0300 |
105 |
105 |
31.5 |
95.55 |
73.5 |
31.5 |
95.55 |
75.599999999999994 |
89.25 |
Carle Eureka Hospital |
1331490641 |
TSH THYROID STIMULATING HORM |
84443 |
0300 |
161 |
161 |
48.3 |
146.51 |
112.69999999999999 |
48.3 |
146.51 |
115.92 |
136.85 |
Carle Eureka Hospital |
1331490651 |
UREA NITROGEN-24HR URINE |
84540 |
0300 |
78 |
78 |
23.4 |
70.98 |
54.599999999999994 |
23.4 |
70.98 |
56.16 |
66.3 |
Carle Eureka Hospital |
1331490652 |
URIC ACID |
84550 |
0300 |
69 |
69 |
20.7 |
62.79 |
48.3 |
20.7 |
62.79 |
49.68 |
58.65 |
Carle Eureka Hospital |
1331490653 |
URIC ACID- 24HR URINE |
84560 |
0300 |
98 |
98 |
29.4 |
89.18 |
68.599999999999994 |
29.4 |
89.18 |
70.56 |
83.3 |
Carle Eureka Hospital |
1331490671 |
VALPROIC ACID DEPAKENE |
80164 |
0300 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
1331490672 |
VANCOMYCIN-PEAK LEVEL |
80202 |
0300 |
230 |
230 |
69 |
209.3 |
161 |
69 |
209.3 |
165.6 |
195.5 |
Carle Eureka Hospital |
1331490673 |
VANCOMYCIN-RANDOM LEVEL |
80202 |
0300 |
230 |
230 |
69 |
209.3 |
161 |
69 |
209.3 |
165.6 |
195.5 |
Carle Eureka Hospital |
1331490674 |
VANCOMYCIN-TROUGH LEVEL |
80202 |
0300 |
230 |
230 |
69 |
209.3 |
161 |
69 |
209.3 |
165.6 |
195.5 |
Carle Eureka Hospital |
1331490679 |
VET PANEL |
0300 |
20 |
20 |
6 |
18.2 |
14 |
6 |
18.2 |
14.399999999999999 |
17 |
Carle Eureka Hospital |
1331490683 |
VITAMIN B12 |
82607 |
0300 |
147 |
147 |
44.1 |
133.77000000000001 |
102.89999999999999 |
44.1 |
133.77000000000001 |
105.83999999999999 |
124.95 |
Carle Eureka Hospital |
1331490697 |
B-TYPE NATRIURETIC PEPTIDE |
83880 |
0301 |
265 |
265 |
79.5 |
241.15 |
185.5 |
79.5 |
241.15 |
190.79999999999998 |
225.25 |
Carle Eureka Hospital |
1331490765 |
ANTI NUCLEAR ANTIBODY TITER |
86039 |
0302 |
105 |
105 |
31.5 |
95.55 |
73.5 |
31.5 |
95.55 |
75.599999999999994 |
89.25 |
Carle Eureka Hospital |
1331491048 |
BILIRUBIN CORD |
82247 |
0301 |
75 |
75 |
22.5 |
68.25 |
52.5 |
22.5 |
68.25 |
54 |
63.75 |
Carle Eureka Hospital |
1331491052 |
TOLERANCE TEST ADD GLUCOSE |
82952 |
0301 |
45 |
45 |
13.5 |
40.950000000000003 |
31.499999999999996 |
13.5 |
40.950000000000003 |
32.4 |
38.25 |
Carle Eureka Hospital |
1331491172 |
VITAMIN D 25 HYDORXY |
82306 |
0301 |
145 |
145 |
43.5 |
131.95000000000002 |
101.5 |
43.5 |
131.95000000000002 |
104.39999999999999 |
123.25 |
Carle Eureka Hospital |
1331491388 |
PARATHORMONE (PTH) |
83970 |
0301 |
260 |
260 |
78 |
236.6 |
182 |
78 |
236.6 |
187.2 |
221 |
Carle Eureka Hospital |
1331491525 |
CORTISOL |
82533 |
0300 |
155 |
155 |
46.5 |
141.05000000000001 |
108.5 |
46.5 |
141.05000000000001 |
111.6 |
131.75 |
Carle Eureka Hospital |
1331491526 |
CORTISOL - DST SUPPRESSION |
82533 |
0300 |
155 |
155 |
46.5 |
141.05000000000001 |
108.5 |
46.5 |
141.05000000000001 |
111.6 |
131.75 |
Carle Eureka Hospital |
1331491527 |
ACTH STIMULATION PANEL |
80400 |
0300 |
325 |
325 |
97.5 |
295.75 |
227.49999999999997 |
97.5 |
295.75 |
234 |
276.25 |
Carle Eureka Hospital |
1331491637 |
FETAL FIBRONECTIN |
82731 |
0300 |
670 |
670 |
201 |
609.70000000000005 |
468.99999999999994 |
201 |
609.70000000000005 |
482.4 |
569.5 |
Carle Eureka Hospital |
1331491653 |
ACETAMINOPHEN SCREEN URINE |
80329 |
0300 |
160 |
160 |
48 |
145.6 |
112 |
48 |
145.6 |
115.19999999999999 |
136 |
Carle Eureka Hospital |
1331491667 |
GESTATIONAL GTT 2 HR |
82951 |
0300 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
1331491669 |
ACL COLLECTION FEE |
0300 |
7.4 |
7.4 |
2.2200000000000002 |
6.7340000000000009 |
5.18 |
2.2200000000000002 |
6.7340000000000009 |
5.3280000000000003 |
6.29 |
Carle Eureka Hospital |
1331491693 |
PROCALCITONIN |
84145 |
0301 |
350 |
350 |
105 |
318.5 |
244.99999999999997 |
105 |
318.5 |
252 |
297.5 |
Carle Eureka Hospital |
1331491706 |
GTT ADD GLUCOSE |
82947 |
0300 |
70 |
70 |
21 |
63.7 |
49 |
21 |
63.7 |
50.4 |
59.5 |
Carle Eureka Hospital |
1331491707 |
GLUCOSE TOLERANCE 2 HR |
82950 |
0300 |
56 |
56 |
16.8 |
50.96 |
39.199999999999996 |
16.8 |
50.96 |
40.32 |
47.6 |
Carle Eureka Hospital |
1331491807 |
HIV AG AB |
87806 |
0306 |
103 |
103 |
30.9 |
93.73 |
72.099999999999994 |
30.9 |
93.73 |
74.16 |
87.55 |
Carle Eureka Hospital |
1331491818 |
ACETAMINOPHEN W SALICYLATE |
80329 |
0300 |
184 |
184 |
55.199999999999996 |
167.44 |
128.79999999999998 |
55.199999999999996 |
167.44 |
132.47999999999999 |
156.4 |
Carle Eureka Hospital |
1331491822 |
GLUCOSE BEDSIDE OP SINGLE TEST |
82962 |
0300 |
25 |
25 |
7.5 |
22.75 |
17.5 |
7.5 |
22.75 |
18 |
21.25 |
Carle Eureka Hospital |
1331494836 |
GTT 2 HR 3 SPECIMENS |
82951 |
0300 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
1331690012 |
AEROBE DEFINITIVE ID 1 |
87077 |
0306 |
73 |
73 |
21.9 |
66.430000000000007 |
51.099999999999994 |
21.9 |
66.430000000000007 |
52.559999999999995 |
62.05 |
Carle Eureka Hospital |
1331690013 |
AEROBIC CULTURE |
87070 |
0306 |
136 |
136 |
40.799999999999997 |
123.76 |
95.199999999999989 |
40.799999999999997 |
123.76 |
97.92 |
115.6 |
Carle Eureka Hospital |
1331690041 |
ANAEROBE DEFINITIVE ID |
87076 |
0306 |
110 |
110 |
33 |
100.10000000000001 |
77 |
33 |
100.10000000000001 |
79.2 |
93.5 |
Carle Eureka Hospital |
1331690076 |
BETA LACTAMASE DETECTION |
87185 |
0306 |
49 |
49 |
14.7 |
44.59 |
34.299999999999997 |
14.7 |
44.59 |
35.28 |
41.65 |
Carle Eureka Hospital |
1331690142 |
TOXIGENIC C DIFFICILE |
87493 |
0300 |
255 |
255 |
76.5 |
232.05 |
178.5 |
76.5 |
232.05 |
183.6 |
216.75 |
Carle Eureka Hospital |
1331690147 |
COLD AGGLUTININS |
86157 |
0300 |
76 |
76 |
22.8 |
69.16 |
53.199999999999996 |
22.8 |
69.16 |
54.72 |
64.599999999999994 |
Carle Eureka Hospital |
1331690192 |
CSF FUNGUS CULTURE |
87102 |
0306 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
1331690206 |
CULTURE AFB CULTURE ONLY |
87116 |
0306 |
155 |
155 |
46.5 |
141.05000000000001 |
108.5 |
46.5 |
141.05000000000001 |
111.6 |
131.75 |
Carle Eureka Hospital |
1331690207 |
CULTURE ANAEROBIC |
87075 |
0306 |
141 |
141 |
42.3 |
128.31 |
98.699999999999989 |
42.3 |
128.31 |
101.52 |
119.85 |
Carle Eureka Hospital |
1331690209 |
CULTURE BLOOD |
87040 |
0306 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
1331690210 |
CULTURE BLOOD FUNGUS |
87103 |
0306 |
180 |
180 |
54 |
163.80000000000001 |
125.99999999999999 |
54 |
163.80000000000001 |
129.6 |
153 |
Carle Eureka Hospital |
1331690214 |
CULTURE CATHETER TIP |
87070 |
0306 |
136 |
136 |
40.799999999999997 |
123.76 |
95.199999999999989 |
40.799999999999997 |
123.76 |
97.92 |
115.6 |
Carle Eureka Hospital |
1331690217 |
CULTURE FOR CAMPYLOBACTER |
87046 |
0306 |
86 |
86 |
25.8 |
78.260000000000005 |
60.199999999999996 |
25.8 |
78.260000000000005 |
61.919999999999995 |
73.099999999999994 |
Carle Eureka Hospital |
1331690218 |
CULTURE FOR E.COLI 0157 |
87046 |
0306 |
86 |
86 |
25.8 |
78.260000000000005 |
60.199999999999996 |
25.8 |
78.260000000000005 |
61.919999999999995 |
73.099999999999994 |
Carle Eureka Hospital |
1331690219 |
CULTURE FOR YERSINIA |
87046 |
0306 |
86 |
86 |
25.8 |
78.260000000000005 |
60.199999999999996 |
25.8 |
78.260000000000005 |
61.919999999999995 |
73.099999999999994 |
Carle Eureka Hospital |
1331690220 |
CULTURE FUNGUS |
87102 |
0306 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
1331690221 |
CULTURE FUNGUS SKIN HAIR NAI |
87101 |
0306 |
99 |
99 |
29.7 |
90.09 |
69.3 |
29.7 |
90.09 |
71.28 |
84.149999999999991 |
Carle Eureka Hospital |
1331690225 |
CULTURE MAXILLARY SINUS |
87070 |
0306 |
136 |
136 |
40.799999999999997 |
123.76 |
95.199999999999989 |
40.799999999999997 |
123.76 |
97.92 |
115.6 |
Carle Eureka Hospital |
1331690226 |
CULTURE NOSE/NASOPHARYNGEAL |
87070 |
0306 |
136 |
136 |
40.799999999999997 |
123.76 |
95.199999999999989 |
40.799999999999997 |
123.76 |
97.92 |
115.6 |
Carle Eureka Hospital |
1331690227 |
CULTURE OTHER-SPECIFY SOURCE |
87070 |
0306 |
136 |
136 |
40.799999999999997 |
123.76 |
95.199999999999989 |
40.799999999999997 |
123.76 |
97.92 |
115.6 |
Carle Eureka Hospital |
1331690228 |
CULTURE QUANTITATIVE AEROBIC |
87071 |
0306 |
145 |
145 |
43.5 |
131.95000000000002 |
101.5 |
43.5 |
131.95000000000002 |
104.39999999999999 |
123.25 |
Carle Eureka Hospital |
1331690234 |
CULTURE THROAT |
87070 |
0306 |
136 |
136 |
40.799999999999997 |
123.76 |
95.199999999999989 |
40.799999999999997 |
123.76 |
97.92 |
115.6 |
Carle Eureka Hospital |
1331690235 |
CULTURE THROAT-BETA STREP ONLY |
87081 |
0306 |
96 |
96 |
28.799999999999997 |
87.36 |
67.199999999999989 |
28.799999999999997 |
87.36 |
69.12 |
81.599999999999994 |
Carle Eureka Hospital |
1331690237 |
CULTURE URINE |
87086 |
0300 |
136 |
136 |
40.799999999999997 |
123.76 |
95.199999999999989 |
40.799999999999997 |
123.76 |
97.92 |
115.6 |
Carle Eureka Hospital |
1331690240 |
CULTURE VAGINAL B-STREP ONLY |
87081 |
0306 |
96 |
96 |
28.799999999999997 |
87.36 |
67.199999999999989 |
28.799999999999997 |
87.36 |
69.12 |
81.599999999999994 |
Carle Eureka Hospital |
1331690242 |
CULTURE/SALMONELLA & SHIGELLA |
87045 |
0306 |
140 |
140 |
42 |
127.4 |
98 |
42 |
127.4 |
100.8 |
119 |
Carle Eureka Hospital |
1331690281 |
EXAM FOR CLUE CELLS |
87205 |
0306 |
72 |
72 |
21.599999999999998 |
65.52 |
50.4 |
21.599999999999998 |
65.52 |
51.839999999999996 |
61.199999999999996 |
Carle Eureka Hospital |
1331690282 |
EXAM FOR FUNGUS/YEAST |
87205 |
0306 |
72 |
72 |
21.599999999999998 |
65.52 |
50.4 |
21.599999999999998 |
65.52 |
51.839999999999996 |
61.199999999999996 |
Carle Eureka Hospital |
1331690283 |
EXAM FOR TRICHOMONAS |
87210 |
0306 |
99 |
99 |
29.7 |
90.09 |
69.3 |
29.7 |
90.09 |
71.28 |
84.149999999999991 |
Carle Eureka Hospital |
1331690285 |
EYEBANK CULTURE |
87070 |
0306 |
136 |
136 |
40.799999999999997 |
123.76 |
95.199999999999989 |
40.799999999999997 |
123.76 |
97.92 |
115.6 |
Carle Eureka Hospital |
1331690318 |
GC SMEAR ONLY |
87205 |
0306 |
65 |
65 |
19.5 |
59.15 |
45.5 |
19.5 |
59.15 |
46.8 |
55.25 |
Carle Eureka Hospital |
1331690336 |
GRAM SMEAR |
87205 |
0306 |
72 |
72 |
21.599999999999998 |
65.52 |
50.4 |
21.599999999999998 |
65.52 |
51.839999999999996 |
61.199999999999996 |
Carle Eureka Hospital |
1331690376 |
HOMOGENIZATION TISSUE CULTURE |
87176 |
0306 |
55 |
55 |
16.5 |
50.050000000000004 |
38.5 |
16.5 |
50.050000000000004 |
39.6 |
46.75 |
Carle Eureka Hospital |
1331690379 |
IDENTIFICATION OF FUNGUS |
87107 |
0306 |
120 |
120 |
36 |
109.2 |
84 |
36 |
109.2 |
86.399999999999991 |
102 |
Carle Eureka Hospital |
1331690401 |
KOH EXAM OF SKIN HAIR NAILS |
87220 |
0306 |
86 |
86 |
25.8 |
78.260000000000005 |
60.199999999999996 |
25.8 |
78.260000000000005 |
61.919999999999995 |
73.099999999999994 |
Carle Eureka Hospital |
1331690450 |
MONO TEST |
86308 |
0302 |
93 |
93 |
27.9 |
84.63000000000001 |
65.099999999999994 |
27.9 |
84.63000000000001 |
66.959999999999994 |
79.05 |
Carle Eureka Hospital |
1331690460 |
NEONATAL SCREEN |
84030 |
0300 |
130 |
130 |
39 |
118.3 |
91 |
39 |
118.3 |
93.6 |
110.5 |
Carle Eureka Hospital |
1331690463 |
OCCULT BLOOD FECES QUALITATIVE |
82270 |
0300 |
42 |
42 |
12.6 |
38.22 |
29.4 |
12.6 |
38.22 |
30.24 |
35.699999999999996 |
Carle Eureka Hospital |
1331690539 |
RAPID SCREEN FOR GROUP A STREP |
87430 |
0300 |
135 |
135 |
40.5 |
122.85000000000001 |
94.5 |
40.5 |
122.85000000000001 |
97.2 |
114.75 |
Carle Eureka Hospital |
1331690556 |
REPEAT NEONATAL SCREEN |
84030 |
0300 |
130 |
130 |
39 |
118.3 |
91 |
39 |
118.3 |
93.6 |
110.5 |
Carle Eureka Hospital |
1331690557 |
RESPIRATORY SYNCYTIAL VIRUS |
87420 |
0300 |
170 |
170 |
51 |
154.70000000000002 |
118.99999999999999 |
51 |
154.70000000000002 |
122.39999999999999 |
144.5 |
Carle Eureka Hospital |
1331690565 |
ROTAVIRUS IN FECES |
87425 |
0300 |
160 |
160 |
48 |
145.6 |
112 |
48 |
145.6 |
115.19999999999999 |
136 |
Carle Eureka Hospital |
1331690566 |
RPR TEST |
86592 |
0300 |
68 |
68 |
20.399999999999999 |
61.88 |
47.599999999999994 |
20.399999999999999 |
61.88 |
48.96 |
57.8 |
Carle Eureka Hospital |
1331690579 |
SMEAR FOR ACID FAST BACILLI |
87206 |
0306 |
75 |
75 |
22.5 |
68.25 |
52.5 |
22.5 |
68.25 |
54 |
63.75 |
Carle Eureka Hospital |
1331690596 |
SUSCEPTIBILITY KB |
87184 |
0306 |
87 |
87 |
26.099999999999998 |
79.17 |
60.9 |
26.099999999999998 |
79.17 |
62.64 |
73.95 |
Carle Eureka Hospital |
1331690597 |
SUSCEPTIBILITY MIC |
87186 |
0306 |
109 |
109 |
32.699999999999996 |
99.19 |
76.3 |
32.699999999999996 |
99.19 |
78.48 |
92.649999999999991 |
Carle Eureka Hospital |
1331690660 |
ISOLATION AND ID, URINE |
87088 |
0306 |
75 |
75 |
22.5 |
68.25 |
52.5 |
22.5 |
68.25 |
54 |
63.75 |
Carle Eureka Hospital |
1331690691 |
EXAM FOR TRICH CLUE & FUNGUS |
87210 |
0300 |
74 |
74 |
22.2 |
67.34 |
51.8 |
22.2 |
67.34 |
53.28 |
62.9 |
Carle Eureka Hospital |
1331690693 |
YEAST DEFINITIVE ID |
87106 |
0306 |
97 |
97 |
29.099999999999998 |
88.27 |
67.899999999999991 |
29.099999999999998 |
88.27 |
69.84 |
82.45 |
Carle Eureka Hospital |
1331691013 |
SPECIFIC ORGANISM CULTURE |
87081 |
0306 |
96 |
96 |
28.799999999999997 |
87.36 |
67.199999999999989 |
28.799999999999997 |
87.36 |
69.12 |
81.599999999999994 |
Carle Eureka Hospital |
1331691014 |
BETA LACTAMASE DETECTION 2 |
87185 |
0306 |
49 |
49 |
14.7 |
44.59 |
34.299999999999997 |
14.7 |
44.59 |
35.28 |
41.65 |
Carle Eureka Hospital |
1331691015 |
YEAST DEFINITIVE ID 2 |
87106 |
0306 |
97 |
97 |
29.099999999999998 |
88.27 |
67.899999999999991 |
29.099999999999998 |
88.27 |
69.84 |
82.45 |
Carle Eureka Hospital |
1331691016 |
IDENTIFICATION OF FUNGUS-MOLD2 |
8707759 |
0306 |
61 |
61 |
18.3 |
55.510000000000005 |
42.699999999999996 |
18.3 |
55.510000000000005 |
43.92 |
51.85 |
Carle Eureka Hospital |
1331691017 |
RAPID HIV FROM SOURCE |
87806 |
0302 |
215 |
215 |
64.5 |
195.65 |
150.5 |
64.5 |
195.65 |
154.79999999999998 |
182.75 |
Carle Eureka Hospital |
1331691018 |
ANAEROBE DEFINITIVE ID 2 |
87076 |
0306 |
110 |
110 |
33 |
100.10000000000001 |
77 |
33 |
100.10000000000001 |
79.2 |
93.5 |
Carle Eureka Hospital |
1331691019 |
ANAEROBE DEFINITIVE ID 3 |
87076 |
0306 |
110 |
110 |
33 |
100.10000000000001 |
77 |
33 |
100.10000000000001 |
79.2 |
93.5 |
Carle Eureka Hospital |
1331691020 |
AEROBE DEFINITIVE ID 2 |
87077 |
0306 |
73 |
73 |
21.9 |
66.430000000000007 |
51.099999999999994 |
21.9 |
66.430000000000007 |
52.559999999999995 |
62.05 |
Carle Eureka Hospital |
1331691021 |
AEROBE DEFINITIVE ID 3 |
87077 |
0306 |
73 |
73 |
21.9 |
66.430000000000007 |
51.099999999999994 |
21.9 |
66.430000000000007 |
52.559999999999995 |
62.05 |
Carle Eureka Hospital |
1331691060 |
VET SUSCEPTIBILITY |
0306 |
21 |
21 |
6.3 |
19.11 |
14.7 |
6.3 |
19.11 |
15.12 |
17.849999999999998 |
Carle Eureka Hospital |
1331691190 |
GRAM NEGATIVE MIC |
87186 |
0306 |
109 |
109 |
32.699999999999996 |
99.19 |
76.3 |
32.699999999999996 |
99.19 |
78.48 |
92.649999999999991 |
Carle Eureka Hospital |
1331691256 |
GRAM POSITIVE MIC |
87186 |
0306 |
109 |
109 |
32.699999999999996 |
99.19 |
76.3 |
32.699999999999996 |
99.19 |
78.48 |
92.649999999999991 |
Carle Eureka Hospital |
1331691485 |
INFLUENZA A |
87276 |
0302 |
110 |
110 |
33 |
100.10000000000001 |
77 |
33 |
100.10000000000001 |
79.2 |
93.5 |
Carle Eureka Hospital |
1331691486 |
INFLUENZA B |
87275 |
0302 |
110 |
110 |
33 |
100.10000000000001 |
77 |
33 |
100.10000000000001 |
79.2 |
93.5 |
Carle Eureka Hospital |
1331691559 |
CONCENTRATION FOR INFCT AGENTS |
87015 |
0306 |
63 |
63 |
18.899999999999999 |
57.330000000000005 |
44.099999999999994 |
18.899999999999999 |
57.330000000000005 |
45.36 |
53.55 |
Carle Eureka Hospital |
1331691565 |
RAPID MRSA |
87641 |
0306 |
290 |
290 |
87 |
263.90000000000003 |
203 |
87 |
263.90000000000003 |
208.79999999999998 |
246.5 |
Carle Eureka Hospital |
1331691660 |
SHIGA TOXIN 1 |
87427 |
0306 |
110 |
110 |
33 |
100.10000000000001 |
77 |
33 |
100.10000000000001 |
79.2 |
93.5 |
Carle Eureka Hospital |
1331691661 |
SHIGA TOXIN 2 |
87427 |
0306 |
110 |
110 |
33 |
100.10000000000001 |
77 |
33 |
100.10000000000001 |
79.2 |
93.5 |
Carle Eureka Hospital |
1331691666 |
CULTURE FOR E COLI 0157 |
87046 |
0306 |
86 |
86 |
25.8 |
78.260000000000005 |
60.199999999999996 |
25.8 |
78.260000000000005 |
61.919999999999995 |
73.099999999999994 |
Carle Eureka Hospital |
1331691670 |
CAMPYLOBACTER ANTIGEN |
87899 |
0306 |
110 |
110 |
33 |
100.10000000000001 |
77 |
33 |
100.10000000000001 |
79.2 |
93.5 |
Carle Eureka Hospital |
1331691705 |
PRE OP NASAL MRSA |
87641 |
0306 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
1331691711 |
STREPTOCOCCUS GROUP A PROBE |
87651 |
0300 |
170 |
170 |
51 |
154.70000000000002 |
118.99999999999999 |
51 |
154.70000000000002 |
122.39999999999999 |
144.5 |
Carle Eureka Hospital |
1331691733 |
STREPT PNEUM URINARY ANTIGEN |
87899 |
0300 |
110 |
110 |
33 |
100.10000000000001 |
77 |
33 |
100.10000000000001 |
79.2 |
93.5 |
Carle Eureka Hospital |
1331691734 |
LEGIONELLA PNEUM URINE ANTIGEN |
87899 |
0300 |
110 |
110 |
33 |
100.10000000000001 |
77 |
33 |
100.10000000000001 |
79.2 |
93.5 |
Carle Eureka Hospital |
1331691796 |
CHLAMYDIA CT/NG |
87491 |
0302 |
144 |
144 |
43.199999999999996 |
131.04 |
100.8 |
43.199999999999996 |
131.04 |
103.67999999999999 |
122.39999999999999 |
Carle Eureka Hospital |
1331691797 |
NEISSERIA GONORRHOEA CT/NG |
87591 |
0302 |
144 |
144 |
43.199999999999996 |
131.04 |
100.8 |
43.199999999999996 |
131.04 |
103.67999999999999 |
122.39999999999999 |
Carle Eureka Hospital |
1331694836 |
COVID 19 NON CDC |
87635 |
0300 |
153 |
153 |
45.9 |
139.23000000000002 |
107.1 |
45.9 |
139.23000000000002 |
110.16 |
130.04999999999998 |
Carle Eureka Hospital |
1331694837 |
CARBAPENEMASE ENZYME EACH |
87185 |
0306 |
49 |
49 |
14.7 |
44.59 |
34.299999999999997 |
14.7 |
44.59 |
35.28 |
41.65 |
Carle Eureka Hospital |
1331694839 |
SARS COV 2 IGG ANTIBODY |
86769 |
0302 |
73 |
73 |
21.9 |
66.430000000000007 |
51.099999999999994 |
21.9 |
66.430000000000007 |
52.559999999999995 |
62.05 |
Carle Eureka Hospital |
1331790099 |
BODY FLUID CYTOLOGY |
88104 |
0311 |
215 |
215 |
64.5 |
195.65 |
150.5 |
64.5 |
195.65 |
154.79999999999998 |
182.75 |
Carle Eureka Hospital |
1331790101 |
BONE MARROW STUDY ONLY |
88305 |
0300 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
1331790126 |
CELL BLOCK |
88305 |
0310 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
1331790245 |
CYTOLOGY SMEARS ANY SOURCE |
88161 |
0311 |
235 |
235 |
70.5 |
213.85 |
164.5 |
70.5 |
213.85 |
169.2 |
199.75 |
Carle Eureka Hospital |
1331790246 |
CYTOMEGALIC INCLUSION BODIES |
87207 |
0300 |
190 |
190 |
57 |
172.9 |
133 |
57 |
172.9 |
136.79999999999998 |
161.5 |
Carle Eureka Hospital |
1331790248 |
DARK FIELD EXAMINATION |
87164 |
0300 |
140 |
140 |
42 |
127.4 |
98 |
42 |
127.4 |
100.8 |
119 |
Carle Eureka Hospital |
1331790278 |
ESTROGEN RECEPTOR OR ASSAY |
84233 |
0300 |
230 |
230 |
69 |
209.3 |
161 |
69 |
209.3 |
165.6 |
195.5 |
Carle Eureka Hospital |
1331790310 |
FROZEN SECTION 1 |
88331 |
0312 |
710 |
710 |
213 |
646.1 |
496.99999999999994 |
213 |
646.1 |
511.2 |
603.5 |
Carle Eureka Hospital |
1331790311 |
FROZEN SECTION EACH ADDITIONAL |
88332 |
0310 |
380 |
380 |
114 |
345.8 |
266 |
114 |
345.8 |
273.59999999999997 |
323 |
Carle Eureka Hospital |
1331790338 |
H AND E SLIDE PREPARATION |
88399 |
0300 |
61 |
61 |
18.3 |
55.510000000000005 |
42.699999999999996 |
18.3 |
55.510000000000005 |
43.92 |
51.85 |
Carle Eureka Hospital |
1331790369 |
HISTOCHEMISTRY OR CYTOCHEM |
88319 |
0310 |
550 |
550 |
165 |
500.5 |
385 |
165 |
500.5 |
396 |
467.5 |
Carle Eureka Hospital |
1331790377 |
HORMONE RECEPTOR ASSAY |
84233 |
0300 |
485 |
485 |
145.5 |
441.35 |
339.5 |
145.5 |
441.35 |
349.2 |
412.25 |
Carle Eureka Hospital |
1331790382 |
IMMUNOCYTOCHEMISTRY INITIAL |
88342 |
0310 |
244 |
244 |
73.2 |
222.04000000000002 |
170.79999999999998 |
73.2 |
222.04000000000002 |
175.68 |
207.4 |
Carle Eureka Hospital |
1331790417 |
LEUKOCYTE ALKALINE PHOS STAIN |
85540 |
0300 |
96 |
96 |
28.799999999999997 |
87.36 |
67.199999999999989 |
28.799999999999997 |
87.36 |
69.12 |
81.599999999999994 |
Carle Eureka Hospital |
1331790424 |
LEVEL I SURG PATH GROSS ONLY |
88300 |
0310 |
145 |
145 |
43.5 |
131.95000000000002 |
101.5 |
43.5 |
131.95000000000002 |
104.39999999999999 |
123.25 |
Carle Eureka Hospital |
1331790425 |
LEVEL II SURG PATH GROSS & MIC |
88302 |
0310 |
195 |
195 |
58.5 |
177.45000000000002 |
136.5 |
58.5 |
177.45000000000002 |
140.4 |
165.75 |
Carle Eureka Hospital |
1331790426 |
LEVEL III SURG PATH GROSS & MI |
88304 |
0310 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
1331790427 |
LEVEL IV SURG PATH GROSS & MIC |
88305 |
0310 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
1331790428 |
LEVEL V SURG PATH GROSS & MIC |
88307 |
0310 |
1215 |
1215 |
364.5 |
1105.6500000000001 |
850.5 |
364.5 |
1105.6500000000001 |
874.8 |
1032.75 |
Carle Eureka Hospital |
1331790429 |
LEVEL VI SURG PATH GROSS & MIC |
88309 |
0310 |
1295 |
1295 |
388.5 |
1178.45 |
906.49999999999989 |
388.5 |
1178.45 |
932.4 |
1100.75 |
Carle Eureka Hospital |
1331790475 |
PATH CONSULT DURING SURGERY |
88329 |
0310 |
200 |
200 |
60 |
182 |
140 |
60 |
182 |
144 |
170 |
Carle Eureka Hospital |
1331790476 |
PATH CONSULTATION-AFIP |
88323 |
0312 |
710 |
710 |
213 |
646.1 |
496.99999999999994 |
213 |
646.1 |
511.2 |
603.5 |
Carle Eureka Hospital |
1331790477 |
PATH CONSULTATION-MAYO CLINIC |
88325 |
0312 |
460 |
460 |
138 |
418.6 |
322 |
138 |
418.6 |
331.2 |
391 |
Carle Eureka Hospital |
1331790523 |
PROGESTERONE RECEPTOR ASSAY |
84234 |
0300 |
420 |
420 |
126 |
382.2 |
294 |
126 |
382.2 |
302.39999999999998 |
357 |
Carle Eureka Hospital |
1331790536 |
QUANTITATIVE IRON LIVER TISSUE |
83540 |
0301 |
122 |
122 |
36.6 |
111.02000000000001 |
85.399999999999991 |
36.6 |
111.02000000000001 |
87.84 |
103.7 |
Carle Eureka Hospital |
1331790584 |
SPECIAL STAIN BY MAYO INITIAL |
88342 |
0312 |
480 |
480 |
144 |
436.8 |
336 |
144 |
436.8 |
345.59999999999997 |
408 |
Carle Eureka Hospital |
1331790585 |
SPECIAL STAIN GROUP 1 |
88312 |
0312 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
1331790586 |
SPECIAL STAIN GROUP 2 |
88313 |
0312 |
235 |
235 |
70.5 |
213.85 |
164.5 |
70.5 |
213.85 |
169.2 |
199.75 |
Carle Eureka Hospital |
1331790587 |
SPECIAL STAIN HISTO GRP II |
88313 |
0310 |
235 |
235 |
70.5 |
213.85 |
164.5 |
70.5 |
213.85 |
169.2 |
199.75 |
Carle Eureka Hospital |
1331790591 |
SPUTUM FOR CYTO |
88162 |
0311 |
295 |
295 |
88.5 |
268.45 |
206.5 |
88.5 |
268.45 |
212.4 |
250.75 |
Carle Eureka Hospital |
1331790619 |
TISSUE DECALCIFICATION |
88311 |
0312 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
1331790650 |
TZANCK TEST FOR VIRAL INCLUSIO |
87207 |
0300 |
190 |
190 |
57 |
172.9 |
133 |
57 |
172.9 |
136.79999999999998 |
161.5 |
Carle Eureka Hospital |
1331791024 |
PATH CONSULTATION LOYOLA |
88325 |
0310 |
585 |
585 |
175.5 |
532.35 |
409.5 |
175.5 |
532.35 |
421.2 |
497.25 |
Carle Eureka Hospital |
1331791025 |
PATH CONSULTATION AFIP |
88325 |
0310 |
460 |
460 |
138 |
418.6 |
322 |
138 |
418.6 |
331.2 |
391 |
Carle Eureka Hospital |
1331791026 |
PATH CONSULT MAYO COMPREHENSIV |
88325 |
0310 |
460 |
460 |
138 |
418.6 |
322 |
138 |
418.6 |
331.2 |
391 |
Carle Eureka Hospital |
1331791027 |
PATH CONSULTATION MAYO |
88321 |
0310 |
480 |
480 |
144 |
436.8 |
336 |
144 |
436.8 |
345.59999999999997 |
408 |
Carle Eureka Hospital |
1331791030 |
MUSCLE BIOPSY TO ST FRANCIS |
99001 |
0300 |
110 |
110 |
33 |
100.10000000000001 |
77 |
33 |
100.10000000000001 |
79.2 |
93.5 |
Carle Eureka Hospital |
1331791483 |
IMMUNO STAIN ADDITIONAL BRMC |
88341 |
0310 |
198 |
198 |
59.4 |
180.18 |
138.6 |
59.4 |
180.18 |
142.56 |
168.29999999999998 |
Carle Eureka Hospital |
1331791691 |
FNA PATHOLOGIST EVALUATION |
88172 |
0311 |
410 |
410 |
123 |
373.1 |
287 |
123 |
373.1 |
295.2 |
348.5 |
Carle Eureka Hospital |
1331791692 |
FNA ADDITIONAL EVALUATION |
88177 |
0311 |
265 |
265 |
79.5 |
241.15 |
185.5 |
79.5 |
241.15 |
190.79999999999998 |
225.25 |
Carle Eureka Hospital |
1331791694 |
FNA EVAL INT AND REPORT |
88173 |
0311 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
1331791710 |
PATH CONSLT WSLIDEPREP BY MAYO |
88323 |
0312 |
710 |
710 |
213 |
646.1 |
496.99999999999994 |
213 |
646.1 |
511.2 |
603.5 |
Carle Eureka Hospital |
1331791735 |
INTRAOPERATIV TOUCH PREP FIRST |
88333 |
0312 |
1070 |
1070 |
321 |
973.7 |
749 |
321 |
973.7 |
770.4 |
909.5 |
Carle Eureka Hospital |
1331791736 |
INTRAOPERATIV TOUCH PREP EA AD |
88334 |
0312 |
325 |
325 |
97.5 |
295.75 |
227.49999999999997 |
97.5 |
295.75 |
234 |
276.25 |
Carle Eureka Hospital |
1331890000 |
17-HYDROXYPROGESTERONE |
83498 |
0300 |
255 |
255 |
76.5 |
232.05 |
178.5 |
76.5 |
232.05 |
183.6 |
216.75 |
Carle Eureka Hospital |
1331890001 |
5-HIAA 24HR URINE |
83497 |
0300 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
1331890008 |
ACETYLCHOLINE RECEPTOR AB |
84238 |
0300 |
310 |
310 |
93 |
282.10000000000002 |
217 |
93 |
282.10000000000002 |
223.2 |
263.5 |
Carle Eureka Hospital |
1331890009 |
ACID PHOSPHATASE PROSTATIC |
84066 |
0300 |
100 |
100 |
30 |
91 |
70 |
30 |
91 |
72 |
85 |
Carle Eureka Hospital |
1331890011 |
ADRENOCORTICOTROPIC HORMONE |
82024 |
0300 |
215 |
215 |
64.5 |
195.65 |
150.5 |
64.5 |
195.65 |
154.79999999999998 |
182.75 |
Carle Eureka Hospital |
1331890018 |
ALDOLASE |
82085 |
0300 |
116 |
116 |
34.799999999999997 |
105.56 |
81.199999999999989 |
34.799999999999997 |
105.56 |
83.52 |
98.6 |
Carle Eureka Hospital |
1331890019 |
ALDOSTERONE |
82088 |
0300 |
360 |
360 |
108 |
327.60000000000002 |
251.99999999999997 |
108 |
327.60000000000002 |
259.2 |
306 |
Carle Eureka Hospital |
1331890022 |
ALKALINE PHOSPHATASE ISOENZYME |
84080 |
0300 |
140 |
140 |
42 |
127.4 |
98 |
42 |
127.4 |
100.8 |
119 |
Carle Eureka Hospital |
1331890023 |
ALPHA-1-ANTITRYPSIN |
82103 |
0300 |
155 |
155 |
46.5 |
141.05000000000001 |
108.5 |
46.5 |
141.05000000000001 |
111.6 |
131.75 |
Carle Eureka Hospital |
1331890024 |
ALPHAFETOPROTEIN MATERNAL |
82105 |
0300 |
190 |
190 |
57 |
172.9 |
133 |
57 |
172.9 |
136.79999999999998 |
161.5 |
Carle Eureka Hospital |
1331890025 |
ALPHAFETOPROTEIN TUMOR MARKER |
82105 |
0300 |
190 |
190 |
57 |
172.9 |
133 |
57 |
172.9 |
136.79999999999998 |
161.5 |
Carle Eureka Hospital |
1331890026 |
ALPRAZOLAM |
80346 |
0300 |
205 |
205 |
61.5 |
186.55 |
143.5 |
61.5 |
186.55 |
147.6 |
174.25 |
Carle Eureka Hospital |
1331890027 |
RMSF IGG (FEB) |
86757 |
0302 |
95 |
95 |
28.5 |
86.45 |
66.5 |
28.5 |
86.45 |
68.399999999999991 |
80.75 |
Carle Eureka Hospital |
1331890028 |
AMIKACIN RANDOM |
80150 |
0300 |
555 |
555 |
166.5 |
505.05 |
388.5 |
166.5 |
505.05 |
399.59999999999997 |
471.75 |
Carle Eureka Hospital |
1331890029 |
AMIKACIN PEAK |
80150 |
0300 |
410 |
410 |
123 |
373.1 |
287 |
123 |
373.1 |
295.2 |
348.5 |
Carle Eureka Hospital |
1331890030 |
AMIKACIN RANDOM |
80150 |
0300 |
555 |
555 |
166.5 |
505.05 |
388.5 |
166.5 |
505.05 |
399.59999999999997 |
471.75 |
Carle Eureka Hospital |
1331890031 |
AMIKACIN TROUGH |
80150 |
0300 |
555 |
555 |
166.5 |
505.05 |
388.5 |
166.5 |
505.05 |
399.59999999999997 |
471.75 |
Carle Eureka Hospital |
1331890033 |
AMINOLEVULINIC ACID 24HR URINE |
82135 |
0300 |
185 |
185 |
55.5 |
168.35 |
129.5 |
55.5 |
168.35 |
133.19999999999999 |
157.25 |
Carle Eureka Hospital |
1331890034 |
AMITRIPTYLINE ELAVIL |
80335 |
0300 |
215 |
215 |
64.5 |
195.65 |
150.5 |
64.5 |
195.65 |
154.79999999999998 |
182.75 |
Carle Eureka Hospital |
1331890035 |
AMMONIA PLASMA |
82140 |
0300 |
135 |
135 |
40.5 |
122.85000000000001 |
94.5 |
40.5 |
122.85000000000001 |
97.2 |
114.75 |
Carle Eureka Hospital |
1331890038 |
AMYLASE 24HR URINE |
82150 |
0300 |
135 |
135 |
40.5 |
122.85000000000001 |
94.5 |
40.5 |
122.85000000000001 |
97.2 |
114.75 |
Carle Eureka Hospital |
1331890039 |
AMYLASE URINE RANDOM |
82150 |
0300 |
130 |
130 |
39 |
118.3 |
91 |
39 |
118.3 |
93.6 |
110.5 |
Carle Eureka Hospital |
1331890043 |
ANGIOTENSIN 1 CONVERTING ENZ |
82164 |
0300 |
135 |
135 |
40.5 |
122.85000000000001 |
94.5 |
40.5 |
122.85000000000001 |
97.2 |
114.75 |
Carle Eureka Hospital |
1331890055 |
ANTI-DNA ANTIBODY |
86225 |
0300 |
145 |
145 |
43.5 |
131.95000000000002 |
101.5 |
43.5 |
131.95000000000002 |
104.39999999999999 |
123.25 |
Carle Eureka Hospital |
1331890058 |
ANTI-MICROSOMAL ANTIBODY |
86376 |
0300 |
111 |
111 |
33.299999999999997 |
101.01 |
77.699999999999989 |
33.299999999999997 |
101.01 |
79.92 |
94.35 |
Carle Eureka Hospital |
1331890059 |
ANTI-MITOCHONDRIAL ANTIBODY |
86255 |
0300 |
157 |
157 |
47.1 |
142.87 |
109.89999999999999 |
47.1 |
142.87 |
113.03999999999999 |
133.44999999999999 |
Carle Eureka Hospital |
1331890060 |
ANTINUCLEAR ANTIBODY-ANA |
86038 |
0300 |
109 |
109 |
32.699999999999996 |
99.19 |
76.3 |
32.699999999999996 |
99.19 |
78.48 |
92.649999999999991 |
Carle Eureka Hospital |
1331890061 |
ANTI-PLATELET ANTIBODY |
86023 |
0300 |
275 |
275 |
82.5 |
250.25 |
192.5 |
82.5 |
250.25 |
198 |
233.75 |
Carle Eureka Hospital |
1331890062 |
ANTI-SMOOTH MUSCLE ANTIBODY |
86255 |
0300 |
167 |
167 |
50.1 |
151.97 |
116.89999999999999 |
50.1 |
151.97 |
120.24 |
141.94999999999999 |
Carle Eureka Hospital |
1331890063 |
ANTISTREPTOLYSIN O TITER-ASO |
86060 |
0300 |
105 |
105 |
31.5 |
95.55 |
73.5 |
31.5 |
95.55 |
75.599999999999994 |
89.25 |
Carle Eureka Hospital |
1331890064 |
ANTITHROMBIN III |
85300 |
0300 |
185 |
185 |
55.5 |
168.35 |
129.5 |
55.5 |
168.35 |
133.19999999999999 |
157.25 |
Carle Eureka Hospital |
1331890077 |
BETA-2 MICROGLOBULIN |
82232 |
0301 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
1331890079 |
BETA-HCG TUMORMARKER |
84702 |
0301 |
175 |
175 |
52.5 |
159.25 |
122.49999999999999 |
52.5 |
159.25 |
126 |
148.75 |
Carle Eureka Hospital |
1331890086 |
BLASTOMYCES ANTIBODY |
86612 |
0300 |
120 |
120 |
36 |
109.2 |
84 |
36 |
109.2 |
86.399999999999991 |
102 |
Carle Eureka Hospital |
1331890104 |
CA 125 |
86304 |
0300 |
240 |
240 |
72 |
218.4 |
168 |
72 |
218.4 |
172.79999999999998 |
204 |
Carle Eureka Hospital |
1331890105 |
CA 19-9 |
86301 |
0300 |
195 |
195 |
58.5 |
177.45000000000002 |
136.5 |
58.5 |
177.45000000000002 |
140.4 |
165.75 |
Carle Eureka Hospital |
1331890106 |
CA 2729 |
86300 |
0300 |
240 |
240 |
72 |
218.4 |
168 |
72 |
218.4 |
172.79999999999998 |
204 |
Carle Eureka Hospital |
1331890107 |
CALCITONIN |
82308 |
0300 |
240 |
240 |
72 |
218.4 |
168 |
72 |
218.4 |
172.79999999999998 |
204 |
Carle Eureka Hospital |
1331890109 |
CALCIUM IONIZED |
82330 |
0300 |
155 |
155 |
46.5 |
141.05000000000001 |
108.5 |
46.5 |
141.05000000000001 |
111.6 |
131.75 |
Carle Eureka Hospital |
1331890110 |
CALCIUM-24HR URINE |
82340 |
0300 |
110 |
110 |
33 |
100.10000000000001 |
77 |
33 |
100.10000000000001 |
79.2 |
93.5 |
Carle Eureka Hospital |
1331890112 |
CALCIUM-URINE RANDOM |
82340 |
0300 |
145 |
145 |
43.5 |
131.95000000000002 |
101.5 |
43.5 |
131.95000000000002 |
104.39999999999999 |
123.25 |
Carle Eureka Hospital |
1331890120 |
CATECHOLAMINES 24HR URINE |
82384 |
0300 |
290 |
290 |
87 |
263.90000000000003 |
203 |
87 |
263.90000000000003 |
208.79999999999998 |
246.5 |
Carle Eureka Hospital |
1331890125 |
CEA-CARCINO EMBRYONIC ANTIGEN |
82378 |
0300 |
180 |
180 |
54 |
163.80000000000001 |
125.99999999999999 |
54 |
163.80000000000001 |
129.6 |
153 |
Carle Eureka Hospital |
1331890128 |
CERULOPLASMIN |
82390 |
0300 |
125 |
125 |
37.5 |
113.75 |
87.5 |
37.5 |
113.75 |
90 |
106.25 |
Carle Eureka Hospital |
1331890132 |
CHLORIDE URINE RANDOM |
82436 |
0300 |
125 |
125 |
37.5 |
113.75 |
87.5 |
37.5 |
113.75 |
90 |
106.25 |
Carle Eureka Hospital |
1331890133 |
CHLORIDE-24HR URINE |
82436 |
0300 |
125 |
125 |
37.5 |
113.75 |
87.5 |
37.5 |
113.75 |
90 |
106.25 |
Carle Eureka Hospital |
1331890135 |
CHOLINESTERASE - PLASMA |
82480 |
0300 |
82 |
82 |
24.599999999999998 |
74.62 |
57.4 |
24.599999999999998 |
74.62 |
59.04 |
69.7 |
Carle Eureka Hospital |
1331890138 |
CITRIC ACID-24HR URINE |
82507 |
0301 |
120 |
120 |
36 |
109.2 |
84 |
36 |
109.2 |
86.399999999999991 |
102 |
Carle Eureka Hospital |
1331890141 |
CLOMIPRAMINE ANAFRANIL |
80335 |
0300 |
215 |
215 |
64.5 |
195.65 |
150.5 |
64.5 |
195.65 |
154.79999999999998 |
182.75 |
Carle Eureka Hospital |
1331890151 |
COMPLEMENT C3 |
86160 |
0300 |
115 |
115 |
34.5 |
104.65 |
80.5 |
34.5 |
104.65 |
82.8 |
97.75 |
Carle Eureka Hospital |
1331890153 |
COMPLEMENT C4 |
86160 |
0300 |
115 |
115 |
34.5 |
104.65 |
80.5 |
34.5 |
104.65 |
82.8 |
97.75 |
Carle Eureka Hospital |
1331890154 |
COMPLEMENT TOTAL |
86162 |
0300 |
190 |
190 |
57 |
172.9 |
133 |
57 |
172.9 |
136.79999999999998 |
161.5 |
Carle Eureka Hospital |
1331890162 |
CORTISOL-URINE FREE BY HPLC |
82530 |
0301 |
155 |
155 |
46.5 |
141.05000000000001 |
108.5 |
46.5 |
141.05000000000001 |
111.6 |
131.75 |
Carle Eureka Hospital |
1331890177 |
CRYOGLOBULIN |
82595 |
0300 |
115 |
115 |
34.5 |
104.65 |
80.5 |
34.5 |
104.65 |
82.8 |
97.75 |
Carle Eureka Hospital |
1331890180 |
CRYPTOCOCCAL ANTIGEN CSF |
87327 |
0300 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
1331890181 |
CRYPTOSPORIDIUM FECES |
87272 |
0300 |
110 |
110 |
33 |
100.10000000000001 |
77 |
33 |
100.10000000000001 |
79.2 |
93.5 |
Carle Eureka Hospital |
1331890194 |
CSF IGG ALBUMIN INDEX |
82784 |
0300 |
131 |
131 |
39.299999999999997 |
119.21000000000001 |
91.699999999999989 |
39.299999999999997 |
119.21000000000001 |
94.32 |
111.35 |
Carle Eureka Hospital |
1331890200 |
CSF OLIGOCLONAL BANDS |
83916 |
0300 |
230 |
230 |
69 |
209.3 |
161 |
69 |
209.3 |
165.6 |
195.5 |
Carle Eureka Hospital |
1331890203 |
CSF VDRL |
86592 |
0300 |
88 |
88 |
26.4 |
80.08 |
61.599999999999994 |
26.4 |
80.08 |
63.36 |
74.8 |
Carle Eureka Hospital |
1331890219 |
YERSINIA CULTURE |
87046 |
0306 |
105 |
105 |
31.5 |
95.55 |
73.5 |
31.5 |
95.55 |
75.599999999999994 |
89.25 |
Carle Eureka Hospital |
1331890243 |
CYCLOSPORINE |
80158 |
0300 |
215 |
215 |
64.5 |
195.65 |
150.5 |
64.5 |
195.65 |
154.79999999999998 |
182.75 |
Carle Eureka Hospital |
1331890247 |
CYTOMEGALOVIRUS IGM AB |
86644 |
0300 |
135 |
135 |
40.5 |
122.85000000000001 |
94.5 |
40.5 |
122.85000000000001 |
97.2 |
114.75 |
Carle Eureka Hospital |
1331890253 |
DESIPRAMINE |
80335 |
0300 |
215 |
215 |
64.5 |
195.65 |
150.5 |
64.5 |
195.65 |
154.79999999999998 |
182.75 |
Carle Eureka Hospital |
1331890254 |
DHEA-SO4 |
82627 |
0300 |
245 |
245 |
73.5 |
222.95000000000002 |
171.5 |
73.5 |
222.95000000000002 |
176.4 |
208.25 |
Carle Eureka Hospital |
1331890259 |
DOXEPIN SINEQUAN |
80335 |
0300 |
215 |
215 |
64.5 |
195.65 |
150.5 |
64.5 |
195.65 |
154.79999999999998 |
182.75 |
Carle Eureka Hospital |
1331890275 |
ERYTHROPOIETIN |
82668 |
0300 |
140 |
140 |
42 |
127.4 |
98 |
42 |
127.4 |
100.8 |
119 |
Carle Eureka Hospital |
1331890276 |
ESTRADIOL |
82670 |
0300 |
209 |
209 |
62.699999999999996 |
190.19 |
146.29999999999998 |
62.699999999999996 |
190.19 |
150.47999999999999 |
177.65 |
Carle Eureka Hospital |
1331890277 |
ESTRIOL |
82677 |
0300 |
115 |
115 |
34.5 |
104.65 |
80.5 |
34.5 |
104.65 |
82.8 |
97.75 |
Carle Eureka Hospital |
1331890278 |
ESTROGEN RECEPTOR STAIN |
88361 |
0300 |
860 |
860 |
258 |
782.6 |
602 |
258 |
782.6 |
619.19999999999993 |
731 |
Carle Eureka Hospital |
1331890279 |
ETHANOL BLOOD CHAIN CUSTODY |
80320 |
0300 |
230 |
230 |
69 |
209.3 |
161 |
69 |
209.3 |
165.6 |
195.5 |
Carle Eureka Hospital |
1331890315 |
GABAPENTIN |
80171 |
0301 |
135 |
135 |
40.5 |
122.85000000000001 |
94.5 |
40.5 |
122.85000000000001 |
97.2 |
114.75 |
Carle Eureka Hospital |
1331890316 |
GASTRIN |
82941 |
0300 |
165 |
165 |
49.5 |
150.15 |
115.49999999999999 |
49.5 |
150.15 |
118.8 |
140.25 |
Carle Eureka Hospital |
1331890325 |
GIARDIA SCREEN |
87329 |
0300 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
1331890326 |
GLUCAGON |
82943 |
0300 |
200 |
200 |
60 |
182 |
140 |
60 |
182 |
144 |
170 |
Carle Eureka Hospital |
1331890340 |
HAPTOGLOBIN |
83010 |
0300 |
120 |
120 |
36 |
109.2 |
84 |
36 |
109.2 |
86.399999999999991 |
102 |
Carle Eureka Hospital |
1331890342 |
HCV RNA BY PCR QUANTITATIVE |
87522 |
0306 |
490 |
490 |
147 |
445.90000000000003 |
343 |
147 |
445.90000000000003 |
352.8 |
416.5 |
Carle Eureka Hospital |
1331890356 |
HEMOQUANT |
84126 |
0300 |
170 |
170 |
51 |
154.70000000000002 |
118.99999999999999 |
51 |
154.70000000000002 |
122.39999999999999 |
144.5 |
Carle Eureka Hospital |
1331890357 |
HEMOSIDERIN-URINE |
83070 |
0300 |
94 |
94 |
28.2 |
85.54 |
65.8 |
28.2 |
85.54 |
67.679999999999993 |
79.899999999999991 |
Carle Eureka Hospital |
1331890362 |
HEPATITIS B SURFACE ANTIBODY |
86706 |
0300 |
121 |
121 |
36.299999999999997 |
110.11 |
84.699999999999989 |
36.299999999999997 |
110.11 |
87.11999999999999 |
102.85 |
Carle Eureka Hospital |
1331890366 |
HERPES CULTURE WITH TYPING |
87255 |
0300 |
285 |
285 |
85.5 |
259.35000000000002 |
199.5 |
85.5 |
259.35000000000002 |
205.2 |
242.25 |
Carle Eureka Hospital |
1331890368 |
HERPES SIMPLEX VIRUS1&2 DNA PC |
87529 |
0306 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
1331890370 |
HISTOPLASMA ANTIBODY |
86698 |
0300 |
115 |
115 |
34.5 |
104.65 |
80.5 |
34.5 |
104.65 |
82.8 |
97.75 |
Carle Eureka Hospital |
1331890371 |
HIV 1 ANTIBODY |
86701 |
0300 |
110 |
110 |
33 |
100.10000000000001 |
77 |
33 |
100.10000000000001 |
79.2 |
93.5 |
Carle Eureka Hospital |
1331890372 |
HIV RNA BY PCR QUANTITATIVE |
87536 |
0306 |
530 |
530 |
159 |
482.3 |
371 |
159 |
482.3 |
381.59999999999997 |
450.5 |
Carle Eureka Hospital |
1331890373 |
HLA B27 TYPING |
86812 |
0300 |
205 |
205 |
61.5 |
186.55 |
143.5 |
61.5 |
186.55 |
147.6 |
174.25 |
Carle Eureka Hospital |
1331890375 |
HOMOCYSTEINE SERUM OR PLASMA |
83090 |
0301 |
195 |
195 |
58.5 |
177.45000000000002 |
136.5 |
58.5 |
177.45000000000002 |
140.4 |
165.75 |
Carle Eureka Hospital |
1331890378 |
HUMAN GROWTH HORMONE |
83003 |
0300 |
155 |
155 |
46.5 |
141.05000000000001 |
108.5 |
46.5 |
141.05000000000001 |
111.6 |
131.75 |
Carle Eureka Hospital |
1331890385 |
IMMUNOELECTROPHORESIS URINE |
86335 |
0300 |
260 |
260 |
78 |
236.6 |
182 |
78 |
236.6 |
187.2 |
221 |
Carle Eureka Hospital |
1331890386 |
IMMUNOGLOBULIN A IGA |
82784 |
0300 |
129 |
129 |
38.699999999999996 |
117.39 |
90.3 |
38.699999999999996 |
117.39 |
92.88 |
109.64999999999999 |
Carle Eureka Hospital |
1331890387 |
IMMUNOGLOBULIN E IGE |
82785 |
0300 |
190 |
190 |
57 |
172.9 |
133 |
57 |
172.9 |
136.79999999999998 |
161.5 |
Carle Eureka Hospital |
1331890388 |
IMMUNOGLOBULIN G IGG |
82784 |
0300 |
129 |
129 |
38.699999999999996 |
117.39 |
90.3 |
38.699999999999996 |
117.39 |
92.88 |
109.64999999999999 |
Carle Eureka Hospital |
1331890389 |
IMMUNOGLOBULIN M IGM |
82784 |
0300 |
129 |
129 |
38.699999999999996 |
117.39 |
90.3 |
38.699999999999996 |
117.39 |
92.88 |
109.64999999999999 |
Carle Eureka Hospital |
1331890392 |
INSULIN |
83525 |
0300 |
126 |
126 |
37.799999999999997 |
114.66000000000001 |
88.199999999999989 |
37.799999999999997 |
114.66000000000001 |
90.72 |
107.1 |
Carle Eureka Hospital |
1331890405 |
LACTIC ACID |
83605 |
0300 |
130 |
130 |
39 |
118.3 |
91 |
39 |
118.3 |
93.6 |
110.5 |
Carle Eureka Hospital |
1331890411 |
LEAD LEVEL BLOOD |
83655 |
0300 |
115 |
115 |
34.5 |
104.65 |
80.5 |
34.5 |
104.65 |
82.8 |
97.75 |
Carle Eureka Hospital |
1331890412 |
LEGAL COLLECTION-POLICE DEPT. |
36415 |
0300 |
21 |
21 |
6.3 |
19.11 |
14.7 |
6.3 |
19.11 |
15.12 |
17.849999999999998 |
Carle Eureka Hospital |
1331890415 |
LEGIONELLA ANTIGEN URINE |
87899 |
0306 |
125 |
125 |
37.5 |
113.75 |
87.5 |
37.5 |
113.75 |
90 |
106.25 |
Carle Eureka Hospital |
1331890416 |
LEGIONELLA PNEUMOPHILA SMEAR |
87278 |
0300 |
120 |
120 |
36 |
109.2 |
84 |
36 |
109.2 |
86.399999999999991 |
102 |
Carle Eureka Hospital |
1331890431 |
LIDOCAINE |
80176 |
0300 |
255 |
255 |
76.5 |
232.05 |
178.5 |
76.5 |
232.05 |
183.6 |
216.75 |
Carle Eureka Hospital |
1331890436 |
LYME AB ON CSF |
86618 |
0302 |
147 |
147 |
44.1 |
133.77000000000001 |
102.89999999999999 |
44.1 |
133.77000000000001 |
105.83999999999999 |
124.95 |
Carle Eureka Hospital |
1331890437 |
LYME DISEASE AB TITER |
86618 |
0300 |
147 |
147 |
44.1 |
133.77000000000001 |
102.89999999999999 |
44.1 |
133.77000000000001 |
105.83999999999999 |
124.95 |
Carle Eureka Hospital |
1331890438 |
LYMPHOCYTES CD4 |
86361 |
0302 |
180 |
180 |
54 |
163.80000000000001 |
125.99999999999999 |
54 |
163.80000000000001 |
129.6 |
153 |
Carle Eureka Hospital |
1331890439 |
LYMPHOCYTES CD4/CD8 |
86360 |
0302 |
350 |
350 |
105 |
318.5 |
244.99999999999997 |
105 |
318.5 |
252 |
297.5 |
Carle Eureka Hospital |
1331890441 |
MAGNESIUM 24 HR URINE |
83735 |
0301 |
120 |
120 |
36 |
109.2 |
84 |
36 |
109.2 |
86.399999999999991 |
102 |
Carle Eureka Hospital |
1331890442 |
MAGNESIUM RANDOM URINE |
83735 |
0301 |
119 |
119 |
35.699999999999996 |
108.29 |
83.3 |
35.699999999999996 |
108.29 |
85.679999999999993 |
101.14999999999999 |
Carle Eureka Hospital |
1331890444 |
MALARIAL SMEAR |
87207 |
0300 |
215 |
215 |
64.5 |
195.65 |
150.5 |
64.5 |
195.65 |
154.79999999999998 |
182.75 |
Carle Eureka Hospital |
1331890446 |
METANEPHRINES 24HR URINE |
83835 |
0300 |
325 |
325 |
97.5 |
295.75 |
227.49999999999997 |
97.5 |
295.75 |
234 |
276.25 |
Carle Eureka Hospital |
1331890447 |
TREPONEMA PALLINIUM ANTIBODY |
86780 |
0300 |
76 |
76 |
22.8 |
69.16 |
53.199999999999996 |
22.8 |
69.16 |
54.72 |
64.599999999999994 |
Carle Eureka Hospital |
1331890454 |
MYOGLOBIN URINE QUANT |
83874 |
0300 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
1331890457 |
NASAL SMEAR FOR PERTUSSIS |
89190 |
0300 |
110 |
110 |
33 |
100.10000000000001 |
77 |
33 |
100.10000000000001 |
79.2 |
93.5 |
Carle Eureka Hospital |
1331890466 |
ORGANIC ACIDS SCREEN-URINE |
83918 |
0300 |
314 |
314 |
94.2 |
285.74 |
219.79999999999998 |
94.2 |
285.74 |
226.07999999999998 |
266.89999999999998 |
Carle Eureka Hospital |
1331890470 |
OXALATE-24HR URINE |
83945 |
0301 |
120 |
120 |
36 |
109.2 |
84 |
36 |
109.2 |
86.399999999999991 |
102 |
Carle Eureka Hospital |
1331890472 |
PAP THIN PREP CYTOLOGY |
88142 |
0311 |
190 |
190 |
57 |
172.9 |
133 |
57 |
172.9 |
136.79999999999998 |
161.5 |
Carle Eureka Hospital |
1331890484 |
PHENOBARBITAL (PRIMIDONE) |
80184 |
0300 |
130 |
130 |
39 |
118.3 |
91 |
39 |
118.3 |
93.6 |
110.5 |
Carle Eureka Hospital |
1331890491 |
PHOSPHORUS-24HR URINE |
84105 |
0300 |
100 |
100 |
30 |
91 |
70 |
30 |
91 |
72 |
85 |
Carle Eureka Hospital |
1331890492 |
PINWORM EXAMINATION |
87172 |
0300 |
89 |
89 |
26.7 |
80.990000000000009 |
62.3 |
26.7 |
80.990000000000009 |
64.08 |
75.649999999999991 |
Carle Eureka Hospital |
1331890497 |
PLATELET AGGREGATION STUDIES |
85576 |
0300 |
420 |
420 |
126 |
382.2 |
294 |
126 |
382.2 |
302.39999999999998 |
357 |
Carle Eureka Hospital |
1331890503 |
PLT AGGREGATION ASPRIN EFFECT |
85576 |
0300 |
245 |
245 |
73.5 |
222.95000000000002 |
171.5 |
73.5 |
222.95000000000002 |
176.4 |
208.25 |
Carle Eureka Hospital |
1331890505 |
PORPHYRIN QUANT 24HR URINE |
84120 |
0300 |
145 |
145 |
43.5 |
131.95000000000002 |
101.5 |
43.5 |
131.95000000000002 |
104.39999999999999 |
123.25 |
Carle Eureka Hospital |
1331890518 |
PRIMIDONE |
80188 |
0300 |
155 |
155 |
46.5 |
141.05000000000001 |
108.5 |
46.5 |
141.05000000000001 |
111.6 |
131.75 |
Carle Eureka Hospital |
1331890519 |
**PRIMIDONE-MYSOLINE** |
80188 |
0300 |
200 |
200 |
60 |
182 |
140 |
60 |
182 |
144 |
170 |
Carle Eureka Hospital |
1331890520 |
PROCAINAMIDE-PRONESTYL |
80192 |
0300 |
175 |
175 |
52.5 |
159.25 |
122.49999999999999 |
52.5 |
159.25 |
126 |
148.75 |
Carle Eureka Hospital |
1331890521 |
PROGESTERONE |
84144 |
0300 |
240 |
240 |
72 |
218.4 |
168 |
72 |
218.4 |
172.79999999999998 |
204 |
Carle Eureka Hospital |
1331890523 |
PRA INITIAL |
88342 |
0300 |
480 |
480 |
144 |
436.8 |
336 |
144 |
436.8 |
345.59999999999997 |
408 |
Carle Eureka Hospital |
1331890527 |
PROTEIN C ACTIVITY |
85303 |
0300 |
160 |
160 |
48 |
145.6 |
112 |
48 |
145.6 |
115.19999999999999 |
136 |
Carle Eureka Hospital |
1331890528 |
PROTEIN S ANTIGEN |
85306 |
0300 |
175 |
175 |
52.5 |
159.25 |
122.49999999999999 |
52.5 |
159.25 |
126 |
148.75 |
Carle Eureka Hospital |
1331890540 |
RBC FOLATE |
82747 |
0301 |
185 |
185 |
55.5 |
168.35 |
129.5 |
55.5 |
168.35 |
133.19999999999999 |
157.25 |
Carle Eureka Hospital |
1331890552 |
AUTO WBC (NATKIL) |
85048 |
0301 |
58 |
58 |
17.399999999999999 |
52.78 |
40.599999999999994 |
17.399999999999999 |
52.78 |
41.76 |
49.3 |
Carle Eureka Hospital |
1331890553 |
BLD CT, AUTO DIFF (NATKIL) |
85004 |
0301 |
81 |
81 |
24.3 |
73.710000000000008 |
56.699999999999996 |
24.3 |
73.710000000000008 |
58.32 |
68.849999999999994 |
Carle Eureka Hospital |
1331890554 |
NK CELLS, TOTAT CT (NATKIL) |
86357 |
0301 |
135 |
135 |
40.5 |
122.85000000000001 |
94.5 |
40.5 |
122.85000000000001 |
97.2 |
114.75 |
Carle Eureka Hospital |
1331890555 |
RENIN PLASMA |
84244 |
0300 |
205 |
205 |
61.5 |
186.55 |
143.5 |
61.5 |
186.55 |
147.6 |
174.25 |
Carle Eureka Hospital |
1331890559 |
HSV,TYPE 1 (TORCH) |
86695 |
0300 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
1331890560 |
HSV, TYPE 2 (TORCH) |
86696 |
0300 |
165 |
165 |
49.5 |
150.15 |
115.49999999999999 |
49.5 |
150.15 |
118.8 |
140.25 |
Carle Eureka Hospital |
1331890562 |
CONCENTRATION (CYCLOISO) |
87015 |
0300 |
63 |
63 |
18.899999999999999 |
57.330000000000005 |
44.099999999999994 |
18.899999999999999 |
57.330000000000005 |
45.36 |
53.55 |
Carle Eureka Hospital |
1331890563 |
SPECIAL STAIN (CYCLOISO) |
87207 |
0300 |
190 |
190 |
57 |
172.9 |
133 |
57 |
172.9 |
136.79999999999998 |
161.5 |
Carle Eureka Hospital |
1331890564 |
CYTOMEGALOVIRUS |
86644 |
0300 |
135 |
135 |
40.5 |
122.85000000000001 |
94.5 |
40.5 |
122.85000000000001 |
97.2 |
114.75 |
Carle Eureka Hospital |
1331890565 |
TOXOPLASMA,IGG (TORCH) |
86777 |
0300 |
165 |
165 |
49.5 |
150.15 |
115.49999999999999 |
49.5 |
150.15 |
118.8 |
140.25 |
Carle Eureka Hospital |
1331890568 |
RUBELLA ANTIBODY-IGG |
86762 |
0300 |
148 |
148 |
44.4 |
134.68 |
103.6 |
44.4 |
134.68 |
106.56 |
125.8 |
Carle Eureka Hospital |
1331890574 |
SEROTONIN |
84260 |
0300 |
220 |
220 |
66 |
200.20000000000002 |
154 |
66 |
200.20000000000002 |
158.4 |
187 |
Carle Eureka Hospital |
1331890575 |
ANTIGLIADIN ELISA IgG SPECIFIC |
83516 |
0300 |
94 |
94 |
28.2 |
85.54 |
65.8 |
28.2 |
85.54 |
67.679999999999993 |
79.899999999999991 |
Carle Eureka Hospital |
1331890576 |
ANTIGLIADIN ELISA IgA SPECIFIC |
83516 |
0300 |
94 |
94 |
28.2 |
85.54 |
65.8 |
28.2 |
85.54 |
67.679999999999993 |
79.899999999999991 |
Carle Eureka Hospital |
1331890577 |
SICKLE CELL SCREEN |
85660 |
0300 |
92 |
92 |
27.599999999999998 |
83.72 |
64.399999999999991 |
27.599999999999998 |
83.72 |
66.239999999999995 |
78.2 |
Carle Eureka Hospital |
1331890578 |
ANTI ENDOMYSIAL IgA AB IFA |
88346 |
0300 |
195 |
195 |
58.5 |
177.45000000000002 |
136.5 |
58.5 |
177.45000000000002 |
140.4 |
165.75 |
Carle Eureka Hospital |
1331890579 |
TOTAL SERUM IgA NEPHELOMETRY |
82784 |
0300 |
94 |
94 |
28.2 |
85.54 |
65.8 |
28.2 |
85.54 |
67.679999999999993 |
79.899999999999991 |
Carle Eureka Hospital |
1331890580 |
HU-tTG IGA TO PROMETHUS |
83520 |
0300 |
255 |
255 |
76.5 |
232.05 |
178.5 |
76.5 |
232.05 |
183.6 |
216.75 |
Carle Eureka Hospital |
1331890581 |
ANTI HU tTG ELISA RECOMBINT Ag |
83516 |
0300 |
94 |
94 |
28.2 |
85.54 |
65.8 |
28.2 |
85.54 |
67.679999999999993 |
79.899999999999991 |
Carle Eureka Hospital |
1331890607 |
T3 BY RIA |
84480 |
0300 |
105 |
105 |
31.5 |
95.55 |
73.5 |
31.5 |
95.55 |
75.599999999999994 |
89.25 |
Carle Eureka Hospital |
1331890608 |
T3 UPTAKE |
84479 |
0300 |
74 |
74 |
22.2 |
67.34 |
51.8 |
22.2 |
67.34 |
53.28 |
62.9 |
Carle Eureka Hospital |
1331890611 |
TESTOSTER FREE W TOT (TESTF) |
84402 |
0301 |
134 |
134 |
40.199999999999996 |
121.94 |
93.8 |
40.199999999999996 |
121.94 |
96.47999999999999 |
113.89999999999999 |
Carle Eureka Hospital |
1331890612 |
TESTOSTERONE TOTAL |
84403 |
0300 |
163 |
163 |
48.9 |
148.33000000000001 |
114.1 |
48.9 |
148.33000000000001 |
117.36 |
138.54999999999998 |
Carle Eureka Hospital |
1331890614 |
THEOPHYLLINE |
80198 |
0300 |
135 |
135 |
40.5 |
122.85000000000001 |
94.5 |
40.5 |
122.85000000000001 |
97.2 |
114.75 |
Carle Eureka Hospital |
1331890615 |
THROMBIN TIME |
85670 |
0300 |
84 |
84 |
25.2 |
76.44 |
58.8 |
25.2 |
76.44 |
60.48 |
71.399999999999991 |
Carle Eureka Hospital |
1331890616 |
THYROGLOBULIN ABS |
86800 |
0300 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
1331890618 |
THYROXINE-BINDING GLOBULIN |
84442 |
0301 |
165 |
165 |
49.5 |
150.15 |
115.49999999999999 |
49.5 |
150.15 |
118.8 |
140.25 |
Carle Eureka Hospital |
1331890631 |
TRANSFERRIN |
84466 |
0300 |
120 |
120 |
36 |
109.2 |
84 |
36 |
109.2 |
86.399999999999991 |
102 |
Carle Eureka Hospital |
1331890653 |
URIC ACID- 24HR URINE |
84560 |
0300 |
98 |
98 |
29.4 |
89.18 |
68.599999999999994 |
29.4 |
89.18 |
70.56 |
83.3 |
Carle Eureka Hospital |
1331890661 |
URINE FOR EOSINOPHILS |
85999 |
0307 |
100 |
100 |
30 |
91 |
70 |
30 |
91 |
72 |
85 |
Carle Eureka Hospital |
1331890675 |
VARICELLA ZOSTER IGG AB |
86787 |
0300 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
1331890681 |
VIRAL CULTURE |
87252 |
0300 |
220 |
220 |
66 |
200.20000000000002 |
154 |
66 |
200.20000000000002 |
158.4 |
187 |
Carle Eureka Hospital |
1331890682 |
VISCOSITY SERUM |
85810 |
0300 |
110 |
110 |
33 |
100.10000000000001 |
77 |
33 |
100.10000000000001 |
79.2 |
93.5 |
Carle Eureka Hospital |
1331890684 |
VMA 24HR URINE |
84585 |
0300 |
145 |
145 |
43.5 |
131.95000000000002 |
101.5 |
43.5 |
131.95000000000002 |
104.39999999999999 |
123.25 |
Carle Eureka Hospital |
1331890690 |
HIV WESTERN BLOT ASSAY |
86689 |
0300 |
200 |
200 |
60 |
182 |
140 |
60 |
182 |
144 |
170 |
Carle Eureka Hospital |
1331890694 |
ZINC |
84630 |
0300 |
130 |
130 |
39 |
118.3 |
91 |
39 |
118.3 |
93.6 |
110.5 |
Carle Eureka Hospital |
1331890697 |
ACL B-TYPE NATRIURETIC PEPTIDE |
83880 |
0301 |
265 |
265 |
79.5 |
241.15 |
185.5 |
79.5 |
241.15 |
190.79999999999998 |
225.25 |
Carle Eureka Hospital |
1331890705 |
GAMMAHYDROXYBUTRIC ACID BLD |
80307 |
0300 |
285 |
285 |
85.5 |
259.35000000000002 |
199.5 |
85.5 |
259.35000000000002 |
205.2 |
242.25 |
Carle Eureka Hospital |
1331890707 |
BENZODIAZEPINES CONF CG/MS URI |
80346 |
0300 |
225 |
225 |
67.5 |
204.75 |
157.5 |
67.5 |
204.75 |
162 |
191.25 |
Carle Eureka Hospital |
1331890710 |
PHENCYCLIDINE CONF GC/MS UR |
83992 |
0300 |
485 |
485 |
145.5 |
441.35 |
339.5 |
145.5 |
441.35 |
349.2 |
412.25 |
Carle Eureka Hospital |
1331890711 |
THC-CANNABINOIDS-QUANT URINE |
80349 |
0300 |
260 |
260 |
78 |
236.6 |
182 |
78 |
236.6 |
187.2 |
221 |
Carle Eureka Hospital |
1331890712 |
LORAZEPAM |
80346 |
0300 |
305 |
305 |
91.5 |
277.55 |
213.5 |
91.5 |
277.55 |
219.6 |
259.25 |
Carle Eureka Hospital |
1331890713 |
TOPIRAMATE |
80201 |
0300 |
110 |
110 |
33 |
100.10000000000001 |
77 |
33 |
100.10000000000001 |
79.2 |
93.5 |
Carle Eureka Hospital |
1331890715 |
LAMOTRIGINE |
80175 |
0300 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
1331890716 |
METHYLPHENIDATE-RITALIN |
80360 |
0300 |
245 |
245 |
73.5 |
222.95000000000002 |
171.5 |
73.5 |
222.95000000000002 |
176.4 |
208.25 |
Carle Eureka Hospital |
1331890718 |
MICROALBUMIN 24 HR UR |
82043 |
0301 |
91 |
91 |
27.3 |
82.81 |
63.699999999999996 |
27.3 |
82.81 |
65.52 |
77.349999999999994 |
Carle Eureka Hospital |
1331890719 |
AMPHETAMINES CONF CG/MS URINE |
80324 |
0300 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
1331890720 |
LIPOPROTEIN A |
83695 |
0301 |
125 |
125 |
37.5 |
113.75 |
87.5 |
37.5 |
113.75 |
90 |
106.25 |
Carle Eureka Hospital |
1331890721 |
APOLIPOPROTEIN A-1 |
82172 |
0301 |
145 |
145 |
43.5 |
131.95000000000002 |
101.5 |
43.5 |
131.95000000000002 |
104.39999999999999 |
123.25 |
Carle Eureka Hospital |
1331890722 |
STONE ANALYSIS OTHER |
82365 |
0301 |
107 |
107 |
32.1 |
97.37 |
74.899999999999991 |
32.1 |
97.37 |
77.039999999999992 |
90.95 |
Carle Eureka Hospital |
1331890724 |
CATECHOLAMINES FRAC PLASMA |
82384 |
0301 |
235 |
235 |
70.5 |
213.85 |
164.5 |
70.5 |
213.85 |
169.2 |
199.75 |
Carle Eureka Hospital |
1331890725 |
OXCARBAZEPINE S/P-TRILEPTAL |
80183 |
0301 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
1331890727 |
COCAINE MET CONF GC/MS URINE |
80353 |
0300 |
275 |
275 |
82.5 |
250.25 |
192.5 |
82.5 |
250.25 |
198 |
233.75 |
Carle Eureka Hospital |
1331890728 |
N-TELOPEPTIDE RANDOM URINE |
82523 |
0301 |
195 |
195 |
58.5 |
177.45000000000002 |
136.5 |
58.5 |
177.45000000000002 |
140.4 |
165.75 |
Carle Eureka Hospital |
1331890729 |
COPPER PLASMA |
82525 |
0301 |
140 |
140 |
42 |
127.4 |
98 |
42 |
127.4 |
100.8 |
119 |
Carle Eureka Hospital |
1331890730 |
COPPER 24HR URINE |
82525 |
0301 |
140 |
140 |
42 |
127.4 |
98 |
42 |
127.4 |
100.8 |
119 |
Carle Eureka Hospital |
1331890731 |
GAMMAHYDROXYBUTRIC ACID UR |
80307 |
0301 |
285 |
285 |
85.5 |
259.35000000000002 |
199.5 |
85.5 |
259.35000000000002 |
205.2 |
242.25 |
Carle Eureka Hospital |
1331890732 |
ETHYLENE GLYCOL |
82693 |
0301 |
140 |
140 |
42 |
127.4 |
98 |
42 |
127.4 |
100.8 |
119 |
Carle Eureka Hospital |
1331890733 |
LIPIDS STOOL |
82710 |
0301 |
125 |
125 |
37.5 |
113.75 |
87.5 |
37.5 |
113.75 |
90 |
106.25 |
Carle Eureka Hospital |
1331890734 |
HEMOGLOBIN PLASMA |
83051 |
0301 |
175 |
175 |
52.5 |
159.25 |
122.49999999999999 |
52.5 |
159.25 |
126 |
148.75 |
Carle Eureka Hospital |
1331890736 |
GBM-GLOMERULAR BASEMENT MEM- |
83520 |
0301 |
255 |
255 |
76.5 |
232.05 |
178.5 |
76.5 |
232.05 |
183.6 |
216.75 |
Carle Eureka Hospital |
1331890737 |
TISSUE TRANSGLUTAMINASE AB IGA |
83516 |
0301 |
134 |
134 |
40.199999999999996 |
121.94 |
93.8 |
40.199999999999996 |
121.94 |
96.47999999999999 |
113.89999999999999 |
Carle Eureka Hospital |
1331890738 |
TRYPTASE |
83520 |
0301 |
255 |
255 |
76.5 |
232.05 |
178.5 |
76.5 |
232.05 |
183.6 |
216.75 |
Carle Eureka Hospital |
1331890739 |
RIBOSOMAL PORTEIN AB |
83516 |
0301 |
214 |
214 |
64.2 |
194.74 |
149.79999999999998 |
64.2 |
194.74 |
154.07999999999998 |
181.9 |
Carle Eureka Hospital |
1331890740 |
LS RATIO |
83661 |
0301 |
190 |
190 |
57 |
172.9 |
133 |
57 |
172.9 |
136.79999999999998 |
161.5 |
Carle Eureka Hospital |
1331890743 |
METHYLMALONIC ACID |
83921 |
0301 |
155 |
155 |
46.5 |
141.05000000000001 |
108.5 |
46.5 |
141.05000000000001 |
111.6 |
131.75 |
Carle Eureka Hospital |
1331890744 |
PH STOOL-RANDOM SAMPLE |
83986 |
0301 |
86 |
86 |
25.8 |
78.260000000000005 |
60.199999999999996 |
25.8 |
78.260000000000005 |
61.919999999999995 |
73.099999999999994 |
Carle Eureka Hospital |
1331890745 |
ALK PHOSPHATASE BONE SECIFIC |
84075 |
0301 |
105 |
105 |
31.5 |
95.55 |
73.5 |
31.5 |
95.55 |
75.599999999999994 |
89.25 |
Carle Eureka Hospital |
1331890746 |
PORPHOBILINOGEN 24HR URINE |
84120 |
0301 |
210 |
210 |
63 |
191.1 |
147 |
63 |
191.1 |
151.19999999999999 |
178.5 |
Carle Eureka Hospital |
1331890748 |
SEX HORMONE BINDING GLOBULIN |
84270 |
0301 |
250 |
250 |
75 |
227.5 |
175 |
75 |
227.5 |
180 |
212.5 |
Carle Eureka Hospital |
1331890749 |
VITAMIN E |
84446 |
0301 |
135 |
135 |
40.5 |
122.85000000000001 |
94.5 |
40.5 |
122.85000000000001 |
97.2 |
114.75 |
Carle Eureka Hospital |
1331890750 |
T3 FREE |
84481 |
0301 |
187 |
187 |
56.1 |
170.17000000000002 |
130.9 |
56.1 |
170.17000000000002 |
134.63999999999999 |
158.94999999999999 |
Carle Eureka Hospital |
1331890751 |
C-PEPTIDE |
84681 |
0301 |
195 |
195 |
58.5 |
177.45000000000002 |
136.5 |
58.5 |
177.45000000000002 |
140.4 |
165.75 |
Carle Eureka Hospital |
1331890753 |
POTASSIUM STOOL-24HR COLLECT |
84999 |
0301 |
115 |
115 |
34.5 |
104.65 |
80.5 |
34.5 |
104.65 |
82.8 |
97.75 |
Carle Eureka Hospital |
1331890754 |
SODIUM STOOL-24HR COLLECT |
84302 |
0301 |
115 |
115 |
34.5 |
104.65 |
80.5 |
34.5 |
104.65 |
82.8 |
97.75 |
Carle Eureka Hospital |
1331890755 |
FACTOR V ACTIVITY |
85220 |
0305 |
200 |
200 |
60 |
182 |
140 |
60 |
182 |
144 |
170 |
Carle Eureka Hospital |
1331890756 |
FACTOR VIII ACTIVITY |
85240 |
0305 |
170 |
170 |
51 |
154.70000000000002 |
118.99999999999999 |
51 |
154.70000000000002 |
122.39999999999999 |
144.5 |
Carle Eureka Hospital |
1331890757 |
RISTOCETIN CO-FACTOR/VWF |
85245 |
0305 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
1331890758 |
VON WILLEBRAND AG |
85246 |
0305 |
160 |
160 |
48 |
145.6 |
112 |
48 |
145.6 |
115.19999999999999 |
136 |
Carle Eureka Hospital |
1331890759 |
VWF AG MULTIMERIC |
85247 |
0305 |
224 |
224 |
67.2 |
203.84 |
156.79999999999998 |
67.2 |
203.84 |
161.28 |
190.4 |
Carle Eureka Hospital |
1331890760 |
FACTOR IX ACTIVITY |
85250 |
0305 |
195 |
195 |
58.5 |
177.45000000000002 |
136.5 |
58.5 |
177.45000000000002 |
140.4 |
165.75 |
Carle Eureka Hospital |
1331890761 |
FACTOR X ACTIVITY |
85260 |
0305 |
285 |
285 |
85.5 |
259.35000000000002 |
199.5 |
85.5 |
259.35000000000002 |
205.2 |
242.25 |
Carle Eureka Hospital |
1331890762 |
FACTOR XI ACTIVITY |
85270 |
0305 |
225 |
225 |
67.5 |
204.75 |
157.5 |
67.5 |
204.75 |
162 |
191.25 |
Carle Eureka Hospital |
1331890763 |
FACTOR XII ACTIVITY |
85280 |
0305 |
265 |
265 |
79.5 |
241.15 |
185.5 |
79.5 |
241.15 |
190.79999999999998 |
225.25 |
Carle Eureka Hospital |
1331890764 |
PLATELET AB HEPARIN INDUCED |
86022 |
0302 |
275 |
275 |
82.5 |
250.25 |
192.5 |
82.5 |
250.25 |
198 |
233.75 |
Carle Eureka Hospital |
1331890765 |
ANTI NUCLEAR ANTIBODY TITER |
86039 |
0302 |
130 |
130 |
39 |
118.3 |
91 |
39 |
118.3 |
93.6 |
110.5 |
Carle Eureka Hospital |
1331890766 |
DNASE-B ANTIBODY |
86215 |
0302 |
125 |
125 |
37.5 |
113.75 |
87.5 |
37.5 |
113.75 |
90 |
106.25 |
Carle Eureka Hospital |
1331890768 |
SCL-70 AB |
86235 |
0302 |
165 |
165 |
49.5 |
150.15 |
115.49999999999999 |
49.5 |
150.15 |
118.8 |
140.25 |
Carle Eureka Hospital |
1331890769 |
RETICULIN AB IGA |
86255 |
0302 |
152 |
152 |
45.6 |
138.32 |
106.39999999999999 |
45.6 |
138.32 |
109.44 |
129.19999999999999 |
Carle Eureka Hospital |
1331890770 |
MITOCHONDRIAL AB TITER |
86256 |
0302 |
115 |
115 |
34.5 |
104.65 |
80.5 |
34.5 |
104.65 |
82.8 |
97.75 |
Carle Eureka Hospital |
1331890771 |
SMOOTH MUSCLE AB TITER |
86256 |
0302 |
86 |
86 |
25.8 |
78.260000000000005 |
60.199999999999996 |
25.8 |
78.260000000000005 |
61.919999999999995 |
73.099999999999994 |
Carle Eureka Hospital |
1331890772 |
RETICULIN AB IGA TITER |
86256 |
0302 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
1331890775 |
COCCIDOIDES AB CF |
86635 |
0302 |
125 |
125 |
37.5 |
113.75 |
87.5 |
37.5 |
113.75 |
90 |
106.25 |
Carle Eureka Hospital |
1331890776 |
CMV-CYTOMEGALOVIRUS AB IGG |
86644 |
0302 |
135 |
135 |
40.5 |
122.85000000000001 |
94.5 |
40.5 |
122.85000000000001 |
97.2 |
114.75 |
Carle Eureka Hospital |
1331890777 |
SACCAROMYCES CEREVISIAE IGG |
86671 |
0302 |
279 |
279 |
83.7 |
253.89000000000001 |
195.29999999999998 |
83.7 |
253.89000000000001 |
200.88 |
237.15 |
Carle Eureka Hospital |
1331890778 |
SACCAROMYCES CEREVISIAE IGA |
86671 |
0302 |
279 |
279 |
83.7 |
253.89000000000001 |
195.29999999999998 |
83.7 |
253.89000000000001 |
200.88 |
237.15 |
Carle Eureka Hospital |
1331890779 |
ANTI-HIV2 WESTERN BLOT |
86689 |
0302 |
234 |
234 |
70.2 |
212.94 |
163.79999999999998 |
70.2 |
212.94 |
168.48 |
198.9 |
Carle Eureka Hospital |
1331890780 |
ANTI-HTLV-I/II WESTERN BLOT |
86689 |
0302 |
205 |
205 |
61.5 |
186.55 |
143.5 |
61.5 |
186.55 |
147.6 |
174.25 |
Carle Eureka Hospital |
1331890781 |
HSV 2 IGG TYPE SPECIFIC AB |
86696 |
0302 |
165 |
165 |
49.5 |
150.15 |
115.49999999999999 |
49.5 |
150.15 |
118.8 |
140.25 |
Carle Eureka Hospital |
1331890784 |
MUMPS AB IGG |
86735 |
0302 |
74 |
74 |
22.2 |
67.34 |
51.8 |
22.2 |
67.34 |
53.28 |
62.9 |
Carle Eureka Hospital |
1331890785 |
RUBEOLA AB IGG |
86765 |
0302 |
97 |
97 |
29.099999999999998 |
88.27 |
67.899999999999991 |
29.099999999999998 |
88.27 |
69.84 |
82.45 |
Carle Eureka Hospital |
1331890786 |
HTLV-I/II AB |
86790 |
0302 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
1331890787 |
BORDETELLA PERTUSSIS ID |
87077 |
0306 |
108 |
108 |
32.4 |
98.28 |
75.599999999999994 |
32.4 |
98.28 |
77.759999999999991 |
91.8 |
Carle Eureka Hospital |
1331890788 |
HERPES VIRUS TYPING |
87140 |
0306 |
140 |
140 |
42 |
127.4 |
98 |
42 |
127.4 |
100.8 |
119 |
Carle Eureka Hospital |
1331890789 |
H PYLORI AG QUAL-STOOL |
87338 |
0306 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
1331890790 |
HEP BE AG |
87350 |
0306 |
130 |
130 |
39 |
118.3 |
91 |
39 |
118.3 |
93.6 |
110.5 |
Carle Eureka Hospital |
1331890791 |
HISTOPLASMOSIS AG RANDOM URINE |
87385 |
0306 |
215 |
215 |
64.5 |
195.65 |
150.5 |
64.5 |
195.65 |
154.79999999999998 |
182.75 |
Carle Eureka Hospital |
1331890802 |
ALTERNARIA TENUIS (M6) IGE |
86003 |
0302 |
49 |
49 |
14.7 |
44.59 |
34.299999999999997 |
14.7 |
44.59 |
35.28 |
41.65 |
Carle Eureka Hospital |
1331890803 |
ASPERGILLUS FUMIGATUS (M3) IGE |
86003 |
0302 |
49 |
49 |
14.7 |
44.59 |
34.299999999999997 |
14.7 |
44.59 |
35.28 |
41.65 |
Carle Eureka Hospital |
1331890804 |
BERMUDA GRASS (G2) IGE |
86003 |
0302 |
49 |
49 |
14.7 |
44.59 |
34.299999999999997 |
14.7 |
44.59 |
35.28 |
41.65 |
Carle Eureka Hospital |
1331890805 |
CAT EPITHELIUM/DANDER (E1) IGE |
86003 |
0302 |
49 |
49 |
14.7 |
44.59 |
34.299999999999997 |
14.7 |
44.59 |
35.28 |
41.65 |
Carle Eureka Hospital |
1331890807 |
CALDOSPORIUM HERBARUM (M2) IGE |
86003 |
0302 |
49 |
49 |
14.7 |
44.59 |
34.299999999999997 |
14.7 |
44.59 |
35.28 |
41.65 |
Carle Eureka Hospital |
1331890808 |
COCKROACH (I6) IGE |
86003 |
0302 |
49 |
49 |
14.7 |
44.59 |
34.299999999999997 |
14.7 |
44.59 |
35.28 |
41.65 |
Carle Eureka Hospital |
1331890809 |
COMMON RAGWEED (SHORT) (W1)IGE |
86003 |
0302 |
49 |
49 |
14.7 |
44.59 |
34.299999999999997 |
14.7 |
44.59 |
35.28 |
41.65 |
Carle Eureka Hospital |
1331890811 |
ELM (T8) IGE |
86003 |
0302 |
49 |
49 |
14.7 |
44.59 |
34.299999999999997 |
14.7 |
44.59 |
35.28 |
41.65 |
Carle Eureka Hospital |
1331890814 |
JOHNSON GRASS (G10) IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
1331890815 |
JUNE GRASS (G8) IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
1331890817 |
D FARINAE (D2) IGE |
86003 |
0302 |
49 |
49 |
14.7 |
44.59 |
34.299999999999997 |
14.7 |
44.59 |
35.28 |
41.65 |
Carle Eureka Hospital |
1331890818 |
D PTERONYSSINUS (D1) IGE |
86003 |
0302 |
49 |
49 |
14.7 |
44.59 |
34.299999999999997 |
14.7 |
44.59 |
35.28 |
41.65 |
Carle Eureka Hospital |
1331890819 |
MUCOR RACEMOSUS (M4) IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
1331890820 |
WHITE MULBERRY (T70) IGE |
86003 |
0302 |
49 |
49 |
14.7 |
44.59 |
34.299999999999997 |
14.7 |
44.59 |
35.28 |
41.65 |
Carle Eureka Hospital |
1331890822 |
OAK (T7) IGE |
86003 |
0302 |
49 |
49 |
14.7 |
44.59 |
34.299999999999997 |
14.7 |
44.59 |
35.28 |
41.65 |
Carle Eureka Hospital |
1331890823 |
PENICILLIUM NOTATUM (M1) IGE |
86003 |
0302 |
49 |
49 |
14.7 |
44.59 |
34.299999999999997 |
14.7 |
44.59 |
35.28 |
41.65 |
Carle Eureka Hospital |
1331890824 |
ROUGH PIGWEED (W14) IGE |
86003 |
0302 |
49 |
49 |
14.7 |
44.59 |
34.299999999999997 |
14.7 |
44.59 |
35.28 |
41.65 |
Carle Eureka Hospital |
1331890825 |
RUSSIAN THISTLE (W11) IGE |
86003 |
0302 |
49 |
49 |
14.7 |
44.59 |
34.299999999999997 |
14.7 |
44.59 |
35.28 |
41.65 |
Carle Eureka Hospital |
1331890828 |
SYCAMORE (T11) IGE |
86003 |
0302 |
49 |
49 |
14.7 |
44.59 |
34.299999999999997 |
14.7 |
44.59 |
35.28 |
41.65 |
Carle Eureka Hospital |
1331890830 |
YEAST (F45) IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
1331890831 |
BARLEY (F6) IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
1331890832 |
BEEF (F27) IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
1331890833 |
MAIZE/CORN (F8) IGE |
86003 |
0302 |
49 |
49 |
14.7 |
44.59 |
34.299999999999997 |
14.7 |
44.59 |
35.28 |
41.65 |
Carle Eureka Hospital |
1331890834 |
EGG WHITE (F1) IGE |
86003 |
0302 |
49 |
49 |
14.7 |
44.59 |
34.299999999999997 |
14.7 |
44.59 |
35.28 |
41.65 |
Carle Eureka Hospital |
1331890835 |
MILK (F2) IGE |
86003 |
0302 |
49 |
49 |
14.7 |
44.59 |
34.299999999999997 |
14.7 |
44.59 |
35.28 |
41.65 |
Carle Eureka Hospital |
1331890836 |
PEANUT (F13) IGE |
86003 |
0302 |
49 |
49 |
14.7 |
44.59 |
34.299999999999997 |
14.7 |
44.59 |
35.28 |
41.65 |
Carle Eureka Hospital |
1331890837 |
PORK (F26) IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
1331890838 |
SOYBEAN (F14) IGE |
86003 |
0302 |
49 |
49 |
14.7 |
44.59 |
34.299999999999997 |
14.7 |
44.59 |
35.28 |
41.65 |
Carle Eureka Hospital |
1331890839 |
WHEAT (F4) IGE |
86003 |
0302 |
49 |
49 |
14.7 |
44.59 |
34.299999999999997 |
14.7 |
44.59 |
35.28 |
41.65 |
Carle Eureka Hospital |
1331890841 |
CRAB (F23) IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
1331890842 |
OAT (F7) IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
1331890843 |
RYE (F5) IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
1331890844 |
SHRIMP (F24) IGE |
86003 |
0302 |
49 |
49 |
14.7 |
44.59 |
34.299999999999997 |
14.7 |
44.59 |
35.28 |
41.65 |
Carle Eureka Hospital |
1331890845 |
RAST EGG WHITE IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
1331890846 |
RAST MILK IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
1331890847 |
RAST PEANUT IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
1331890848 |
RAST SOYBEAN IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
1331890849 |
RAST WHEAT IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
1331890850 |
RAST BARLEY IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
1331890851 |
COCOA (F93) IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
1331890852 |
ALLERGEN MISCELLANEOUS |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
1331890866 |
ENZY ACT RED BLD CELLS (TPMTEA |
82657 |
0301 |
170 |
170 |
51 |
154.70000000000002 |
118.99999999999999 |
51 |
154.70000000000002 |
122.39999999999999 |
144.5 |
Carle Eureka Hospital |
1331890867 |
HGH PRSH CHOGR 6M THIO (TPMTEA |
82542 |
0301 |
170 |
170 |
51 |
154.70000000000002 |
118.99999999999999 |
51 |
154.70000000000002 |
122.39999999999999 |
144.5 |
Carle Eureka Hospital |
1331890869 |
HGH PSH LQID CHRGR 6 THIO (6MP |
82542 |
0301 |
245 |
245 |
73.5 |
222.95000000000002 |
171.5 |
73.5 |
222.95000000000002 |
176.4 |
208.25 |
Carle Eureka Hospital |
1331890870 |
HGH PRSH CHOGR 6M MCPTP (6MP) |
82542 |
0301 |
245 |
245 |
73.5 |
222.95000000000002 |
171.5 |
73.5 |
222.95000000000002 |
176.4 |
208.25 |
Carle Eureka Hospital |
1331890871 |
HCV RNA GENOTYPE |
87902 |
0300 |
795 |
795 |
238.5 |
723.45 |
556.5 |
238.5 |
723.45 |
572.4 |
675.75 |
Carle Eureka Hospital |
1331890880 |
BORRELIA BURG COMFIM TEST |
86617 |
0302 |
355 |
355 |
106.5 |
323.05 |
248.49999999999997 |
106.5 |
323.05 |
255.6 |
301.75 |
Carle Eureka Hospital |
1331890881 |
BORRELIA BURGORDERI |
86617 |
0302 |
355 |
355 |
106.5 |
323.05 |
248.49999999999997 |
106.5 |
323.05 |
255.6 |
301.75 |
Carle Eureka Hospital |
1331890889 |
COXSACKIE B1 (MYOCARD) |
86658 |
0302 |
105 |
105 |
31.5 |
95.55 |
73.5 |
31.5 |
95.55 |
75.599999999999994 |
89.25 |
Carle Eureka Hospital |
1331890890 |
COXSACKIE B2 |
86658 |
0302 |
105 |
105 |
31.5 |
95.55 |
73.5 |
31.5 |
95.55 |
75.599999999999994 |
89.25 |
Carle Eureka Hospital |
1331890891 |
COXSACKIE B3 (MYOCARD) |
86658 |
0302 |
105 |
105 |
31.5 |
95.55 |
73.5 |
31.5 |
95.55 |
75.599999999999994 |
89.25 |
Carle Eureka Hospital |
1331890892 |
COXSACKIE B4 (MYOCARD) |
86658 |
0302 |
105 |
105 |
31.5 |
95.55 |
73.5 |
31.5 |
95.55 |
75.599999999999994 |
89.25 |
Carle Eureka Hospital |
1331890893 |
COXSACKIE B5 (MYOCARD) |
86658 |
0302 |
105 |
105 |
31.5 |
95.55 |
73.5 |
31.5 |
95.55 |
75.599999999999994 |
89.25 |
Carle Eureka Hospital |
1331890894 |
INFLUENZA AB TYPE A (MYOCARD) |
86710 |
0302 |
96 |
96 |
28.799999999999997 |
87.36 |
67.199999999999989 |
28.799999999999997 |
87.36 |
69.12 |
81.599999999999994 |
Carle Eureka Hospital |
1331890895 |
INFLUENZA AB TYPE B (MYOCARD) |
86710 |
0302 |
96 |
96 |
28.799999999999997 |
87.36 |
67.199999999999989 |
28.799999999999997 |
87.36 |
69.12 |
81.599999999999994 |
Carle Eureka Hospital |
1331890903 |
PTT |
85730 |
0305 |
106 |
106 |
31.799999999999997 |
96.460000000000008 |
74.199999999999989 |
31.799999999999997 |
96.460000000000008 |
76.319999999999993 |
90.1 |
Carle Eureka Hospital |
1331890904 |
SUBSTIT, PLAS, FRACT, (PTTMIX) |
85732 |
0305 |
190 |
190 |
57 |
172.9 |
133 |
57 |
172.9 |
136.79999999999998 |
161.5 |
Carle Eureka Hospital |
1331890906 |
NEPH ANALY NO/EW SPEC (LTCHNS) |
83883 |
0301 |
76 |
76 |
22.8 |
69.16 |
53.199999999999996 |
22.8 |
69.16 |
54.72 |
64.599999999999994 |
Carle Eureka Hospital |
1331890907 |
NEPH ANALY N/EW SPEC (LTCHNS) |
83883 |
0301 |
76 |
76 |
22.8 |
69.16 |
53.199999999999996 |
22.8 |
69.16 |
54.72 |
64.599999999999994 |
Carle Eureka Hospital |
1331890909 |
NEPH ANAL NO/EW SPEC (LTCHNRU) |
83883 |
0301 |
231 |
231 |
69.3 |
210.21 |
161.69999999999999 |
69.3 |
210.21 |
166.32 |
196.35 |
Carle Eureka Hospital |
1331890910 |
NEPH ANAL NO/EW SPEC (LTCHNRU) |
83883 |
0301 |
231 |
231 |
69.3 |
210.21 |
161.69999999999999 |
69.3 |
210.21 |
166.32 |
196.35 |
Carle Eureka Hospital |
1331890912 |
GAMMAGL IGA IGR IGM EA (MSPROF |
82784 |
0301 |
32 |
32 |
9.6 |
29.12 |
22.4 |
9.6 |
29.12 |
23.04 |
27.2 |
Carle Eureka Hospital |
1331890913 |
MYELIN BASIC PROT, CSF (MSPROF |
83873 |
0301 |
67 |
67 |
20.099999999999998 |
60.97 |
46.9 |
20.099999999999998 |
60.97 |
48.239999999999995 |
56.949999999999996 |
Carle Eureka Hospital |
1331890915 |
THN LYR ANLTE NOT EW SPEC (PG) |
83516 |
0301 |
77 |
77 |
23.099999999999998 |
70.070000000000007 |
53.9 |
23.099999999999998 |
70.070000000000007 |
55.44 |
65.45 |
Carle Eureka Hospital |
1331890916 |
LS |
83661 |
0301 |
205 |
205 |
61.5 |
186.55 |
143.5 |
61.5 |
186.55 |
147.6 |
174.25 |
Carle Eureka Hospital |
1331890918 |
CHRMSME ANAL ADD KARYOTYPES EA |
88280 |
0300 |
260 |
260 |
78 |
236.6 |
182 |
78 |
236.6 |
187.2 |
221 |
Carle Eureka Hospital |
1331890919 |
AMNIOTC FLD/CRNIC VILLUS CELLS |
88235 |
0300 |
355 |
355 |
106.5 |
323.05 |
248.49999999999997 |
106.5 |
323.05 |
255.6 |
301.75 |
Carle Eureka Hospital |
1331890920 |
CHRMSOME A CT 15 CL 1KA W BAND |
88267 |
0300 |
1770 |
1770 |
531 |
1610.7 |
1239 |
531 |
1610.7 |
1274.3999999999999 |
1504.5 |
Carle Eureka Hospital |
1331890923 |
CT 15-20 CELLS 2 KRTYPS W BAND |
88262 |
0300 |
1410 |
1410 |
423 |
1283.1000000000001 |
986.99999999999989 |
423 |
1283.1000000000001 |
1015.1999999999999 |
1198.5 |
Carle Eureka Hospital |
1331890924 |
TIS CULT F NEOPLAS DISO BM/BLD |
88237 |
0300 |
530 |
530 |
159 |
482.3 |
371 |
159 |
482.3 |
381.59999999999997 |
450.5 |
Carle Eureka Hospital |
1331890927 |
ALBUMIN |
82040 |
0301 |
74 |
74 |
22.2 |
67.34 |
51.8 |
22.2 |
67.34 |
53.28 |
62.9 |
Carle Eureka Hospital |
1331890929 |
GLIADIN AB IGA |
83516 |
0301 |
196 |
196 |
58.8 |
178.36 |
137.19999999999999 |
58.8 |
178.36 |
141.12 |
166.6 |
Carle Eureka Hospital |
1331890930 |
GLIADIN AB IGG |
83516 |
0301 |
134 |
134 |
40.199999999999996 |
121.94 |
93.8 |
40.199999999999996 |
121.94 |
96.47999999999999 |
113.89999999999999 |
Carle Eureka Hospital |
1331890932 |
LEAD URINE |
83655 |
0301 |
115 |
115 |
34.5 |
104.65 |
80.5 |
34.5 |
104.65 |
82.8 |
97.75 |
Carle Eureka Hospital |
1331890933 |
MERCURY URINE |
83825 |
0301 |
105 |
105 |
31.5 |
95.55 |
73.5 |
31.5 |
95.55 |
75.599999999999994 |
89.25 |
Carle Eureka Hospital |
1331890934 |
ARSENIC URINE |
82175 |
0301 |
105 |
105 |
31.5 |
95.55 |
73.5 |
31.5 |
95.55 |
75.599999999999994 |
89.25 |
Carle Eureka Hospital |
1331890935 |
CADMIUM |
82300 |
0301 |
215 |
215 |
64.5 |
195.65 |
150.5 |
64.5 |
195.65 |
154.79999999999998 |
182.75 |
Carle Eureka Hospital |
1331890949 |
SSA |
86235 |
0302 |
125 |
125 |
37.5 |
113.75 |
87.5 |
37.5 |
113.75 |
90 |
106.25 |
Carle Eureka Hospital |
1331890950 |
SSB |
86235 |
0302 |
125 |
125 |
37.5 |
113.75 |
87.5 |
37.5 |
113.75 |
90 |
106.25 |
Carle Eureka Hospital |
1331890968 |
COXSACKIE A AB TYPE 2 |
86658 |
0302 |
105 |
105 |
31.5 |
95.55 |
73.5 |
31.5 |
95.55 |
75.599999999999994 |
89.25 |
Carle Eureka Hospital |
1331890969 |
COXSACKIE A AB TYPE 4 |
86658 |
0302 |
105 |
105 |
31.5 |
95.55 |
73.5 |
31.5 |
95.55 |
75.599999999999994 |
89.25 |
Carle Eureka Hospital |
1331890970 |
COXSACKIE A AB TYPE 7 |
86658 |
0302 |
105 |
105 |
31.5 |
95.55 |
73.5 |
31.5 |
95.55 |
75.599999999999994 |
89.25 |
Carle Eureka Hospital |
1331890971 |
COXSACKIE A AB TYPE 9 |
86658 |
0302 |
105 |
105 |
31.5 |
95.55 |
73.5 |
31.5 |
95.55 |
75.599999999999994 |
89.25 |
Carle Eureka Hospital |
1331890972 |
COXSACKIE A AB TYPE 10 |
86658 |
0302 |
105 |
105 |
31.5 |
95.55 |
73.5 |
31.5 |
95.55 |
75.599999999999994 |
89.25 |
Carle Eureka Hospital |
1331890973 |
COXSACKIE A AB TYPE 16 |
86658 |
0302 |
105 |
105 |
31.5 |
95.55 |
73.5 |
31.5 |
95.55 |
75.599999999999994 |
89.25 |
Carle Eureka Hospital |
1331890975 |
E CHAFFEENSIS AB IGG |
86666 |
0302 |
175 |
175 |
52.5 |
159.25 |
122.49999999999999 |
52.5 |
159.25 |
126 |
148.75 |
Carle Eureka Hospital |
1331890976 |
E CHAFFEENSIS AB IGM |
86666 |
0302 |
175 |
175 |
52.5 |
159.25 |
122.49999999999999 |
52.5 |
159.25 |
126 |
148.75 |
Carle Eureka Hospital |
1331890978 |
OTHER SOURCE |
82570 |
0301 |
6 |
6 |
1.7999999999999998 |
5.46 |
4.1999999999999993 |
1.7999999999999998 |
5.46 |
4.32 |
5.0999999999999996 |
Carle Eureka Hospital |
1331890979 |
ORGANIC ACID SINGLE QUANTITATI |
83921 |
0301 |
560 |
560 |
168 |
509.6 |
392 |
168 |
509.6 |
403.2 |
476 |
Carle Eureka Hospital |
1331890981 |
ATOMIC ABSORPTION SPECTROSCOPY |
82190 |
0301 |
339 |
339 |
101.7 |
308.49 |
237.29999999999998 |
101.7 |
308.49 |
244.07999999999998 |
288.14999999999998 |
Carle Eureka Hospital |
1331890983 |
FLUNITRAZEPAM CONF BLD |
80346 |
0300 |
345 |
345 |
103.5 |
313.95 |
241.49999999999997 |
103.5 |
313.95 |
248.39999999999998 |
293.25 |
Carle Eureka Hospital |
1331890984 |
FLUNITRAZEPAM CONF UR |
80346 |
0300 |
325 |
325 |
97.5 |
295.75 |
227.49999999999997 |
97.5 |
295.75 |
234 |
276.25 |
Carle Eureka Hospital |
1331890986 |
TISSUE CULTURE INOC, OBS, PRP |
87252 |
0306 |
265 |
265 |
79.5 |
241.15 |
185.5 |
79.5 |
241.15 |
190.79999999999998 |
225.25 |
Carle Eureka Hospital |
1331890987 |
SHELL VIAL ID W/IMMFLOURESCEN |
87254 |
0306 |
260 |
260 |
78 |
236.6 |
182 |
78 |
236.6 |
187.2 |
221 |
Carle Eureka Hospital |
1331890988 |
HISTONE AB |
83516 |
0301 |
194 |
194 |
58.199999999999996 |
176.54 |
135.79999999999998 |
58.199999999999996 |
176.54 |
139.68 |
164.9 |
Carle Eureka Hospital |
1331890989 |
NICOTINE RANDOM URINE |
80323 |
0301 |
196 |
196 |
58.8 |
178.36 |
137.19999999999999 |
58.8 |
178.36 |
141.12 |
166.6 |
Carle Eureka Hospital |
1331890992 |
CHLAMYDIA-REFLEX FOR GCCHLAM |
87490 |
0306 |
155 |
155 |
46.5 |
141.05000000000001 |
108.5 |
46.5 |
141.05000000000001 |
111.6 |
131.75 |
Carle Eureka Hospital |
1331890993 |
GC-REFLEX FOR GCCHLAM |
87590 |
0306 |
210 |
210 |
63 |
191.1 |
147 |
63 |
191.1 |
151.19999999999999 |
178.5 |
Carle Eureka Hospital |
1331890994 |
REFLEX WESTERRN BLOT FOR HIV-1 |
86689 |
0302 |
200 |
200 |
60 |
182 |
140 |
60 |
182 |
144 |
170 |
Carle Eureka Hospital |
1331890998 |
ATOMIC ABORPTION SPECTROSCOPY |
82190 |
0301 |
339 |
339 |
101.7 |
308.49 |
237.29999999999998 |
101.7 |
308.49 |
244.07999999999998 |
288.14999999999998 |
Carle Eureka Hospital |
1331891002 |
HISTONE AB |
83516 |
0301 |
126 |
126 |
37.799999999999997 |
114.66000000000001 |
88.199999999999989 |
37.799999999999997 |
114.66000000000001 |
90.72 |
107.1 |
Carle Eureka Hospital |
1331891004 |
OLIGOCLONAL IMMUNE (MSPROF) |
83916 |
0301 |
230 |
230 |
69 |
209.3 |
161 |
69 |
209.3 |
165.6 |
195.5 |
Carle Eureka Hospital |
1331891023 |
HER2/NEU STAIN |
88361 |
0310 |
860 |
860 |
258 |
782.6 |
602 |
258 |
782.6 |
619.19999999999993 |
731 |
Carle Eureka Hospital |
1331891057 |
ALPHAFETOPROTEIN MATERNAL-TSM |
82105 |
0300 |
155 |
155 |
46.5 |
141.05000000000001 |
108.5 |
46.5 |
141.05000000000001 |
111.6 |
131.75 |
Carle Eureka Hospital |
1331891058 |
ESTRIOL - TSM |
82677 |
0300 |
105 |
105 |
31.5 |
95.55 |
73.5 |
31.5 |
95.55 |
75.599999999999994 |
89.25 |
Carle Eureka Hospital |
1331891059 |
BHCG-QUANTITATIVE - TSM |
84702 |
0300 |
140 |
140 |
42 |
127.4 |
98 |
42 |
127.4 |
100.8 |
119 |
Carle Eureka Hospital |
1331891062 |
RUBEOLA IGG CSF |
86765 |
0302 |
97 |
97 |
29.099999999999998 |
88.27 |
67.899999999999991 |
29.099999999999998 |
88.27 |
69.84 |
82.45 |
Carle Eureka Hospital |
1331891063 |
RUBEOLA IGM CSF |
86765 |
0302 |
97 |
97 |
29.099999999999998 |
88.27 |
67.899999999999991 |
29.099999999999998 |
88.27 |
69.84 |
82.45 |
Carle Eureka Hospital |
1331891064 |
RUBEOLA IGG SERUM |
86765 |
0302 |
97 |
97 |
29.099999999999998 |
88.27 |
67.899999999999991 |
29.099999999999998 |
88.27 |
69.84 |
82.45 |
Carle Eureka Hospital |
1331891065 |
RUBEOLA IGM SERUM |
86765 |
0302 |
97 |
97 |
29.099999999999998 |
88.27 |
67.899999999999991 |
29.099999999999998 |
88.27 |
69.84 |
82.45 |
Carle Eureka Hospital |
1331891069 |
ANTI-HUMAN NEUTROPHIL ELIS IGG |
83520 |
0301 |
255 |
255 |
76.5 |
232.05 |
178.5 |
76.5 |
232.05 |
183.6 |
216.75 |
Carle Eureka Hospital |
1331891070 |
ANTI-OMPC ELISA IGA |
83520 |
0301 |
255 |
255 |
76.5 |
232.05 |
178.5 |
76.5 |
232.05 |
183.6 |
216.75 |
Carle Eureka Hospital |
1331891071 |
ANIT-HUMAN NEUTROPHIL IMM IGA |
83520 |
0301 |
255 |
255 |
76.5 |
232.05 |
178.5 |
76.5 |
232.05 |
183.6 |
216.75 |
Carle Eureka Hospital |
1331891072 |
ANTI-HUMAN NEUTROPHIL IGG DNAS |
83520 |
0301 |
255 |
255 |
76.5 |
232.05 |
178.5 |
76.5 |
232.05 |
183.6 |
216.75 |
Carle Eureka Hospital |
1331891081 |
WESTER BLOT (HU) |
84182 |
0301 |
290 |
290 |
87 |
263.90000000000003 |
203 |
87 |
263.90000000000003 |
208.79999999999998 |
246.5 |
Carle Eureka Hospital |
1331891082 |
WESTERN BLOT (CV2) |
84182 |
0301 |
290 |
290 |
87 |
263.90000000000003 |
203 |
87 |
263.90000000000003 |
208.79999999999998 |
246.5 |
Carle Eureka Hospital |
1331891083 |
WESTERN BLOT (YO) |
84182 |
0301 |
290 |
290 |
87 |
263.90000000000003 |
203 |
87 |
263.90000000000003 |
208.79999999999998 |
246.5 |
Carle Eureka Hospital |
1331891084 |
WESTERN BLOT (RI) |
84182 |
0301 |
290 |
290 |
87 |
263.90000000000003 |
203 |
87 |
263.90000000000003 |
208.79999999999998 |
246.5 |
Carle Eureka Hospital |
1331891085 |
WESTERN BLOT(CAR) |
84182 |
0301 |
290 |
290 |
87 |
263.90000000000003 |
203 |
87 |
263.90000000000003 |
208.79999999999998 |
246.5 |
Carle Eureka Hospital |
1331891087 |
IMMUNOASSAY (MA) |
83520 |
0301 |
255 |
255 |
76.5 |
232.05 |
178.5 |
76.5 |
232.05 |
183.6 |
216.75 |
Carle Eureka Hospital |
1331891088 |
IMMUNOASSAY (TA) |
83520 |
0301 |
255 |
255 |
76.5 |
232.05 |
178.5 |
76.5 |
232.05 |
183.6 |
216.75 |
Carle Eureka Hospital |
1331891094 |
VIRAL NEUTRALIZING TEST |
86382 |
0302 |
570 |
570 |
171 |
518.70000000000005 |
399 |
171 |
518.70000000000005 |
410.4 |
484.5 |
Carle Eureka Hospital |
1331891095 |
NTD TEST |
86384 |
0302 |
570 |
570 |
171 |
518.70000000000005 |
399 |
171 |
518.70000000000005 |
410.4 |
484.5 |
Carle Eureka Hospital |
1331891096 |
TISSUE CULTRUE INTERFERON |
87253 |
0306 |
575 |
575 |
172.5 |
523.25 |
402.5 |
172.5 |
523.25 |
414 |
488.75 |
Carle Eureka Hospital |
1331891098 |
ANTI-GMI |
83520 |
0301 |
320 |
320 |
96 |
291.2 |
224 |
96 |
291.2 |
230.39999999999998 |
272 |
Carle Eureka Hospital |
1331891099 |
ANTI-ASIALO GM |
83520 |
0301 |
320 |
320 |
96 |
291.2 |
224 |
96 |
291.2 |
230.39999999999998 |
272 |
Carle Eureka Hospital |
1331891100 |
ANTI-GDLB AB |
83520 |
0301 |
320 |
320 |
96 |
291.2 |
224 |
96 |
291.2 |
230.39999999999998 |
272 |
Carle Eureka Hospital |
1331891101 |
PAP THIN PREP W/FLEX HPV |
88142 |
0311 |
190 |
190 |
57 |
172.9 |
133 |
57 |
172.9 |
136.79999999999998 |
161.5 |
Carle Eureka Hospital |
1331891102 |
REFLEX HPV HIGH RISK ONLY |
87624 |
0306 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
1331891103 |
FK506-TACROLIMUS |
80197 |
0300 |
165 |
165 |
49.5 |
150.15 |
115.49999999999999 |
49.5 |
150.15 |
118.8 |
140.25 |
Carle Eureka Hospital |
1331891106 |
HPB DNA LOW RISK |
87623 |
0306 |
112 |
112 |
33.6 |
101.92 |
78.399999999999991 |
33.6 |
101.92 |
80.64 |
95.2 |
Carle Eureka Hospital |
1331891107 |
HPV DNA INT/HIGH RISK |
87624 |
0306 |
195 |
195 |
58.5 |
177.45000000000002 |
136.5 |
58.5 |
177.45000000000002 |
140.4 |
165.75 |
Carle Eureka Hospital |
1331891112 |
CHLAMYDIA CULTURE |
87140 |
0306 |
61 |
61 |
18.3 |
55.510000000000005 |
42.699999999999996 |
18.3 |
55.510000000000005 |
43.92 |
51.85 |
Carle Eureka Hospital |
1331891113 |
MERCURY 24 HR URINE |
83825 |
0301 |
175 |
175 |
52.5 |
159.25 |
122.49999999999999 |
52.5 |
159.25 |
126 |
148.75 |
Carle Eureka Hospital |
1331891114 |
ECHINOCCUS AB IgG |
86682 |
0302 |
175 |
175 |
52.5 |
159.25 |
122.49999999999999 |
52.5 |
159.25 |
126 |
148.75 |
Carle Eureka Hospital |
1331891115 |
RFLX ECHINOCOCCUS WESTERN BLOT |
86682 |
0302 |
269 |
269 |
80.7 |
244.79000000000002 |
188.29999999999998 |
80.7 |
244.79000000000002 |
193.68 |
228.65 |
Carle Eureka Hospital |
1331891117 |
C TRACHOMATIS AB IGM |
86632 |
0302 |
130 |
130 |
39 |
118.3 |
91 |
39 |
118.3 |
93.6 |
110.5 |
Carle Eureka Hospital |
1331891118 |
C TRACHOMATIS AB IGG |
86631 |
0302 |
125 |
125 |
37.5 |
113.75 |
87.5 |
37.5 |
113.75 |
90 |
106.25 |
Carle Eureka Hospital |
1331891119 |
C TRACHOMATIS AB IGA |
86631 |
0302 |
125 |
125 |
37.5 |
113.75 |
87.5 |
37.5 |
113.75 |
90 |
106.25 |
Carle Eureka Hospital |
1331891120 |
KEPPRA - LEVETIRACETAM |
80177 |
0301 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
1331891121 |
HU ANTIBODY/W RFLX |
86255 |
0302 |
134 |
134 |
40.199999999999996 |
121.94 |
93.8 |
40.199999999999996 |
121.94 |
96.47999999999999 |
113.89999999999999 |
Carle Eureka Hospital |
1331891122 |
REFLEX HU AB TITER |
86256 |
0302 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
1331891123 |
REFLEX HU AB WESTERN BLOT |
84181 |
0301 |
279 |
279 |
83.7 |
253.89000000000001 |
195.29999999999998 |
83.7 |
253.89000000000001 |
200.88 |
237.15 |
Carle Eureka Hospital |
1331891125 |
YO-PURKINJE CELLS TITER/REFLX |
86256 |
0302 |
120 |
120 |
36 |
109.2 |
84 |
36 |
109.2 |
86.399999999999991 |
102 |
Carle Eureka Hospital |
1331891128 |
RMSF IGM (FEB) |
86757 |
0302 |
95 |
95 |
28.5 |
86.45 |
66.5 |
28.5 |
86.45 |
68.399999999999991 |
80.75 |
Carle Eureka Hospital |
1331891130 |
TYPHUS FEVER IGM (FEB) |
86757 |
0302 |
95 |
95 |
28.5 |
86.45 |
66.5 |
28.5 |
86.45 |
68.399999999999991 |
80.75 |
Carle Eureka Hospital |
1331891131 |
REFLEX TYPHUS AB TITIER IGG |
86757 |
0302 |
115 |
115 |
34.5 |
104.65 |
80.5 |
34.5 |
104.65 |
82.8 |
97.75 |
Carle Eureka Hospital |
1331891132 |
REFLEX TYPHUS AB TITER IGM |
86757 |
0302 |
120 |
120 |
36 |
109.2 |
84 |
36 |
109.2 |
86.399999999999991 |
102 |
Carle Eureka Hospital |
1331891133 |
REFLEX RICKETTSIA AB TITER IGG |
86757 |
0302 |
180 |
180 |
54 |
163.80000000000001 |
125.99999999999999 |
54 |
163.80000000000001 |
129.6 |
153 |
Carle Eureka Hospital |
1331891134 |
REFLEX RICKETTSIA AB TITER IGM |
86757 |
0302 |
180 |
180 |
54 |
163.80000000000001 |
125.99999999999999 |
54 |
163.80000000000001 |
129.6 |
153 |
Carle Eureka Hospital |
1331891136 |
PARVOVIRUS B19 AB IGG |
86747 |
0302 |
145 |
145 |
43.5 |
131.95000000000002 |
101.5 |
43.5 |
131.95000000000002 |
104.39999999999999 |
123.25 |
Carle Eureka Hospital |
1331891137 |
PARVOVIRUS B19 AB IGM |
86747 |
0302 |
145 |
145 |
43.5 |
131.95000000000002 |
101.5 |
43.5 |
131.95000000000002 |
104.39999999999999 |
123.25 |
Carle Eureka Hospital |
1331891140 |
PERRENIAL RYE GRASS (G5) IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
1331891141 |
TIMOTHY GRASS (G6) IGE |
86003 |
0302 |
49 |
49 |
14.7 |
44.59 |
34.299999999999997 |
14.7 |
44.59 |
35.28 |
41.65 |
Carle Eureka Hospital |
1331891143 |
MAPLE (BOX ELDER) (T1) IGE |
86003 |
0302 |
49 |
49 |
14.7 |
44.59 |
34.299999999999997 |
14.7 |
44.59 |
35.28 |
41.65 |
Carle Eureka Hospital |
1331891144 |
COTTONWOOD (T14) IGE |
86003 |
0302 |
49 |
49 |
14.7 |
44.59 |
34.299999999999997 |
14.7 |
44.59 |
35.28 |
41.65 |
Carle Eureka Hospital |
1331891147 |
RAST GOOSE FEATHERS |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
1331891150 |
HEPATITIS B CORE AB TOTAL |
86704 |
0302 |
160 |
160 |
48 |
145.6 |
112 |
48 |
145.6 |
115.19999999999999 |
136 |
Carle Eureka Hospital |
1331891152 |
ALPHA 1 ANTITRYPSIN PHENOTYPIN |
82104 |
0301 |
245 |
245 |
73.5 |
222.95000000000002 |
171.5 |
73.5 |
222.95000000000002 |
176.4 |
208.25 |
Carle Eureka Hospital |
1331891153 |
HEPATITIS A AB TOTAL |
86708 |
0302 |
115 |
115 |
34.5 |
104.65 |
80.5 |
34.5 |
104.65 |
82.8 |
97.75 |
Carle Eureka Hospital |
1331891154 |
REFLEX HEPATITIS A AB IGM |
86709 |
0302 |
190 |
190 |
57 |
172.9 |
133 |
57 |
172.9 |
136.79999999999998 |
161.5 |
Carle Eureka Hospital |
1331891155 |
PTH RELATED PROTEIN |
83519 |
0301 |
185 |
185 |
55.5 |
168.35 |
129.5 |
55.5 |
168.35 |
133.19999999999999 |
157.25 |
Carle Eureka Hospital |
1331891157 |
FREE DILANTIN |
80186 |
0300 |
130 |
130 |
39 |
118.3 |
91 |
39 |
118.3 |
93.6 |
110.5 |
Carle Eureka Hospital |
1331891158 |
IGA SUBCLASS 1 |
82787 |
0301 |
105 |
105 |
31.5 |
95.55 |
73.5 |
31.5 |
95.55 |
75.599999999999994 |
89.25 |
Carle Eureka Hospital |
1331891159 |
IGA SUBCLASS 2 |
82787 |
0301 |
105 |
105 |
31.5 |
95.55 |
73.5 |
31.5 |
95.55 |
75.599999999999994 |
89.25 |
Carle Eureka Hospital |
1331891160 |
IGA TOTAL |
82784 |
0301 |
79 |
79 |
23.7 |
71.89 |
55.3 |
23.7 |
71.89 |
56.879999999999995 |
67.149999999999991 |
Carle Eureka Hospital |
1331891161 |
G-6-PD RBC |
82955 |
0301 |
155 |
155 |
46.5 |
141.05000000000001 |
108.5 |
46.5 |
141.05000000000001 |
111.6 |
131.75 |
Carle Eureka Hospital |
1331891163 |
B CELLS TOTAL COUNT |
86355 |
0302 |
195 |
195 |
58.5 |
177.45000000000002 |
136.5 |
58.5 |
177.45000000000002 |
140.4 |
165.75 |
Carle Eureka Hospital |
1331891164 |
T CELLS TOTAL CT |
86359 |
0302 |
435 |
435 |
130.5 |
395.85 |
304.5 |
130.5 |
395.85 |
313.2 |
369.75 |
Carle Eureka Hospital |
1331891165 |
CD4/CD8 CT |
86360 |
0302 |
440 |
440 |
132 |
400.40000000000003 |
308 |
132 |
400.40000000000003 |
316.8 |
374 |
Carle Eureka Hospital |
1331891166 |
CD4/CD8 CT |
86360 |
0301 |
160 |
160 |
48 |
145.6 |
112 |
48 |
145.6 |
115.19999999999999 |
136 |
Carle Eureka Hospital |
1331891168 |
HOMOCYSTEINE NUTR/CONGENITAL |
83090 |
0301 |
160 |
160 |
48 |
145.6 |
112 |
48 |
145.6 |
115.19999999999999 |
136 |
Carle Eureka Hospital |
1331891170 |
METHOTREXATE |
80299 |
0300 |
165 |
165 |
49.5 |
150.15 |
115.49999999999999 |
49.5 |
150.15 |
118.8 |
140.25 |
Carle Eureka Hospital |
1331891171 |
VITAMIN D 1 25 DIHYDROXY |
82652 |
0301 |
360 |
360 |
108 |
327.60000000000002 |
251.99999999999997 |
108 |
327.60000000000002 |
259.2 |
306 |
Carle Eureka Hospital |
1331891172 |
VITAMIN D 25 HYDORXY |
82306 |
0301 |
145 |
145 |
43.5 |
131.95000000000002 |
101.5 |
43.5 |
131.95000000000002 |
104.39999999999999 |
123.25 |
Carle Eureka Hospital |
1331891173 |
VITAMIN A |
84590 |
0301 |
135 |
135 |
40.5 |
122.85000000000001 |
94.5 |
40.5 |
122.85000000000001 |
97.2 |
114.75 |
Carle Eureka Hospital |
1331891174 |
FRUCTOSAMINE |
82985 |
0301 |
140 |
140 |
42 |
127.4 |
98 |
42 |
127.4 |
100.8 |
119 |
Carle Eureka Hospital |
1331891175 |
REDUCING SUBSTANCE STOOL |
84376 |
0301 |
120 |
120 |
36 |
109.2 |
84 |
36 |
109.2 |
86.399999999999991 |
102 |
Carle Eureka Hospital |
1331891176 |
ARSENIC BLOOD |
82175 |
0301 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
1331891191 |
LYME DISEASE CSF RATIO |
86618 |
0302 |
198 |
198 |
59.4 |
180.18 |
138.6 |
59.4 |
180.18 |
142.56 |
168.29999999999998 |
Carle Eureka Hospital |
1331891195 |
CRYPTOCOCCAL AG TITER |
86406 |
0302 |
210 |
210 |
63 |
191.1 |
147 |
63 |
191.1 |
151.19999999999999 |
178.5 |
Carle Eureka Hospital |
1331891198 |
HSV IGM TITER |
86694 |
0302 |
214 |
214 |
64.2 |
194.74 |
149.79999999999998 |
64.2 |
194.74 |
154.07999999999998 |
181.9 |
Carle Eureka Hospital |
1331891199 |
MOLECULAR CYTOGENETICS,DNA PRO |
88271 |
0300 |
180 |
180 |
54 |
163.80000000000001 |
125.99999999999999 |
54 |
163.80000000000001 |
129.6 |
153 |
Carle Eureka Hospital |
1331891200 |
CHROMOSOMAL IN SITU HYBRID,10- |
88273 |
0300 |
335 |
335 |
100.5 |
304.85000000000002 |
234.49999999999997 |
100.5 |
304.85000000000002 |
241.2 |
284.75 |
Carle Eureka Hospital |
1331891206 |
WEST NILE VIRUS IGG |
86789 |
0302 |
165 |
165 |
49.5 |
150.15 |
115.49999999999999 |
49.5 |
150.15 |
118.8 |
140.25 |
Carle Eureka Hospital |
1331891207 |
WEST NILE VIRUS IGM |
86788 |
0302 |
165 |
165 |
49.5 |
150.15 |
115.49999999999999 |
49.5 |
150.15 |
118.8 |
140.25 |
Carle Eureka Hospital |
1331891209 |
TOXOPLASMA 1GM |
86778 |
0302 |
165 |
165 |
49.5 |
150.15 |
115.49999999999999 |
49.5 |
150.15 |
118.8 |
140.25 |
Carle Eureka Hospital |
1331891211 |
IMMUNO FIXATION SERUM |
86334 |
0302 |
218 |
218 |
65.399999999999991 |
198.38 |
152.6 |
65.399999999999991 |
198.38 |
156.96 |
185.29999999999998 |
Carle Eureka Hospital |
1331891212 |
EBV EARLY ANTIGEN |
86663 |
0302 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
1331891213 |
CAROTENE |
82380 |
0301 |
180 |
180 |
54 |
163.80000000000001 |
125.99999999999999 |
54 |
163.80000000000001 |
129.6 |
153 |
Carle Eureka Hospital |
1331891214 |
METANEPHRINES PLASMA |
83835 |
0301 |
195 |
195 |
58.5 |
177.45000000000002 |
136.5 |
58.5 |
177.45000000000002 |
140.4 |
165.75 |
Carle Eureka Hospital |
1331891215 |
VITAMIN B1 |
84425 |
0301 |
240 |
240 |
72 |
218.4 |
168 |
72 |
218.4 |
172.79999999999998 |
204 |
Carle Eureka Hospital |
1331891216 |
ZONISAMIDE |
80203 |
0301 |
200 |
200 |
60 |
182 |
140 |
60 |
182 |
144 |
170 |
Carle Eureka Hospital |
1331891217 |
APOLIPOPROTEIN B |
82172 |
0301 |
145 |
145 |
43.5 |
131.95000000000002 |
101.5 |
43.5 |
131.95000000000002 |
104.39999999999999 |
123.25 |
Carle Eureka Hospital |
1331891218 |
ANDROSTENEDIONE |
82157 |
0301 |
275 |
275 |
82.5 |
250.25 |
192.5 |
82.5 |
250.25 |
198 |
233.75 |
Carle Eureka Hospital |
1331891219 |
AFP AMNIOTIC FLD |
82106 |
0301 |
175 |
175 |
52.5 |
159.25 |
122.49999999999999 |
52.5 |
159.25 |
126 |
148.75 |
Carle Eureka Hospital |
1331891220 |
HERPES TYPE 1 |
86695 |
0302 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
1331891221 |
CHOLINESTERASE - RBC |
82482 |
0301 |
80 |
80 |
24 |
72.8 |
56 |
24 |
72.8 |
57.599999999999994 |
68 |
Carle Eureka Hospital |
1331891223 |
IMMUNOSTAIN ADDITIONAL |
88341 |
0312 |
480 |
480 |
144 |
436.8 |
336 |
144 |
436.8 |
345.59999999999997 |
408 |
Carle Eureka Hospital |
1331891224 |
DNA PROBE |
88271 |
0300 |
475 |
475 |
142.5 |
432.25 |
332.5 |
142.5 |
432.25 |
342 |
403.75 |
Carle Eureka Hospital |
1331891225 |
MOLECLULAS CYTOGEN 25-99 CELLS |
88274 |
0300 |
710 |
710 |
213 |
646.1 |
496.99999999999994 |
213 |
646.1 |
511.2 |
603.5 |
Carle Eureka Hospital |
1331891226 |
INTERPRETATION REPORT |
88365 |
0312 |
785 |
785 |
235.5 |
714.35 |
549.5 |
235.5 |
714.35 |
565.19999999999993 |
667.25 |
Carle Eureka Hospital |
1331891229 |
THYROGLOBULIN LEVEL |
84432 |
0300 |
56 |
56 |
16.8 |
50.96 |
39.199999999999996 |
16.8 |
50.96 |
40.32 |
47.6 |
Carle Eureka Hospital |
1331891230 |
STRIATED MUSCLE AB SCREEN |
86255 |
0302 |
199 |
199 |
59.699999999999996 |
181.09 |
139.29999999999998 |
59.699999999999996 |
181.09 |
143.28 |
169.15 |
Carle Eureka Hospital |
1331891231 |
STRIATED MUSCLE AB TITER CHG |
86256 |
0302 |
140 |
140 |
42 |
127.4 |
98 |
42 |
127.4 |
100.8 |
119 |
Carle Eureka Hospital |
1331891233 |
WEST NILE VIRUS AB IGG TITER C |
86789 |
0302 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
1331891234 |
WEST NILE VIRUS AB IGM TITER C |
86788 |
0302 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
1331891235 |
WEST NILE AB IGM TITER CHG |
86788 |
0302 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
1331891236 |
WEST NILE AB IGG TITER CHG |
86789 |
0302 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
1331891240 |
CK TOTAL |
82550 |
0301 |
62 |
62 |
18.599999999999998 |
56.42 |
43.4 |
18.599999999999998 |
56.42 |
44.64 |
52.699999999999996 |
Carle Eureka Hospital |
1331891241 |
CK ISOENZYMES (MB,MM,BB) |
82552 |
0301 |
110 |
110 |
33 |
100.10000000000001 |
77 |
33 |
100.10000000000001 |
79.2 |
93.5 |
Carle Eureka Hospital |
1331891243 |
CHROMOGRANIN A |
86316 |
0302 |
240 |
240 |
72 |
218.4 |
168 |
72 |
218.4 |
172.79999999999998 |
204 |
Carle Eureka Hospital |
1331891244 |
LYSOZYME |
85549 |
0305 |
195 |
195 |
58.5 |
177.45000000000002 |
136.5 |
58.5 |
177.45000000000002 |
140.4 |
165.75 |
Carle Eureka Hospital |
1331891245 |
VITAMIN B6 |
84207 |
0301 |
235 |
235 |
70.5 |
213.85 |
164.5 |
70.5 |
213.85 |
169.2 |
199.75 |
Carle Eureka Hospital |
1331891246 |
STREPTOZYME SCREEN |
86403 |
0302 |
74 |
74 |
22.2 |
67.34 |
51.8 |
22.2 |
67.34 |
53.28 |
62.9 |
Carle Eureka Hospital |
1331891247 |
TETANUS ANTITOXOID AB |
86317 |
0302 |
190 |
190 |
57 |
172.9 |
133 |
57 |
172.9 |
136.79999999999998 |
161.5 |
Carle Eureka Hospital |
1331891248 |
DIPTHERIA ANTIOXOID AB |
86317 |
0302 |
190 |
190 |
57 |
172.9 |
133 |
57 |
172.9 |
136.79999999999998 |
161.5 |
Carle Eureka Hospital |
1331891250 |
CHARGE TYPHUS AB TITER IGG |
86757 |
0302 |
180 |
180 |
54 |
163.80000000000001 |
125.99999999999999 |
54 |
163.80000000000001 |
129.6 |
153 |
Carle Eureka Hospital |
1331891251 |
CHARGE TYPHUS AB TITER IGM |
86757 |
0302 |
180 |
180 |
54 |
163.80000000000001 |
125.99999999999999 |
54 |
163.80000000000001 |
129.6 |
153 |
Carle Eureka Hospital |
1331891252 |
TISSUE CULTURE - LYMPHOCYTES |
88230 |
0310 |
1335 |
1335 |
400.5 |
1214.8500000000001 |
934.49999999999989 |
400.5 |
1214.8500000000001 |
961.19999999999993 |
1134.75 |
Carle Eureka Hospital |
1331891253 |
CHROMOSOME ANALYSIS 20-25 CELL |
88264 |
0310 |
1295 |
1295 |
388.5 |
1178.45 |
906.49999999999989 |
388.5 |
1178.45 |
932.4 |
1100.75 |
Carle Eureka Hospital |
1331891254 |
TISSUE CULTURE |
88233 |
0310 |
1530 |
1530 |
459 |
1392.3 |
1071 |
459 |
1392.3 |
1101.5999999999999 |
1300.5 |
Carle Eureka Hospital |
1331891271 |
TOTAL PROTEIN URINE (PE24U) |
84156 |
0301 |
53 |
53 |
15.899999999999999 |
48.230000000000004 |
37.099999999999994 |
15.899999999999999 |
48.230000000000004 |
38.159999999999997 |
45.05 |
Carle Eureka Hospital |
1331891272 |
PROT ELECTROPH FRAC/QU (PE24U) |
84166 |
0301 |
120 |
120 |
36 |
109.2 |
84 |
36 |
109.2 |
86.399999999999991 |
102 |
Carle Eureka Hospital |
1331891273 |
TOTAL PROTEIN OTHER (CSFELP) |
84157 |
0301 |
175 |
175 |
52.5 |
159.25 |
122.49999999999999 |
52.5 |
159.25 |
126 |
148.75 |
Carle Eureka Hospital |
1331891276 |
NSNA IGG, DNASE SLIDE |
88346 |
0310 |
370 |
370 |
111 |
336.7 |
259 |
111 |
336.7 |
266.39999999999998 |
314.5 |
Carle Eureka Hospital |
1331891277 |
NSNA IGG |
88346 |
0310 |
370 |
370 |
111 |
336.7 |
259 |
111 |
336.7 |
266.39999999999998 |
314.5 |
Carle Eureka Hospital |
1331891279 |
STREPTOZYME TITER |
86406 |
0302 |
110 |
110 |
33 |
100.10000000000001 |
77 |
33 |
100.10000000000001 |
79.2 |
93.5 |
Carle Eureka Hospital |
1331891281 |
ASPERGILLUS FUMIGATUS (FUNGAB) |
86606 |
0302 |
96 |
96 |
28.799999999999997 |
87.36 |
67.199999999999989 |
28.799999999999997 |
87.36 |
69.12 |
81.599999999999994 |
Carle Eureka Hospital |
1331891282 |
ASPERGILLUS NIGER (FUNGAB) |
86606 |
0302 |
96 |
96 |
28.799999999999997 |
87.36 |
67.199999999999989 |
28.799999999999997 |
87.36 |
69.12 |
81.599999999999994 |
Carle Eureka Hospital |
1331891283 |
ASPERGILLUS FLAVUS |
86606 |
0302 |
96 |
96 |
28.799999999999997 |
87.36 |
67.199999999999989 |
28.799999999999997 |
87.36 |
69.12 |
81.599999999999994 |
Carle Eureka Hospital |
1331891284 |
ANTICARDIOLIPIN AB, IGM |
86147 |
0302 |
120 |
120 |
36 |
109.2 |
84 |
36 |
109.2 |
86.399999999999991 |
102 |
Carle Eureka Hospital |
1331891285 |
ANTICARDIOLIPIN AB, IGG |
86147 |
0302 |
120 |
120 |
36 |
109.2 |
84 |
36 |
109.2 |
86.399999999999991 |
102 |
Carle Eureka Hospital |
1331891286 |
ANTICARDIOLIPIN AB, IGA |
86147 |
0302 |
185 |
185 |
55.5 |
168.35 |
129.5 |
55.5 |
168.35 |
133.19999999999999 |
157.25 |
Carle Eureka Hospital |
1331891297 |
TESTOSTOSTERONE FREE |
84402 |
0301 |
100 |
100 |
30 |
91 |
70 |
30 |
91 |
72 |
85 |
Carle Eureka Hospital |
1331891298 |
INHIBIN A |
86336 |
0302 |
145 |
145 |
43.5 |
131.95000000000002 |
101.5 |
43.5 |
131.95000000000002 |
104.39999999999999 |
123.25 |
Carle Eureka Hospital |
1331891305 |
RAST LATEX IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
1331891306 |
PSA, TOTAL |
84153 |
0301 |
92 |
92 |
27.599999999999998 |
83.72 |
64.399999999999991 |
27.599999999999998 |
83.72 |
66.239999999999995 |
78.2 |
Carle Eureka Hospital |
1331891307 |
PSA, FREE |
84154 |
0301 |
121 |
121 |
36.299999999999997 |
110.11 |
84.699999999999989 |
36.299999999999997 |
110.11 |
87.11999999999999 |
102.85 |
Carle Eureka Hospital |
1331891309 |
CARDIOLIPIN AB-IGA |
86147 |
0302 |
190 |
190 |
57 |
172.9 |
133 |
57 |
172.9 |
136.79999999999998 |
161.5 |
Carle Eureka Hospital |
1331891311 |
CADMIUM (BLOOD) |
82300 |
0301 |
265 |
265 |
79.5 |
241.15 |
185.5 |
79.5 |
241.15 |
190.79999999999998 |
225.25 |
Carle Eureka Hospital |
1331891312 |
HSV IGM W/REFLEX TITER |
86694 |
0302 |
165 |
165 |
49.5 |
150.15 |
115.49999999999999 |
49.5 |
150.15 |
118.8 |
140.25 |
Carle Eureka Hospital |
1331891316 |
CORTISOL SPECIMEN 1 (ACTHST) |
82533 |
0301 |
155 |
155 |
46.5 |
141.05000000000001 |
108.5 |
46.5 |
141.05000000000001 |
111.6 |
131.75 |
Carle Eureka Hospital |
1331891317 |
CORTISOL SPECIMEN 2 (ACTHST) |
82533 |
0301 |
155 |
155 |
46.5 |
141.05000000000001 |
108.5 |
46.5 |
141.05000000000001 |
111.6 |
131.75 |
Carle Eureka Hospital |
1331891318 |
CORTISOL SPECIMEN 3 (ACTHST) |
82533 |
0301 |
155 |
155 |
46.5 |
141.05000000000001 |
108.5 |
46.5 |
141.05000000000001 |
111.6 |
131.75 |
Carle Eureka Hospital |
1331891319 |
ALKALI PHOSPH ISOENZYM (APISO) |
84080 |
0301 |
140 |
140 |
42 |
127.4 |
98 |
42 |
127.4 |
100.8 |
119 |
Carle Eureka Hospital |
1331891320 |
ALKALINE PHOSPHATASE (APISO) |
84075 |
0301 |
78 |
78 |
23.4 |
70.98 |
54.599999999999994 |
23.4 |
70.98 |
56.16 |
66.3 |
Carle Eureka Hospital |
1331891321 |
PROTEINASE-3 ANTIBODY (ANCA) |
86021 |
0302 |
105 |
105 |
31.5 |
95.55 |
73.5 |
31.5 |
95.55 |
75.599999999999994 |
89.25 |
Carle Eureka Hospital |
1331891322 |
MYELOPEROXIDASE ANTIB (ANCA) |
86021 |
0302 |
105 |
105 |
31.5 |
95.55 |
73.5 |
31.5 |
95.55 |
75.599999999999994 |
89.25 |
Carle Eureka Hospital |
1331891323 |
ANTI-MICROSOMAL ANTIBDY (ATHY) |
86376 |
0300 |
84 |
84 |
25.2 |
76.44 |
58.8 |
25.2 |
76.44 |
60.48 |
71.399999999999991 |
Carle Eureka Hospital |
1331891324 |
THYROGLOBULIN ABS |
86800 |
0300 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
1331891346 |
PROT,ELECTROPH FRA/QUA (SPE) |
84165 |
0301 |
119 |
119 |
35.699999999999996 |
108.29 |
83.3 |
35.699999999999996 |
108.29 |
85.679999999999993 |
101.14999999999999 |
Carle Eureka Hospital |
1331891347 |
CREATININE,URINE (PE24U) |
82570 |
0301 |
51 |
51 |
15.299999999999999 |
46.410000000000004 |
35.699999999999996 |
15.299999999999999 |
46.410000000000004 |
36.72 |
43.35 |
Carle Eureka Hospital |
1331891348 |
EBV CAPSID IGM (EBV) |
86665 |
0302 |
57 |
57 |
17.099999999999998 |
51.870000000000005 |
39.9 |
17.099999999999998 |
51.870000000000005 |
41.04 |
48.449999999999996 |
Carle Eureka Hospital |
1331891349 |
EBV CAPSID IGG (EBV) |
86665 |
0302 |
57 |
57 |
17.099999999999998 |
51.870000000000005 |
39.9 |
17.099999999999998 |
51.870000000000005 |
41.04 |
48.449999999999996 |
Carle Eureka Hospital |
1331891350 |
EBV NUCLEAR AG (EBV) |
86664 |
0302 |
145 |
145 |
43.5 |
131.95000000000002 |
101.5 |
43.5 |
131.95000000000002 |
104.39999999999999 |
123.25 |
Carle Eureka Hospital |
1331891351 |
BLASTOMYCES ANTIBODY (FUNGAB) |
86612 |
0302 |
120 |
120 |
36 |
109.2 |
84 |
36 |
109.2 |
86.399999999999991 |
102 |
Carle Eureka Hospital |
1331891352 |
HISTOPLASMA ANTI (FUNGAB) |
86698 |
0302 |
115 |
115 |
34.5 |
104.65 |
80.5 |
34.5 |
104.65 |
82.8 |
97.75 |
Carle Eureka Hospital |
1331891356 |
HGB FRACT/QUA CHROMA (HGBE) |
83021 |
0301 |
170 |
170 |
51 |
154.70000000000002 |
118.99999999999999 |
51 |
154.70000000000002 |
122.39999999999999 |
144.5 |
Carle Eureka Hospital |
1331891357 |
HERPES SIMP TYPE 1 IGG (HSV12) |
86695 |
0302 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
1331891358 |
HERPES SIMP TYPE 2 IGG (HSV12) |
86696 |
0302 |
165 |
165 |
49.5 |
150.15 |
115.49999999999999 |
49.5 |
150.15 |
118.8 |
140.25 |
Carle Eureka Hospital |
1331891359 |
HERP SIMP NON-SPEC IGM (HSV12) |
86694 |
0302 |
165 |
165 |
49.5 |
150.15 |
115.49999999999999 |
49.5 |
150.15 |
118.8 |
140.25 |
Carle Eureka Hospital |
1331891362 |
IGG SUBCLASS 1 (IGGS) |
82787 |
0301 |
78 |
78 |
23.4 |
70.98 |
54.599999999999994 |
23.4 |
70.98 |
56.16 |
66.3 |
Carle Eureka Hospital |
1331891363 |
IGG SUBCLASS 2 (IGGS) |
82787 |
0301 |
78 |
78 |
23.4 |
70.98 |
54.599999999999994 |
23.4 |
70.98 |
56.16 |
66.3 |
Carle Eureka Hospital |
1331891364 |
IGG SUBCLASS 3 (IGGS) |
82787 |
0301 |
78 |
78 |
23.4 |
70.98 |
54.599999999999994 |
23.4 |
70.98 |
56.16 |
66.3 |
Carle Eureka Hospital |
1331891365 |
IGG SUBCLASS 4 (IGGS) |
82787 |
0301 |
78 |
78 |
23.4 |
70.98 |
54.599999999999994 |
23.4 |
70.98 |
56.16 |
66.3 |
Carle Eureka Hospital |
1331891366 |
TOTAL IGG (IGGS) |
82784 |
0301 |
57 |
57 |
17.099999999999998 |
51.870000000000005 |
39.9 |
17.099999999999998 |
51.870000000000005 |
41.04 |
48.449999999999996 |
Carle Eureka Hospital |
1331891367 |
LD ISOENZYMES SEP QUA (LDI) |
83625 |
0301 |
120 |
120 |
36 |
109.2 |
84 |
36 |
109.2 |
86.399999999999991 |
102 |
Carle Eureka Hospital |
1331891368 |
LDH (LDI) |
83615 |
0301 |
72 |
72 |
21.599999999999998 |
65.52 |
50.4 |
21.599999999999998 |
65.52 |
51.839999999999996 |
61.199999999999996 |
Carle Eureka Hospital |
1331891369 |
PTT (LUP) |
85730 |
0305 |
95 |
95 |
28.5 |
86.45 |
66.5 |
28.5 |
86.45 |
68.399999999999991 |
80.75 |
Carle Eureka Hospital |
1331891370 |
AMIKACIN PEAK |
80150 |
0300 |
555 |
555 |
166.5 |
505.05 |
388.5 |
166.5 |
505.05 |
399.59999999999997 |
471.75 |
Carle Eureka Hospital |
1331891371 |
PLATELET NEURTRALIZ-PTT (LUP) |
85597 |
0305 |
72 |
72 |
21.599999999999998 |
65.52 |
50.4 |
21.599999999999998 |
65.52 |
51.839999999999996 |
61.199999999999996 |
Carle Eureka Hospital |
1331891372 |
PLATELET NEUTRALIZ-PHO (LUP) |
85597 |
0305 |
72 |
72 |
21.599999999999998 |
65.52 |
50.4 |
21.599999999999998 |
65.52 |
51.839999999999996 |
61.199999999999996 |
Carle Eureka Hospital |
1331891384 |
MYCOPLASMA PNEUM IGG AB (MYCO) |
86738 |
0302 |
125 |
125 |
37.5 |
113.75 |
87.5 |
37.5 |
113.75 |
90 |
106.25 |
Carle Eureka Hospital |
1331891385 |
MYCOPLASMA PNEUM IGM AB (MYCO) |
86738 |
0302 |
125 |
125 |
37.5 |
113.75 |
87.5 |
37.5 |
113.75 |
90 |
106.25 |
Carle Eureka Hospital |
1331891386 |
TRICHROME STAIN (OP) |
87209 |
0310 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
1331891387 |
OVA&PARA DIR SMR CONC&ID (OP) |
87177 |
0306 |
76 |
76 |
22.8 |
69.16 |
53.199999999999996 |
22.8 |
69.16 |
54.72 |
64.599999999999994 |
Carle Eureka Hospital |
1331891388 |
PARATHORMONE (PTH) |
83970 |
0301 |
305 |
305 |
91.5 |
277.55 |
213.5 |
91.5 |
277.55 |
219.6 |
259.25 |
Carle Eureka Hospital |
1331891391 |
TESTOSTERONE TOTAL (TESTF) |
84403 |
0301 |
109 |
109 |
32.699999999999996 |
99.19 |
76.3 |
32.699999999999996 |
99.19 |
78.48 |
92.649999999999991 |
Carle Eureka Hospital |
1331891392 |
TOXOPLASMA IGG AB (TOXO) |
86777 |
0302 |
135 |
135 |
40.5 |
122.85000000000001 |
94.5 |
40.5 |
122.85000000000001 |
97.2 |
114.75 |
Carle Eureka Hospital |
1331891393 |
TOXOPLASMA IGM AB (TOXO) |
86778 |
0302 |
135 |
135 |
40.5 |
122.85000000000001 |
94.5 |
40.5 |
122.85000000000001 |
97.2 |
114.75 |
Carle Eureka Hospital |
1331891394 |
SM AB (ENA) |
86235 |
0302 |
125 |
125 |
37.5 |
113.75 |
87.5 |
37.5 |
113.75 |
90 |
106.25 |
Carle Eureka Hospital |
1331891395 |
SM/RNP AB (ENA) |
86235 |
0302 |
125 |
125 |
37.5 |
113.75 |
87.5 |
37.5 |
113.75 |
90 |
106.25 |
Carle Eureka Hospital |
1331891406 |
GAMMABLOBULIN IGG,CSF (MSRPOF) |
82784 |
0301 |
37 |
37 |
11.1 |
33.67 |
25.9 |
11.1 |
33.67 |
26.64 |
31.45 |
Carle Eureka Hospital |
1331891407 |
ALBUMIN,SERUM (MSPROF) |
82040 |
0301 |
71 |
71 |
21.3 |
64.61 |
49.699999999999996 |
21.3 |
64.61 |
51.12 |
60.35 |
Carle Eureka Hospital |
1331891408 |
ALBUMIN,CSF (MSPROF) |
82042 |
0301 |
59 |
59 |
17.7 |
53.690000000000005 |
41.3 |
17.7 |
53.690000000000005 |
42.48 |
50.15 |
Carle Eureka Hospital |
1331891415 |
FLO CYTO,CELL SUR 1ST MARKER |
88184 |
0311 |
100 |
100 |
30 |
91 |
70 |
30 |
91 |
72 |
85 |
Carle Eureka Hospital |
1331891416 |
FLO CYTO,CELL SUR ADD MARKER |
88185 |
0311 |
53 |
53 |
15.899999999999999 |
48.230000000000004 |
37.099999999999994 |
15.899999999999999 |
48.230000000000004 |
38.159999999999997 |
45.05 |
Carle Eureka Hospital |
1331891417 |
FLO CYTO,CELL SUR ADD MARKER |
88185 |
0311 |
53 |
53 |
15.899999999999999 |
48.230000000000004 |
37.099999999999994 |
15.899999999999999 |
48.230000000000004 |
38.159999999999997 |
45.05 |
Carle Eureka Hospital |
1331891418 |
FLO CYTO,CELL SUR ADD MARKER |
88185 |
0311 |
53 |
53 |
15.899999999999999 |
48.230000000000004 |
37.099999999999994 |
15.899999999999999 |
48.230000000000004 |
38.159999999999997 |
45.05 |
Carle Eureka Hospital |
1331891419 |
FLO CYTO,CELL SUR ADD MARKER |
88185 |
0311 |
53 |
53 |
15.899999999999999 |
48.230000000000004 |
37.099999999999994 |
15.899999999999999 |
48.230000000000004 |
38.159999999999997 |
45.05 |
Carle Eureka Hospital |
1331891420 |
FLO CYTO,CELL SUR ADD MARKER |
88185 |
0311 |
53 |
53 |
15.899999999999999 |
48.230000000000004 |
37.099999999999994 |
15.899999999999999 |
48.230000000000004 |
38.159999999999997 |
45.05 |
Carle Eureka Hospital |
1331891421 |
FLO CYTO,CELL SUR ADD MARKER |
88185 |
0311 |
53 |
53 |
15.899999999999999 |
48.230000000000004 |
37.099999999999994 |
15.899999999999999 |
48.230000000000004 |
38.159999999999997 |
45.05 |
Carle Eureka Hospital |
1331891422 |
FLO CYTO,CELL SUR ADD MARKER |
88185 |
0311 |
53 |
53 |
15.899999999999999 |
48.230000000000004 |
37.099999999999994 |
15.899999999999999 |
48.230000000000004 |
38.159999999999997 |
45.05 |
Carle Eureka Hospital |
1331891423 |
FLO CYTO,CELL SUR ADD MARKER |
88185 |
0311 |
53 |
53 |
15.899999999999999 |
48.230000000000004 |
37.099999999999994 |
15.899999999999999 |
48.230000000000004 |
38.159999999999997 |
45.05 |
Carle Eureka Hospital |
1331891424 |
FLO CYTO,CELL SUR ADD MARKER |
88185 |
0311 |
53 |
53 |
15.899999999999999 |
48.230000000000004 |
37.099999999999994 |
15.899999999999999 |
48.230000000000004 |
38.159999999999997 |
45.05 |
Carle Eureka Hospital |
1331891425 |
FLO CYTO,CELL SUR ADD MARKER |
88185 |
0311 |
53 |
53 |
15.899999999999999 |
48.230000000000004 |
37.099999999999994 |
15.899999999999999 |
48.230000000000004 |
38.159999999999997 |
45.05 |
Carle Eureka Hospital |
1331891426 |
FLO CYTO,CELL SUR ADD MARKER |
88185 |
0311 |
53 |
53 |
15.899999999999999 |
48.230000000000004 |
37.099999999999994 |
15.899999999999999 |
48.230000000000004 |
38.159999999999997 |
45.05 |
Carle Eureka Hospital |
1331891427 |
FLO CYTO,CELL SUR ADD MARKER |
88185 |
0311 |
53 |
53 |
15.899999999999999 |
48.230000000000004 |
37.099999999999994 |
15.899999999999999 |
48.230000000000004 |
38.159999999999997 |
45.05 |
Carle Eureka Hospital |
1331891428 |
FLO CYTO,CELL SUR ADD MARKER |
88185 |
0311 |
53 |
53 |
15.899999999999999 |
48.230000000000004 |
37.099999999999994 |
15.899999999999999 |
48.230000000000004 |
38.159999999999997 |
45.05 |
Carle Eureka Hospital |
1331891429 |
FLO CYTO,CELL SUR ADD MARKER |
88185 |
0311 |
53 |
53 |
15.899999999999999 |
48.230000000000004 |
37.099999999999994 |
15.899999999999999 |
48.230000000000004 |
38.159999999999997 |
45.05 |
Carle Eureka Hospital |
1331891430 |
FLO CYTO,CELL SUR ADD MARKER |
88185 |
0311 |
53 |
53 |
15.899999999999999 |
48.230000000000004 |
37.099999999999994 |
15.899999999999999 |
48.230000000000004 |
38.159999999999997 |
45.05 |
Carle Eureka Hospital |
1331891431 |
FLO CYTO,CELL SUR ADD MARKER |
88185 |
0311 |
53 |
53 |
15.899999999999999 |
48.230000000000004 |
37.099999999999994 |
15.899999999999999 |
48.230000000000004 |
38.159999999999997 |
45.05 |
Carle Eureka Hospital |
1331891432 |
FLO CYTO,CELL SUR ADD MARKER |
88185 |
0311 |
53 |
53 |
15.899999999999999 |
48.230000000000004 |
37.099999999999994 |
15.899999999999999 |
48.230000000000004 |
38.159999999999997 |
45.05 |
Carle Eureka Hospital |
1331891433 |
FLO CYTO,CELL SUR ADD MARKER |
88185 |
0311 |
53 |
53 |
15.899999999999999 |
48.230000000000004 |
37.099999999999994 |
15.899999999999999 |
48.230000000000004 |
38.159999999999997 |
45.05 |
Carle Eureka Hospital |
1331891434 |
FLO CYTO,CELL SUR ADD MARKER |
88185 |
0311 |
53 |
53 |
15.899999999999999 |
48.230000000000004 |
37.099999999999994 |
15.899999999999999 |
48.230000000000004 |
38.159999999999997 |
45.05 |
Carle Eureka Hospital |
1331891435 |
FLO CYTO,CELL SUR ADD MARKER |
88185 |
0311 |
53 |
53 |
15.899999999999999 |
48.230000000000004 |
37.099999999999994 |
15.899999999999999 |
48.230000000000004 |
38.159999999999997 |
45.05 |
Carle Eureka Hospital |
1331891436 |
FLO CYTO INTERP 16 => MARKERS |
88189 |
0311 |
210 |
210 |
63 |
191.1 |
147 |
63 |
191.1 |
151.19999999999999 |
178.5 |
Carle Eureka Hospital |
1331891448 |
HSV IGM |
86694 |
0302 |
165 |
165 |
49.5 |
150.15 |
115.49999999999999 |
49.5 |
150.15 |
118.8 |
140.25 |
Carle Eureka Hospital |
1331891461 |
LEAD |
83655 |
0301 |
140 |
140 |
42 |
127.4 |
98 |
42 |
127.4 |
100.8 |
119 |
Carle Eureka Hospital |
1331891462 |
MERCURY |
83825 |
0301 |
155 |
155 |
46.5 |
141.05000000000001 |
108.5 |
46.5 |
141.05000000000001 |
111.6 |
131.75 |
Carle Eureka Hospital |
1331891463 |
ARSENIC |
82175 |
0301 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
1331891470 |
DILUTED RUSSELL VIP VEN (LUP) |
85613 |
0305 |
110 |
110 |
33 |
100.10000000000001 |
77 |
33 |
100.10000000000001 |
79.2 |
93.5 |
Carle Eureka Hospital |
1331891471 |
TYPHUS FEVER IGG (FEB) |
86757 |
0302 |
95 |
95 |
28.5 |
86.45 |
66.5 |
28.5 |
86.45 |
68.399999999999991 |
80.75 |
Carle Eureka Hospital |
1331891472 |
LATEX (K82) IGE |
86003 |
0300 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
1331891473 |
WORMWOOD (W5) IGE |
86003 |
0300 |
49 |
49 |
14.7 |
44.59 |
34.299999999999997 |
14.7 |
44.59 |
35.28 |
41.65 |
Carle Eureka Hospital |
1331891474 |
CODFISH (F3) IGE |
86003 |
0300 |
49 |
49 |
14.7 |
44.59 |
34.299999999999997 |
14.7 |
44.59 |
35.28 |
41.65 |
Carle Eureka Hospital |
1331891475 |
MOUNTAIN CEDAR (T6) IGE |
86003 |
0300 |
49 |
49 |
14.7 |
44.59 |
34.299999999999997 |
14.7 |
44.59 |
35.28 |
41.65 |
Carle Eureka Hospital |
1331891476 |
ORCHARD GRASS (G3) IGE |
86003 |
0300 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
1331891477 |
TOMATO (F25) IGE |
86003 |
0300 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
1331891478 |
WALNUT (F256) IGE |
86003 |
0300 |
49 |
49 |
14.7 |
44.59 |
34.299999999999997 |
14.7 |
44.59 |
35.28 |
41.65 |
Carle Eureka Hospital |
1331891479 |
CHICKEN MEAT (F83) IGE |
86003 |
0300 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
1331891487 |
ELECTROPHORESIS,CSF (CSFELP) |
84166 |
0301 |
175 |
175 |
52.5 |
159.25 |
122.49999999999999 |
52.5 |
159.25 |
126 |
148.75 |
Carle Eureka Hospital |
1331891488 |
MUMPS IGM |
86735 |
0300 |
129 |
129 |
38.699999999999996 |
117.39 |
90.3 |
38.699999999999996 |
117.39 |
92.88 |
109.64999999999999 |
Carle Eureka Hospital |
1331891489 |
RAPAMYCIN LEVEL |
80195 |
0300 |
130 |
130 |
39 |
118.3 |
91 |
39 |
118.3 |
93.6 |
110.5 |
Carle Eureka Hospital |
1331891494 |
ENDOMYSIAL ANTIBODY |
86255 |
0300 |
134 |
134 |
40.199999999999996 |
121.94 |
93.8 |
40.199999999999996 |
121.94 |
96.47999999999999 |
113.89999999999999 |
Carle Eureka Hospital |
1331891497 |
PLATELET NEUTRALIZ-PTT (LUP) |
85597 |
0305 |
72 |
72 |
21.599999999999998 |
65.52 |
50.4 |
21.599999999999998 |
65.52 |
51.839999999999996 |
61.199999999999996 |
Carle Eureka Hospital |
1331891499 |
PLAT FUNCT COLLAGEN EPINEPHRIN |
85576 |
0305 |
245 |
245 |
73.5 |
222.95000000000002 |
171.5 |
73.5 |
222.95000000000002 |
176.4 |
208.25 |
Carle Eureka Hospital |
1331891501 |
FLO CYTO,CELL SUR ADD MARKER |
88185 |
0311 |
53 |
53 |
15.899999999999999 |
48.230000000000004 |
37.099999999999994 |
15.899999999999999 |
48.230000000000004 |
38.159999999999997 |
45.05 |
Carle Eureka Hospital |
1331891503 |
NSNA IFA PERINUCLEAR |
88346 |
0301 |
370 |
370 |
111 |
336.7 |
259 |
111 |
336.7 |
266.39999999999998 |
314.5 |
Carle Eureka Hospital |
1331891504 |
ANTI CBIR 1 |
83520 |
0301 |
255 |
255 |
76.5 |
232.05 |
178.5 |
76.5 |
232.05 |
183.6 |
216.75 |
Carle Eureka Hospital |
1331891507 |
HERPES SIMPLEX TYPE 1 IGG |
86695 |
0300 |
125 |
125 |
37.5 |
113.75 |
87.5 |
37.5 |
113.75 |
90 |
106.25 |
Carle Eureka Hospital |
1331891508 |
HERPES SIMPLEX TYPE 2 IGG |
86696 |
0300 |
130 |
130 |
39 |
118.3 |
91 |
39 |
118.3 |
93.6 |
110.5 |
Carle Eureka Hospital |
1331891509 |
PROTEIN URINE |
81003 |
0300 |
44 |
44 |
13.2 |
40.04 |
30.799999999999997 |
13.2 |
40.04 |
31.68 |
37.4 |
Carle Eureka Hospital |
1331891530 |
CHLAMYDIA DAN,SDA |
87491 |
0300 |
101 |
101 |
30.299999999999997 |
91.91 |
70.699999999999989 |
30.299999999999997 |
91.91 |
72.72 |
85.85 |
Carle Eureka Hospital |
1331891531 |
GC DNA, SDA |
87591 |
0300 |
101 |
101 |
30.299999999999997 |
91.91 |
70.699999999999989 |
30.299999999999997 |
91.91 |
72.72 |
85.85 |
Carle Eureka Hospital |
1331891558 |
CHRO ANAL AMFLD 6-12COL 1 KARO |
88269 |
0300 |
355 |
355 |
106.5 |
323.05 |
248.49999999999997 |
106.5 |
323.05 |
255.6 |
301.75 |
Carle Eureka Hospital |
1331891561 |
RHEUMATOID FACTOR QUANT |
86431 |
0300 |
97 |
97 |
29.099999999999998 |
88.27 |
67.899999999999991 |
29.099999999999998 |
88.27 |
69.84 |
82.45 |
Carle Eureka Hospital |
1331891564 |
CKMB |
82553 |
0300 |
125 |
125 |
37.5 |
113.75 |
87.5 |
37.5 |
113.75 |
90 |
106.25 |
Carle Eureka Hospital |
1331891569 |
TOTAL SERUM IGA TO PROMETHEUS |
82784 |
0300 |
119 |
119 |
35.699999999999996 |
108.29 |
83.3 |
35.699999999999996 |
108.29 |
85.679999999999993 |
101.14999999999999 |
Carle Eureka Hospital |
1331891571 |
TISSUE TRANSGLUTAMINASE AS IgA |
83516 |
0300 |
134 |
134 |
40.199999999999996 |
121.94 |
93.8 |
40.199999999999996 |
121.94 |
96.47999999999999 |
113.89999999999999 |
Carle Eureka Hospital |
1331891572 |
IgA |
82784 |
0300 |
79 |
79 |
23.7 |
71.89 |
55.3 |
23.7 |
71.89 |
56.879999999999995 |
67.149999999999991 |
Carle Eureka Hospital |
1331891573 |
GLIADIN AB IgA |
83516 |
0300 |
134 |
134 |
40.199999999999996 |
121.94 |
93.8 |
40.199999999999996 |
121.94 |
96.47999999999999 |
113.89999999999999 |
Carle Eureka Hospital |
1331891582 |
HEXAGONAL PHASE CONFIRM |
85597 |
0300 |
135 |
135 |
40.5 |
122.85000000000001 |
94.5 |
40.5 |
122.85000000000001 |
97.2 |
114.75 |
Carle Eureka Hospital |
1331891583 |
DRVVT CONFIRM |
85597 |
0300 |
100 |
100 |
30 |
91 |
70 |
30 |
91 |
72 |
85 |
Carle Eureka Hospital |
1331891584 |
DRVVT 1:1 DILUTION |
85613 |
0300 |
90 |
90 |
27 |
81.900000000000006 |
62.999999999999993 |
27 |
81.900000000000006 |
64.8 |
76.5 |
Carle Eureka Hospital |
1331891591 |
INTRINSIC FACTOR BLOCKING AB |
86340 |
0300 |
175 |
175 |
52.5 |
159.25 |
122.49999999999999 |
52.5 |
159.25 |
126 |
148.75 |
Carle Eureka Hospital |
1331891592 |
ARGININE VASOPRESSIN (ADH) |
84588 |
0300 |
265 |
265 |
79.5 |
241.15 |
185.5 |
79.5 |
241.15 |
190.79999999999998 |
225.25 |
Carle Eureka Hospital |
1331891593 |
IGF BINDING PROTEIN 3 |
82397 |
0300 |
145 |
145 |
43.5 |
131.95000000000002 |
101.5 |
43.5 |
131.95000000000002 |
104.39999999999999 |
123.25 |
Carle Eureka Hospital |
1331891595 |
STACHYBOTRYS IGG |
86001 |
0300 |
76 |
76 |
22.8 |
69.16 |
53.199999999999996 |
22.8 |
69.16 |
54.72 |
64.599999999999994 |
Carle Eureka Hospital |
1331891596 |
STACHYBOTRYS IGE |
86003 |
0300 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
1331891598 |
QUANTIFERON (R) TB GOLD |
86480 |
0300 |
370 |
370 |
111 |
336.7 |
259 |
111 |
336.7 |
266.39999999999998 |
314.5 |
Carle Eureka Hospital |
1331891599 |
ALMOND (F20) IGE |
86003 |
0302 |
49 |
49 |
14.7 |
44.59 |
34.299999999999997 |
14.7 |
44.59 |
35.28 |
41.65 |
Carle Eureka Hospital |
1331891600 |
CLAM (F207) IGE |
86003 |
0302 |
49 |
49 |
14.7 |
44.59 |
34.299999999999997 |
14.7 |
44.59 |
35.28 |
41.65 |
Carle Eureka Hospital |
1331891601 |
CASHEW NUT (202) IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
1331891602 |
CANDIDA ALBICANS (M5) IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
1331891603 |
COCONUT (F36) IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
1331891604 |
DOG DANDER (E5) IGE |
86003 |
0302 |
49 |
49 |
14.7 |
44.59 |
34.299999999999997 |
14.7 |
44.59 |
35.28 |
41.65 |
Carle Eureka Hospital |
1331891605 |
EGG MIX (F245) IGE |
86003 |
0302 |
49 |
49 |
14.7 |
44.59 |
34.299999999999997 |
14.7 |
44.59 |
35.28 |
41.65 |
Carle Eureka Hospital |
1331891606 |
EGG YOLK (F75) IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
1331891607 |
GLUTEN (F75) IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
1331891608 |
LOBSTER (F80) IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
1331891609 |
PECAN NUT (F201) IGE |
86003 |
0302 |
49 |
49 |
14.7 |
44.59 |
34.299999999999997 |
14.7 |
44.59 |
35.28 |
41.65 |
Carle Eureka Hospital |
1331891610 |
PECAN/HICKORY TREE (T22) IGE |
86003 |
0302 |
49 |
49 |
14.7 |
44.59 |
34.299999999999997 |
14.7 |
44.59 |
35.28 |
41.65 |
Carle Eureka Hospital |
1331891611 |
ROUGH MARSH ELDER (W16) IGE |
86003 |
0302 |
49 |
49 |
14.7 |
44.59 |
34.299999999999997 |
14.7 |
44.59 |
35.28 |
41.65 |
Carle Eureka Hospital |
1331891612 |
SCALLOP (F338) IGE |
86003 |
0302 |
49 |
49 |
14.7 |
44.59 |
34.299999999999997 |
14.7 |
44.59 |
35.28 |
41.65 |
Carle Eureka Hospital |
1331891613 |
TUNA (F40) IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
1331891614 |
WALNUT TREE (T10) IGE |
86003 |
0302 |
49 |
49 |
14.7 |
44.59 |
34.299999999999997 |
14.7 |
44.59 |
35.28 |
41.65 |
Carle Eureka Hospital |
1331891615 |
WHITE ASH (F15) IGE |
86003 |
0302 |
49 |
49 |
14.7 |
44.59 |
34.299999999999997 |
14.7 |
44.59 |
35.28 |
41.65 |
Carle Eureka Hospital |
1331891616 |
SESAME SEED (F10) IGE |
86003 |
0302 |
49 |
49 |
14.7 |
44.59 |
34.299999999999997 |
14.7 |
44.59 |
35.28 |
41.65 |
Carle Eureka Hospital |
1331891628 |
COCCIDIOIDES Ab ID |
86635 |
0300 |
110 |
110 |
33 |
100.10000000000001 |
77 |
33 |
100.10000000000001 |
79.2 |
93.5 |
Carle Eureka Hospital |
1331891629 |
COCCIDIOIDES Ab CF |
86635 |
0300 |
110 |
110 |
33 |
100.10000000000001 |
77 |
33 |
100.10000000000001 |
79.2 |
93.5 |
Carle Eureka Hospital |
1331891631 |
PROTEIN FRACTIONATION (PERU) |
84166 |
0300 |
165 |
165 |
49.5 |
150.15 |
115.49999999999999 |
49.5 |
150.15 |
118.8 |
140.25 |
Carle Eureka Hospital |
1331891634 |
THYROID STIMULATING IMMUNOGLOB |
84445 |
0300 |
470 |
470 |
141 |
427.7 |
329 |
141 |
427.7 |
338.4 |
399.5 |
Carle Eureka Hospital |
1331891635 |
SPE WITH TRACINGS |
84165 |
0300 |
97 |
97 |
29.099999999999998 |
88.27 |
67.899999999999991 |
29.099999999999998 |
88.27 |
69.84 |
82.45 |
Carle Eureka Hospital |
1331891636 |
BK VIRUS DNA |
87799 |
0300 |
450 |
450 |
135 |
409.5 |
315 |
135 |
409.5 |
324 |
382.5 |
Carle Eureka Hospital |
1331891642 |
CCP AB IGG |
83520 |
0300 |
120 |
120 |
36 |
109.2 |
84 |
36 |
109.2 |
86.399999999999991 |
102 |
Carle Eureka Hospital |
1331891643 |
MYCOPHENOLIC ACID |
80180 |
0300 |
265 |
265 |
79.5 |
241.15 |
185.5 |
79.5 |
241.15 |
190.79999999999998 |
225.25 |
Carle Eureka Hospital |
1331891657 |
CELLSURFACE FIRST MARKER |
88184 |
0310 |
120 |
120 |
36 |
109.2 |
84 |
36 |
109.2 |
86.399999999999991 |
102 |
Carle Eureka Hospital |
1331891658 |
CELL SURFACE EACH ADD MARKER |
88185 |
0310 |
61 |
61 |
18.3 |
55.510000000000005 |
42.699999999999996 |
18.3 |
55.510000000000005 |
43.92 |
51.85 |
Carle Eureka Hospital |
1331891659 |
CREATININE URINE (HMSRU) |
82570 |
0300 |
50 |
50 |
15 |
45.5 |
35 |
15 |
45.5 |
36 |
42.5 |
Carle Eureka Hospital |
1331891662 |
THYROGLOBULIN AB RIA |
86800 |
0300 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
1331891663 |
TOTAL THYROGLOBULIN RIA |
84432 |
0300 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
1331891697 |
HLA II TYPING 1 LOC HR |
81382 |
0301 |
1410 |
1410 |
423 |
1283.1000000000001 |
986.99999999999989 |
423 |
1283.1000000000001 |
1015.1999999999999 |
1198.5 |
Carle Eureka Hospital |
1331891698 |
TPMT GENETICS PROMETH |
81335 |
0301 |
485 |
485 |
145.5 |
441.35 |
339.5 |
145.5 |
441.35 |
349.2 |
412.25 |
Carle Eureka Hospital |
1331891700 |
PROTHROMBIN GENE ANALYSIS |
81240 |
0301 |
565 |
565 |
169.5 |
514.15 |
395.5 |
169.5 |
514.15 |
406.8 |
480.25 |
Carle Eureka Hospital |
1331891701 |
FACTOR V LEIDEN |
81241 |
0301 |
485 |
485 |
145.5 |
441.35 |
339.5 |
145.5 |
441.35 |
349.2 |
412.25 |
Carle Eureka Hospital |
1331891702 |
CYSTIC FIBROSIS CARRIER SCREEN |
81220 |
0301 |
1915 |
1915 |
574.5 |
1742.65 |
1340.5 |
574.5 |
1742.65 |
1378.8 |
1627.75 |
Carle Eureka Hospital |
1331891713 |
DRUG SCREEN COMPREHENSIVE |
80307 |
0300 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
1331891714 |
DRUG SCN DRUG CLASS A DRGCOM |
80307 |
0300 |
18 |
18 |
5.3999999999999995 |
16.38 |
12.6 |
5.3999999999999995 |
16.38 |
12.959999999999999 |
15.299999999999999 |
Carle Eureka Hospital |
1331891715 |
DRUG SCN ANTIDEPRS TRIC DRGCOM |
80337 |
0300 |
18 |
18 |
5.3999999999999995 |
16.38 |
12.6 |
5.3999999999999995 |
16.38 |
12.959999999999999 |
15.299999999999999 |
Carle Eureka Hospital |
1331891716 |
DRUG SCN AMPHETAMINE DRGCOM |
80326 |
0300 |
18 |
18 |
5.3999999999999995 |
16.38 |
12.6 |
5.3999999999999995 |
16.38 |
12.959999999999999 |
15.299999999999999 |
Carle Eureka Hospital |
1331891717 |
DRUG SCN ANAGESIC DRGCOM |
80329 |
0300 |
160 |
160 |
48 |
145.6 |
112 |
48 |
145.6 |
115.19999999999999 |
136 |
Carle Eureka Hospital |
1331891718 |
DRUG SCN ANTIDEPRS NOS DRGCOM |
80338 |
0300 |
18 |
18 |
5.3999999999999995 |
16.38 |
12.6 |
5.3999999999999995 |
16.38 |
12.959999999999999 |
15.299999999999999 |
Carle Eureka Hospital |
1331891719 |
DRUG SCN BARBITUATES DRGCOM |
80345 |
0300 |
18 |
18 |
5.3999999999999995 |
16.38 |
12.6 |
5.3999999999999995 |
16.38 |
12.959999999999999 |
15.299999999999999 |
Carle Eureka Hospital |
1331891720 |
DRUG SCN ANTIEPILEPTIC DRGCOM |
80339 |
0300 |
18 |
18 |
5.3999999999999995 |
16.38 |
12.6 |
5.3999999999999995 |
16.38 |
12.959999999999999 |
15.299999999999999 |
Carle Eureka Hospital |
1331891721 |
DRUG SCN MUSCLE RELAX DRGCOM |
80370 |
0300 |
18 |
18 |
5.3999999999999995 |
16.38 |
12.6 |
5.3999999999999995 |
16.38 |
12.959999999999999 |
15.299999999999999 |
Carle Eureka Hospital |
1331891722 |
DRUG SCN OPIATES DRGCOM |
80363 |
0300 |
18 |
18 |
5.3999999999999995 |
16.38 |
12.6 |
5.3999999999999995 |
16.38 |
12.959999999999999 |
15.299999999999999 |
Carle Eureka Hospital |
1331891723 |
DRUG SCN SEDATIVE DRGCOM |
80368 |
0300 |
18 |
18 |
5.3999999999999995 |
16.38 |
12.6 |
5.3999999999999995 |
16.38 |
12.959999999999999 |
15.299999999999999 |
Carle Eureka Hospital |
1331891724 |
DRUG SCN ANTIDEPRS SERO DRGCOM |
80332 |
0300 |
18 |
18 |
5.3999999999999995 |
16.38 |
12.6 |
5.3999999999999995 |
16.38 |
12.959999999999999 |
15.299999999999999 |
Carle Eureka Hospital |
1331891725 |
DRUG SCN ANTIPYCHOTIC DRGCOM |
80342 |
0300 |
18 |
18 |
5.3999999999999995 |
16.38 |
12.6 |
5.3999999999999995 |
16.38 |
12.959999999999999 |
15.299999999999999 |
Carle Eureka Hospital |
1331891726 |
DRUG SCN METHADONE DRGCOM |
80358 |
0300 |
18 |
18 |
5.3999999999999995 |
16.38 |
12.6 |
5.3999999999999995 |
16.38 |
12.959999999999999 |
15.299999999999999 |
Carle Eureka Hospital |
1331891727 |
DRUG SCN ALKALOIDS DRGCOM |
80323 |
0300 |
18 |
18 |
5.3999999999999995 |
16.38 |
12.6 |
5.3999999999999995 |
16.38 |
12.959999999999999 |
15.299999999999999 |
Carle Eureka Hospital |
1331891728 |
DRUG SCN OXYCODONE DRGCOM |
80365 |
0300 |
18 |
18 |
5.3999999999999995 |
16.38 |
12.6 |
5.3999999999999995 |
16.38 |
12.959999999999999 |
15.299999999999999 |
Carle Eureka Hospital |
1331891729 |
DRUG SCN PHENOCYCLIDINE DRGCOM |
83992 |
0300 |
35 |
35 |
10.5 |
31.85 |
24.5 |
10.5 |
31.85 |
25.2 |
29.75 |
Carle Eureka Hospital |
1331891730 |
DRUG SCN ALCOHOL DRGCOM |
80320 |
0300 |
18 |
18 |
5.3999999999999995 |
16.38 |
12.6 |
5.3999999999999995 |
16.38 |
12.959999999999999 |
15.299999999999999 |
Carle Eureka Hospital |
1331891731 |
DRUG SCN NOS DRGCOM |
80377 |
0300 |
105 |
105 |
31.5 |
95.55 |
73.5 |
31.5 |
95.55 |
75.599999999999994 |
89.25 |
Carle Eureka Hospital |
1331891737 |
TIS CULT NEOPL BM/BLD GPCHRM |
88237 |
0311 |
410 |
410 |
123 |
373.1 |
287 |
123 |
373.1 |
295.2 |
348.5 |
Carle Eureka Hospital |
1331891738 |
CT 15-20 CELLS 2KRTYPS GPCHRM |
88262 |
0311 |
1410 |
1410 |
423 |
1283.1000000000001 |
986.99999999999989 |
423 |
1283.1000000000001 |
1015.1999999999999 |
1198.5 |
Carle Eureka Hospital |
1331891741 |
ACL KAPPA NEPH (KAPLAM) |
83883 |
0301 |
77 |
77 |
23.099999999999998 |
70.070000000000007 |
53.9 |
23.099999999999998 |
70.070000000000007 |
55.44 |
65.45 |
Carle Eureka Hospital |
1331891742 |
ACL LAMBDA NEPH (KAPLAM) |
83883 |
0301 |
77 |
77 |
23.099999999999998 |
70.070000000000007 |
53.9 |
23.099999999999998 |
70.070000000000007 |
55.44 |
65.45 |
Carle Eureka Hospital |
1331891744 |
ACL MECONIUM DRUG PANEL |
80307 |
0300 |
455 |
455 |
136.5 |
414.05 |
318.5 |
136.5 |
414.05 |
327.59999999999997 |
386.75 |
Carle Eureka Hospital |
1331891747 |
ACL BLASTOMYCES ANTIGEN |
87449 |
0300 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
1331891748 |
ACL CALPROTECTIN FECAL |
83993 |
0300 |
415 |
415 |
124.5 |
377.65000000000003 |
290.5 |
124.5 |
377.65000000000003 |
298.8 |
352.75 |
Carle Eureka Hospital |
1331891749 |
ACL INHIBIN B |
83520 |
0300 |
255 |
255 |
76.5 |
232.05 |
178.5 |
76.5 |
232.05 |
183.6 |
216.75 |
Carle Eureka Hospital |
1331891750 |
ACL MUMP VIRUS RNA QUALITATIVE |
87798 |
0300 |
875 |
875 |
262.5 |
796.25 |
612.5 |
262.5 |
796.25 |
630 |
743.75 |
Carle Eureka Hospital |
1331891751 |
A PHOSPHATIDYLSERINE IGGIGMIGA |
86148 |
0300 |
165 |
165 |
49.5 |
150.15 |
115.49999999999999 |
49.5 |
150.15 |
118.8 |
140.25 |
Carle Eureka Hospital |
1331891752 |
ACL VOLT GATE CALCIUM CHAN IGG |
83519 |
0300 |
415 |
415 |
124.5 |
377.65000000000003 |
290.5 |
124.5 |
377.65000000000003 |
298.8 |
352.75 |
Carle Eureka Hospital |
1331891755 |
ACL BETA2 GLYCOPROTEIN |
86146 |
0300 |
120 |
120 |
36 |
109.2 |
84 |
36 |
109.2 |
86.399999999999991 |
102 |
Carle Eureka Hospital |
1331891756 |
ACL BILE ACIDS FRAC TOT |
83789 |
0300 |
685 |
685 |
205.5 |
623.35 |
479.49999999999994 |
205.5 |
623.35 |
493.2 |
582.25 |
Carle Eureka Hospital |
1331891757 |
ACL CMV QUANTITATIVE |
87497 |
0300 |
310 |
310 |
93 |
282.10000000000002 |
217 |
93 |
282.10000000000002 |
223.2 |
263.5 |
Carle Eureka Hospital |
1331891758 |
ACL MAGNESIUM RBC |
83735 |
0300 |
185 |
185 |
55.5 |
168.35 |
129.5 |
55.5 |
168.35 |
133.19999999999999 |
157.25 |
Carle Eureka Hospital |
1331891759 |
ACL ALBUMIN FLUID |
82042 |
0301 |
52 |
52 |
15.6 |
47.32 |
36.4 |
15.6 |
47.32 |
37.44 |
44.199999999999996 |
Carle Eureka Hospital |
1331891761 |
ACL TOTAL PROTEIN FLUID |
84157 |
0301 |
79 |
79 |
23.7 |
71.89 |
55.3 |
23.7 |
71.89 |
56.879999999999995 |
67.149999999999991 |
Carle Eureka Hospital |
1331891762 |
ACL AMYLASE FLUID |
82150 |
0301 |
130 |
130 |
39 |
118.3 |
91 |
39 |
118.3 |
93.6 |
110.5 |
Carle Eureka Hospital |
1331891764 |
ACL TRYGLYCERIDES FLUID |
84478 |
0301 |
135 |
135 |
40.5 |
122.85000000000001 |
94.5 |
40.5 |
122.85000000000001 |
97.2 |
114.75 |
Carle Eureka Hospital |
1331891765 |
ACL CHOLESTEROL FLUID |
84311 |
0301 |
74 |
74 |
22.2 |
67.34 |
51.8 |
22.2 |
67.34 |
53.28 |
62.9 |
Carle Eureka Hospital |
1331891766 |
ACL GLUCOSE BODY FLUID |
82945 |
0301 |
83 |
83 |
24.9 |
75.53 |
58.099999999999994 |
24.9 |
75.53 |
59.76 |
70.55 |
Carle Eureka Hospital |
1331891768 |
ACL LDH BODY FLUID |
83615 |
0301 |
65 |
65 |
19.5 |
59.15 |
45.5 |
19.5 |
59.15 |
46.8 |
55.25 |
Carle Eureka Hospital |
1331891769 |
ACL ANTI MULLER HORMONE |
83520 |
0301 |
345 |
345 |
103.5 |
313.95 |
241.49999999999997 |
103.5 |
313.95 |
248.39999999999998 |
293.25 |
Carle Eureka Hospital |
1331891770 |
ACL RABIES ANTIBODY |
86382 |
0301 |
180 |
180 |
54 |
163.80000000000001 |
125.99999999999999 |
54 |
163.80000000000001 |
129.6 |
153 |
Carle Eureka Hospital |
1331891773 |
ACL XLINK N TELOPEPTIDE |
82523 |
0301 |
100 |
100 |
30 |
91 |
70 |
30 |
91 |
72 |
85 |
Carle Eureka Hospital |
1331891774 |
ACL RESPIRATORY PATH PANEL |
87633 |
0306 |
1990 |
1990 |
597 |
1810.9 |
1393 |
597 |
1810.9 |
1432.8 |
1691.5 |
Carle Eureka Hospital |
1331891775 |
ACL GASTRO PATH PANEL |
87507 |
0306 |
1990 |
1990 |
597 |
1810.9 |
1393 |
597 |
1810.9 |
1432.8 |
1691.5 |
Carle Eureka Hospital |
1331891778 |
ACL CGPRGRL |
87798 |
0306 |
170 |
170 |
51 |
154.70000000000002 |
118.99999999999999 |
51 |
154.70000000000002 |
122.39999999999999 |
144.5 |
Carle Eureka Hospital |
1331891779 |
ACL CGPEDH |
87798 |
0306 |
170 |
170 |
51 |
154.70000000000002 |
118.99999999999999 |
51 |
154.70000000000002 |
122.39999999999999 |
144.5 |
Carle Eureka Hospital |
1331891780 |
ACL CGPCRY |
87798 |
0306 |
170 |
170 |
51 |
154.70000000000002 |
118.99999999999999 |
51 |
154.70000000000002 |
122.39999999999999 |
144.5 |
Carle Eureka Hospital |
1331891782 |
ACL CGLIGGP |
83516 |
0302 |
47 |
47 |
14.1 |
42.77 |
32.9 |
14.1 |
42.77 |
33.839999999999996 |
39.949999999999996 |
Carle Eureka Hospital |
1331891783 |
ACL STRIATED MUSCLE AB TITER |
86256 |
0302 |
115 |
115 |
34.5 |
104.65 |
80.5 |
34.5 |
104.65 |
82.8 |
97.75 |
Carle Eureka Hospital |
1331891784 |
ACL TESTOSTERONE TOTAL F/CH |
84403 |
0301 |
70 |
70 |
21 |
63.7 |
49 |
21 |
63.7 |
50.4 |
59.5 |
Carle Eureka Hospital |
1331891785 |
ACL TESTOSTERONE FREE F/CH |
84402 |
0301 |
142 |
142 |
42.6 |
129.22 |
99.399999999999991 |
42.6 |
129.22 |
102.24 |
120.7 |
Carle Eureka Hospital |
1331891786 |
ACL TESTOS FR MALES ED |
84402 |
0301 |
303 |
303 |
90.899999999999991 |
275.73 |
212.1 |
90.899999999999991 |
275.73 |
218.16 |
257.55 |
Carle Eureka Hospital |
1331891787 |
ACL CTTABGP |
83516 |
0302 |
47 |
47 |
14.1 |
42.77 |
32.9 |
14.1 |
42.77 |
33.839999999999996 |
39.949999999999996 |
Carle Eureka Hospital |
1331891788 |
ACL H PYLORI BREATH TEST |
83013 |
0301 |
350 |
350 |
105 |
318.5 |
244.99999999999997 |
105 |
318.5 |
252 |
297.5 |
Carle Eureka Hospital |
1331891789 |
ACL HIV-1 RNA CONFIRM |
87535 |
0306 |
255 |
255 |
76.5 |
232.05 |
178.5 |
76.5 |
232.05 |
183.6 |
216.75 |
Carle Eureka Hospital |
1331891790 |
ACL HIV AG/AB COMBO SCREEN |
87389 |
0306 |
66 |
66 |
19.8 |
60.06 |
46.199999999999996 |
19.8 |
60.06 |
47.519999999999996 |
56.1 |
Carle Eureka Hospital |
1331891791 |
ACL INTERLEUKIN-6 |
83520 |
0300 |
344 |
344 |
103.2 |
313.04000000000002 |
240.79999999999998 |
103.2 |
313.04000000000002 |
247.67999999999998 |
292.39999999999998 |
Carle Eureka Hospital |
1331891793 |
ACL HIV1 AB RAPID TEST HIVRAP |
86701 |
0302 |
91 |
91 |
27.3 |
82.81 |
63.699999999999996 |
27.3 |
82.81 |
65.52 |
77.349999999999994 |
Carle Eureka Hospital |
1331891794 |
ACL HIV2 AB RAPID TEST HIVRAP |
86702 |
0302 |
95 |
95 |
28.5 |
86.45 |
66.5 |
28.5 |
86.45 |
68.399999999999991 |
80.75 |
Carle Eureka Hospital |
1331891798 |
ACL PD-L1 KEYTRUDA |
88360 |
0310 |
800 |
800 |
240 |
728 |
560 |
240 |
728 |
576 |
680 |
Carle Eureka Hospital |
1331891799 |
ACL ROS 1 FISH |
88374 |
0312 |
380 |
380 |
114 |
345.8 |
266 |
114 |
345.8 |
273.59999999999997 |
323 |
Carle Eureka Hospital |
1331891800 |
ACL ALK BY IHC |
88342 |
0310 |
379 |
379 |
113.7 |
344.89 |
265.3 |
113.7 |
344.89 |
272.88 |
322.14999999999998 |
Carle Eureka Hospital |
1331891801 |
ACL LYME DISEASE DNA (CSF/SYN) |
87801 |
0306 |
235 |
235 |
70.5 |
213.85 |
164.5 |
70.5 |
213.85 |
169.2 |
199.75 |
Carle Eureka Hospital |
1331891802 |
ACL EGFR |
81235 |
0310 |
798 |
798 |
239.39999999999998 |
726.18000000000006 |
558.59999999999991 |
239.39999999999998 |
726.18000000000006 |
574.55999999999995 |
678.3 |
Carle Eureka Hospital |
1331891805 |
STRATIFY JCV AB AND INDEX W RF |
86711 |
0300 |
59 |
59 |
17.7 |
53.690000000000005 |
41.3 |
17.7 |
53.690000000000005 |
42.48 |
50.15 |
Carle Eureka Hospital |
1331891806 |
INSULIN LIKE GROWTH FACTOR 1 |
84305 |
0301 |
58 |
58 |
17.399999999999999 |
52.78 |
40.599999999999994 |
17.399999999999999 |
52.78 |
41.76 |
49.3 |
Carle Eureka Hospital |
1331891808 |
OPIATES CONFIRMATION QUANT |
80361 |
0301 |
235 |
235 |
70.5 |
213.85 |
164.5 |
70.5 |
213.85 |
169.2 |
199.75 |
Carle Eureka Hospital |
1331891813 |
ACETYLCHOLINE BINDNG AB QUEST |
83519 |
0301 |
177 |
177 |
53.1 |
161.07 |
123.89999999999999 |
53.1 |
161.07 |
127.44 |
150.44999999999999 |
Carle Eureka Hospital |
1331891814 |
ACETYLCHOLINE BLOCK AB QUEST |
83519 |
0301 |
177 |
177 |
53.1 |
161.07 |
123.89999999999999 |
53.1 |
161.07 |
127.44 |
150.44999999999999 |
Carle Eureka Hospital |
1331891815 |
ACETYLCHOLINE MODULAT AB QUEST |
83519 |
0301 |
208 |
208 |
62.4 |
189.28 |
145.6 |
62.4 |
189.28 |
149.76 |
176.79999999999998 |
Carle Eureka Hospital |
1331891816 |
CGH ARRAY MOLECULAR KARYOTYPIN |
81406 |
0310 |
1273 |
1273 |
381.9 |
1158.43 |
891.09999999999991 |
381.9 |
1158.43 |
916.56 |
1082.05 |
Carle Eureka Hospital |
1331891820 |
CC PATH CONSULT |
88321 |
0300 |
400 |
400 |
120 |
364 |
280 |
120 |
364 |
288 |
340 |
Carle Eureka Hospital |
1331891821 |
CC PATH CONSULT SLIDE PREP |
88323 |
0300 |
460 |
460 |
138 |
418.6 |
322 |
138 |
418.6 |
331.2 |
391 |
Carle Eureka Hospital |
1331891824 |
HAZELNUT IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
1331891825 |
SALMON IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
1331891826 |
MOUSE URINE PROTEINS IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
1331891827 |
TISSUE TRANSGLUTAMINASE AB IGG |
83516 |
0301 |
130 |
130 |
39 |
118.3 |
91 |
39 |
118.3 |
93.6 |
110.5 |
Carle Eureka Hospital |
1331891828 |
INFLIXIMAB ADAIBD |
83520 |
0301 |
425 |
425 |
127.5 |
386.75 |
297.5 |
127.5 |
386.75 |
306 |
361.25 |
Carle Eureka Hospital |
1331891829 |
INFLIXIMAB LEVEL IBD |
80230 |
0301 |
425 |
425 |
127.5 |
386.75 |
297.5 |
127.5 |
386.75 |
306 |
361.25 |
Carle Eureka Hospital |
1331891832 |
RBC MAGNESIUM |
83735 |
0301 |
140 |
140 |
42 |
127.4 |
98 |
42 |
127.4 |
100.8 |
119 |
Carle Eureka Hospital |
1331891833 |
CARDIOLIPIN IGM |
86147 |
0301 |
185 |
185 |
55.5 |
168.35 |
129.5 |
55.5 |
168.35 |
133.19999999999999 |
157.25 |
Carle Eureka Hospital |
1331891834 |
CARDIOLIPIN IGG |
86147 |
0301 |
185 |
185 |
55.5 |
168.35 |
129.5 |
55.5 |
168.35 |
133.19999999999999 |
157.25 |
Carle Eureka Hospital |
1331891835 |
BILE ACIDS FRACTIONATED/TOTAL |
82542 |
0301 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
1331891836 |
INHIBIN B |
83520 |
0301 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
1331891837 |
SJOGRENS AB SS-A |
86235 |
0301 |
205 |
205 |
61.5 |
186.55 |
143.5 |
61.5 |
186.55 |
147.6 |
174.25 |
Carle Eureka Hospital |
1331891838 |
SJOGRENS AB SS-B |
86235 |
0301 |
205 |
205 |
61.5 |
186.55 |
143.5 |
61.5 |
186.55 |
147.6 |
174.25 |
Carle Eureka Hospital |
1331891840 |
KAPPA FREE LIGHT CHAINS |
83520 |
0301 |
160 |
160 |
48 |
145.6 |
112 |
48 |
145.6 |
115.19999999999999 |
136 |
Carle Eureka Hospital |
1331891841 |
LAMBDA FREE LIGHT CHAINS |
83520 |
0301 |
160 |
160 |
48 |
145.6 |
112 |
48 |
145.6 |
115.19999999999999 |
136 |
Carle Eureka Hospital |
1331894826 |
BRAF GENPATH |
81210 |
0310 |
500 |
500 |
150 |
455 |
350 |
150 |
455 |
360 |
425 |
Carle Eureka Hospital |
1331894828 |
ACL RPR |
86592 |
0302 |
56 |
56 |
16.8 |
50.96 |
39.199999999999996 |
16.8 |
50.96 |
40.32 |
47.6 |
Carle Eureka Hospital |
1331894829 |
ACL RPR TITER |
86593 |
0302 |
48 |
48 |
14.399999999999999 |
43.68 |
33.599999999999994 |
14.399999999999999 |
43.68 |
34.56 |
40.799999999999997 |
Carle Eureka Hospital |
1331894831 |
MENING ENCEPH PANEL |
87483 |
0306 |
585 |
585 |
175.5 |
532.35 |
409.5 |
175.5 |
532.35 |
421.2 |
497.25 |
Carle Eureka Hospital |
1331894832 |
GEN PATH ISH |
88365 |
0310 |
190 |
190 |
57 |
172.9 |
133 |
57 |
172.9 |
136.79999999999998 |
161.5 |
Carle Eureka Hospital |
1331894833 |
GEN PATH ISH ADD |
88364 |
0310 |
190 |
190 |
57 |
172.9 |
133 |
57 |
172.9 |
136.79999999999998 |
161.5 |
Carle Eureka Hospital |
1331894835 |
COVID 19 CDC DIAG PANEL |
87635 |
0300 |
108 |
108 |
32.4 |
98.28 |
75.599999999999994 |
32.4 |
98.28 |
77.759999999999991 |
91.8 |
Carle Eureka Hospital |
1331894836 |
COVID 19 NON CDC |
87635 |
0300 |
153 |
153 |
45.9 |
139.23000000000002 |
107.1 |
45.9 |
139.23000000000002 |
110.16 |
130.04999999999998 |
Carle Eureka Hospital |
1331894839 |
SARS COV 2 IGG ANTIBODY |
86769 |
0302 |
73 |
73 |
21.9 |
66.430000000000007 |
51.099999999999994 |
21.9 |
66.430000000000007 |
52.559999999999995 |
62.05 |
Carle Eureka Hospital |
1331894840 |
CHYMOTRYPSIN |
84311 |
0301 |
204 |
204 |
61.199999999999996 |
185.64000000000001 |
142.79999999999998 |
61.199999999999996 |
185.64000000000001 |
146.88 |
173.4 |
Carle Eureka Hospital |
1331894841 |
LACOSAMIDE |
80299 |
0301 |
190 |
190 |
57 |
172.9 |
133 |
57 |
172.9 |
136.79999999999998 |
161.5 |
Carle Eureka Hospital |
1331894842 |
CALPROTECTIN |
83993 |
0301 |
280 |
280 |
84 |
254.8 |
196 |
84 |
254.8 |
201.6 |
238 |
Carle Eureka Hospital |
1331894843 |
PANCREATIC ELASTASE 1 |
82656 |
0301 |
280 |
280 |
84 |
254.8 |
196 |
84 |
254.8 |
201.6 |
238 |
Carle Eureka Hospital |
1331894844 |
RPR |
86592 |
0302 |
59 |
59 |
17.7 |
53.690000000000005 |
41.3 |
17.7 |
53.690000000000005 |
42.48 |
50.15 |
Carle Eureka Hospital |
1331894845 |
RPR TITER |
86593 |
0302 |
52 |
52 |
15.6 |
47.32 |
36.4 |
15.6 |
47.32 |
37.44 |
44.199999999999996 |
Carle Eureka Hospital |
1331894846 |
H PYLORI UREA BREATH TEST |
83013 |
0301 |
100 |
100 |
30 |
91 |
70 |
30 |
91 |
72 |
85 |
Carle Eureka Hospital |
1331894847 |
QUANTIFERON TB GOLD PLUS |
86480 |
0302 |
105 |
105 |
31.5 |
95.55 |
73.5 |
31.5 |
95.55 |
75.599999999999994 |
89.25 |
Carle Eureka Hospital |
1331894848 |
ANTI-MULLERIAN HORMONE |
82397 |
0301 |
204 |
204 |
61.199999999999996 |
185.64000000000001 |
142.79999999999998 |
61.199999999999996 |
185.64000000000001 |
146.88 |
173.4 |
Carle Eureka Hospital |
1331894849 |
ANTI CENTROMERE B ANTIBODY |
86235 |
0302 |
110 |
110 |
33 |
100.10000000000001 |
77 |
33 |
100.10000000000001 |
79.2 |
93.5 |
Carle Eureka Hospital |
1331990002 |
ABO |
86900 |
0302 |
91 |
91 |
27.3 |
82.81 |
63.699999999999996 |
27.3 |
82.81 |
65.52 |
77.349999999999994 |
Carle Eureka Hospital |
1331990020 |
ALIQUOT RED CELLS |
86985 |
0300 |
165 |
165 |
49.5 |
150.15 |
115.49999999999999 |
49.5 |
150.15 |
118.8 |
140.25 |
Carle Eureka Hospital |
1331990047 |
ANTIBODY I.D. |
86870 |
0300 |
465 |
465 |
139.5 |
423.15000000000003 |
325.5 |
139.5 |
423.15000000000003 |
334.8 |
395.25 |
Carle Eureka Hospital |
1331990048 |
ANTIBODY ID PANEL #2 |
86870 |
0300 |
465 |
465 |
139.5 |
423.15000000000003 |
325.5 |
139.5 |
423.15000000000003 |
334.8 |
395.25 |
Carle Eureka Hospital |
1331990049 |
ANTIBODY IDENTIFICATION |
86870 |
0300 |
515 |
515 |
154.5 |
468.65000000000003 |
360.5 |
154.5 |
468.65000000000003 |
370.8 |
437.75 |
Carle Eureka Hospital |
1331990050 |
ANTIBODY SCREEN |
86850 |
0300 |
185 |
185 |
55.5 |
168.35 |
129.5 |
55.5 |
168.35 |
133.19999999999999 |
157.25 |
Carle Eureka Hospital |
1331990056 |
ANTIGEN EA TESTED DONOR/REAGEN |
86902 |
0300 |
175 |
175 |
52.5 |
159.25 |
122.49999999999999 |
52.5 |
159.25 |
126 |
148.75 |
Carle Eureka Hospital |
1331990057 |
ANTIGEN TYPING P |
86905 |
0300 |
140 |
140 |
42 |
127.4 |
98 |
42 |
127.4 |
100.8 |
119 |
Carle Eureka Hospital |
1331990066 |
ARC 2ND WASH OF DONOR CELLS |
0390 |
100 |
100 |
30 |
91 |
70 |
30 |
91 |
72 |
85 |
Carle Eureka Hospital |
1331990091 |
BLOOD BANK PLATELET PHERESIS |
P9035 |
0390 |
1440 |
1440 |
432 |
1310.4000000000001 |
1007.9999999999999 |
432 |
1310.4000000000001 |
1036.8 |
1224 |
Carle Eureka Hospital |
1331990092 |
BLOOD BANK RH GLOBULIN CH SCRN |
86850 |
0300 |
195 |
195 |
58.5 |
177.45000000000002 |
136.5 |
58.5 |
177.45000000000002 |
140.4 |
165.75 |
Carle Eureka Hospital |
1331990093 |
BLOOD BANK RH IMMUNE GLOBULIN |
J2790 |
0636 |
156 |
156 |
46.8 |
141.96 |
109.19999999999999 |
46.8 |
141.96 |
112.32 |
132.6 |
Carle Eureka Hospital |
1331990097 |
BLOOD COMP EACH UNIT I.S. |
86920 |
0300 |
215 |
215 |
64.5 |
195.65 |
150.5 |
64.5 |
195.65 |
154.79999999999998 |
182.75 |
Carle Eureka Hospital |
1331990146 |
COLD ADSORPTION |
86975 |
0300 |
145 |
145 |
43.5 |
131.95000000000002 |
101.5 |
43.5 |
131.95000000000002 |
104.39999999999999 |
123.25 |
Carle Eureka Hospital |
1331990149 |
COMP EACH UNIT ANTIGLOBULIN |
86922 |
0300 |
215 |
215 |
64.5 |
195.65 |
150.5 |
64.5 |
195.65 |
154.79999999999998 |
182.75 |
Carle Eureka Hospital |
1331990159 |
COOMBS DIRECT |
86880 |
0300 |
105 |
105 |
31.5 |
95.55 |
73.5 |
31.5 |
95.55 |
75.599999999999994 |
89.25 |
Carle Eureka Hospital |
1331990169 |
CROSSMATCH PACKED CELLS 1UNIT |
86922 |
0300 |
325 |
325 |
97.5 |
295.75 |
227.49999999999997 |
97.5 |
295.75 |
234 |
276.25 |
Carle Eureka Hospital |
1331990170 |
CROSSMATCH PACKED CELLS 2UNITS |
86922 |
0300 |
325 |
325 |
97.5 |
295.75 |
227.49999999999997 |
97.5 |
295.75 |
234 |
276.25 |
Carle Eureka Hospital |
1331990171 |
CROSSMATCH PACKED CELLS 3UNITS |
86922 |
0300 |
325 |
325 |
97.5 |
295.75 |
227.49999999999997 |
97.5 |
295.75 |
234 |
276.25 |
Carle Eureka Hospital |
1331990172 |
CROSSMATCH PACKED CELLS 4UNITS |
86922 |
0300 |
325 |
325 |
97.5 |
295.75 |
227.49999999999997 |
97.5 |
295.75 |
234 |
276.25 |
Carle Eureka Hospital |
1331990173 |
CROSSMATCH PLATLETS |
86904 |
0300 |
300 |
300 |
90 |
273 |
210 |
90 |
273 |
216 |
255 |
Carle Eureka Hospital |
1331990179 |
CRYOPRECIPITATE |
P9012 |
0390 |
690 |
690 |
207 |
627.9 |
482.99999999999994 |
207 |
627.9 |
496.79999999999995 |
586.5 |
Carle Eureka Hospital |
1331990252 |
DEGLYC RED CELLS |
P9039 |
0390 |
1015 |
1015 |
304.5 |
923.65 |
710.5 |
304.5 |
923.65 |
730.8 |
862.75 |
Carle Eureka Hospital |
1331990271 |
ELUTION |
86860 |
0300 |
280 |
280 |
84 |
254.8 |
196 |
84 |
254.8 |
201.6 |
238 |
Carle Eureka Hospital |
1331990292 |
FETAL CELL SCREEN |
85461 |
0300 |
115 |
115 |
34.5 |
104.65 |
80.5 |
34.5 |
104.65 |
82.8 |
97.75 |
Carle Eureka Hospital |
1331990297 |
FILTER - LEUKOCYTE SEPACELL |
0300 |
110 |
110 |
33 |
100.10000000000001 |
77 |
33 |
100.10000000000001 |
79.2 |
93.5 |
Carle Eureka Hospital |
1331990374 |
HLA TYPE/MATCH PLTS |
86812 |
0300 |
310 |
310 |
93 |
282.10000000000002 |
217 |
93 |
282.10000000000002 |
223.2 |
263.5 |
Carle Eureka Hospital |
1331990400 |
KLEIHAUER BETKE MODIFIED |
85460 |
0300 |
165 |
165 |
49.5 |
150.15 |
115.49999999999999 |
49.5 |
150.15 |
118.8 |
140.25 |
Carle Eureka Hospital |
1331990487 |
PHLEBOTOMY DRAW |
36415 |
0300 |
21 |
21 |
6.3 |
19.11 |
14.7 |
6.3 |
19.11 |
15.12 |
17.849999999999998 |
Carle Eureka Hospital |
1331990488 |
PHLEBOTOMY ONE UNIT-450ML |
99195 |
0940 |
180 |
180 |
54 |
163.80000000000001 |
125.99999999999999 |
54 |
163.80000000000001 |
129.6 |
153 |
Carle Eureka Hospital |
1331990494 |
PLASMA FRESH FROZEN |
P9017 |
0390 |
235 |
235 |
70.5 |
213.85 |
164.5 |
70.5 |
213.85 |
169.2 |
199.75 |
Carle Eureka Hospital |
1331990495 |
PLASMA FZ WITHIN 24 HRS |
P9059 |
0390 |
215 |
215 |
64.5 |
195.65 |
150.5 |
64.5 |
195.65 |
154.79999999999998 |
182.75 |
Carle Eureka Hospital |
1331990498 |
PLATELET ANTIBODY SCREEN |
86023 |
0302 |
490 |
490 |
147 |
445.90000000000003 |
343 |
147 |
445.90000000000003 |
352.8 |
416.5 |
Carle Eureka Hospital |
1331990500 |
PLATELETPHERESIS IRR LKRD |
P9037 |
0390 |
1715 |
1715 |
514.5 |
1560.65 |
1200.5 |
514.5 |
1560.65 |
1234.8 |
1457.75 |
Carle Eureka Hospital |
1331990501 |
PLATELETPHERESIS LEUKOREDUCED |
P9035 |
0390 |
1440 |
1440 |
432 |
1310.4000000000001 |
1007.9999999999999 |
432 |
1310.4000000000001 |
1036.8 |
1224 |
Carle Eureka Hospital |
1331990504 |
POOLING OF BLOOD PRODUCT |
86965 |
0300 |
230 |
230 |
69 |
209.3 |
161 |
69 |
209.3 |
165.6 |
195.5 |
Carle Eureka Hospital |
1331990545 |
RED BLOOD CELLS ARC PROCESS |
P9021 |
0390 |
455 |
455 |
136.5 |
414.05 |
318.5 |
136.5 |
414.05 |
327.59999999999997 |
386.75 |
Carle Eureka Hospital |
1331990546 |
RED BLOOD CELLS AUTOLOGOUS |
P9021 |
0390 |
470 |
470 |
141 |
427.7 |
329 |
141 |
427.7 |
338.4 |
399.5 |
Carle Eureka Hospital |
1331990548 |
RED CELLS DEGLYC AUTOLOGOUS |
P9039 |
0390 |
1225 |
1225 |
367.5 |
1114.75 |
857.5 |
367.5 |
1114.75 |
882 |
1041.25 |
Carle Eureka Hospital |
1331990549 |
RED CELLS IRP LKRD |
P9040 |
0390 |
765 |
765 |
229.5 |
696.15 |
535.5 |
229.5 |
696.15 |
550.79999999999995 |
650.25 |
Carle Eureka Hospital |
1331990550 |
RED CELLS LEUKOREDUCED |
P9016 |
0390 |
535 |
535 |
160.5 |
486.85 |
374.5 |
160.5 |
486.85 |
385.2 |
454.75 |
Carle Eureka Hospital |
1331990551 |
RED CELLS WASHED |
P9022 |
0390 |
850 |
850 |
255 |
773.5 |
595 |
255 |
773.5 |
612 |
722.5 |
Carle Eureka Hospital |
1331990559 |
RH |
86901 |
0302 |
86 |
86 |
25.8 |
78.260000000000005 |
60.199999999999996 |
25.8 |
78.260000000000005 |
61.919999999999995 |
73.099999999999994 |
Carle Eureka Hospital |
1331990564 |
RHO D IMMUNE GLOBULIN 1 DOSE |
90384 |
0636 |
163 |
163 |
48.9 |
148.33000000000001 |
114.1 |
48.9 |
148.33000000000001 |
117.36 |
138.54999999999998 |
Carle Eureka Hospital |
1331990613 |
THAW PLASMA EACH UNIT |
86927 |
0300 |
140 |
140 |
42 |
127.4 |
98 |
42 |
127.4 |
100.8 |
119 |
Carle Eureka Hospital |
1331990630 |
TRANSF RED CELLS LEUKOREDUCED |
P9016 |
0390 |
535 |
535 |
160.5 |
486.85 |
374.5 |
160.5 |
486.85 |
385.2 |
454.75 |
Carle Eureka Hospital |
1331990642 |
TYPE & RH - DIRECTED DONATIONS |
86901 |
0300 |
93 |
93 |
27.9 |
84.63000000000001 |
65.099999999999994 |
27.9 |
84.63000000000001 |
66.959999999999994 |
79.05 |
Carle Eureka Hospital |
1331990644 |
TYPE & SCREEN - PRENATAL |
86850 |
0300 |
195 |
195 |
58.5 |
177.45000000000002 |
136.5 |
58.5 |
177.45000000000002 |
140.4 |
165.75 |
Carle Eureka Hospital |
1331990646 |
TYPE AND RH ABO RH GROUP |
86901 |
0300 |
93 |
93 |
27.9 |
84.63000000000001 |
65.099999999999994 |
27.9 |
84.63000000000001 |
66.959999999999994 |
79.05 |
Carle Eureka Hospital |
1331990649 |
TYPE AND SCREEN SURGICAL |
86900 |
0300 |
93 |
93 |
27.9 |
84.63000000000001 |
65.099999999999994 |
27.9 |
84.63000000000001 |
66.959999999999994 |
79.05 |
Carle Eureka Hospital |
1331990674 |
PLTPHERESIS IRR LP HLA MATCHED |
P9052 |
0390 |
1845 |
1845 |
553.5 |
1678.95 |
1291.5 |
553.5 |
1678.95 |
1328.3999999999999 |
1568.25 |
Carle Eureka Hospital |
1331990675 |
WHOLE BLOOD AUTOLOGOUS |
P9010 |
0390 |
500 |
500 |
150 |
455 |
350 |
150 |
455 |
360 |
425 |
Carle Eureka Hospital |
1331990685 |
WARM AUTOANTIBODY REMOVAL |
86975 |
0300 |
145 |
145 |
43.5 |
131.95000000000002 |
101.5 |
43.5 |
131.95000000000002 |
104.39999999999999 |
123.25 |
Carle Eureka Hospital |
1331990695 |
BLOOD BANK TRANSF PACK CELLS |
0390 |
155 |
155 |
46.5 |
141.05000000000001 |
108.5 |
46.5 |
141.05000000000001 |
111.6 |
131.75 |
Carle Eureka Hospital |
1331991022 |
RED CELLS LEUKOREDUCED SPLIT |
P9016 |
0390 |
535 |
535 |
160.5 |
486.85 |
374.5 |
160.5 |
486.85 |
385.2 |
454.75 |
Carle Eureka Hospital |
1331991049 |
RED CELLS IRR LKRD SPLIT |
P9040 |
0390 |
765 |
765 |
229.5 |
696.15 |
535.5 |
229.5 |
696.15 |
550.79999999999995 |
650.25 |
Carle Eureka Hospital |
1331991193 |
RED CESS IRRLKRD ALQ |
P9040 |
0390 |
765 |
765 |
229.5 |
696.15 |
535.5 |
229.5 |
696.15 |
550.79999999999995 |
650.25 |
Carle Eureka Hospital |
1331991258 |
INDIRECT TITER |
86886 |
0300 |
205 |
205 |
61.5 |
186.55 |
143.5 |
61.5 |
186.55 |
147.6 |
174.25 |
Carle Eureka Hospital |
1331991259 |
DIFFERENTIAL ADSORP OF SERUM |
86978 |
0300 |
100 |
100 |
30 |
91 |
70 |
30 |
91 |
72 |
85 |
Carle Eureka Hospital |
1331991260 |
INCUBATION OF SERUM |
86977 |
0300 |
190 |
190 |
57 |
172.9 |
133 |
57 |
172.9 |
136.79999999999998 |
161.5 |
Carle Eureka Hospital |
1331991261 |
DILUTION OF SERUM |
86976 |
0300 |
105 |
105 |
31.5 |
95.55 |
73.5 |
31.5 |
95.55 |
75.599999999999994 |
89.25 |
Carle Eureka Hospital |
1331991262 |
INCUBATION OF SERUM W DRUGS EA |
86975 |
0300 |
215 |
215 |
64.5 |
195.65 |
150.5 |
64.5 |
195.65 |
154.79999999999998 |
182.75 |
Carle Eureka Hospital |
1331991263 |
RETICULOCYTE SEPARATION |
86972 |
0300 |
250 |
250 |
75 |
227.5 |
175 |
75 |
227.5 |
180 |
212.5 |
Carle Eureka Hospital |
1331991264 |
PRETREAT WITH ENZYME |
86971 |
0300 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
1331991265 |
PRETREAT OF RBC WITH CHEM |
86970 |
0300 |
145 |
145 |
43.5 |
131.95000000000002 |
101.5 |
43.5 |
131.95000000000002 |
104.39999999999999 |
123.25 |
Carle Eureka Hospital |
1331991266 |
HEMOGLOBIN S |
85660 |
0300 |
133 |
133 |
39.9 |
121.03 |
93.1 |
39.9 |
121.03 |
95.759999999999991 |
113.05 |
Carle Eureka Hospital |
1331991267 |
UNCONFIRMED ANTIGEN NEG |
86999 |
0300 |
125 |
125 |
37.5 |
113.75 |
87.5 |
37.5 |
113.75 |
90 |
106.25 |
Carle Eureka Hospital |
1331991268 |
PHENOTYPE OTHER THAN ABO/D |
86905 |
0300 |
140 |
140 |
42 |
127.4 |
98 |
42 |
127.4 |
100.8 |
119 |
Carle Eureka Hospital |
1331991269 |
RH PHENOTYPE COMPLETE |
86906 |
0300 |
185 |
185 |
55.5 |
168.35 |
129.5 |
55.5 |
168.35 |
133.19999999999999 |
157.25 |
Carle Eureka Hospital |
1331991270 |
HEMOLYSINS AGGLUTININS AUTO |
86940 |
0300 |
88 |
88 |
26.4 |
80.08 |
61.599999999999994 |
26.4 |
80.08 |
63.36 |
74.8 |
Carle Eureka Hospital |
1331991274 |
IRRADIATED WASHED RED CELLS |
P9057 |
0390 |
665 |
665 |
199.5 |
605.15 |
465.49999999999994 |
199.5 |
605.15 |
478.79999999999995 |
565.25 |
Carle Eureka Hospital |
1331991303 |
AUTOLOGOUS SURCHARGE PER UNIT |
86890 |
0300 |
165 |
165 |
49.5 |
150.15 |
115.49999999999999 |
49.5 |
150.15 |
118.8 |
140.25 |
Carle Eureka Hospital |
1331991310 |
SCREEN DONR USING PT SPECIMEN |
86904 |
0300 |
195 |
195 |
58.5 |
177.45000000000002 |
136.5 |
58.5 |
177.45000000000002 |
140.4 |
165.75 |
Carle Eureka Hospital |
1331991532 |
CRYOPRECIPITATE 5 PACK |
P9012 |
0390 |
690 |
690 |
207 |
627.9 |
482.99999999999994 |
207 |
627.9 |
496.79999999999995 |
586.5 |
Carle Eureka Hospital |
1331991644 |
ANTIGEN SCREEN BY ARC EA UNIT |
86902 |
0300 |
280 |
280 |
84 |
254.8 |
196 |
84 |
254.8 |
201.6 |
238 |
Carle Eureka Hospital |
1331991652 |
Ab ID EACH SELECTED REAGANT |
86885 |
0300 |
160 |
160 |
48 |
145.6 |
112 |
48 |
145.6 |
115.19999999999999 |
136 |
Carle Eureka Hospital |
1331994837 |
PLASMA FROZEN W COVID ANTIBODY |
P9059 |
0390 |
1240 |
1240 |
372 |
1128.4000000000001 |
868 |
372 |
1128.4000000000001 |
892.8 |
1054 |
Carle Eureka Hospital |
1332090011 |
ADRENOCORTICOTROPIC HORMONE |
82024 |
0300 |
370 |
370 |
111 |
336.7 |
259 |
111 |
336.7 |
266.39999999999998 |
314.5 |
Carle Eureka Hospital |
1332090049 |
ANTIBODY IDENTIFICATION |
86870 |
0300 |
185 |
185 |
55.5 |
168.35 |
129.5 |
55.5 |
168.35 |
133.19999999999999 |
157.25 |
Carle Eureka Hospital |
1332090050 |
ANTIBODY SCREEN |
86850 |
0300 |
195 |
195 |
58.5 |
177.45000000000002 |
136.5 |
58.5 |
177.45000000000002 |
140.4 |
165.75 |
Carle Eureka Hospital |
1332090114 |
CANCER ASSOCIATED BREAST AG |
0300 |
68 |
68 |
20.399999999999999 |
61.88 |
47.599999999999994 |
20.399999999999999 |
61.88 |
48.96 |
57.8 |
Carle Eureka Hospital |
1332090127 |
CELL COUNT AND DIFFERENTIAL |
0300 |
14 |
14 |
4.2 |
12.74 |
9.7999999999999989 |
4.2 |
12.74 |
10.08 |
11.9 |
Carle Eureka Hospital |
1332090132 |
CHLORIDE URINE RANDOM |
82436 |
0300 |
125 |
125 |
37.5 |
113.75 |
87.5 |
37.5 |
113.75 |
90 |
106.25 |
Carle Eureka Hospital |
1332090152 |
COMPLEMENT C3 |
86160 |
0300 |
115 |
115 |
34.5 |
104.65 |
80.5 |
34.5 |
104.65 |
82.8 |
97.75 |
Carle Eureka Hospital |
1332090182 |
CRYSTAL EXAM |
0300 |
22 |
22 |
6.6 |
20.02 |
15.399999999999999 |
6.6 |
20.02 |
15.84 |
18.7 |
Carle Eureka Hospital |
1332090194 |
CSF IGG ALBUMIN INDEX |
82784 |
0300 |
73 |
73 |
21.9 |
66.430000000000007 |
51.099999999999994 |
21.9 |
66.430000000000007 |
52.559999999999995 |
62.05 |
Carle Eureka Hospital |
1332090222 |
CULTURE GC |
87081 |
0300 |
96 |
96 |
28.799999999999997 |
87.36 |
67.199999999999989 |
28.799999999999997 |
87.36 |
69.12 |
81.599999999999994 |
Carle Eureka Hospital |
1332090233 |
CULTURE TB AND ACID FAST SMEAR |
0300 |
37 |
37 |
11.1 |
33.67 |
25.9 |
11.1 |
33.67 |
26.64 |
31.45 |
Carle Eureka Hospital |
1332090244 |
CYTOLOGY FLUID |
0300 |
21 |
21 |
6.3 |
19.11 |
14.7 |
6.3 |
19.11 |
15.12 |
17.849999999999998 |
Carle Eureka Hospital |
1332090255 |
DIFFERENTIAL |
0300 |
10 |
10 |
3 |
9.1 |
7 |
3 |
9.1 |
7.1999999999999993 |
8.5 |
Carle Eureka Hospital |
1332090263 |
DRUG SCREEN - DRUGS OF ABUSE |
0300 |
59 |
59 |
17.7 |
53.690000000000005 |
41.3 |
17.7 |
53.690000000000005 |
42.48 |
50.15 |
Carle Eureka Hospital |
1332090272 |
ENVIRONMENTAL CULTURE |
87070 |
0300 |
136 |
136 |
40.799999999999997 |
123.76 |
95.199999999999989 |
40.799999999999997 |
123.76 |
97.92 |
115.6 |
Carle Eureka Hospital |
1332090273 |
EOSINOPHIL - TOTAL COUNT |
0300 |
14 |
14 |
4.2 |
12.74 |
9.7999999999999989 |
4.2 |
12.74 |
10.08 |
11.9 |
Carle Eureka Hospital |
1332090308 |
FREE T4 |
0300 |
42 |
42 |
12.6 |
38.22 |
29.4 |
12.6 |
38.22 |
30.24 |
35.699999999999996 |
Carle Eureka Hospital |
1332090314 |
FUNGUS ANTIBODY PANEL |
0300 |
200 |
200 |
60 |
182 |
140 |
60 |
182 |
144 |
170 |
Carle Eureka Hospital |
1332090321 |
GENTAMICIN-PEAK LEVEL |
0300 |
36 |
36 |
10.799999999999999 |
32.76 |
25.2 |
10.799999999999999 |
32.76 |
25.919999999999998 |
30.599999999999998 |
Carle Eureka Hospital |
1332090334 |
GLUCOSE TOLERANCE 5HR |
82952 |
0300 |
71 |
71 |
21.3 |
64.61 |
49.699999999999996 |
21.3 |
64.61 |
51.12 |
60.35 |
Carle Eureka Hospital |
1332090335 |
GLUCOSE UR |
0300 |
7 |
7 |
2.1 |
6.37 |
4.8999999999999995 |
2.1 |
6.37 |
5.04 |
5.95 |
Carle Eureka Hospital |
1332090351 |
HEMATOLOGY CONSULTATION |
0300 |
28 |
28 |
8.4 |
25.48 |
19.599999999999998 |
8.4 |
25.48 |
20.16 |
23.8 |
Carle Eureka Hospital |
1332090358 |
HEP SCREEN-HA HBSAG HBCAB |
0300 |
160 |
160 |
48 |
145.6 |
112 |
48 |
145.6 |
115.19999999999999 |
136 |
Carle Eureka Hospital |
1332090384 |
IMMUNOELECTROPHORESIS SERUM |
86320 |
0300 |
230 |
230 |
69 |
209.3 |
161 |
69 |
209.3 |
165.6 |
195.5 |
Carle Eureka Hospital |
1332090390 |
IMMUNOGLOBULINS IG-A/G/M |
0300 |
62 |
62 |
18.599999999999998 |
56.42 |
43.4 |
18.599999999999998 |
56.42 |
44.64 |
52.699999999999996 |
Carle Eureka Hospital |
1332090398 |
KETONES |
0300 |
7 |
7 |
2.1 |
6.37 |
4.8999999999999995 |
2.1 |
6.37 |
5.04 |
5.95 |
Carle Eureka Hospital |
1332090406 |
LACTOSE TOLERANCE |
0300 |
44 |
44 |
13.2 |
40.04 |
30.799999999999997 |
13.2 |
40.04 |
31.68 |
37.4 |
Carle Eureka Hospital |
1332090458 |
NAVAL RESERVE SICKLE CELL |
0300 |
17 |
17 |
5.0999999999999996 |
15.47 |
11.899999999999999 |
5.0999999999999996 |
15.47 |
12.24 |
14.45 |
Carle Eureka Hospital |
1332090465 |
OCCULT BLOOD QUAL OTHER |
0300 |
7 |
7 |
2.1 |
6.37 |
4.8999999999999995 |
2.1 |
6.37 |
5.04 |
5.95 |
Carle Eureka Hospital |
1332090482 |
PH |
0300 |
7 |
7 |
2.1 |
6.37 |
4.8999999999999995 |
2.1 |
6.37 |
5.04 |
5.95 |
Carle Eureka Hospital |
1332090485 |
PHENOLPHTHALEIN IN FECES |
0300 |
17 |
17 |
5.0999999999999996 |
15.47 |
11.899999999999999 |
5.0999999999999996 |
15.47 |
12.24 |
14.45 |
Carle Eureka Hospital |
1332090489 |
PHLEBOTOMY VENIPUNCTURE FEE |
0300 |
7 |
7 |
2.1 |
6.37 |
4.8999999999999995 |
2.1 |
6.37 |
5.04 |
5.95 |
Carle Eureka Hospital |
1332090499 |
PLATELET COUNT |
0300 |
10 |
10 |
3 |
9.1 |
7 |
3 |
9.1 |
7.1999999999999993 |
8.5 |
Carle Eureka Hospital |
1332090547 |
RED CELL ANTIGEN TYPING |
0300 |
14 |
14 |
4.2 |
12.74 |
9.7999999999999989 |
4.2 |
12.74 |
10.08 |
11.9 |
Carle Eureka Hospital |
1332090569 |
RUBELLA QUANTITATIVE TITER |
0300 |
17 |
17 |
5.0999999999999996 |
15.47 |
11.899999999999999 |
5.0999999999999996 |
15.47 |
12.24 |
14.45 |
Carle Eureka Hospital |
1332090581 |
SODIUM/POTASSIUM RANDOM URINE |
0300 |
15 |
15 |
4.5 |
13.65 |
10.5 |
4.5 |
13.65 |
10.799999999999999 |
12.75 |
Carle Eureka Hospital |
1332090588 |
SPECIFIC GRAVITY |
0300 |
7 |
7 |
2.1 |
6.37 |
4.8999999999999995 |
2.1 |
6.37 |
5.04 |
5.95 |
Carle Eureka Hospital |
1332090611 |
TESTOSTERONE FREE |
84402 |
0300 |
160 |
160 |
48 |
145.6 |
112 |
48 |
145.6 |
115.19999999999999 |
136 |
Carle Eureka Hospital |
1332090643 |
TYPE & RH ABO & RH GROUP |
0300 |
15 |
15 |
4.5 |
13.65 |
10.5 |
4.5 |
13.65 |
10.799999999999999 |
12.75 |
Carle Eureka Hospital |
1332090657 |
URINE BACTERIA SCREEN |
0300 |
10 |
10 |
3 |
9.1 |
7 |
3 |
9.1 |
7.1999999999999993 |
8.5 |
Carle Eureka Hospital |
1332090676 |
VDRL CSF |
0300 |
13 |
13 |
3.9 |
11.83 |
9.1 |
3.9 |
11.83 |
9.36 |
11.049999999999999 |
Carle Eureka Hospital |
1332090680 |
VETERNARY PROFILE |
0300 |
15 |
15 |
4.5 |
13.65 |
10.5 |
4.5 |
13.65 |
10.799999999999999 |
12.75 |
Carle Eureka Hospital |
1332090696 |
*CULTURE & SENS VAGINAL/URETH |
0300 |
25 |
25 |
7.5 |
22.75 |
17.5 |
7.5 |
22.75 |
18 |
21.25 |
Carle Eureka Hospital |
1332090702 |
COMPLETE BLOOD COUNT CAT |
0305 |
8 |
8 |
2.4 |
7.28 |
5.6 |
2.4 |
7.28 |
5.76 |
6.8 |
Carle Eureka Hospital |
1332090703 |
COMPLETE BLOOD COUNT DOG |
0305 |
8 |
8 |
2.4 |
7.28 |
5.6 |
2.4 |
7.28 |
5.76 |
6.8 |
Carle Eureka Hospital |
1332090704 |
COMPLETE BLOOD COUNT VET OTHER |
0305 |
8 |
8 |
2.4 |
7.28 |
5.6 |
2.4 |
7.28 |
5.76 |
6.8 |
Carle Eureka Hospital |
1331891804 |
IGF BINDING PROTEIN 1 QUEST |
83519 |
0301 |
100 |
100 |
30 |
91 |
70 |
30 |
91 |
72 |
85 |
Carle Eureka Hospital |
1331894838 |
ACL CENTROMERE ANTIBODY |
86235 |
0302 |
62 |
62 |
18.599999999999998 |
56.42 |
43.4 |
18.599999999999998 |
56.42 |
44.64 |
52.699999999999996 |
Carle Eureka Hospital |
1333160656 |
CT BIOPSY ADRENAL GLAND PERC |
60699 |
0361 |
5935 |
5935 |
1780.5 |
5400.85 |
4154.5 |
1780.5 |
5400.85 |
4273.2 |
5044.75 |
Carle Eureka Hospital |
1333170038 |
CT ABDOMEN W CONTRAST |
74160 |
0352 |
2385 |
2385 |
715.5 |
2170.35 |
1669.5 |
715.5 |
2170.35 |
1717.2 |
2027.25 |
Carle Eureka Hospital |
1333170039 |
CT ABDOMEN WO CONSTRAST |
74150 |
0352 |
1400 |
1400 |
420 |
1274 |
979.99999999999989 |
420 |
1274 |
1008 |
1190 |
Carle Eureka Hospital |
1333170040 |
CT ABDOMEN WWO CONTRAST |
74170 |
0352 |
2485 |
2485 |
745.5 |
2261.35 |
1739.5 |
745.5 |
2261.35 |
1789.2 |
2112.25 |
Carle Eureka Hospital |
1333170044 |
CT ANGIOGRAPHY CHEST WWO |
71275 |
0352 |
2385 |
2385 |
715.5 |
2170.35 |
1669.5 |
715.5 |
2170.35 |
1717.2 |
2027.25 |
Carle Eureka Hospital |
1333170058 |
CT CERVICAL SPINE W CONTRAS |
72126 |
0352 |
3840 |
3840 |
1152 |
3494.4 |
2688 |
1152 |
3494.4 |
2764.7999999999997 |
3264 |
Carle Eureka Hospital |
1333170059 |
CT CERVICAL SPINE WO CONTRAST |
72125 |
0352 |
1640 |
1640 |
492 |
1492.4 |
1148 |
492 |
1492.4 |
1180.8 |
1394 |
Carle Eureka Hospital |
1333170060 |
CT CERVICAL SPINE WWO CONTRAS |
72127 |
0352 |
2685 |
2685 |
805.5 |
2443.35 |
1879.4999999999998 |
805.5 |
2443.35 |
1933.1999999999998 |
2282.25 |
Carle Eureka Hospital |
1333170074 |
CT HEAD W CONTRAST |
70460 |
0351 |
2185 |
2185 |
655.5 |
1988.3500000000001 |
1529.5 |
655.5 |
1988.3500000000001 |
1573.2 |
1857.25 |
Carle Eureka Hospital |
1333170075 |
CT HEAD WO CONTRAST |
70450 |
0351 |
1280 |
1280 |
384 |
1164.8 |
896 |
384 |
1164.8 |
921.59999999999991 |
1088 |
Carle Eureka Hospital |
1333170076 |
CT HEAD WWO CONTRAST |
70470 |
0351 |
2385 |
2385 |
715.5 |
2170.35 |
1669.5 |
715.5 |
2170.35 |
1717.2 |
2027.25 |
Carle Eureka Hospital |
1333170080 |
CT LOWER EXTREMITY W CONTRAST |
73701 |
0352 |
2385 |
2385 |
715.5 |
2170.35 |
1669.5 |
715.5 |
2170.35 |
1717.2 |
2027.25 |
Carle Eureka Hospital |
1333170081 |
CT LOWER EXTREMITY WO CONTRAST |
73700 |
0352 |
1285 |
1285 |
385.5 |
1169.3500000000001 |
899.49999999999989 |
385.5 |
1169.3500000000001 |
925.19999999999993 |
1092.25 |
Carle Eureka Hospital |
1333170082 |
CT LOWER EXTREMITY WWO CONTR |
73702 |
0352 |
2385 |
2385 |
715.5 |
2170.35 |
1669.5 |
715.5 |
2170.35 |
1717.2 |
2027.25 |
Carle Eureka Hospital |
1333170083 |
CT LUMBAR SPINE W CONTRAST |
72132 |
0352 |
2715 |
2715 |
814.5 |
2470.65 |
1900.4999999999998 |
814.5 |
2470.65 |
1954.8 |
2307.75 |
Carle Eureka Hospital |
1333170084 |
CT LUMBAR SPINE WO CONTRAST |
72131 |
0352 |
1670 |
1670 |
501 |
1519.7 |
1169 |
501 |
1519.7 |
1202.3999999999999 |
1419.5 |
Carle Eureka Hospital |
1333170085 |
CT LUMBAR SPINE WWO CONTRAST |
72133 |
0352 |
2915 |
2915 |
874.5 |
2652.65 |
2040.4999999999998 |
874.5 |
2652.65 |
2098.7999999999997 |
2477.75 |
Carle Eureka Hospital |
1333170087 |
CT MAXILLOFACIAL W CONTRAST |
70487 |
0351 |
2915 |
2915 |
874.5 |
2652.65 |
2040.4999999999998 |
874.5 |
2652.65 |
2098.7999999999997 |
2477.75 |
Carle Eureka Hospital |
1333170088 |
CT MAXILLOFACIAL WO CONTRAST |
70486 |
0351 |
1225 |
1225 |
367.5 |
1114.75 |
857.5 |
367.5 |
1114.75 |
882 |
1041.25 |
Carle Eureka Hospital |
1333170089 |
CT MAXILLOFACIAL WWO CONTR |
70488 |
0351 |
2255 |
2255 |
676.5 |
2052.0500000000002 |
1578.5 |
676.5 |
2052.0500000000002 |
1623.6 |
1916.75 |
Carle Eureka Hospital |
1333170093 |
CT NECK SOFT TISSUE W CONTRAST |
70491 |
0351 |
2385 |
2385 |
715.5 |
2170.35 |
1669.5 |
715.5 |
2170.35 |
1717.2 |
2027.25 |
Carle Eureka Hospital |
1333170094 |
CT NECK SOFT TISSUE WO CONTRAS |
70490 |
0351 |
1280 |
1280 |
384 |
1164.8 |
896 |
384 |
1164.8 |
921.59999999999991 |
1088 |
Carle Eureka Hospital |
1333170095 |
CT NECK SOFT TISSUE WWO CONTRA |
70492 |
0351 |
2915 |
2915 |
874.5 |
2652.65 |
2040.4999999999998 |
874.5 |
2652.65 |
2098.7999999999997 |
2477.75 |
Carle Eureka Hospital |
1333170096 |
CT ORBIT/INNER EAR W CONTRAST |
70481 |
0351 |
2385 |
2385 |
715.5 |
2170.35 |
1669.5 |
715.5 |
2170.35 |
1717.2 |
2027.25 |
Carle Eureka Hospital |
1333170097 |
CT ORBIT/INNER EAR WO CONTRAS |
70480 |
0351 |
1325 |
1325 |
397.5 |
1205.75 |
927.49999999999989 |
397.5 |
1205.75 |
954 |
1126.25 |
Carle Eureka Hospital |
1333170098 |
CT ORBIT/INNER EAR WWO CONTR |
70482 |
0351 |
2585 |
2585 |
775.5 |
2352.35 |
1809.4999999999998 |
775.5 |
2352.35 |
1861.1999999999998 |
2197.25 |
Carle Eureka Hospital |
1333170099 |
CT PELVIS W CONTRAST |
72193 |
0352 |
2385 |
2385 |
715.5 |
2170.35 |
1669.5 |
715.5 |
2170.35 |
1717.2 |
2027.25 |
Carle Eureka Hospital |
1333170100 |
CT PELVIS WWO CONTRAST |
72194 |
0352 |
2485 |
2485 |
745.5 |
2261.35 |
1739.5 |
745.5 |
2261.35 |
1789.2 |
2112.25 |
Carle Eureka Hospital |
1333170101 |
CT PELVIS WO CONTRAST |
72192 |
0352 |
1375 |
1375 |
412.5 |
1251.25 |
962.49999999999989 |
412.5 |
1251.25 |
990 |
1168.75 |
Carle Eureka Hospital |
1333170102 |
CT THORACIC SPINE W CONTRAST |
72129 |
0352 |
2915 |
2915 |
874.5 |
2652.65 |
2040.4999999999998 |
874.5 |
2652.65 |
2098.7999999999997 |
2477.75 |
Carle Eureka Hospital |
1333170103 |
CT THORACIC SPINE WO CONTRAST |
72128 |
0352 |
1505 |
1505 |
451.5 |
1369.55 |
1053.5 |
451.5 |
1369.55 |
1083.5999999999999 |
1279.25 |
Carle Eureka Hospital |
1333170104 |
CT THORACIC SPINE WWO CONTRA |
72130 |
0352 |
3015 |
3015 |
904.5 |
2743.65 |
2110.5 |
904.5 |
2743.65 |
2170.7999999999997 |
2562.75 |
Carle Eureka Hospital |
1333170107 |
CT THORAX-CHEST W CONTRAST |
71260 |
0352 |
2185 |
2185 |
655.5 |
1988.3500000000001 |
1529.5 |
655.5 |
1988.3500000000001 |
1573.2 |
1857.25 |
Carle Eureka Hospital |
1333170108 |
CT THORAX-CHEST WO CONTRAST |
71250 |
0352 |
1300 |
1300 |
390 |
1183 |
909.99999999999989 |
390 |
1183 |
936 |
1105 |
Carle Eureka Hospital |
1333170110 |
CT THORAX-CHEST WWO CONTRAS |
71270 |
0352 |
2385 |
2385 |
715.5 |
2170.35 |
1669.5 |
715.5 |
2170.35 |
1717.2 |
2027.25 |
Carle Eureka Hospital |
1333170111 |
CT UPR EXTREMITY W CONTRAST |
73201 |
0352 |
2385 |
2385 |
715.5 |
2170.35 |
1669.5 |
715.5 |
2170.35 |
1717.2 |
2027.25 |
Carle Eureka Hospital |
1333170112 |
CT UPR EXTREMITY WO CONTRAST |
73200 |
0352 |
1265 |
1265 |
379.5 |
1151.1500000000001 |
885.5 |
379.5 |
1151.1500000000001 |
910.8 |
1075.25 |
Carle Eureka Hospital |
1333170113 |
CT UPR EXTREMITY WWO CONT |
73202 |
0352 |
2585 |
2585 |
775.5 |
2352.35 |
1809.4999999999998 |
775.5 |
2352.35 |
1861.1999999999998 |
2197.25 |
Carle Eureka Hospital |
1333170658 |
CT CHEST W/WO HIGH REZ |
71270 |
0352 |
3015 |
3015 |
904.5 |
2743.65 |
2110.5 |
904.5 |
2743.65 |
2170.7999999999997 |
2562.75 |
Carle Eureka Hospital |
1333170668 |
CT ABD W/WO PELVIS W |
74178 |
0320 |
3840 |
3840 |
1152 |
3494.4 |
2688 |
1152 |
3494.4 |
2764.7999999999997 |
3264 |
Carle Eureka Hospital |
1333170868 |
CT 3D WITH WORKSTATION |
76377 |
0350 |
770 |
770 |
231 |
700.7 |
539 |
231 |
700.7 |
554.4 |
654.5 |
Carle Eureka Hospital |
1333170878 |
CT ABD PELVIS W/WO CONTR |
74178 |
0352 |
3840 |
3840 |
1152 |
3494.4 |
2688 |
1152 |
3494.4 |
2764.7999999999997 |
3264 |
Carle Eureka Hospital |
1333170879 |
CT ABD PELVIS WO CONTRA |
74176 |
0352 |
2820 |
2820 |
846 |
2566.2000000000003 |
1973.9999999999998 |
846 |
2566.2000000000003 |
2030.3999999999999 |
2397 |
Carle Eureka Hospital |
1333170880 |
CT ABDO PELVIS W CONTRA |
74177 |
0352 |
3035 |
3035 |
910.5 |
2761.85 |
2124.5 |
910.5 |
2761.85 |
2185.1999999999998 |
2579.75 |
Carle Eureka Hospital |
1333170923 |
CT PARACENTESIS W IMAGING |
49083 |
0361 |
2310 |
2310 |
693 |
2102.1 |
1617 |
693 |
2102.1 |
1663.2 |
1963.5 |
Carle Eureka Hospital |
1333170950 |
CT BONE LENGTH SCANOGRAM |
77073 |
0352 |
590 |
590 |
177 |
536.9 |
413 |
177 |
536.9 |
424.8 |
501.5 |
Carle Eureka Hospital |
1333171105 |
CONTRAST LOCM 300-399 PER ML |
Q9967 |
0636 |
3.58 |
3.58 |
1.0740000000000001 |
3.2578 |
2.5059999999999998 |
1.0740000000000001 |
3.2578 |
2.5775999999999999 |
3.0430000000000001 |
Carle Eureka Hospital |
1333171114 |
CT LUNG SCREENING |
71271 |
0352 |
660 |
660 |
198 |
600.6 |
461.99999999999994 |
198 |
600.6 |
475.2 |
561 |
Carle Eureka Hospital |
1333171261 |
LDCT LUNG FOLLOW UP SCAN |
71250 |
0352 |
999 |
999 |
299.7 |
909.09 |
699.3 |
299.7 |
909.09 |
719.28 |
849.15 |
Carle Eureka Hospital |
1333770869 |
MRI 3D WITH WORKSTATION |
76377 |
0610 |
770 |
770 |
231 |
700.7 |
539 |
231 |
700.7 |
554.4 |
654.5 |
Carle Eureka Hospital |
1333770937 |
MRI BRACHIAL PLEXUS WWO CONTRA |
71552 |
0610 |
3455 |
3455 |
1036.5 |
3144.05 |
2418.5 |
1036.5 |
3144.05 |
2487.6 |
2936.75 |
Carle Eureka Hospital |
1333771265 |
MRI BRACHIAL PLEXUS WO CON |
71550 |
0610 |
2985 |
2985 |
895.5 |
2716.35 |
2089.5 |
895.5 |
2716.35 |
2149.1999999999998 |
2537.25 |
Carle Eureka Hospital |
1333771266 |
MRI BRACHIAL PLEXUS W CON |
71551 |
0610 |
4265 |
4265 |
1279.5 |
3881.15 |
2985.5 |
1279.5 |
3881.15 |
3070.7999999999997 |
3625.25 |
Carle Eureka Hospital |
1333777258 |
MRV HEAD WWO CONTRAST |
70546 |
0615 |
4690 |
4690 |
1407 |
4267.9000000000005 |
3283 |
1407 |
4267.9000000000005 |
3376.7999999999997 |
3986.5 |
Carle Eureka Hospital |
1334070037 |
CONTRAST GADOLINIUM PER ML |
A9577 |
0636 |
10 |
10 |
3 |
9.1 |
7 |
3 |
9.1 |
7.1999999999999993 |
8.5 |
Carle Eureka Hospital |
1334070114 |
MRA ABDOMEN W CONTRAST |
74185 |
0618 |
3830 |
3830 |
1149 |
3485.3 |
2681 |
1149 |
3485.3 |
2757.6 |
3255.5 |
Carle Eureka Hospital |
1334070116 |
MRA ABDOMEN WWO CONTRAST |
74185 |
0618 |
3830 |
3830 |
1149 |
3485.3 |
2681 |
1149 |
3485.3 |
2757.6 |
3255.5 |
Carle Eureka Hospital |
1334070117 |
MRA CHEST W CONTRAST |
C8909 |
0618 |
3580 |
3580 |
1074 |
3257.8 |
2506 |
1074 |
3257.8 |
2577.6 |
3043 |
Carle Eureka Hospital |
1334070118 |
MRA CHEST WO CONTRAST |
C8910 |
0618 |
3580 |
3580 |
1074 |
3257.8 |
2506 |
1074 |
3257.8 |
2577.6 |
3043 |
Carle Eureka Hospital |
1334070119 |
MRA CHEST WWO CONTRAST |
C8911 |
0618 |
3580 |
3580 |
1074 |
3257.8 |
2506 |
1074 |
3257.8 |
2577.6 |
3043 |
Carle Eureka Hospital |
1334070120 |
MRA HEAD W CONTRAST |
70545 |
0615 |
3380 |
3380 |
1014 |
3075.8 |
2366 |
1014 |
3075.8 |
2433.6 |
2873 |
Carle Eureka Hospital |
1334070121 |
MRA HEAD WO CONTRAST |
70544 |
0615 |
2485 |
2485 |
745.5 |
2261.35 |
1739.5 |
745.5 |
2261.35 |
1789.2 |
2112.25 |
Carle Eureka Hospital |
1334070122 |
MRA HEAD WWO CONTRAST |
70546 |
0615 |
4690 |
4690 |
1407 |
4267.9000000000005 |
3283 |
1407 |
4267.9000000000005 |
3376.7999999999997 |
3986.5 |
Carle Eureka Hospital |
1334070123 |
MRA LOWER EXT W CONTRAST |
73725 |
0616 |
4235 |
4235 |
1270.5 |
3853.85 |
2964.5 |
1270.5 |
3853.85 |
3049.2 |
3599.75 |
Carle Eureka Hospital |
1334070124 |
MRA LOWER EXT WO CONTRAST |
73725 |
0616 |
4235 |
4235 |
1270.5 |
3853.85 |
2964.5 |
1270.5 |
3853.85 |
3049.2 |
3599.75 |
Carle Eureka Hospital |
1334070125 |
MRA LOWER EXT WWO CONTRAST |
73725 |
0616 |
4235 |
4235 |
1270.5 |
3853.85 |
2964.5 |
1270.5 |
3853.85 |
3049.2 |
3599.75 |
Carle Eureka Hospital |
1334070126 |
MRA NECK W CONTRAST |
70548 |
0615 |
3150 |
3150 |
945 |
2866.5 |
2205 |
945 |
2866.5 |
2268 |
2677.5 |
Carle Eureka Hospital |
1334070127 |
MRA NECK WO CONTRAST |
70547 |
0615 |
2035 |
2035 |
610.5 |
1851.8500000000001 |
1424.5 |
610.5 |
1851.8500000000001 |
1465.2 |
1729.75 |
Carle Eureka Hospital |
1334070128 |
MRA NECK WWO CONTRAST |
70549 |
0615 |
4690 |
4690 |
1407 |
4267.9000000000005 |
3283 |
1407 |
4267.9000000000005 |
3376.7999999999997 |
3986.5 |
Carle Eureka Hospital |
1334070129 |
MRA PELVIS WWO CONTRAST |
72198 |
0610 |
4235 |
4235 |
1270.5 |
3853.85 |
2964.5 |
1270.5 |
3853.85 |
3049.2 |
3599.75 |
Carle Eureka Hospital |
1334070130 |
MRA SPINAL CANAL WWO CONTRAST |
72159 |
0612 |
4395 |
4395 |
1318.5 |
3999.4500000000003 |
3076.5 |
1318.5 |
3999.4500000000003 |
3164.4 |
3735.75 |
Carle Eureka Hospital |
1334070131 |
MRA UPPER EXT WWO CONTRAST |
73225 |
0610 |
4315 |
4315 |
1294.5 |
3926.65 |
3020.5 |
1294.5 |
3926.65 |
3106.7999999999997 |
3667.75 |
Carle Eureka Hospital |
1334070132 |
MRI ABDOMEN W CONTRAST |
74182 |
0610 |
4265 |
4265 |
1279.5 |
3881.15 |
2985.5 |
1279.5 |
3881.15 |
3070.7999999999997 |
3625.25 |
Carle Eureka Hospital |
1334070133 |
MRI ABDOMEN WO CONTRAST |
74181 |
0610 |
2035 |
2035 |
610.5 |
1851.8500000000001 |
1424.5 |
610.5 |
1851.8500000000001 |
1465.2 |
1729.75 |
Carle Eureka Hospital |
1334070134 |
MRI ABDOMEN WWO CONTRAST |
74183 |
0610 |
3840 |
3840 |
1152 |
3494.4 |
2688 |
1152 |
3494.4 |
2764.7999999999997 |
3264 |
Carle Eureka Hospital |
1334070135 |
MRI BONE MARROW BLOOD SUPPLY |
77084 |
0610 |
4495 |
4495 |
1348.5 |
4090.4500000000003 |
3146.5 |
1348.5 |
4090.4500000000003 |
3236.4 |
3820.75 |
Carle Eureka Hospital |
1334070136 |
MRI BRAIN W CONTRAST |
70552 |
0611 |
3840 |
3840 |
1152 |
3494.4 |
2688 |
1152 |
3494.4 |
2764.7999999999997 |
3264 |
Carle Eureka Hospital |
1334070137 |
MRI BRAIN WO CONTRAST |
70551 |
0611 |
2105 |
2105 |
631.5 |
1915.55 |
1473.5 |
631.5 |
1915.55 |
1515.6 |
1789.25 |
Carle Eureka Hospital |
1334070138 |
MRI BRAIN WWO CONTRAST |
70553 |
0611 |
3840 |
3840 |
1152 |
3494.4 |
2688 |
1152 |
3494.4 |
2764.7999999999997 |
3264 |
Carle Eureka Hospital |
1334070145 |
MRI CERVICAL SPINE W CONTRAST |
72142 |
0612 |
3840 |
3840 |
1152 |
3494.4 |
2688 |
1152 |
3494.4 |
2764.7999999999997 |
3264 |
Carle Eureka Hospital |
1334070146 |
MRI CERVICAL SPINE WO CONTRAS |
72141 |
0612 |
2485 |
2485 |
745.5 |
2261.35 |
1739.5 |
745.5 |
2261.35 |
1789.2 |
2112.25 |
Carle Eureka Hospital |
1334070147 |
MRI CERVICAL SPINE WWO CONTRAS |
72156 |
0612 |
4690 |
4690 |
1407 |
4267.9000000000005 |
3283 |
1407 |
4267.9000000000005 |
3376.7999999999997 |
3986.5 |
Carle Eureka Hospital |
1334070148 |
MRI CHEST W CONTRAST |
71551 |
0610 |
5455 |
5455 |
1636.5 |
4964.05 |
3818.4999999999995 |
1636.5 |
4964.05 |
3927.6 |
4636.75 |
Carle Eureka Hospital |
1334070149 |
MRI CHEST WO CONTRAST |
71550 |
0610 |
2740 |
2740 |
822 |
2493.4 |
1917.9999999999998 |
822 |
2493.4 |
1972.8 |
2329 |
Carle Eureka Hospital |
1334070150 |
MRI CHEST WWO CONTRAST |
71552 |
0610 |
4265 |
4265 |
1279.5 |
3881.15 |
2985.5 |
1279.5 |
3881.15 |
3070.7999999999997 |
3625.25 |
Carle Eureka Hospital |
1334070151 |
MRI JOINT LOWER EXT W CONTRAST |
73722 |
0610 |
3640 |
3640 |
1092 |
3312.4 |
2548 |
1092 |
3312.4 |
2620.7999999999997 |
3094 |
Carle Eureka Hospital |
1334070152 |
MRI JOINT LOWER EXT WO CONTRAS |
73721 |
0610 |
2035 |
2035 |
610.5 |
1851.8500000000001 |
1424.5 |
610.5 |
1851.8500000000001 |
1465.2 |
1729.75 |
Carle Eureka Hospital |
1334070153 |
MRI JOINT LOWER EXT WWO CONTRA |
73723 |
0610 |
3840 |
3840 |
1152 |
3494.4 |
2688 |
1152 |
3494.4 |
2764.7999999999997 |
3264 |
Carle Eureka Hospital |
1334070154 |
MRI JOINT UPPER EXT W CONTRAST |
73222 |
0610 |
3090 |
3090 |
927 |
2811.9 |
2163 |
927 |
2811.9 |
2224.7999999999997 |
2626.5 |
Carle Eureka Hospital |
1334070155 |
MRI JOINT UPPER EXT WO CONTRAS |
73221 |
0610 |
2661 |
2661 |
798.3 |
2421.5100000000002 |
1862.6999999999998 |
798.3 |
2421.5100000000002 |
1915.9199999999998 |
2261.85 |
Carle Eureka Hospital |
1334070156 |
MRI JOINT UPPER EXT WWO CONTRA |
73223 |
0610 |
4690 |
4690 |
1407 |
4267.9000000000005 |
3283 |
1407 |
4267.9000000000005 |
3376.7999999999997 |
3986.5 |
Carle Eureka Hospital |
1334070157 |
MRI LOWER EXT W CONTRAST |
73719 |
0610 |
3090 |
3090 |
927 |
2811.9 |
2163 |
927 |
2811.9 |
2224.7999999999997 |
2626.5 |
Carle Eureka Hospital |
1334070158 |
MRI LOWER EXT WO CONTRAST |
73718 |
0614 |
2035 |
2035 |
610.5 |
1851.8500000000001 |
1424.5 |
610.5 |
1851.8500000000001 |
1465.2 |
1729.75 |
Carle Eureka Hospital |
1334070159 |
MRI LOWER EXT WWO CONTRAST |
73720 |
0610 |
3840 |
3840 |
1152 |
3494.4 |
2688 |
1152 |
3494.4 |
2764.7999999999997 |
3264 |
Carle Eureka Hospital |
1334070160 |
MRI LUMBAR SPINE W CONTRAST |
72149 |
0612 |
3840 |
3840 |
1152 |
3494.4 |
2688 |
1152 |
3494.4 |
2764.7999999999997 |
3264 |
Carle Eureka Hospital |
1334070161 |
MRI LUMBAR SPINE WO CONTRAST |
72148 |
0612 |
2035 |
2035 |
610.5 |
1851.8500000000001 |
1424.5 |
610.5 |
1851.8500000000001 |
1465.2 |
1729.75 |
Carle Eureka Hospital |
1334070162 |
MRI LUMBAR SPINE WWO CONTRAST |
72158 |
0612 |
3840 |
3840 |
1152 |
3494.4 |
2688 |
1152 |
3494.4 |
2764.7999999999997 |
3264 |
Carle Eureka Hospital |
1334070163 |
MRI MYOCARDIUM WO CONTRAST |
75565 |
0610 |
2610 |
2610 |
783 |
2375.1 |
1826.9999999999998 |
783 |
2375.1 |
1879.1999999999998 |
2218.5 |
Carle Eureka Hospital |
1334070165 |
MRI ORBIT FACE NECK W CONTRAST |
70542 |
0610 |
4265 |
4265 |
1279.5 |
3881.15 |
2985.5 |
1279.5 |
3881.15 |
3070.7999999999997 |
3625.25 |
Carle Eureka Hospital |
1334070166 |
MRI ORBIT FACE NECK WO CONTRAS |
70540 |
0610 |
2805 |
2805 |
841.5 |
2552.5500000000002 |
1963.4999999999998 |
841.5 |
2552.5500000000002 |
2019.6 |
2384.25 |
Carle Eureka Hospital |
1334070167 |
MRI ORBIT FACE NECK WWO CONTRA |
70543 |
0610 |
3840 |
3840 |
1152 |
3494.4 |
2688 |
1152 |
3494.4 |
2764.7999999999997 |
3264 |
Carle Eureka Hospital |
1334070168 |
MRI PELVIS W CONTRAST |
72196 |
0610 |
4265 |
4265 |
1279.5 |
3881.15 |
2985.5 |
1279.5 |
3881.15 |
3070.7999999999997 |
3625.25 |
Carle Eureka Hospital |
1334070169 |
MRI PELVIS WO CONTRAST |
72195 |
0610 |
2080 |
2080 |
624 |
1892.8 |
1456 |
624 |
1892.8 |
1497.6 |
1768 |
Carle Eureka Hospital |
1334070170 |
MRI PELVIS WWO CONTRAST |
72197 |
0610 |
3840 |
3840 |
1152 |
3494.4 |
2688 |
1152 |
3494.4 |
2764.7999999999997 |
3264 |
Carle Eureka Hospital |
1334070171 |
MRI THORACIC SPINE W CONTRAST |
72147 |
0612 |
3840 |
3840 |
1152 |
3494.4 |
2688 |
1152 |
3494.4 |
2764.7999999999997 |
3264 |
Carle Eureka Hospital |
1334070172 |
MRI THORACIC SPINE WO CONTRAST |
72146 |
0612 |
2485 |
2485 |
745.5 |
2261.35 |
1739.5 |
745.5 |
2261.35 |
1789.2 |
2112.25 |
Carle Eureka Hospital |
1334070173 |
MRI THORACIC SPINE WWO CONTRAS |
72157 |
0612 |
4040 |
4040 |
1212 |
3676.4 |
2828 |
1212 |
3676.4 |
2908.7999999999997 |
3434 |
Carle Eureka Hospital |
1334070174 |
MRI TMJ WO CONTRAST |
70336 |
0610 |
2420 |
2420 |
726 |
2202.2000000000003 |
1694 |
726 |
2202.2000000000003 |
1742.3999999999999 |
2057 |
Carle Eureka Hospital |
1334070175 |
MRI UPPER EXT W CONTRAST |
73219 |
0610 |
4265 |
4265 |
1279.5 |
3881.15 |
2985.5 |
1279.5 |
3881.15 |
3070.7999999999997 |
3625.25 |
Carle Eureka Hospital |
1334070176 |
MRI UPPER EXT WO CONTRAST |
73218 |
0610 |
2035 |
2035 |
610.5 |
1851.8500000000001 |
1424.5 |
610.5 |
1851.8500000000001 |
1465.2 |
1729.75 |
Carle Eureka Hospital |
1334070177 |
MRI UPPER EXT WWO CONTRAST |
73220 |
0610 |
3455 |
3455 |
1036.5 |
3144.05 |
2418.5 |
1036.5 |
3144.05 |
2487.6 |
2936.75 |
Carle Eureka Hospital |
1333902280 |
BREAST CLIP MARKER IMPLANT |
A4648 |
0278 |
261 |
261 |
78.3 |
237.51000000000002 |
182.7 |
78.3 |
237.51000000000002 |
187.92 |
221.85 |
Carle Eureka Hospital |
1333902281 |
VACORA BIOPSY PROBE 14 G |
0272 |
578 |
578 |
173.4 |
525.98 |
404.59999999999997 |
173.4 |
525.98 |
416.15999999999997 |
491.3 |
Carle Eureka Hospital |
1333902282 |
TRAY THOA/PARACENTESIS PROC |
0272 |
142 |
142 |
42.6 |
129.22 |
99.399999999999991 |
42.6 |
129.22 |
102.24 |
120.7 |
Carle Eureka Hospital |
1333950942 |
DUPLEX AORTA/IVC/BYPASSGFTCOMP |
93978 |
0921 |
1090 |
1090 |
327 |
991.9 |
763 |
327 |
991.9 |
784.8 |
926.5 |
Carle Eureka Hospital |
1333950943 |
VASCULAR DUPLEX ABD ORGAN COMP |
93975 |
0921 |
1650 |
1650 |
495 |
1501.5 |
1155 |
495 |
1501.5 |
1188 |
1402.5 |
Carle Eureka Hospital |
1333950944 |
DUPLEX AORTA/IVC/BYPASSFGT LIM |
93979 |
0921 |
710 |
710 |
213 |
646.1 |
496.99999999999994 |
213 |
646.1 |
511.2 |
603.5 |
Carle Eureka Hospital |
1333950945 |
VASCULAR DUPLEX ABD ORGAN LIMI |
93976 |
0921 |
870 |
870 |
261 |
791.7 |
609 |
261 |
791.7 |
626.4 |
739.5 |
Carle Eureka Hospital |
1333960928 |
US THORACENTESIS ASP W IMAGING |
32555 |
0361 |
1499 |
1499 |
449.7 |
1364.0900000000001 |
1049.3 |
449.7 |
1364.0900000000001 |
1079.28 |
1274.1499999999999 |
Carle Eureka Hospital |
1333961044 |
US PLEURAL DRG INDWELL W IMAGE |
32557 |
0361 |
1845 |
1845 |
553.5 |
1678.95 |
1291.5 |
553.5 |
1678.95 |
1328.3999999999999 |
1568.25 |
Carle Eureka Hospital |
1333961165 |
CANALITH REPOSITIONING PROC |
95992 |
0516 |
120 |
120 |
36 |
109.2 |
84 |
36 |
109.2 |
86.399999999999991 |
102 |
Carle Eureka Hospital |
1333970308 |
US GUIDANCE AMNINOCENTESIS |
76946 |
0402 |
345 |
345 |
103.5 |
313.95 |
241.49999999999997 |
103.5 |
313.95 |
248.39999999999998 |
293.25 |
Carle Eureka Hospital |
1333970310 |
US NEEDLE BIOPSY LOCALIZATION |
76942 |
0402 |
590 |
590 |
177 |
536.9 |
413 |
177 |
536.9 |
424.8 |
501.5 |
Carle Eureka Hospital |
1333970311 |
US ABDOMEN COMPLETE |
76700 |
0402 |
870 |
870 |
261 |
791.7 |
609 |
261 |
791.7 |
626.4 |
739.5 |
Carle Eureka Hospital |
1333970312 |
US ABD LMT SINGLE ORG QUAD FU |
76705 |
0402 |
870 |
870 |
261 |
791.7 |
609 |
261 |
791.7 |
626.4 |
739.5 |
Carle Eureka Hospital |
1333970314 |
US ABI WO EXERCISE BIL |
93922 |
0921 |
445 |
445 |
133.5 |
404.95 |
311.5 |
133.5 |
404.95 |
320.39999999999998 |
378.25 |
Carle Eureka Hospital |
1333970315 |
US ABI WITH EXERCISE BIL |
93923 |
0921 |
980 |
980 |
294 |
891.80000000000007 |
686 |
294 |
891.80000000000007 |
705.6 |
833 |
Carle Eureka Hospital |
1333970316 |
US ARTERIES LOWER EXT DUPLEX B |
93925 |
0921 |
1375 |
1375 |
412.5 |
1251.25 |
962.49999999999989 |
412.5 |
1251.25 |
990 |
1168.75 |
Carle Eureka Hospital |
1333970317 |
US ARTERIES LOWER EXT DUPLEX U |
93926 |
0921 |
870 |
870 |
261 |
791.7 |
609 |
261 |
791.7 |
626.4 |
739.5 |
Carle Eureka Hospital |
1333970318 |
US ARTERIES UPPER EXT DUPLEX B |
93930 |
0921 |
1250 |
1250 |
375 |
1137.5 |
875 |
375 |
1137.5 |
900 |
1062.5 |
Carle Eureka Hospital |
1333970319 |
US ARTERIES UPPER EXT DUPLEX U |
93931 |
0921 |
710 |
710 |
213 |
646.1 |
496.99999999999994 |
213 |
646.1 |
511.2 |
603.5 |
Carle Eureka Hospital |
1333970320 |
US ASPIR BREAST CYST EA ADDL |
19001 |
0361 |
260 |
260 |
78 |
236.6 |
182 |
78 |
236.6 |
187.2 |
221 |
Carle Eureka Hospital |
1333970321 |
US ASPIR RENAL/PELVIS CYST |
50390 |
0361 |
1535 |
1535 |
460.5 |
1396.8500000000001 |
1074.5 |
460.5 |
1396.8500000000001 |
1105.2 |
1304.75 |
Carle Eureka Hospital |
1333970322 |
US ASPIRATION BREAST CYST |
19000 |
0361 |
720 |
720 |
216 |
655.20000000000005 |
503.99999999999994 |
216 |
655.20000000000005 |
518.4 |
612 |
Carle Eureka Hospital |
1333970324 |
US ASPIRATION CYST LOCALIZATIO |
76942 |
0402 |
590 |
590 |
177 |
536.9 |
413 |
177 |
536.9 |
424.8 |
501.5 |
Carle Eureka Hospital |
1333970327 |
US ASPIRATION THYROID CYST |
60300 |
0361 |
445 |
445 |
133.5 |
404.95 |
311.5 |
133.5 |
404.95 |
320.39999999999998 |
378.25 |
Carle Eureka Hospital |
1333970331 |
US CAROTID ARTERY UNI |
93882 |
0921 |
790 |
790 |
237 |
718.9 |
553 |
237 |
718.9 |
568.79999999999995 |
671.5 |
Carle Eureka Hospital |
1333970332 |
US CAROTID EXTRACRANIAL ART BI |
93880 |
0921 |
1445 |
1445 |
433.5 |
1314.95 |
1011.4999999999999 |
433.5 |
1314.95 |
1040.3999999999999 |
1228.25 |
Carle Eureka Hospital |
1333970333 |
US DOPPLER TRANSCRANIAL |
93886 |
0921 |
1145 |
1145 |
343.5 |
1041.95 |
801.5 |
343.5 |
1041.95 |
824.4 |
973.25 |
Carle Eureka Hospital |
1333970338 |
US GUIDANCE DRAINAGE ABSCESS |
76942 |
0402 |
590 |
590 |
177 |
536.9 |
413 |
177 |
536.9 |
424.8 |
501.5 |
Carle Eureka Hospital |
1333970339 |
US GUIDANCE NEEDLE BIOPSY |
76942 |
0402 |
590 |
590 |
177 |
536.9 |
413 |
177 |
536.9 |
424.8 |
501.5 |
Carle Eureka Hospital |
1333970340 |
US GUIDANCE PARACENTESIS |
76942 |
0402 |
590 |
590 |
177 |
536.9 |
413 |
177 |
536.9 |
424.8 |
501.5 |
Carle Eureka Hospital |
1333970342 |
US GUIDANCE THORACENTESIS |
76942 |
0402 |
590 |
590 |
177 |
536.9 |
413 |
177 |
536.9 |
424.8 |
501.5 |
Carle Eureka Hospital |
1333970344 |
US HEAD INFANT NEONATAL |
76506 |
0402 |
615 |
615 |
184.5 |
559.65 |
430.5 |
184.5 |
559.65 |
442.8 |
522.75 |
Carle Eureka Hospital |
1333970345 |
US INTRAOPERATIVE |
76998 |
0402 |
580 |
580 |
174 |
527.80000000000007 |
406 |
174 |
527.80000000000007 |
417.59999999999997 |
493 |
Carle Eureka Hospital |
1333970347 |
US NDL BIOPSY ABD/RETROP MASS |
49180 |
0361 |
2120 |
2120 |
636 |
1929.2 |
1484 |
636 |
1929.2 |
1526.3999999999999 |
1802 |
Carle Eureka Hospital |
1333970348 |
US NDL BIOPSY LIVER |
47000 |
0361 |
1330 |
1330 |
399 |
1210.3 |
930.99999999999989 |
399 |
1210.3 |
957.59999999999991 |
1130.5 |
Carle Eureka Hospital |
1333970349 |
US NDL BIOPSY RENAL |
50200 |
0361 |
1295 |
1295 |
388.5 |
1178.45 |
906.49999999999989 |
388.5 |
1178.45 |
932.4 |
1100.75 |
Carle Eureka Hospital |
1333970350 |
US NDL BIOPSY THYROID |
60100 |
0361 |
720 |
720 |
216 |
655.20000000000005 |
503.99999999999994 |
216 |
655.20000000000005 |
518.4 |
612 |
Carle Eureka Hospital |
1333970351 |
US BREAST IL BRST CANCER PROG |
76641 |
0402 |
105.74 |
105.74 |
31.721999999999998 |
96.223399999999998 |
74.017999999999986 |
31.721999999999998 |
96.223399999999998 |
76.132799999999989 |
89.878999999999991 |
Carle Eureka Hospital |
1333970353 |
US OB EA ADD GESTATION>14 WKS |
76810 |
0402 |
775 |
775 |
232.5 |
705.25 |
542.5 |
232.5 |
705.25 |
558 |
658.75 |
Carle Eureka Hospital |
1333970354 |
US OB BIOPHYSICAL PROFILE |
76819 |
0402 |
639 |
639 |
191.7 |
581.49 |
447.29999999999995 |
191.7 |
581.49 |
460.08 |
543.15 |
Carle Eureka Hospital |
1333970355 |
US OB COMP > 14 WEEKS |
76805 |
0402 |
870 |
870 |
261 |
791.7 |
609 |
261 |
791.7 |
626.4 |
739.5 |
Carle Eureka Hospital |
1333970356 |
US OB LIMITED |
76815 |
0402 |
600 |
600 |
180 |
546 |
420 |
180 |
546 |
432 |
510 |
Carle Eureka Hospital |
1333970359 |
US PELVIC |
76856 |
0402 |
870 |
870 |
261 |
791.7 |
609 |
261 |
791.7 |
626.4 |
739.5 |
Carle Eureka Hospital |
1333970361 |
US RETROPERITONEAL COMPLETE |
76770 |
0402 |
870 |
870 |
261 |
791.7 |
609 |
261 |
791.7 |
626.4 |
739.5 |
Carle Eureka Hospital |
1333970362 |
US RETROPERITONEAL LIMITED |
76775 |
0402 |
845 |
845 |
253.5 |
768.95 |
591.5 |
253.5 |
768.95 |
608.4 |
718.25 |
Carle Eureka Hospital |
1333970363 |
US SCROTUM/TESTICLES |
76870 |
0402 |
840 |
840 |
252 |
764.4 |
588 |
252 |
764.4 |
604.79999999999995 |
714 |
Carle Eureka Hospital |
1333970364 |
US SPINAL CANAL |
76800 |
0402 |
375 |
375 |
112.5 |
341.25 |
262.5 |
112.5 |
341.25 |
270 |
318.75 |
Carle Eureka Hospital |
1333970366 |
US THYROID/SOFT TISS NECK |
76536 |
0402 |
795 |
795 |
238.5 |
723.45 |
556.5 |
238.5 |
723.45 |
572.4 |
675.75 |
Carle Eureka Hospital |
1333970367 |
US TRANSVAGINAL |
76830 |
0402 |
870 |
870 |
261 |
791.7 |
609 |
261 |
791.7 |
626.4 |
739.5 |
Carle Eureka Hospital |
1333970369 |
US VENOUS DUPLEX EXTREM UNI |
93971 |
0921 |
870 |
870 |
261 |
791.7 |
609 |
261 |
791.7 |
626.4 |
739.5 |
Carle Eureka Hospital |
1333970628 |
US OB EA ADD GEST 1ST TRI < 14 |
76802 |
0402 |
440 |
440 |
132 |
400.40000000000003 |
308 |
132 |
400.40000000000003 |
316.8 |
374 |
Carle Eureka Hospital |
1333970629 |
US OB COMPL 1ST TRI < 14 WKS |
76801 |
0402 |
805 |
805 |
241.5 |
732.55000000000007 |
563.5 |
241.5 |
732.55000000000007 |
579.6 |
684.25 |
Carle Eureka Hospital |
1333970630 |
US OB TRANSVAGINAL |
76817 |
0402 |
870 |
870 |
261 |
791.7 |
609 |
261 |
791.7 |
626.4 |
739.5 |
Carle Eureka Hospital |
1333970632 |
US GUIDE VASCULAR ACCESS |
76937 |
0402 |
345 |
345 |
103.5 |
313.95 |
241.49999999999997 |
103.5 |
313.95 |
248.39999999999998 |
293.25 |
Carle Eureka Hospital |
1333970657 |
CHEST/MEDIASTINUM |
76604 |
0402 |
655 |
655 |
196.5 |
596.05000000000007 |
458.49999999999994 |
196.5 |
596.05000000000007 |
471.59999999999997 |
556.75 |
Carle Eureka Hospital |
1333970659 |
FINE NEEDLE ASP FACE/NECK |
42400 |
0361 |
1455 |
1455 |
436.5 |
1324.05 |
1018.4999999999999 |
436.5 |
1324.05 |
1047.5999999999999 |
1236.75 |
Carle Eureka Hospital |
1333970665 |
US SCREENING AAA |
76706 |
0402 |
845 |
845 |
253.5 |
768.95 |
591.5 |
253.5 |
768.95 |
608.4 |
718.25 |
Carle Eureka Hospital |
1333970857 |
VENOUS DUP UPPER EXT BILAT |
93970 |
0921 |
1740 |
1740 |
522 |
1583.4 |
1218 |
522 |
1583.4 |
1252.8 |
1479 |
Carle Eureka Hospital |
1333970858 |
VENOUS DUP LOWER EXT BILAT |
93970 |
0921 |
1740 |
1740 |
522 |
1583.4 |
1218 |
522 |
1583.4 |
1252.8 |
1479 |
Carle Eureka Hospital |
1333970859 |
VENOUS DUP LOW EXT UNI/LIMITED |
93971 |
0921 |
870 |
870 |
261 |
791.7 |
609 |
261 |
791.7 |
626.4 |
739.5 |
Carle Eureka Hospital |
1333970860 |
VENOUS DUP LOWER EXT UNILAT |
93971 |
0921 |
870 |
870 |
261 |
791.7 |
609 |
261 |
791.7 |
626.4 |
739.5 |
Carle Eureka Hospital |
1333970874 |
US NDL BIOPSY MUSCLE |
20206 |
0361 |
1980 |
1980 |
594 |
1801.8 |
1386 |
594 |
1801.8 |
1425.6 |
1683 |
Carle Eureka Hospital |
1333970902 |
US JOINT COMPLETE LOWER EXT LT |
76881LT |
0402 |
305 |
305 |
91.5 |
277.55 |
213.5 |
91.5 |
277.55 |
219.6 |
259.25 |
Carle Eureka Hospital |
1333970903 |
US JOINT COMPLETE LOWER EXT RT |
76881RT |
0402 |
305 |
305 |
91.5 |
277.55 |
213.5 |
91.5 |
277.55 |
219.6 |
259.25 |
Carle Eureka Hospital |
1333970904 |
US EXT LOWR NONVASCULAR CMP BI |
7688150 |
0402 |
305 |
305 |
91.5 |
277.55 |
213.5 |
91.5 |
277.55 |
219.6 |
259.25 |
Carle Eureka Hospital |
1333970905 |
US JOINT COMPLETE UPPER EXT LT |
76881LT |
0402 |
305 |
305 |
91.5 |
277.55 |
213.5 |
91.5 |
277.55 |
219.6 |
259.25 |
Carle Eureka Hospital |
1333970906 |
US JOINT COMPLETE UPPER EXT RT |
76881RT |
0402 |
305 |
305 |
91.5 |
277.55 |
213.5 |
91.5 |
277.55 |
219.6 |
259.25 |
Carle Eureka Hospital |
1333970907 |
US JOINT COMPLETE UPPER EXT BI |
7688150 |
0402 |
305 |
305 |
91.5 |
277.55 |
213.5 |
91.5 |
277.55 |
219.6 |
259.25 |
Carle Eureka Hospital |
1333970908 |
US JOINT LIMITED LOWER EXT LT |
76882LT |
0402 |
250 |
250 |
75 |
227.5 |
175 |
75 |
227.5 |
180 |
212.5 |
Carle Eureka Hospital |
1333970909 |
US JOINT LIMITED LOWER EXT LT |
76882RT |
0402 |
250 |
250 |
75 |
227.5 |
175 |
75 |
227.5 |
180 |
212.5 |
Carle Eureka Hospital |
1333970910 |
US JOINT LIMITED LOWER EXT BIL |
7688250 |
0402 |
250 |
250 |
75 |
227.5 |
175 |
75 |
227.5 |
180 |
212.5 |
Carle Eureka Hospital |
1333970911 |
US JOINT LIMITED UPPER EXT LT |
76882LT |
0402 |
250 |
250 |
75 |
227.5 |
175 |
75 |
227.5 |
180 |
212.5 |
Carle Eureka Hospital |
1333970912 |
US JOINT LIMITED UPPER EXT RT |
76882RT |
0402 |
250 |
250 |
75 |
227.5 |
175 |
75 |
227.5 |
180 |
212.5 |
Carle Eureka Hospital |
1333970913 |
US JOINT LIMITED UPPER EXT BIL |
7688250 |
0402 |
250 |
250 |
75 |
227.5 |
175 |
75 |
227.5 |
180 |
212.5 |
Carle Eureka Hospital |
1333970923 |
US PARACENTESIS W IMAGING |
49083 |
0361 |
2310 |
2310 |
693 |
2102.1 |
1617 |
693 |
2102.1 |
1663.2 |
1963.5 |
Carle Eureka Hospital |
1333970924 |
US INFANT HIPS W MANIPULATION |
76885 |
0402 |
460 |
460 |
138 |
418.6 |
322 |
138 |
418.6 |
331.2 |
391 |
Carle Eureka Hospital |
1333970925 |
US HIP(S) INFANT |
76886 |
0402 |
460 |
460 |
138 |
418.6 |
322 |
138 |
418.6 |
331.2 |
391 |
Carle Eureka Hospital |
1333971262 |
US SOFT TISSUE UPPER EXT BIL |
7688250 |
0402 |
250 |
250 |
75 |
227.5 |
175 |
75 |
227.5 |
180 |
212.5 |
Carle Eureka Hospital |
1333971263 |
US SOFT TISSUE UPPER EXT LT |
76882LT |
0402 |
250 |
250 |
75 |
227.5 |
175 |
75 |
227.5 |
180 |
212.5 |
Carle Eureka Hospital |
1333971264 |
US SOFT TISSUE UPPER EXT RT |
76882RT |
0402 |
250 |
250 |
75 |
227.5 |
175 |
75 |
227.5 |
180 |
212.5 |
Carle Eureka Hospital |
1333971306 |
US SOFT TISSUE LOWER EXT LT |
76882LT |
0402 |
215 |
215 |
64.5 |
195.65 |
150.5 |
64.5 |
195.65 |
154.79999999999998 |
182.75 |
Carle Eureka Hospital |
1333971307 |
US SOFT TISSUE LOWER EXT RT |
76882RT |
0402 |
215 |
215 |
64.5 |
195.65 |
150.5 |
64.5 |
195.65 |
154.79999999999998 |
182.75 |
Carle Eureka Hospital |
1333971308 |
US SOFT TISSUE LOWER EXT BIL |
7688250 |
0402 |
356 |
356 |
106.8 |
323.96000000000004 |
249.2 |
106.8 |
323.96000000000004 |
256.32 |
302.59999999999997 |
Carle Eureka Hospital |
1333977150 |
US BREAST DEV 1 LESN LT SI |
19285LT |
0361 |
1840 |
1840 |
552 |
1674.4 |
1288 |
552 |
1674.4 |
1324.8 |
1564 |
Carle Eureka Hospital |
1333977151 |
US BREAST DEV 1 LESN RT SI |
19285RT |
0361 |
1840 |
1840 |
552 |
1674.4 |
1288 |
552 |
1674.4 |
1324.8 |
1564 |
Carle Eureka Hospital |
1333977152 |
US BREAST DEV ADD LESN LT SI |
19286LT |
0361 |
1210 |
1210 |
363 |
1101.1000000000001 |
847 |
363 |
1101.1000000000001 |
871.19999999999993 |
1028.5 |
Carle Eureka Hospital |
1333977153 |
US BREAST DEV ADD LESN RT SI |
19286RT |
0361 |
1210 |
1210 |
363 |
1101.1000000000001 |
847 |
363 |
1101.1000000000001 |
871.19999999999993 |
1028.5 |
Carle Eureka Hospital |
1333977154 |
US BREAST BX W DV LT1 |
19083LT |
0361 |
4080 |
4080 |
1224 |
3712.8 |
2856 |
1224 |
3712.8 |
2937.6 |
3468 |
Carle Eureka Hospital |
1333977155 |
US BREAST BX W DEV RT1 |
19083RT |
0361 |
4080 |
4080 |
1224 |
3712.8 |
2856 |
1224 |
3712.8 |
2937.6 |
3468 |
Carle Eureka Hospital |
1333977156 |
US BREAST BX W DEV ADD LT |
19084LT |
0361 |
1925 |
1925 |
577.5 |
1751.75 |
1347.5 |
577.5 |
1751.75 |
1386 |
1636.25 |
Carle Eureka Hospital |
1333977157 |
US BREAST BX W DEV ADD RT |
19084RT |
0361 |
1925 |
1925 |
577.5 |
1751.75 |
1347.5 |
577.5 |
1751.75 |
1386 |
1636.25 |
Carle Eureka Hospital |
1333977160 |
US ATEMPT BRST BX STV PRE AN |
1908373 |
0361 |
4080 |
4080 |
1224 |
3712.8 |
2856 |
1224 |
3712.8 |
2937.6 |
3468 |
Carle Eureka Hospital |
1333977161 |
US ATEMPT BRST BX STV POST AN |
1908374 |
0361 |
4080 |
4080 |
1224 |
3712.8 |
2856 |
1224 |
3712.8 |
2937.6 |
3468 |
Carle Eureka Hospital |
1333977164 |
US HEAD/NECK SOFT TISSUES |
76536 |
0402 |
795 |
795 |
238.5 |
723.45 |
556.5 |
238.5 |
723.45 |
572.4 |
675.75 |
Carle Eureka Hospital |
1333977165 |
US BLADDER |
76857 |
0402 |
510 |
510 |
153 |
464.1 |
357 |
153 |
464.1 |
367.2 |
433.5 |
Carle Eureka Hospital |
1333977195 |
US BREAST UNILAT COMPLETE |
76641 |
0402 |
695 |
695 |
208.5 |
632.45000000000005 |
486.49999999999994 |
208.5 |
632.45000000000005 |
500.4 |
590.75 |
Carle Eureka Hospital |
1333977196 |
US BREAST BILAT COMPLETE |
7664150 |
0402 |
790 |
790 |
237 |
718.9 |
553 |
237 |
718.9 |
568.79999999999995 |
671.5 |
Carle Eureka Hospital |
1333977197 |
US BREAST UNILAT LIMITED |
76642 |
0402 |
460 |
460 |
138 |
418.6 |
322 |
138 |
418.6 |
331.2 |
391 |
Carle Eureka Hospital |
1333977198 |
US BREAST BILAT LIMITED |
7664250 |
0402 |
690 |
690 |
207 |
627.9 |
482.99999999999994 |
207 |
627.9 |
496.79999999999995 |
586.5 |
Carle Eureka Hospital |
1334050074 |
XRAY HAND TWO VIEWS LEFT |
73120LT |
0320 |
380 |
380 |
114 |
345.8 |
266 |
114 |
345.8 |
273.59999999999997 |
323 |
Carle Eureka Hospital |
1334050941 |
XRAY CHEST 2 VIEWS EMPLOYEE |
71046 |
0324 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
1334060078 |
SKULL LESS THAN 4 VIEWS |
70250 |
0320 |
420 |
420 |
126 |
382.2 |
294 |
126 |
382.2 |
302.39999999999998 |
357 |
Carle Eureka Hospital |
1334070003 |
WC CHEST TWO VIEWS |
71046 |
0324 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
1334070370 |
XRAY ABD ACUTE SERIES PA CHEST |
74022 |
0320 |
505 |
505 |
151.5 |
459.55 |
353.5 |
151.5 |
459.55 |
363.59999999999997 |
429.25 |
Carle Eureka Hospital |
1334070371 |
XRAY ABDOMEN SINGLE VIEW KUB |
74018 |
0320 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
1334070372 |
XRAY ABDOMEN W EREC OR DECB V2 |
74019 |
0320 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
1334070373 |
XRAY ACROMIOCLAVICULAR JTS BIL |
73050 |
0320 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
1334070374 |
XRAY ANKLE 3VIEW/COMPLETE LEFT |
73610LT |
0320 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
1334070375 |
XRAY ANKLE 3 VIEW/COMPLETE RT |
73610RT |
0320 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
1334070376 |
XRAY ANKLE TWO VIEWS LEFT |
73600LT |
0320 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
1334070377 |
XRAY ANKLE TWO VIEWS RIGHT |
73600RT |
0320 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
1334070391 |
XRAY BONE DENSITY STUDY |
77080 |
0320 |
620 |
620 |
186 |
564.20000000000005 |
434 |
186 |
564.20000000000005 |
446.4 |
527 |
Carle Eureka Hospital |
1334070394 |
XRAY BONE SURVEY METASTASES |
77074 |
0320 |
505 |
505 |
151.5 |
459.55 |
353.5 |
151.5 |
459.55 |
363.59999999999997 |
429.25 |
Carle Eureka Hospital |
1334070398 |
XRAY CERV SPINE 2 OR 3 VIEWS |
72040 |
0320 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
1334070399 |
XRAY CERVICAL SPINE 4-5 VIEWS |
72050 |
0320 |
615 |
615 |
184.5 |
559.65 |
430.5 |
184.5 |
559.65 |
442.8 |
522.75 |
Carle Eureka Hospital |
1334070401 |
XRAY CHEST W LAT DECUB 4V |
71048 |
0324 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
1334070402 |
XRAY CHEST SINGLE VIEW |
71045 |
0324 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
1334070403 |
XRAY CHEST TWO VIEWS |
71046 |
0324 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
1334070406 |
XRAY CHEST W FLUOROSCOPY |
76000 |
0324 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
1334070409 |
XRAY CHOLANGIOGRAM OPERATIVE |
74300 |
0320 |
500 |
500 |
150 |
455 |
350 |
150 |
455 |
360 |
425 |
Carle Eureka Hospital |
1334070414 |
XRAY CLAVICLE LEFT |
73000LT |
0320 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
1334070415 |
XRAY CLAVICLE RIGHT |
73000RT |
0320 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
1334070416 |
XRAY COLON BARIUM ENEMA |
74270 |
0320 |
640 |
640 |
192 |
582.4 |
448 |
192 |
582.4 |
460.79999999999995 |
544 |
Carle Eureka Hospital |
1334070417 |
XRAY COLON AIR CONTRAST |
74280 |
0320 |
690 |
690 |
207 |
627.9 |
482.99999999999994 |
207 |
627.9 |
496.79999999999995 |
586.5 |
Carle Eureka Hospital |
1334070422 |
XRAY CYSTOGRAPHY |
74430 |
0320 |
1130 |
1130 |
339 |
1028.3 |
791 |
339 |
1028.3 |
813.6 |
960.5 |
Carle Eureka Hospital |
1334070423 |
XRAY CYSTOGRAPHY VCUG |
74455 |
0320 |
1190 |
1190 |
357 |
1082.9000000000001 |
833 |
357 |
1082.9000000000001 |
856.8 |
1011.5 |
Carle Eureka Hospital |
1334070429 |
XRAY ELBOW 3VIEW/COMPLETE LEFT |
73080LT |
0320 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
1334070430 |
XRAY ELBOW 3 VIEW COMPLETE RT |
73080RT |
0320 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
1334070431 |
XRAY ELBOW TWO VIEWS LEFT |
73070LT |
0320 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
1334070432 |
XRAY ELBOW TWO VIEWS RIGHT |
73070RT |
0320 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
1334070433 |
XRAY ESOPHAGUS |
74220 |
0320 |
620 |
620 |
186 |
564.20000000000005 |
434 |
186 |
564.20000000000005 |
446.4 |
527 |
Carle Eureka Hospital |
1334070435 |
XRAY FACIAL BONES COMPLETE |
70150 |
0320 |
505 |
505 |
151.5 |
459.55 |
353.5 |
151.5 |
459.55 |
363.59999999999997 |
429.25 |
Carle Eureka Hospital |
1334070438 |
XRAY FINGER FIFTH LEFT |
73140F4 |
0320 |
385 |
385 |
115.5 |
350.35 |
269.5 |
115.5 |
350.35 |
277.2 |
327.25 |
Carle Eureka Hospital |
1334070439 |
XRAY FINGER FIFTH RIGHT |
73140F9 |
0320 |
450 |
450 |
135 |
409.5 |
315 |
135 |
409.5 |
324 |
382.5 |
Carle Eureka Hospital |
1334070440 |
XRAY FINGER FOURTH LEFT |
73140F3 |
0320 |
385 |
385 |
115.5 |
350.35 |
269.5 |
115.5 |
350.35 |
277.2 |
327.25 |
Carle Eureka Hospital |
1334070441 |
XRAY FINGER FOURTH RIGHT |
73140F8 |
0320 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
1334070442 |
XRAY FINGER SECOND LEFT |
73140F1 |
0320 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
1334070443 |
XRAY FINGER SECOND RIGHT |
73140F6 |
0320 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
1334070444 |
XRAY FINGER THIRD LEFT |
73140F2 |
0320 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
1334070445 |
XRAY FINGER THIRD RIGHT |
73140F7 |
0320 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
1334070447 |
XRAY FLUORO ESOPH GUIDANCE |
76000 |
0320 |
570 |
570 |
171 |
518.70000000000005 |
399 |
171 |
518.70000000000005 |
410.4 |
484.5 |
Carle Eureka Hospital |
1334070448 |
XRAY FLUORO LOCALIZ/ASPIRATION |
77002 |
0320 |
580 |
580 |
174 |
527.80000000000007 |
406 |
174 |
527.80000000000007 |
417.59999999999997 |
493 |
Carle Eureka Hospital |
1334070449 |
XRAY FLUORO SPINE GUIDANCE |
77003 |
0320 |
555 |
555 |
166.5 |
505.05 |
388.5 |
166.5 |
505.05 |
399.59999999999997 |
471.75 |
Carle Eureka Hospital |
1334070451 |
XRAY FLUOROSCOPY ONE HOUR |
76000 |
0320 |
570 |
570 |
171 |
518.70000000000005 |
399 |
171 |
518.70000000000005 |
410.4 |
484.5 |
Carle Eureka Hospital |
1334070453 |
XRAY FOOT 3 VIEW/COMPLETE LEFT |
73630LT |
0320 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
1334070454 |
XRAY FOOT 3 VIEW/COMPLETE RT |
73630RT |
0320 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
1334070455 |
XRAY FOOT TWO VIEWS LEFT |
73620LT |
0320 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
1334070456 |
XRAY FOOT TWO VIEWS RIGHT |
73620RT |
0320 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
1334070457 |
XRAY FOREARM LEFT |
73090LT |
0320 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
1334070458 |
XRAY FOREARM RIGHT |
73090RT |
0320 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
1334070459 |
XRAY GALLBLADDER |
74290 |
0320 |
425 |
425 |
127.5 |
386.75 |
297.5 |
127.5 |
386.75 |
306 |
361.25 |
Carle Eureka Hospital |
1334070462 |
XRAY HAND 3 VIEW/COMPLETE LEFT |
73130LT |
0320 |
385 |
385 |
115.5 |
350.35 |
269.5 |
115.5 |
350.35 |
277.2 |
327.25 |
Carle Eureka Hospital |
1334070463 |
XRAY HAND 3 VIEW/COMPLETE RT |
73130RT |
0320 |
385 |
385 |
115.5 |
350.35 |
269.5 |
115.5 |
350.35 |
277.2 |
327.25 |
Carle Eureka Hospital |
1334070464 |
XRAY HAND TWO VIEWS RIGHT |
73120RT |
0320 |
380 |
380 |
114 |
345.8 |
266 |
114 |
345.8 |
273.59999999999997 |
323 |
Carle Eureka Hospital |
1334070465 |
XRAY HEEL LEFT |
73650LT |
0320 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
1334070466 |
XRAY HEEL RIGHT |
73650RT |
0320 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
1334070472 |
XRAY HUMERUS LEFT |
73060LT |
0320 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
1334070473 |
XRAY HUMERUS RIGHT |
73060RT |
0320 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
1334070479 |
XRAY INJ PROC CYSTOGRAPHY |
51600 |
0361 |
645 |
645 |
193.5 |
586.95000000000005 |
451.49999999999994 |
193.5 |
586.95000000000005 |
464.4 |
548.25 |
Carle Eureka Hospital |
1334070493 |
XRAY INJ PROC VENOGRAPHY |
36005 |
0361 |
840 |
840 |
252 |
764.4 |
588 |
252 |
764.4 |
604.79999999999995 |
714 |
Carle Eureka Hospital |
1334070499 |
XRAY KNEE 1 OR 2 VIEWS LEFT |
73560LT |
0320 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
1334070500 |
XRAY KNEE 1 OR 2 VIEWS RIGHT |
73560RT |
0320 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
1334070501 |
XRAY KNEE W OBL PATELLA TUN LT |
73564LT |
0320 |
505 |
505 |
151.5 |
459.55 |
353.5 |
151.5 |
459.55 |
363.59999999999997 |
429.25 |
Carle Eureka Hospital |
1334070502 |
XRAY KNEE W OBL PATELLA TUN RT |
73564RT |
0320 |
505 |
505 |
151.5 |
459.55 |
353.5 |
151.5 |
459.55 |
363.59999999999997 |
429.25 |
Carle Eureka Hospital |
1334070503 |
XRAY KNEE W OBLIQUES LEFT |
73564LT |
0320 |
505 |
505 |
151.5 |
459.55 |
353.5 |
151.5 |
459.55 |
363.59999999999997 |
429.25 |
Carle Eureka Hospital |
1334070504 |
XRAY KNEE W OBLIQUES RIGHT |
73564RT |
0320 |
505 |
505 |
151.5 |
459.55 |
353.5 |
151.5 |
459.55 |
363.59999999999997 |
429.25 |
Carle Eureka Hospital |
1334070507 |
XR SPINE LUMBAR BENDING 2-3 V |
72120 |
0320 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
1334070508 |
XR SPINE LUMBAR W BEND MIN 6V |
72114 |
0320 |
505 |
505 |
151.5 |
459.55 |
353.5 |
151.5 |
459.55 |
363.59999999999997 |
429.25 |
Carle Eureka Hospital |
1334070509 |
XRAY LUMBAR SPINE 2 OR 3 VIEWS |
72100 |
0320 |
505 |
505 |
151.5 |
459.55 |
353.5 |
151.5 |
459.55 |
363.59999999999997 |
429.25 |
Carle Eureka Hospital |
1334070510 |
XRAY LUMBAR SPINE W OBLIQUES |
72110 |
0320 |
505 |
505 |
151.5 |
459.55 |
353.5 |
151.5 |
459.55 |
363.59999999999997 |
429.25 |
Carle Eureka Hospital |
1334070511 |
XRAY LWR EXTREMITY INFANT LEFT |
73592LT |
0320 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
1334070512 |
XRAY LWR EXTREMITY INFANT RIGH |
73592RT |
0320 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
1334070516 |
MA MAMMOGRAM SCREEN BIL IBCCP |
77067 |
0403 |
148.27000000000001 |
148.27000000000001 |
44.481000000000002 |
134.92570000000001 |
103.789 |
44.481000000000002 |
134.92570000000001 |
106.7544 |
126.0295 |
Carle Eureka Hospital |
1334070517 |
MA MAMMOGRAM DIAGNOST BI IBCCP |
77066 |
0401 |
173.54 |
173.54 |
52.061999999999998 |
157.92140000000001 |
121.47799999999998 |
52.061999999999998 |
157.92140000000001 |
124.94879999999999 |
147.50899999999999 |
Carle Eureka Hospital |
1334070518 |
MA MAMMOGRAM DIAGNOS UNI IBCCP |
77065 |
0401 |
141.88 |
141.88 |
42.564 |
129.11080000000001 |
99.315999999999988 |
42.564 |
129.11080000000001 |
102.1536 |
120.598 |
Carle Eureka Hospital |
1334070523 |
XRAY MAMMOGRAM UNI ADD VIEW |
77065 |
0401 |
235 |
235 |
70.5 |
213.85 |
164.5 |
70.5 |
213.85 |
169.2 |
199.75 |
Carle Eureka Hospital |
1334070525 |
XRAY MANDIBLE COMPLETE |
70110 |
0320 |
505 |
505 |
151.5 |
459.55 |
353.5 |
151.5 |
459.55 |
363.59999999999997 |
429.25 |
Carle Eureka Hospital |
1334070528 |
XRAY MASTOIDS COMPLETE |
70130 |
0320 |
615 |
615 |
184.5 |
559.65 |
430.5 |
184.5 |
559.65 |
442.8 |
522.75 |
Carle Eureka Hospital |
1334070534 |
XRAY NASAL BONES COMPLETE |
70160 |
0320 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
1334070539 |
XRAY NECK SOFT TISS AP LAT |
70360 |
0320 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
1334070543 |
XRAY NOSE/RECT FB CHILD 1VIEW |
76010 |
0320 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
1334070544 |
XRAY ORBITS COMPLETE |
70200 |
0320 |
620 |
620 |
186 |
564.20000000000005 |
434 |
186 |
564.20000000000005 |
446.4 |
527 |
Carle Eureka Hospital |
1334070548 |
XRAY PELVIS 1 OR 2 VIEWS |
72170 |
0320 |
490 |
490 |
147 |
445.90000000000003 |
343 |
147 |
445.90000000000003 |
352.8 |
416.5 |
Carle Eureka Hospital |
1334070549 |
XRAY PELVIS THREE VIEWS |
72190 |
0320 |
505 |
505 |
151.5 |
459.55 |
353.5 |
151.5 |
459.55 |
363.59999999999997 |
429.25 |
Carle Eureka Hospital |
1334070561 |
XRAY RIBS BILATERAL |
71110 |
0320 |
505 |
505 |
151.5 |
459.55 |
353.5 |
151.5 |
459.55 |
363.59999999999997 |
429.25 |
Carle Eureka Hospital |
1334070562 |
XRAY RIBS UNILATERAL |
71100 |
0320 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
1334070563 |
XRAY SACROILIAC JOINTS |
72202 |
0320 |
415 |
415 |
124.5 |
377.65000000000003 |
290.5 |
124.5 |
377.65000000000003 |
298.8 |
352.75 |
Carle Eureka Hospital |
1334070564 |
XRAY SACRUM OR COCCYX |
72220 |
0320 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
1334070566 |
XRAY SCAPULA RIGHT |
73010RT |
0320 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
1334070567 |
XRAY SCAPULA LEFT |
73010LT |
0320 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
1334070569 |
XRAY SELLA TURCICA |
70240 |
0320 |
300 |
300 |
90 |
273 |
210 |
90 |
273 |
216 |
255 |
Carle Eureka Hospital |
1334070570 |
XRAY SHOULDER COMPLETE RIGHT |
73030RT |
0320 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
1334070571 |
XRAY SHOULDER COMPLETE LEFT |
73030LT |
0320 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
1334070572 |
XRAY SHOULDER ONE VIEW LEFT |
73020LT |
0320 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
1334070573 |
XRAY SHOULDER ONE VIEW RIGHT |
73020RT |
0320 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
1334070577 |
XRAY SINUSES COMPLETE |
70220 |
0320 |
295 |
295 |
88.5 |
268.45 |
206.5 |
88.5 |
268.45 |
212.4 |
250.75 |
Carle Eureka Hospital |
1334070578 |
XRAY SKULL COMPLETE |
70260 |
0320 |
620 |
620 |
186 |
564.20000000000005 |
434 |
186 |
564.20000000000005 |
446.4 |
527 |
Carle Eureka Hospital |
1334070580 |
XRAY SMALL BOWEL ONLY |
74250 |
0320 |
505 |
505 |
151.5 |
459.55 |
353.5 |
151.5 |
459.55 |
363.59999999999997 |
429.25 |
Carle Eureka Hospital |
1334070582 |
XRAY SPINE SINGLE VIEW |
72020 |
0320 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
1334070583 |
XRAY STERNOCLAVICULAR JOINTS |
71130 |
0320 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
1334070584 |
XRAY STERNUM |
71120 |
0320 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
1334070585 |
XRAY SWALLOWING FUNCTION VIDEO |
7423059 |
0320 |
620 |
620 |
186 |
564.20000000000005 |
434 |
186 |
564.20000000000005 |
446.4 |
527 |
Carle Eureka Hospital |
1334070586 |
XRAY THORACIC SPINE 2 VIEWS |
72070 |
0320 |
495 |
495 |
148.5 |
450.45 |
346.5 |
148.5 |
450.45 |
356.4 |
420.75 |
Carle Eureka Hospital |
1334070587 |
XRAY THORACIC SPINE 3 VIEWS |
72072 |
0320 |
560 |
560 |
168 |
509.6 |
392 |
168 |
509.6 |
403.2 |
476 |
Carle Eureka Hospital |
1334070588 |
XRAY THORACIC SPINE W OBL |
72074 |
0320 |
565 |
565 |
169.5 |
514.15 |
395.5 |
169.5 |
514.15 |
406.8 |
480.25 |
Carle Eureka Hospital |
1334070589 |
XRAY THUMB LEFT |
73140FA |
0320 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
1334070590 |
XRAY THUMB RIGHT |
73140F5 |
0320 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
1334070591 |
XRAY TIBIA AND FIBULA LEFT |
73590LT |
0320 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
1334070592 |
XRAY TIBIA AND FIBULA RIGHT |
73590RT |
0320 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
1334070593 |
XRAY TMJ BIL |
70330 |
0320 |
280 |
280 |
84 |
254.8 |
196 |
84 |
254.8 |
201.6 |
238 |
Carle Eureka Hospital |
1334070594 |
XRAY TOE FIFTH LEFT |
73660T4 |
0320 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
1334070595 |
XRAY TOE FIFTH RIGHT |
73660T9 |
0320 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
1334070596 |
XRAY TOE FOURTH LEFT |
73660T3 |
0320 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
1334070597 |
XRAY TOE FOURTH RIGHT |
73660T8 |
0320 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
1334070598 |
XRAY TOE GREAT LEFT |
73660TA |
0320 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
1334070599 |
XRAY TOE GREAT RIGHT |
73660T5 |
0320 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
1334070600 |
XRAY TOE SECOND LEFT |
73660T1 |
0320 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
1334070601 |
XRAY TOE SECOND RIGHT |
73660T6 |
0320 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
1334070602 |
XRAY TOE THIRD LEFT |
73660T2 |
0320 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
1334070603 |
XRAY TOE THIRD RIGHT |
73660T7 |
0320 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
1334070604 |
XRAY TOMOGRAPHY |
76100 |
0320 |
565 |
565 |
169.5 |
514.15 |
395.5 |
169.5 |
514.15 |
406.8 |
480.25 |
Carle Eureka Hospital |
1334070606 |
XRAY UGI SINGLE CONTRAST STUDY |
74240 |
0320 |
645 |
645 |
193.5 |
586.95000000000005 |
451.49999999999994 |
193.5 |
586.95000000000005 |
464.4 |
548.25 |
Carle Eureka Hospital |
1334070609 |
XRAY UPR EXTREMITY INFANT LEFT |
73092LT |
0320 |
335 |
335 |
100.5 |
304.85000000000002 |
234.49999999999997 |
100.5 |
304.85000000000002 |
241.2 |
284.75 |
Carle Eureka Hospital |
1334070610 |
XRAY UPR EXTREMITY INFANT RIGH |
73092RT |
0320 |
335 |
335 |
100.5 |
304.85000000000002 |
234.49999999999997 |
100.5 |
304.85000000000002 |
241.2 |
284.75 |
Carle Eureka Hospital |
1334070612 |
XRAY UROGRAPHY INTRAVENOUS |
74400 |
0320 |
1130 |
1130 |
339 |
1028.3 |
791 |
339 |
1028.3 |
813.6 |
960.5 |
Carle Eureka Hospital |
1334070614 |
XRAY UROGRAPHY RETROGRADE |
74420 |
0320 |
1355 |
1355 |
406.5 |
1233.05 |
948.49999999999989 |
406.5 |
1233.05 |
975.59999999999991 |
1151.75 |
Carle Eureka Hospital |
1334070617 |
XRAY VENOGRAM EXTREMITY UNI |
75820 |
0320 |
3265 |
3265 |
979.5 |
2971.15 |
2285.5 |
979.5 |
2971.15 |
2350.7999999999997 |
2775.25 |
Carle Eureka Hospital |
1334070618 |
XRAY WRIST COMPLETE LEFT |
73110LT |
0320 |
205 |
205 |
61.5 |
186.55 |
143.5 |
61.5 |
186.55 |
147.6 |
174.25 |
Carle Eureka Hospital |
1334070619 |
XRAY WRIST COMPLETE RIGHT |
73110RT |
0320 |
360 |
360 |
108 |
327.60000000000002 |
251.99999999999997 |
108 |
327.60000000000002 |
259.2 |
306 |
Carle Eureka Hospital |
1334070620 |
XRAY WRIST TWO VIEWS LEFT |
73100LT |
0320 |
240 |
240 |
72 |
218.4 |
168 |
72 |
218.4 |
172.79999999999998 |
204 |
Carle Eureka Hospital |
1334070621 |
XRAY WRIST TWO VIEWS RIGHT |
73100RT |
0320 |
240 |
240 |
72 |
218.4 |
168 |
72 |
218.4 |
172.79999999999998 |
204 |
Carle Eureka Hospital |
1334070645 |
FLUORO FOR PICC/CENTRAL LINE |
77001 |
0320 |
600 |
600 |
180 |
546 |
420 |
180 |
546 |
432 |
510 |
Carle Eureka Hospital |
1334070652 |
KNEE 3 VIEWS RIGHT |
73562RT |
0320 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
1334070653 |
KNEE 3 VIEWS LEFT |
73562LT |
0320 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
1334070659 |
XRAY KNEE, BI STD 1 VIEW |
73565 |
0320 |
300 |
300 |
90 |
273 |
210 |
90 |
273 |
216 |
255 |
Carle Eureka Hospital |
1334070669 |
BILAT ADD VIEWS |
77066 |
0401 |
275 |
275 |
82.5 |
250.25 |
192.5 |
82.5 |
250.25 |
198 |
233.75 |
Carle Eureka Hospital |
1334070672 |
LOOPOGRAM |
74425 |
0320 |
1410 |
1410 |
423 |
1283.1000000000001 |
986.99999999999989 |
423 |
1283.1000000000001 |
1015.1999999999999 |
1198.5 |
Carle Eureka Hospital |
1334070852 |
DIGITAL SCREENING UNILAT MAMMO |
7706752 |
0403 |
425 |
425 |
127.5 |
386.75 |
297.5 |
127.5 |
386.75 |
306 |
361.25 |
Carle Eureka Hospital |
1334070855 |
REPLC DUO/JEJU TUBE PERC W FLU |
49451 |
0361 |
1400 |
1400 |
420 |
1274 |
979.99999999999989 |
420 |
1274 |
1008 |
1190 |
Carle Eureka Hospital |
1334070858 |
JOINT SURVEY HAND/WRIST 1 VIEW |
77077 |
0320 |
505 |
505 |
151.5 |
459.55 |
353.5 |
151.5 |
459.55 |
363.59999999999997 |
429.25 |
Carle Eureka Hospital |
1334070893 |
INJECT CONT IN DEV W/FLOURO |
36598 |
0361 |
595 |
595 |
178.5 |
541.45000000000005 |
416.5 |
178.5 |
541.45000000000005 |
428.4 |
505.75 |
Carle Eureka Hospital |
1334070894 |
DECLOT PERM CATH W THROMBO |
36593 |
0361 |
760 |
760 |
228 |
691.6 |
532 |
228 |
691.6 |
547.19999999999993 |
646 |
Carle Eureka Hospital |
1334070913 |
ISOVUE M 300 PER ML |
Q9967 |
0636 |
3.58 |
3.58 |
1.0740000000000001 |
3.2578 |
2.5059999999999998 |
1.0740000000000001 |
3.2578 |
2.5775999999999999 |
3.0430000000000001 |
Carle Eureka Hospital |
1334070915 |
SINOGRAFIN PER ML |
Q9961 |
0636 |
13 |
13 |
3.9 |
11.83 |
9.1 |
3.9 |
11.83 |
9.36 |
11.049999999999999 |
Carle Eureka Hospital |
1334070917 |
CYSTOCONRAY PER ML |
Q9962 |
0636 |
2.0499999999999998 |
2.0499999999999998 |
0.61499999999999988 |
1.8654999999999999 |
1.4349999999999998 |
0.61499999999999988 |
1.8654999999999999 |
1.4759999999999998 |
1.7424999999999997 |
Carle Eureka Hospital |
1334070922 |
XRAY ENDO CATH PANC DUCT SYST |
74329 |
0320 |
885 |
885 |
265.5 |
805.35 |
619.5 |
265.5 |
805.35 |
637.19999999999993 |
752.25 |
Carle Eureka Hospital |
1334070923 |
XRAY ENDO CATH BILIARY DUC SYS |
74328 |
0320 |
810 |
810 |
243 |
737.1 |
567 |
243 |
737.1 |
583.19999999999993 |
688.5 |
Carle Eureka Hospital |
1334070927 |
DIGITAL DIAG MAMMO UNILATERAL |
77065 |
0401 |
525 |
525 |
157.5 |
477.75 |
367.5 |
157.5 |
477.75 |
378 |
446.25 |
Carle Eureka Hospital |
1334070928 |
DIGITAL DIAG MAMMO BILATERAL |
77066 |
0401 |
525 |
525 |
157.5 |
477.75 |
367.5 |
157.5 |
477.75 |
378 |
446.25 |
Carle Eureka Hospital |
1334070931 |
DIGITAL SCREEN BIL MAMMOGRAPHY |
77067 |
0403 |
400 |
400 |
120 |
364 |
280 |
120 |
364 |
288 |
340 |
Carle Eureka Hospital |
1334071036 |
MA MAMMOGRAM SCREEN UNI IBCCP |
7706752 |
0403 |
148.27000000000001 |
148.27000000000001 |
44.481000000000002 |
134.92570000000001 |
103.789 |
44.481000000000002 |
134.92570000000001 |
106.7544 |
126.0295 |
Carle Eureka Hospital |
1334071096 |
XR FOOT BIL MIN 3V |
7363050 |
0320 |
380 |
380 |
114 |
345.8 |
266 |
114 |
345.8 |
273.59999999999997 |
323 |
Carle Eureka Hospital |
1334071097 |
XR HAND BIL MIN 3V |
7313050 |
0320 |
385 |
385 |
115.5 |
350.35 |
269.5 |
115.5 |
350.35 |
277.2 |
327.25 |
Carle Eureka Hospital |
1334071100 |
XR ELBOW BIL MIN 3V |
7308050 |
0320 |
380 |
380 |
114 |
345.8 |
266 |
114 |
345.8 |
273.59999999999997 |
323 |
Carle Eureka Hospital |
1334071101 |
XR FOREARM BIL MIN 2V |
7309050 |
0320 |
380 |
380 |
114 |
345.8 |
266 |
114 |
345.8 |
273.59999999999997 |
323 |
Carle Eureka Hospital |
1334071102 |
XR WRIST BIL MIN 3V |
7311050 |
0320 |
385 |
385 |
115.5 |
350.35 |
269.5 |
115.5 |
350.35 |
277.2 |
327.25 |
Carle Eureka Hospital |
1334071103 |
XR SHOULDER BIL COMPLETE |
7303050 |
0320 |
390 |
390 |
117 |
354.90000000000003 |
273 |
117 |
354.90000000000003 |
280.8 |
331.5 |
Carle Eureka Hospital |
1334071109 |
XRAY TIBIA FIBULA BILAT |
7359050 |
0320 |
370 |
370 |
111 |
336.7 |
259 |
111 |
336.7 |
266.39999999999998 |
314.5 |
Carle Eureka Hospital |
1334071112 |
XRAY HUMERUS BILATERAL |
7306050 |
0320 |
360 |
360 |
108 |
327.60000000000002 |
251.99999999999997 |
108 |
327.60000000000002 |
259.2 |
306 |
Carle Eureka Hospital |
1334071113 |
XRAY KNEES 1 OR 2 VIEW BILAT |
7356050 |
0320 |
360 |
360 |
108 |
327.60000000000002 |
251.99999999999997 |
108 |
327.60000000000002 |
259.2 |
306 |
Carle Eureka Hospital |
1334071115 |
XRAY ANKLE 3 VIEW COMPLETE BIL |
7361050 |
0320 |
344 |
344 |
103.2 |
313.04000000000002 |
240.79999999999998 |
103.2 |
313.04000000000002 |
247.67999999999998 |
292.39999999999998 |
Carle Eureka Hospital |
1334071296 |
CHEST INSPIRATION EXPIRAT 2V |
71046 |
0324 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
1334071309 |
XR UGI DOUBLE CONTRAST |
74246 |
0320 |
745 |
745 |
223.5 |
677.95 |
521.5 |
223.5 |
677.95 |
536.4 |
633.25 |
Carle Eureka Hospital |
1334071310 |
XR SM BOWEL FOLLOW THRU |
74248 |
0320 |
500 |
500 |
150 |
455 |
350 |
150 |
455 |
360 |
425 |
Carle Eureka Hospital |
1334077119 |
MAS 3D TOMOSYNTHESIS DIAG BIL |
G0279 |
0401 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
1334077120 |
MAS 3D TOMOSYNTHESIS SCREEN BI |
77063 |
0403 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
1334077193 |
MAS 3D TOMOSYNTHESIS DIAG UNI |
G0279 |
0401 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
1334077194 |
MAS 3D TOMOSYNTHESIS SCRN UNI |
7706352 |
0403 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
1334077232 |
XR SPINE SCOLIOSIS STUDY 2-3 V |
72082 |
0320 |
620 |
620 |
186 |
564.20000000000005 |
434 |
186 |
564.20000000000005 |
446.4 |
527 |
Carle Eureka Hospital |
1334077233 |
XR FEMUR LT MIN 2V |
73552LT |
0320 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
1334077234 |
XR FEMUR RT MIN 2V |
73552RT |
0320 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
1334077235 |
XR FEMUR BIL MIN 2V |
7355250 |
0320 |
495 |
495 |
148.5 |
450.45 |
346.5 |
148.5 |
450.45 |
356.4 |
420.75 |
Carle Eureka Hospital |
1334077236 |
XR HIP LT 1V |
73501 |
0320 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
1334077237 |
XR HIP RT 1V |
73501 |
0320 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
1334077238 |
XR HIPS BIL 1V EA HIP |
73521 |
0320 |
620 |
620 |
186 |
564.20000000000005 |
434 |
186 |
564.20000000000005 |
446.4 |
527 |
Carle Eureka Hospital |
1334077239 |
XR HIP LT 2V |
73502 |
0320 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
1334077240 |
XR HIP RT 2V |
73502 |
0320 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
1334077241 |
XR HIPS BIL 2V EA HIP |
73522 |
0320 |
605 |
605 |
181.5 |
550.55000000000007 |
423.5 |
181.5 |
550.55000000000007 |
435.59999999999997 |
514.25 |
Carle Eureka Hospital |
1334077242 |
XR HIP LT 2V W PELVIS |
73502 |
0320 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
1334077243 |
XR HIP RT 2V W PELVIS |
73502 |
0320 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
1334077244 |
XR HIPS BIL 2V E HIP WPELVS 1V |
73523 |
0320 |
1050 |
1050 |
315 |
955.5 |
735 |
315 |
955.5 |
756 |
892.5 |
Carle Eureka Hospital |
1334077256 |
XR HIP LT 1V W PELVIS |
73501 |
0320 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
1334077257 |
XR HIP RT 1V W PELVIS |
73501 |
0320 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
1334080651 |
XRAY NASAL BONES COMPLETE MITS |
70160 |
0320 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
1336070178 |
NM BONE IMAGING 3 PHASE |
78315 |
0341 |
1215 |
1215 |
364.5 |
1105.6500000000001 |
850.5 |
364.5 |
1105.6500000000001 |
874.8 |
1032.75 |
Carle Eureka Hospital |
1336070179 |
NM BONE IMAGING LIMITED |
78300 |
0341 |
1505 |
1505 |
451.5 |
1369.55 |
1053.5 |
451.5 |
1369.55 |
1083.5999999999999 |
1279.25 |
Carle Eureka Hospital |
1336070181 |
NM BONE IMAGING WHOLE BODY |
78306 |
0341 |
1130 |
1130 |
339 |
1028.3 |
791 |
339 |
1028.3 |
813.6 |
960.5 |
Carle Eureka Hospital |
1336070188 |
NM CARDIAC BLOOD POOL MUGA |
78472 |
0341 |
1480 |
1480 |
444 |
1346.8 |
1036 |
444 |
1346.8 |
1065.5999999999999 |
1258 |
Carle Eureka Hospital |
1336070194 |
NM GASTRIC EMPTYING STUDY |
78264 |
0341 |
1360 |
1360 |
408 |
1237.6000000000001 |
951.99999999999989 |
408 |
1237.6000000000001 |
979.19999999999993 |
1156 |
Carle Eureka Hospital |
1336070196 |
NM GI BLOOD LOSS IMAGING |
78278 |
0341 |
705 |
705 |
211.5 |
641.55000000000007 |
493.49999999999994 |
211.5 |
641.55000000000007 |
507.59999999999997 |
599.25 |
Carle Eureka Hospital |
1336070201 |
NM LIVER SPLEEN IMAGING |
78215 |
0341 |
1535 |
1535 |
460.5 |
1396.8500000000001 |
1074.5 |
460.5 |
1396.8500000000001 |
1105.2 |
1304.75 |
Carle Eureka Hospital |
1336070203 |
NM LOCALIZATION TUMOR SPECT |
78803 |
0341 |
2635 |
2635 |
790.5 |
2397.85 |
1844.4999999999998 |
790.5 |
2397.85 |
1897.1999999999998 |
2239.75 |
Carle Eureka Hospital |
1336070207 |
NM LUNG VENT AND PERF IMAGING |
78582 |
0341 |
1560 |
1560 |
468 |
1419.6000000000001 |
1092 |
468 |
1419.6000000000001 |
1123.2 |
1326 |
Carle Eureka Hospital |
1336070208 |
NM LUNG PERFUSION IMAGING |
78580 |
0341 |
1850 |
1850 |
555 |
1683.5 |
1295 |
555 |
1683.5 |
1332 |
1572.5 |
Carle Eureka Hospital |
1336070209 |
NM LUNG VENT IMAGING |
78579 |
0341 |
1370 |
1370 |
411 |
1246.7 |
958.99999999999989 |
411 |
1246.7 |
986.4 |
1164.5 |
Carle Eureka Hospital |
1336070218 |
NM PARATHYROID IMAGING |
78070 |
0341 |
865 |
865 |
259.5 |
787.15 |
605.5 |
259.5 |
787.15 |
622.79999999999995 |
735.25 |
Carle Eureka Hospital |
1336070221 |
NM RENAL SPECT IMAGING |
78710 |
0341 |
1510 |
1510 |
453 |
1374.1000000000001 |
1057 |
453 |
1374.1000000000001 |
1087.2 |
1283.5 |
Carle Eureka Hospital |
1336070224 |
NM RENOGRAM KIDNEY IMAGING |
78707 |
0341 |
2215 |
2215 |
664.5 |
2015.65 |
1550.5 |
664.5 |
2015.65 |
1594.8 |
1882.75 |
Carle Eureka Hospital |
1336070228 |
NM THALLIUM REST SCAN |
78451 |
0341 |
2240 |
2240 |
672 |
2038.4 |
1568 |
672 |
2038.4 |
1612.8 |
1904 |
Carle Eureka Hospital |
1336070229 |
NM THALLIUM REST/STRESS SCAN |
78452 |
0341 |
3390 |
3390 |
1017 |
3084.9 |
2373 |
1017 |
3084.9 |
2440.7999999999997 |
2881.5 |
Carle Eureka Hospital |
1336070239 |
NM URETERAL REFLUX STUDY |
78740 |
0341 |
1610 |
1610 |
483 |
1465.1000000000001 |
1127 |
483 |
1465.1000000000001 |
1159.2 |
1368.5 |
Carle Eureka Hospital |
1336070273 |
RADPHA I123 DIAG PER 100 UCI |
A9516 |
0343 |
135 |
135 |
40.5 |
122.85000000000001 |
94.5 |
40.5 |
122.85000000000001 |
97.2 |
114.75 |
Carle Eureka Hospital |
1336070287 |
RADPHA TCSC 1 DOSE |
A9541 |
0343 |
97 |
97 |
29.099999999999998 |
88.27 |
67.899999999999991 |
29.099999999999998 |
88.27 |
69.84 |
82.45 |
Carle Eureka Hospital |
1336070289 |
TC99M ALBUMIN AGGREGATEMAA PER |
A9540 |
0343 |
86 |
86 |
25.8 |
78.260000000000005 |
60.199999999999996 |
25.8 |
78.260000000000005 |
61.919999999999995 |
73.099999999999994 |
Carle Eureka Hospital |
1336070298 |
TC99M MEDRONATE MDP PER DOSE |
A9503 |
0343 |
108 |
108 |
32.4 |
98.28 |
75.599999999999994 |
32.4 |
98.28 |
77.759999999999991 |
91.8 |
Carle Eureka Hospital |
1336070300 |
TC99M MERTIATIDE MAG3 PER MCI |
A9562 |
0343 |
255 |
255 |
76.5 |
232.05 |
178.5 |
76.5 |
232.05 |
183.6 |
216.75 |
Carle Eureka Hospital |
1336070302 |
TC99M MUGA 1 DOSE |
A9560 |
0343 |
76 |
76 |
22.8 |
69.16 |
53.199999999999996 |
22.8 |
69.16 |
54.72 |
64.599999999999994 |
Carle Eureka Hospital |
1336070303 |
TC99M PENTETATE DTPA PER DOSE |
A9567 |
0636 |
242 |
242 |
72.599999999999994 |
220.22 |
169.39999999999998 |
72.599999999999994 |
220.22 |
174.23999999999998 |
205.7 |
Carle Eureka Hospital |
1336070304 |
TC99M SESTAMIBI SUPPLY |
A9500 |
0343 |
304 |
304 |
91.2 |
276.64 |
212.79999999999998 |
91.2 |
276.64 |
218.88 |
258.39999999999998 |
Carle Eureka Hospital |
1336070861 |
NM MYOCARDIAL PERF REST/STRESS |
78452 |
0341 |
3390 |
3390 |
1017 |
3084.9 |
2373 |
1017 |
3084.9 |
2440.7999999999997 |
2881.5 |
Carle Eureka Hospital |
1336070862 |
NM MYOCARDIAL PERF SINGLE |
78451 |
0341 |
2240 |
2240 |
672 |
2038.4 |
1568 |
672 |
2038.4 |
1612.8 |
1904 |
Carle Eureka Hospital |
1336070924 |
NM HEPATOBILIARY IMAGE WO PHAR |
78226 |
0341 |
2085 |
2085 |
625.5 |
1897.3500000000001 |
1459.5 |
625.5 |
1897.3500000000001 |
1501.2 |
1772.25 |
Carle Eureka Hospital |
1336070925 |
NM HEPATOBILIARY IMAGE W PHARM |
78227 |
0341 |
1635 |
1635 |
490.5 |
1487.8500000000001 |
1144.5 |
490.5 |
1487.8500000000001 |
1177.2 |
1389.75 |
Carle Eureka Hospital |
1336570374 |
ELPAS ANKLE 3VIEW/COMPLETE LT |
73610LT |
0320 |
172 |
172 |
51.6 |
156.52000000000001 |
120.39999999999999 |
51.6 |
156.52000000000001 |
123.83999999999999 |
146.19999999999999 |
Carle Eureka Hospital |
1336570375 |
ELPAS ANKLE 3 VIEW/COMPLETE RT |
73610RT |
0320 |
172 |
172 |
51.6 |
156.52000000000001 |
120.39999999999999 |
51.6 |
156.52000000000001 |
123.83999999999999 |
146.19999999999999 |
Carle Eureka Hospital |
1336570391 |
ELPASO BONE DENSITY STUDY |
77080 |
0320 |
364 |
364 |
109.2 |
331.24 |
254.79999999999998 |
109.2 |
331.24 |
262.08 |
309.39999999999998 |
Carle Eureka Hospital |
1336570398 |
EL PAS CERV SPINE 2 OR 3 VIEWS |
72040 |
0320 |
211 |
211 |
63.3 |
192.01000000000002 |
147.69999999999999 |
63.3 |
192.01000000000002 |
151.91999999999999 |
179.35 |
Carle Eureka Hospital |
1336570399 |
ELPAS CERVICAL SPINE 4-5 VIEWS |
72050 |
0320 |
264 |
264 |
79.2 |
240.24 |
184.79999999999998 |
79.2 |
240.24 |
190.07999999999998 |
224.4 |
Carle Eureka Hospital |
1336570403 |
EL PASO CHEST TWO VIEWS |
71046 |
0324 |
167 |
167 |
50.1 |
151.97 |
116.89999999999999 |
50.1 |
151.97 |
120.24 |
141.94999999999999 |
Carle Eureka Hospital |
1336570414 |
ELPASO CLAVICLE LEFT |
73000LT |
0320 |
191 |
191 |
57.3 |
173.81 |
133.69999999999999 |
57.3 |
173.81 |
137.51999999999998 |
162.35 |
Carle Eureka Hospital |
1336570415 |
ELPASO CLAVICLE RIGHT |
73000RT |
0320 |
191 |
191 |
57.3 |
173.81 |
133.69999999999999 |
57.3 |
173.81 |
137.51999999999998 |
162.35 |
Carle Eureka Hospital |
1336570429 |
ELPAS ELBOW 3VIEW/COMPLETE LFT |
73080LT |
0320 |
189 |
189 |
56.699999999999996 |
171.99 |
132.29999999999998 |
56.699999999999996 |
171.99 |
136.07999999999998 |
160.65 |
Carle Eureka Hospital |
1336570430 |
ELPAS ELBOW 3 VIEW COMPLETE RT |
73080RT |
0320 |
189 |
189 |
56.699999999999996 |
171.99 |
132.29999999999998 |
56.699999999999996 |
171.99 |
136.07999999999998 |
160.65 |
Carle Eureka Hospital |
1336570431 |
ELPASO ELBOW TWO VIEWS LEFT |
73070LT |
0320 |
179 |
179 |
53.699999999999996 |
162.89000000000001 |
125.3 |
53.699999999999996 |
162.89000000000001 |
128.88 |
152.15 |
Carle Eureka Hospital |
1336570432 |
ELPASO ELBOW TWO VIEWS RIGHT |
73070RT |
0320 |
179 |
179 |
53.699999999999996 |
162.89000000000001 |
125.3 |
53.699999999999996 |
162.89000000000001 |
128.88 |
152.15 |
Carle Eureka Hospital |
1336570438 |
ELPASO FINGER FIFTH LEFT |
73140F4 |
0320 |
183 |
183 |
54.9 |
166.53 |
128.1 |
54.9 |
166.53 |
131.76 |
155.54999999999998 |
Carle Eureka Hospital |
1336570439 |
ELPASO FINGER FIFTH RIGHT |
73140F9 |
0320 |
183 |
183 |
54.9 |
166.53 |
128.1 |
54.9 |
166.53 |
131.76 |
155.54999999999998 |
Carle Eureka Hospital |
1336570440 |
ELPASO FINGER FOURTH LEFT |
73140F3 |
0320 |
183 |
183 |
54.9 |
166.53 |
128.1 |
54.9 |
166.53 |
131.76 |
155.54999999999998 |
Carle Eureka Hospital |
1336570441 |
ELPASO FINGER FOURTH RIGHT |
73140F8 |
0320 |
183 |
183 |
54.9 |
166.53 |
128.1 |
54.9 |
166.53 |
131.76 |
155.54999999999998 |
Carle Eureka Hospital |
1336570442 |
ELPASO FINGER SECOND LEFT |
73140F1 |
0320 |
183 |
183 |
54.9 |
166.53 |
128.1 |
54.9 |
166.53 |
131.76 |
155.54999999999998 |
Carle Eureka Hospital |
1336570443 |
ELPASO FINGER SECOND RIGHT |
73140F6 |
0320 |
183 |
183 |
54.9 |
166.53 |
128.1 |
54.9 |
166.53 |
131.76 |
155.54999999999998 |
Carle Eureka Hospital |
1336570444 |
ELPASO FINGER THIRD LEFT |
73140F2 |
0320 |
183 |
183 |
54.9 |
166.53 |
128.1 |
54.9 |
166.53 |
131.76 |
155.54999999999998 |
Carle Eureka Hospital |
1336570445 |
ELPASO FINGER THIRD RIGHT |
73140F7 |
0320 |
183 |
183 |
54.9 |
166.53 |
128.1 |
54.9 |
166.53 |
131.76 |
155.54999999999998 |
Carle Eureka Hospital |
1336570453 |
ELPA FOOT 3 VIEW/COMPLETE LEFT |
73630LT |
0320 |
189 |
189 |
56.699999999999996 |
171.99 |
132.29999999999998 |
56.699999999999996 |
171.99 |
136.07999999999998 |
160.65 |
Carle Eureka Hospital |
1336570454 |
ELPASO FOOT 3 VIEW/COMPLETE RT |
73630RT |
0320 |
189 |
189 |
56.699999999999996 |
171.99 |
132.29999999999998 |
56.699999999999996 |
171.99 |
136.07999999999998 |
160.65 |
Carle Eureka Hospital |
1336570457 |
ELPASO FOREARM LEFT |
73090LT |
0320 |
189 |
189 |
56.699999999999996 |
171.99 |
132.29999999999998 |
56.699999999999996 |
171.99 |
136.07999999999998 |
160.65 |
Carle Eureka Hospital |
1336570458 |
ELPASO FOREARM RIGHT |
73090RT |
0320 |
189 |
189 |
56.699999999999996 |
171.99 |
132.29999999999998 |
56.699999999999996 |
171.99 |
136.07999999999998 |
160.65 |
Carle Eureka Hospital |
1336570462 |
ELPAS HAND 3 VIEW/COMPLETE LT |
73130LT |
0320 |
172 |
172 |
51.6 |
156.52000000000001 |
120.39999999999999 |
51.6 |
156.52000000000001 |
123.83999999999999 |
146.19999999999999 |
Carle Eureka Hospital |
1336570463 |
ELPASO HAND 3 VIEW/COMPLETE RT |
73130RT |
0320 |
172 |
172 |
51.6 |
156.52000000000001 |
120.39999999999999 |
51.6 |
156.52000000000001 |
123.83999999999999 |
146.19999999999999 |
Carle Eureka Hospital |
1336570465 |
ELPASO HEEL LEFT |
73650LT |
0320 |
177 |
177 |
53.1 |
161.07 |
123.89999999999999 |
53.1 |
161.07 |
127.44 |
150.44999999999999 |
Carle Eureka Hospital |
1336570466 |
ELPASO HEEL RIGHT |
73650RT |
0320 |
177 |
177 |
53.1 |
161.07 |
123.89999999999999 |
53.1 |
161.07 |
127.44 |
150.44999999999999 |
Carle Eureka Hospital |
1336570472 |
ELPASO HUMERUS LEFT |
73060LT |
0320 |
177 |
177 |
53.1 |
161.07 |
123.89999999999999 |
53.1 |
161.07 |
127.44 |
150.44999999999999 |
Carle Eureka Hospital |
1336570473 |
ELPASO HUMERUS RIGHT |
73060RT |
0320 |
177 |
177 |
53.1 |
161.07 |
123.89999999999999 |
53.1 |
161.07 |
127.44 |
150.44999999999999 |
Carle Eureka Hospital |
1336570499 |
ELPASO KNEE 1 OR 2 VIEWS LEFT |
73560LT |
0320 |
177 |
177 |
53.1 |
161.07 |
123.89999999999999 |
53.1 |
161.07 |
127.44 |
150.44999999999999 |
Carle Eureka Hospital |
1336570500 |
ELPASO KNEE 1 OR 2 VIEWS RIGHT |
73560RT |
0320 |
177 |
177 |
53.1 |
161.07 |
123.89999999999999 |
53.1 |
161.07 |
127.44 |
150.44999999999999 |
Carle Eureka Hospital |
1336570501 |
ELPA KNEE W OBL PATELLA TUN LT |
73564LT |
0320 |
291 |
291 |
87.3 |
264.81 |
203.7 |
87.3 |
264.81 |
209.51999999999998 |
247.35 |
Carle Eureka Hospital |
1336570502 |
ELPA KNEE W OBL PATELLA TUN RT |
73564RT |
0320 |
291 |
291 |
87.3 |
264.81 |
203.7 |
87.3 |
264.81 |
209.51999999999998 |
247.35 |
Carle Eureka Hospital |
1336570503 |
ELPASO KNEE W OBLIQUES LEFT |
73564LT |
0320 |
291 |
291 |
87.3 |
264.81 |
203.7 |
87.3 |
264.81 |
209.51999999999998 |
247.35 |
Carle Eureka Hospital |
1336570504 |
ELPASO KNEE W OBLIQUES RIGHT |
73564RT |
0320 |
291 |
291 |
87.3 |
264.81 |
203.7 |
87.3 |
264.81 |
209.51999999999998 |
247.35 |
Carle Eureka Hospital |
1336570509 |
ELPASO LUMBAR SPINE 2OR3 VIEWS |
72100 |
0320 |
240 |
240 |
72 |
218.4 |
168 |
72 |
218.4 |
172.79999999999998 |
204 |
Carle Eureka Hospital |
1336570510 |
ELPASO LUMBAR SPINE W OBLIQUES |
72110 |
0320 |
288 |
288 |
86.399999999999991 |
262.08 |
201.6 |
86.399999999999991 |
262.08 |
207.35999999999999 |
244.79999999999998 |
Carle Eureka Hospital |
1336570511 |
ELPA LWR EXTREMITY INFANT LEFT |
73592LT |
0320 |
187 |
187 |
56.1 |
170.17000000000002 |
130.9 |
56.1 |
170.17000000000002 |
134.63999999999999 |
158.94999999999999 |
Carle Eureka Hospital |
1336570512 |
ELPA LWR EXTREMITY INFANT RIGH |
73592RT |
0320 |
187 |
187 |
56.1 |
170.17000000000002 |
130.9 |
56.1 |
170.17000000000002 |
134.63999999999999 |
158.94999999999999 |
Carle Eureka Hospital |
1336570539 |
ELPASO NECK SOFT TISS AP LAT |
70360 |
0320 |
242 |
242 |
72.599999999999994 |
220.22 |
169.39999999999998 |
72.599999999999994 |
220.22 |
174.23999999999998 |
205.7 |
Carle Eureka Hospital |
1336570548 |
ELPASO PELVIS 1 OR 2 VIEWS |
72170 |
0320 |
210 |
210 |
63 |
191.1 |
147 |
63 |
191.1 |
151.19999999999999 |
178.5 |
Carle Eureka Hospital |
1336570561 |
EL PASO RIBS BILATERAL |
71110 |
0320 |
275 |
275 |
82.5 |
250.25 |
192.5 |
82.5 |
250.25 |
198 |
233.75 |
Carle Eureka Hospital |
1336570562 |
EL PASO RIBS UNILATERAL |
71100 |
0320 |
237 |
237 |
71.099999999999994 |
215.67000000000002 |
165.89999999999998 |
71.099999999999994 |
215.67000000000002 |
170.64 |
201.45 |
Carle Eureka Hospital |
1336570564 |
ELPASO SACRUM OR COCCYX |
72220 |
0320 |
194 |
194 |
58.199999999999996 |
176.54 |
135.79999999999998 |
58.199999999999996 |
176.54 |
139.68 |
164.9 |
Carle Eureka Hospital |
1336570566 |
ELPASO SCAPULA RIGHT |
73010RT |
0320 |
179 |
179 |
53.699999999999996 |
162.89000000000001 |
125.3 |
53.699999999999996 |
162.89000000000001 |
128.88 |
152.15 |
Carle Eureka Hospital |
1336570567 |
ELPASO SCAPULA LEFT |
73010LT |
0320 |
179 |
179 |
53.699999999999996 |
162.89000000000001 |
125.3 |
53.699999999999996 |
162.89000000000001 |
128.88 |
152.15 |
Carle Eureka Hospital |
1336570570 |
ELPASO SHOULDER COMPLETE RIGHT |
73030RT |
0320 |
193 |
193 |
57.9 |
175.63 |
135.1 |
57.9 |
175.63 |
138.96 |
164.04999999999998 |
Carle Eureka Hospital |
1336570571 |
ELPASO SHOULDER COMPLETE LEFT |
73030LT |
0320 |
193 |
193 |
57.9 |
175.63 |
135.1 |
57.9 |
175.63 |
138.96 |
164.04999999999998 |
Carle Eureka Hospital |
1336570572 |
ELPASO SHOULDER ONE VIEW LEFT |
73020LT |
0320 |
165 |
165 |
49.5 |
150.15 |
115.49999999999999 |
49.5 |
150.15 |
118.8 |
140.25 |
Carle Eureka Hospital |
1336570573 |
ELPASO SHOULDER ONE VIEW RIGHT |
73020RT |
0320 |
165 |
165 |
49.5 |
150.15 |
115.49999999999999 |
49.5 |
150.15 |
118.8 |
140.25 |
Carle Eureka Hospital |
1336570583 |
ELPASO STERNOCLAVICULAR JOINTS |
71130 |
0320 |
195 |
195 |
58.5 |
177.45000000000002 |
136.5 |
58.5 |
177.45000000000002 |
140.4 |
165.75 |
Carle Eureka Hospital |
1336570584 |
EL PASO STERNUM |
71120 |
0320 |
179 |
179 |
53.699999999999996 |
162.89000000000001 |
125.3 |
53.699999999999996 |
162.89000000000001 |
128.88 |
152.15 |
Carle Eureka Hospital |
1336570586 |
ELPASO THORACIC SPINE 2 VIEWS |
72070 |
0320 |
213 |
213 |
63.9 |
193.83 |
149.1 |
63.9 |
193.83 |
153.35999999999999 |
181.04999999999998 |
Carle Eureka Hospital |
1336570587 |
ELPASO THORACIC SPINE 3 VIEWS |
72072 |
0320 |
240 |
240 |
72 |
218.4 |
168 |
72 |
218.4 |
172.79999999999998 |
204 |
Carle Eureka Hospital |
1336570589 |
ELPASO THUMB LEFT |
73140FA |
0320 |
183 |
183 |
54.9 |
166.53 |
128.1 |
54.9 |
166.53 |
131.76 |
155.54999999999998 |
Carle Eureka Hospital |
1336570590 |
ELPASO THUMB RIGHT |
73140F5 |
0320 |
183 |
183 |
54.9 |
166.53 |
128.1 |
54.9 |
166.53 |
131.76 |
155.54999999999998 |
Carle Eureka Hospital |
1336570591 |
ELPASO TIBIA AND FIBULA LEFT |
73590LT |
0320 |
194 |
194 |
58.199999999999996 |
176.54 |
135.79999999999998 |
58.199999999999996 |
176.54 |
139.68 |
164.9 |
Carle Eureka Hospital |
1336570592 |
ELPASO TIBIA AND FIBULA RIGHT |
73590RT |
0320 |
194 |
194 |
58.199999999999996 |
176.54 |
135.79999999999998 |
58.199999999999996 |
176.54 |
139.68 |
164.9 |
Carle Eureka Hospital |
1336570594 |
ELPASO TOE FIFTH LEFT |
73660T4 |
0320 |
179 |
179 |
53.699999999999996 |
162.89000000000001 |
125.3 |
53.699999999999996 |
162.89000000000001 |
128.88 |
152.15 |
Carle Eureka Hospital |
1336570595 |
ELPASO TOE FIFTH RIGHT |
73660T9 |
0320 |
179 |
179 |
53.699999999999996 |
162.89000000000001 |
125.3 |
53.699999999999996 |
162.89000000000001 |
128.88 |
152.15 |
Carle Eureka Hospital |
1336570596 |
ELPASO TOE FOURTH LEFT |
73660T3 |
0320 |
179 |
179 |
53.699999999999996 |
162.89000000000001 |
125.3 |
53.699999999999996 |
162.89000000000001 |
128.88 |
152.15 |
Carle Eureka Hospital |
1336570597 |
ELPASO TOE FOURTH RIGHT |
73660T8 |
0320 |
179 |
179 |
53.699999999999996 |
162.89000000000001 |
125.3 |
53.699999999999996 |
162.89000000000001 |
128.88 |
152.15 |
Carle Eureka Hospital |
1336570598 |
ELPASO TOE GREAT LEFT |
73660TA |
0320 |
179 |
179 |
53.699999999999996 |
162.89000000000001 |
125.3 |
53.699999999999996 |
162.89000000000001 |
128.88 |
152.15 |
Carle Eureka Hospital |
1336570599 |
ELPASO TOE GREAT RIGHT |
73660T5 |
0320 |
179 |
179 |
53.699999999999996 |
162.89000000000001 |
125.3 |
53.699999999999996 |
162.89000000000001 |
128.88 |
152.15 |
Carle Eureka Hospital |
1336570600 |
ELPASO TOE SECOND LEFT |
73660T1 |
0320 |
179 |
179 |
53.699999999999996 |
162.89000000000001 |
125.3 |
53.699999999999996 |
162.89000000000001 |
128.88 |
152.15 |
Carle Eureka Hospital |
1336570601 |
ELPASO TOE SECOND RIGHT |
73660T6 |
0320 |
179 |
179 |
53.699999999999996 |
162.89000000000001 |
125.3 |
53.699999999999996 |
162.89000000000001 |
128.88 |
152.15 |
Carle Eureka Hospital |
1336570602 |
ELPASO TOE THIRD LEFT |
73660T2 |
0320 |
179 |
179 |
53.699999999999996 |
162.89000000000001 |
125.3 |
53.699999999999996 |
162.89000000000001 |
128.88 |
152.15 |
Carle Eureka Hospital |
1336570603 |
ELPASO TOE THIRD RIGHT |
73660T7 |
0320 |
179 |
179 |
53.699999999999996 |
162.89000000000001 |
125.3 |
53.699999999999996 |
162.89000000000001 |
128.88 |
152.15 |
Carle Eureka Hospital |
1336570618 |
ELPASO WRIST COMPLETE LEFT |
73110LT |
0320 |
177 |
177 |
53.1 |
161.07 |
123.89999999999999 |
53.1 |
161.07 |
127.44 |
150.44999999999999 |
Carle Eureka Hospital |
1336570619 |
ELPASO WRIST COMPLETE RIGHT |
73110RT |
0320 |
177 |
177 |
53.1 |
161.07 |
123.89999999999999 |
53.1 |
161.07 |
127.44 |
150.44999999999999 |
Carle Eureka Hospital |
1336570652 |
ELPASO KNEE 3 VIEWS RIGHT |
73562RT |
0320 |
237 |
237 |
71.099999999999994 |
215.67000000000002 |
165.89999999999998 |
71.099999999999994 |
215.67000000000002 |
170.64 |
201.45 |
Carle Eureka Hospital |
1336570653 |
ELPASO KNEE 3 VIEWS LEFT |
73562LT |
0320 |
237 |
237 |
71.099999999999994 |
215.67000000000002 |
165.89999999999998 |
71.099999999999994 |
215.67000000000002 |
170.64 |
201.45 |
Carle Eureka Hospital |
1336570659 |
ELPASO KNEE BI STD 1 VIEW |
73565 |
0320 |
195 |
195 |
58.5 |
177.45000000000002 |
136.5 |
58.5 |
177.45000000000002 |
140.4 |
165.75 |
Carle Eureka Hospital |
1336571113 |
ELPASO KNEES 1 OR 2 VIEW BILAT |
7356050 |
0320 |
266 |
266 |
79.8 |
242.06 |
186.2 |
79.8 |
242.06 |
191.51999999999998 |
226.1 |
Carle Eureka Hospital |
1336577233 |
ELPASO FEMUR LT MIN 2V |
73552LT |
0320 |
219 |
219 |
65.7 |
199.29000000000002 |
153.29999999999998 |
65.7 |
199.29000000000002 |
157.68 |
186.15 |
Carle Eureka Hospital |
1336577234 |
ELPASO FEMUR RT MIN 2V |
73552RT |
0320 |
219 |
219 |
65.7 |
199.29000000000002 |
153.29999999999998 |
65.7 |
199.29000000000002 |
157.68 |
186.15 |
Carle Eureka Hospital |
1336577239 |
ELPASO HIP LT 2V |
73502 |
0320 |
231 |
231 |
69.3 |
210.21 |
161.69999999999999 |
69.3 |
210.21 |
166.32 |
196.35 |
Carle Eureka Hospital |
1336577240 |
ELPASO HIP RT 2V |
73502 |
0320 |
231 |
231 |
69.3 |
210.21 |
161.69999999999999 |
69.3 |
210.21 |
166.32 |
196.35 |
Carle Eureka Hospital |
1336577241 |
ELPASO HIPS BIL 2V EA HIP |
73522 |
0320 |
450 |
450 |
135 |
409.5 |
315 |
135 |
409.5 |
324 |
382.5 |
Carle Eureka Hospital |
1336577242 |
ELPASO HIP LT 2V W PELVIS |
73502 |
0320 |
231 |
231 |
69.3 |
210.21 |
161.69999999999999 |
69.3 |
210.21 |
166.32 |
196.35 |
Carle Eureka Hospital |
1336577243 |
ELPASO HIP RT 2V W PELVIS |
73502 |
0320 |
231 |
231 |
69.3 |
210.21 |
161.69999999999999 |
69.3 |
210.21 |
166.32 |
196.35 |
Carle Eureka Hospital |
1336577244 |
ELP HIPS BIL 2V HIP WPELVS 1V |
73523 |
0320 |
450 |
450 |
135 |
409.5 |
315 |
135 |
409.5 |
324 |
382.5 |
Carle Eureka Hospital |
1336577256 |
ELPASO HIP LT 1V W PELVIS |
73501 |
0320 |
125 |
125 |
37.5 |
113.75 |
87.5 |
37.5 |
113.75 |
90 |
106.25 |
Carle Eureka Hospital |
1336577257 |
ELPASO HIP RT 1V W PELVIS |
73501 |
0320 |
125 |
125 |
37.5 |
113.75 |
87.5 |
37.5 |
113.75 |
90 |
106.25 |
Carle Eureka Hospital |
1337080012 |
ACETAM 650MG SUPPOSITORY |
0637 |
4.46 |
4.46 |
1.3379999999999999 |
4.0586000000000002 |
3.1219999999999999 |
1.3379999999999999 |
4.0586000000000002 |
3.2111999999999998 |
3.7909999999999999 |
Carle Eureka Hospital |
1337080015 |
ACETAM ELIX 120ML BTL |
0637 |
30.11 |
30.11 |
9.0329999999999995 |
27.400100000000002 |
21.076999999999998 |
9.0329999999999995 |
27.400100000000002 |
21.679199999999998 |
25.593499999999999 |
Carle Eureka Hospital |
1337080018 |
ACETAM ELIX 320MG UD CUP |
0637 |
2.66 |
2.66 |
0.79800000000000004 |
2.4206000000000003 |
1.8619999999999999 |
0.79800000000000004 |
2.4206000000000003 |
1.9152 |
2.2610000000000001 |
Carle Eureka Hospital |
1337080024 |
ACETAM W COD 300/30MG |
0637 |
2.17 |
2.17 |
0.65099999999999991 |
1.9746999999999999 |
1.5189999999999999 |
0.65099999999999991 |
1.9746999999999999 |
1.5623999999999998 |
1.8444999999999998 |
Carle Eureka Hospital |
1337080028 |
ACETAMIN 325MG TAB |
0637 |
0.34 |
0.34 |
0.10200000000000001 |
0.30940000000000001 |
0.23799999999999999 |
0.10200000000000001 |
0.30940000000000001 |
0.24480000000000002 |
0.28900000000000003 |
Carle Eureka Hospital |
1337080083 |
ALBUTEROL INH SOLN 0.5ML |
0637 |
3.03 |
3.03 |
0.90899999999999992 |
2.7572999999999999 |
2.1209999999999996 |
0.90899999999999992 |
2.7572999999999999 |
2.1816 |
2.5754999999999999 |
Carle Eureka Hospital |
1337080086 |
ALBUTEROL SULF 17GM INH |
0637 |
241.68 |
241.68 |
72.504000000000005 |
219.92880000000002 |
169.17599999999999 |
72.504000000000005 |
219.92880000000002 |
174.00960000000001 |
205.428 |
Carle Eureka Hospital |
1337080113 |
ALPROZOLAM 0.500MG TAB |
0637 |
6.53 |
6.53 |
1.9590000000000001 |
5.9423000000000004 |
4.5709999999999997 |
1.9590000000000001 |
5.9423000000000004 |
4.7016 |
5.5505000000000004 |
Carle Eureka Hospital |
1337080120 |
ALUM/MAG/HYDROX 30ML UDCUP |
0637 |
2.5499999999999998 |
2.5499999999999998 |
0.7649999999999999 |
2.3205 |
1.7849999999999997 |
0.7649999999999999 |
2.3205 |
1.8359999999999999 |
2.1675 |
Carle Eureka Hospital |
1337080121 |
ALUM/MAG/HYDROX/SIMETH 30ML UD |
0637 |
2.6 |
2.6 |
0.78 |
2.3660000000000001 |
1.8199999999999998 |
0.78 |
2.3660000000000001 |
1.8719999999999999 |
2.21 |
Carle Eureka Hospital |
1337080155 |
AMMONIA INH 0.330ML AMP |
0637 |
15.9 |
15.9 |
4.7699999999999996 |
14.469000000000001 |
11.129999999999999 |
4.7699999999999996 |
14.469000000000001 |
11.448 |
13.515000000000001 |
Carle Eureka Hospital |
1337080167 |
AMOXICILLIN 500MG CAP |
0637 |
3.45 |
3.45 |
1.0349999999999999 |
3.1395000000000004 |
2.415 |
1.0349999999999999 |
3.1395000000000004 |
2.484 |
2.9325000000000001 |
Carle Eureka Hospital |
1337080183 |
AMRINONE LACTATE 100MG/20ML |
0250 |
457.5 |
457.5 |
137.25 |
416.32499999999999 |
320.25 |
137.25 |
416.32499999999999 |
329.4 |
388.875 |
Carle Eureka Hospital |
1337080223 |
ASPRIN 325MG TAB |
0637 |
0.11 |
0.11 |
3.3000000000000002E-2 |
0.10010000000000001 |
7.6999999999999999E-2 |
3.3000000000000002E-2 |
0.10010000000000001 |
7.9199999999999993E-2 |
9.35E-2 |
Carle Eureka Hospital |
1337080236 |
ATROPINE 0.3MG/ML |
0250 |
13.99 |
13.99 |
4.1970000000000001 |
12.7309 |
9.7929999999999993 |
4.1970000000000001 |
12.7309 |
10.072799999999999 |
11.891500000000001 |
Carle Eureka Hospital |
1337080237 |
ATROPINE 0.4MG/VIAL |
J0461 |
0636 |
13.99 |
13.99 |
4.1970000000000001 |
12.7309 |
9.7929999999999993 |
4.1970000000000001 |
12.7309 |
10.072799999999999 |
11.891500000000001 |
Carle Eureka Hospital |
1337080285 |
BAYER EC 81MG TAB |
0637 |
0.65 |
0.65 |
0.19500000000000001 |
0.59150000000000003 |
0.45499999999999996 |
0.19500000000000001 |
0.59150000000000003 |
0.46799999999999997 |
0.55249999999999999 |
Carle Eureka Hospital |
1337080295 |
BENADRYL 50MG CAP |
0637 |
1.7 |
1.7 |
0.51 |
1.5469999999999999 |
1.19 |
0.51 |
1.5469999999999999 |
1.224 |
1.4449999999999998 |
Carle Eureka Hospital |
1337080342 |
BICITRA LIQ 30ML UDCUP |
0637 |
8.09 |
8.09 |
2.427 |
7.3619000000000003 |
5.6629999999999994 |
2.427 |
7.3619000000000003 |
5.8247999999999998 |
6.8765000000000001 |
Carle Eureka Hospital |
1337080360 |
BRETYLIUM 500MG/10ML |
0637 |
245.59 |
245.59 |
73.676999999999992 |
223.48690000000002 |
171.91299999999998 |
73.676999999999992 |
223.48690000000002 |
176.82479999999998 |
208.75149999999999 |
Carle Eureka Hospital |
1337080377 |
BUPIVA 0.25% 30ML STPK |
0250 |
31.48 |
31.48 |
9.4439999999999991 |
28.646800000000002 |
22.035999999999998 |
9.4439999999999991 |
28.646800000000002 |
22.665599999999998 |
26.757999999999999 |
Carle Eureka Hospital |
1337080383 |
BUPIVA 0.5% 50ML VIAL |
0250 |
73.47 |
73.47 |
22.041 |
66.857700000000008 |
51.428999999999995 |
22.041 |
66.857700000000008 |
52.898399999999995 |
62.4495 |
Carle Eureka Hospital |
1337080387 |
BUPIVACAINE 0.25% 10ML |
0250 |
22.09 |
22.09 |
6.6269999999999998 |
20.101900000000001 |
15.462999999999999 |
6.6269999999999998 |
20.101900000000001 |
15.9048 |
18.776499999999999 |
Carle Eureka Hospital |
1337080388 |
BUPIVACAINE 0.5% 30ML VIAL |
0250 |
31.99 |
31.99 |
9.5969999999999995 |
29.110900000000001 |
22.392999999999997 |
9.5969999999999995 |
29.110900000000001 |
23.032799999999998 |
27.191499999999998 |
Carle Eureka Hospital |
1337080389 |
BUPIVACAINE 0.5& 10ML SDV |
0250 |
32.619999999999997 |
32.619999999999997 |
9.7859999999999996 |
29.684199999999997 |
22.833999999999996 |
9.7859999999999996 |
29.684199999999997 |
23.486399999999996 |
27.726999999999997 |
Carle Eureka Hospital |
1337080399 |
BUTORPHANOL 2MG/ML VIAL |
0250 |
49.26 |
49.26 |
14.777999999999999 |
44.826599999999999 |
34.481999999999999 |
14.777999999999999 |
44.826599999999999 |
35.467199999999998 |
41.870999999999995 |
Carle Eureka Hospital |
1337080428 |
CAP W/COD 15ML UD CUP |
0637 |
5.09 |
5.09 |
1.5269999999999999 |
4.6318999999999999 |
3.5629999999999997 |
1.5269999999999999 |
4.6318999999999999 |
3.6647999999999996 |
4.3264999999999993 |
Carle Eureka Hospital |
1337080496 |
CEPACOL LOZ SINGLE DOSE |
0637 |
0.64 |
0.64 |
0.192 |
0.58240000000000003 |
0.44799999999999995 |
0.192 |
0.58240000000000003 |
0.46079999999999999 |
0.54400000000000004 |
Carle Eureka Hospital |
1337080498 |
CEPASTAT LOZ 3 TAB PACK |
0637 |
1.93 |
1.93 |
0.57899999999999996 |
1.7563 |
1.351 |
0.57899999999999996 |
1.7563 |
1.3895999999999999 |
1.6404999999999998 |
Carle Eureka Hospital |
1337080502 |
CEPHALEXIN 500MG CAP |
0637 |
14.54 |
14.54 |
4.3619999999999992 |
13.231399999999999 |
10.177999999999999 |
4.3619999999999992 |
13.231399999999999 |
10.4688 |
12.358999999999998 |
Carle Eureka Hospital |
1337080526 |
CHLORASEP LOZ 3 PAK |
0637 |
2.27 |
2.27 |
0.68099999999999994 |
2.0657000000000001 |
1.589 |
0.68099999999999994 |
2.0657000000000001 |
1.6343999999999999 |
1.9295 |
Carle Eureka Hospital |
1337080550 |
CHLORPROMAZINE 50MG/2ML |
J3230 |
0636 |
71.430000000000007 |
71.430000000000007 |
21.429000000000002 |
65.001300000000015 |
50.001000000000005 |
21.429000000000002 |
65.001300000000015 |
51.429600000000001 |
60.715500000000006 |
Carle Eureka Hospital |
1337080599 |
CLINDAMYCIN 150MG CAP |
0637 |
12.36 |
12.36 |
3.7079999999999997 |
11.2476 |
8.6519999999999992 |
3.7079999999999997 |
11.2476 |
8.8991999999999987 |
10.505999999999998 |
Carle Eureka Hospital |
1337080635 |
CODEINE 30MG/ML |
J0745 |
0636 |
20.73 |
20.73 |
6.2190000000000003 |
18.8643 |
14.510999999999999 |
6.2190000000000003 |
18.8643 |
14.925599999999999 |
17.6205 |
Carle Eureka Hospital |
1337080746 |
DEPO-MEDROL 40MG VIAL |
J1030 |
0636 |
40.369999999999997 |
40.369999999999997 |
12.110999999999999 |
36.736699999999999 |
28.258999999999997 |
12.110999999999999 |
36.736699999999999 |
29.066399999999998 |
34.314499999999995 |
Carle Eureka Hospital |
1337080748 |
DEPO-MEDROL 80MG VIAL |
J1040 |
0636 |
65.72 |
65.72 |
19.715999999999998 |
59.805199999999999 |
46.003999999999998 |
19.715999999999998 |
59.805199999999999 |
47.318399999999997 |
55.861999999999995 |
Carle Eureka Hospital |
1337080810 |
DEXAMETH 10MG/ML |
J1100 |
0636 |
38.33 |
38.33 |
11.498999999999999 |
34.880299999999998 |
26.830999999999996 |
11.498999999999999 |
34.880299999999998 |
27.597599999999996 |
32.580500000000001 |
Carle Eureka Hospital |
1337080812 |
DEXAMETH 4MG/ML |
J1100 |
0636 |
13.99 |
13.99 |
4.1970000000000001 |
12.7309 |
9.7929999999999993 |
4.1970000000000001 |
12.7309 |
10.072799999999999 |
11.891500000000001 |
Carle Eureka Hospital |
1337080835 |
DIAZEPAM 10MG/2ML |
J3360 |
0636 |
40.549999999999997 |
40.549999999999997 |
12.164999999999999 |
36.900500000000001 |
28.384999999999994 |
12.164999999999999 |
36.900500000000001 |
29.195999999999998 |
34.467499999999994 |
Carle Eureka Hospital |
1337080837 |
DIAZEPAM 5MG TAB |
0637 |
3.29 |
3.29 |
0.98699999999999999 |
2.9939 |
2.3029999999999999 |
0.98699999999999999 |
2.9939 |
2.3687999999999998 |
2.7965 |
Carle Eureka Hospital |
1337080860 |
DIGOXIN 0.250MG/ML |
0250 |
32.450000000000003 |
32.450000000000003 |
9.7350000000000012 |
29.529500000000002 |
22.715 |
9.7350000000000012 |
29.529500000000002 |
23.364000000000001 |
27.582500000000003 |
Carle Eureka Hospital |
1337080873 |
DILTIAZEM 50MG INJ |
0250 |
163.71 |
163.71 |
49.113 |
148.9761 |
114.59699999999999 |
49.113 |
148.9761 |
117.8712 |
139.15350000000001 |
Carle Eureka Hospital |
1337080885 |
DIMENHYDRINATE 50MG/ML |
0637 |
39.64 |
39.64 |
11.891999999999999 |
36.072400000000002 |
27.747999999999998 |
11.891999999999999 |
36.072400000000002 |
28.540800000000001 |
33.694000000000003 |
Carle Eureka Hospital |
1337080951 |
DOXAPRAM 400MG/20ML |
0250 |
482.96 |
482.96 |
144.88799999999998 |
439.49360000000001 |
338.07199999999995 |
144.88799999999998 |
439.49360000000001 |
347.73119999999994 |
410.51599999999996 |
Carle Eureka Hospital |
1337080972 |
DROPERIDOL 5MG/2ML VIAL |
0637 |
33.979999999999997 |
33.979999999999997 |
10.193999999999999 |
30.921799999999998 |
23.785999999999998 |
10.193999999999999 |
30.921799999999998 |
24.465599999999998 |
28.882999999999996 |
Carle Eureka Hospital |
1337080973 |
DULCOLAX 10MG SUPP |
0637 |
2.33 |
2.33 |
0.69899999999999995 |
2.1203000000000003 |
1.631 |
0.69899999999999995 |
2.1203000000000003 |
1.6776 |
1.9804999999999999 |
Carle Eureka Hospital |
1337080989 |
EIS ANESTH DRUGS |
0250 |
86.57 |
86.57 |
25.970999999999997 |
78.778700000000001 |
60.59899999999999 |
25.970999999999997 |
78.778700000000001 |
62.33039999999999 |
73.584499999999991 |
Carle Eureka Hospital |
1337080995 |
EMLA 2.5% CREAM 5GM |
0637 |
48.68 |
48.68 |
14.603999999999999 |
44.2988 |
34.076000000000001 |
14.603999999999999 |
44.2988 |
35.049599999999998 |
41.378 |
Carle Eureka Hospital |
1337081017 |
EPHEDRINE SULFATE 50MG/ML |
0250 |
13.99 |
13.99 |
4.1970000000000001 |
12.7309 |
9.7929999999999993 |
4.1970000000000001 |
12.7309 |
10.072799999999999 |
11.891500000000001 |
Carle Eureka Hospital |
1337081021 |
EPINEPH TOP SOL 30ML BTL |
0637 |
106.11 |
106.11 |
31.832999999999998 |
96.560100000000006 |
74.277000000000001 |
31.832999999999998 |
96.560100000000006 |
76.399199999999993 |
90.1935 |
Carle Eureka Hospital |
1337081025 |
EPINEPHRINE 1:1000 1MG/ML AMP |
J0171 |
0636 |
57.45 |
57.45 |
17.234999999999999 |
52.279500000000006 |
40.214999999999996 |
17.234999999999999 |
52.279500000000006 |
41.363999999999997 |
48.832500000000003 |
Carle Eureka Hospital |
1337081036 |
EPTIFIBATIDE 0.75MG/ML 100ML |
J1327 |
0636 |
443.69 |
443.69 |
133.107 |
403.75790000000001 |
310.58299999999997 |
133.107 |
403.75790000000001 |
319.45679999999999 |
377.13650000000001 |
Carle Eureka Hospital |
1337081037 |
EPTIFIBATIDE 2MG/ML 10ML |
J1327 |
0636 |
324.97000000000003 |
324.97000000000003 |
97.491 |
295.72270000000003 |
227.47900000000001 |
97.491 |
295.72270000000003 |
233.97840000000002 |
276.22450000000003 |
Carle Eureka Hospital |
1337081104 |
FENTANYL 100MCG/2ML AMP |
J3010 |
0636 |
47.92 |
47.92 |
14.375999999999999 |
43.607200000000006 |
33.543999999999997 |
14.375999999999999 |
43.607200000000006 |
34.502400000000002 |
40.731999999999999 |
Carle Eureka Hospital |
1337081195 |
FUROSEMIDE 20MG/2ML VIAL |
J1940 |
0636 |
18.420000000000002 |
18.420000000000002 |
5.5260000000000007 |
16.762200000000004 |
12.894 |
5.5260000000000007 |
16.762200000000004 |
13.262400000000001 |
15.657000000000002 |
Carle Eureka Hospital |
1337081197 |
FUROSEMIDE 40MG/4ML VIAL |
J1940 |
0636 |
30.58 |
30.58 |
9.1739999999999995 |
27.8278 |
21.405999999999999 |
9.1739999999999995 |
27.8278 |
22.017599999999998 |
25.992999999999999 |
Carle Eureka Hospital |
1337081200 |
FUROSEMIDE INJ 100MG/10ML VIAL |
J1940 |
0636 |
69.91 |
69.91 |
20.972999999999999 |
63.618099999999998 |
48.936999999999998 |
20.972999999999999 |
63.618099999999998 |
50.335199999999993 |
59.423499999999997 |
Carle Eureka Hospital |
1337081216 |
GENTAMICIN 80MG/2ML |
J1580 |
0636 |
16.98 |
16.98 |
5.0940000000000003 |
15.4518 |
11.885999999999999 |
5.0940000000000003 |
15.4518 |
12.2256 |
14.433 |
Carle Eureka Hospital |
1337081228 |
GLUCAGON INJ 1MG/1ML KIT |
J1610 |
0636 |
389.93 |
389.93 |
116.979 |
354.83629999999999 |
272.95099999999996 |
116.979 |
354.83629999999999 |
280.74959999999999 |
331.44049999999999 |
Carle Eureka Hospital |
1337081233 |
GLUCOSE TABS 6/BOX |
0637 |
7.15 |
7.15 |
2.145 |
6.5065000000000008 |
5.0049999999999999 |
2.145 |
6.5065000000000008 |
5.1479999999999997 |
6.0775000000000006 |
Carle Eureka Hospital |
1337081245 |
GLYCOPYROLATE 0.2MG/ML 5ML |
0250 |
22.81 |
22.81 |
6.8429999999999991 |
20.757100000000001 |
15.966999999999999 |
6.8429999999999991 |
20.757100000000001 |
16.423199999999998 |
19.388499999999997 |
Carle Eureka Hospital |
1337081298 |
HEPARIN BEEF 1000U/ML 1 |
0250 |
61.31 |
61.31 |
18.393000000000001 |
55.792100000000005 |
42.917000000000002 |
18.393000000000001 |
55.792100000000005 |
44.1432 |
52.113500000000002 |
Carle Eureka Hospital |
1337081302 |
HEPARIN FLUSH KIT 10U/ML |
0250 |
14.57 |
14.57 |
4.3709999999999996 |
13.258700000000001 |
10.199 |
4.3709999999999996 |
13.258700000000001 |
10.490399999999999 |
12.384499999999999 |
Carle Eureka Hospital |
1337081305 |
HEPARIN SOD 10000U/10M |
0250 |
16.829999999999998 |
16.829999999999998 |
5.0489999999999995 |
15.315299999999999 |
11.780999999999999 |
5.0489999999999995 |
15.315299999999999 |
12.117599999999998 |
14.305499999999999 |
Carle Eureka Hospital |
1337081306 |
HEPARIN SOD 1000U/VIAL |
J1644 |
0636 |
13.99 |
13.99 |
4.1970000000000001 |
12.7309 |
9.7929999999999993 |
4.1970000000000001 |
12.7309 |
10.072799999999999 |
11.891500000000001 |
Carle Eureka Hospital |
1337081331 |
HYDRALAZINE 20MG/ML |
J0360 |
0636 |
107.65 |
107.65 |
32.295000000000002 |
97.961500000000015 |
75.355000000000004 |
32.295000000000002 |
97.961500000000015 |
77.507999999999996 |
91.502499999999998 |
Carle Eureka Hospital |
1337081338 |
HYDROCO/ACET 5/500MG |
0637 |
3.56 |
3.56 |
1.0680000000000001 |
3.2396000000000003 |
2.492 |
1.0680000000000001 |
3.2396000000000003 |
2.5632000000000001 |
3.0259999999999998 |
Carle Eureka Hospital |
1337081342 |
HYDROCORT 100MG/2ML |
J1720 |
0636 |
21.02 |
21.02 |
6.306 |
19.1282 |
14.713999999999999 |
6.306 |
19.1282 |
15.134399999999999 |
17.867000000000001 |
Carle Eureka Hospital |
1337081373 |
HYDROXYZINE 50MG/ML |
0250 |
13.99 |
13.99 |
4.1970000000000001 |
12.7309 |
9.7929999999999993 |
4.1970000000000001 |
12.7309 |
10.072799999999999 |
11.891500000000001 |
Carle Eureka Hospital |
1337081383 |
HYPERTONIC NS/EPI SOLN FOR OPM |
0637 |
48.78 |
48.78 |
14.634 |
44.389800000000001 |
34.146000000000001 |
14.634 |
44.389800000000001 |
35.121600000000001 |
41.463000000000001 |
Carle Eureka Hospital |
1337081388 |
IBU SUSP 100MG/5ML UD |
0637 |
6.35 |
6.35 |
1.9049999999999998 |
5.7785000000000002 |
4.4449999999999994 |
1.9049999999999998 |
5.7785000000000002 |
4.5719999999999992 |
5.3975 |
Carle Eureka Hospital |
1337081389 |
IBU SUSP 120ML |
0637 |
0.5 |
0.5 |
0.15 |
0.45500000000000002 |
0.35 |
0.15 |
0.45500000000000002 |
0.36 |
0.42499999999999999 |
Carle Eureka Hospital |
1337081392 |
IBUPROFEN 200MG TAB |
0637 |
0.85 |
0.85 |
0.255 |
0.77349999999999997 |
0.59499999999999997 |
0.255 |
0.77349999999999997 |
0.61199999999999999 |
0.72249999999999992 |
Carle Eureka Hospital |
1337081395 |
IBUPROFEN 800MG TAB |
0637 |
2.3199999999999998 |
2.3199999999999998 |
0.69599999999999995 |
2.1111999999999997 |
1.6239999999999999 |
0.69599999999999995 |
2.1111999999999997 |
1.6703999999999999 |
1.9719999999999998 |
Carle Eureka Hospital |
1337081429 |
INFLUENZA 0.5ML (36mo AND UP) |
90686 |
0636 |
24 |
24 |
7.1999999999999993 |
21.84 |
16.799999999999997 |
7.1999999999999993 |
21.84 |
17.28 |
20.399999999999999 |
Carle Eureka Hospital |
1337081433 |
INSTA-CHAR CHERRY 120 ML |
0637 |
9.6999999999999993 |
9.6999999999999993 |
2.9099999999999997 |
8.827 |
6.7899999999999991 |
2.9099999999999997 |
8.827 |
6.9839999999999991 |
8.2449999999999992 |
Carle Eureka Hospital |
1337081434 |
INSTA-CHAR CHERRY W/SORB 120ML |
0637 |
8.4499999999999993 |
8.4499999999999993 |
2.5349999999999997 |
7.6894999999999998 |
5.9149999999999991 |
2.5349999999999997 |
7.6894999999999998 |
6.0839999999999996 |
7.1824999999999992 |
Carle Eureka Hospital |
1337081435 |
INSTA-GLUC 40% 30GM TUBE |
0637 |
25.36 |
25.36 |
7.6079999999999997 |
23.0776 |
17.751999999999999 |
7.6079999999999997 |
23.0776 |
18.2592 |
21.555999999999997 |
Carle Eureka Hospital |
1337081455 |
IOPIDINE OP 2 PACK |
0637 |
108.24 |
108.24 |
32.471999999999994 |
98.498400000000004 |
75.767999999999986 |
32.471999999999994 |
98.498400000000004 |
77.9328 |
92.003999999999991 |
Carle Eureka Hospital |
1337081466 |
ISOPROTER 1MG/5ML SYRINGE |
0637 |
90.84 |
90.84 |
27.251999999999999 |
82.664400000000001 |
63.588000000000001 |
27.251999999999999 |
82.664400000000001 |
65.404799999999994 |
77.213999999999999 |
Carle Eureka Hospital |
1337081485 |
KETOROLAC 10MG TAB |
0637 |
7.27 |
7.27 |
2.1809999999999996 |
6.6156999999999995 |
5.0889999999999995 |
2.1809999999999996 |
6.6156999999999995 |
5.2343999999999999 |
6.1794999999999991 |
Carle Eureka Hospital |
1337081488 |
KETOROLAC 30MG VIAL |
J1885 |
0636 |
38.06 |
38.06 |
11.418000000000001 |
34.634600000000006 |
26.641999999999999 |
11.418000000000001 |
34.634600000000006 |
27.403200000000002 |
32.350999999999999 |
Carle Eureka Hospital |
1337081563 |
LIDO 2% W/EPI DENT 1.8ML |
0637 |
13.99 |
13.99 |
4.1970000000000001 |
12.7309 |
9.7929999999999993 |
4.1970000000000001 |
12.7309 |
10.072799999999999 |
11.891500000000001 |
Carle Eureka Hospital |
1337081568 |
LIDO JELLY 2% 30GM TUBE |
0637 |
101.4 |
101.4 |
30.42 |
92.274000000000015 |
70.98 |
30.42 |
92.274000000000015 |
73.007999999999996 |
86.19 |
Carle Eureka Hospital |
1337081572 |
LIDO URO-JET 2% 10ML |
0250 |
55.99 |
55.99 |
16.797000000000001 |
50.950900000000004 |
39.192999999999998 |
16.797000000000001 |
50.950900000000004 |
40.312800000000003 |
47.591500000000003 |
Carle Eureka Hospital |
1337081581 |
LIDOCAINE 1% 20ML MDV |
0250 |
16.940000000000001 |
16.940000000000001 |
5.0819999999999999 |
15.415400000000002 |
11.858000000000001 |
5.0819999999999999 |
15.415400000000002 |
12.1968 |
14.399000000000001 |
Carle Eureka Hospital |
1337081582 |
LIDOCAINE 1% 2ML/AMP |
0250 |
13.99 |
13.99 |
4.1970000000000001 |
12.7309 |
9.7929999999999993 |
4.1970000000000001 |
12.7309 |
10.072799999999999 |
11.891500000000001 |
Carle Eureka Hospital |
1337081583 |
LIDOCAINE 1% 30ML SDV |
0250 |
45.18 |
45.18 |
13.554 |
41.113799999999998 |
31.625999999999998 |
13.554 |
41.113799999999998 |
32.529600000000002 |
38.402999999999999 |
Carle Eureka Hospital |
1337081584 |
LIDOCAINE 1% 50ML MDV |
0250 |
20.79 |
20.79 |
6.2369999999999992 |
18.918900000000001 |
14.552999999999999 |
6.2369999999999992 |
18.918900000000001 |
14.968799999999998 |
17.671499999999998 |
Carle Eureka Hospital |
1337081585 |
LIDOCAINE 1% 5ML TEARTOP |
0250 |
13.99 |
13.99 |
4.1970000000000001 |
12.7309 |
9.7929999999999993 |
4.1970000000000001 |
12.7309 |
10.072799999999999 |
11.891500000000001 |
Carle Eureka Hospital |
1337081588 |
LIDOCAINE 2% 50ML MDV |
0250 |
23.73 |
23.73 |
7.1189999999999998 |
21.5943 |
16.611000000000001 |
7.1189999999999998 |
21.5943 |
17.085599999999999 |
20.170500000000001 |
Carle Eureka Hospital |
1337081589 |
LIDOCAINE 2% 5ML SDV |
0250 |
13.99 |
13.99 |
4.1970000000000001 |
12.7309 |
9.7929999999999993 |
4.1970000000000001 |
12.7309 |
10.072799999999999 |
11.891500000000001 |
Carle Eureka Hospital |
1337081591 |
LIDOCAINE 4% 5ML/AMP |
0250 |
34.880000000000003 |
34.880000000000003 |
10.464 |
31.740800000000004 |
24.416 |
10.464 |
31.740800000000004 |
25.113600000000002 |
29.648 |
Carle Eureka Hospital |
1337081592 |
LIDOCAINE 4% ANESTH CRM 56M |
0250 |
43.07 |
43.07 |
12.920999999999999 |
39.1937 |
30.148999999999997 |
12.920999999999999 |
39.1937 |
31.010400000000001 |
36.609499999999997 |
Carle Eureka Hospital |
1337081626 |
LORAZEPAM 2MG/ML |
J2060 |
0636 |
80.5 |
80.5 |
24.15 |
73.254999999999995 |
56.349999999999994 |
24.15 |
73.254999999999995 |
57.96 |
68.424999999999997 |
Carle Eureka Hospital |
1337081656 |
LYMPHAZURIN 1% 5ML VIAL |
0250 |
532.07000000000005 |
532.07000000000005 |
159.62100000000001 |
484.18370000000004 |
372.44900000000001 |
159.62100000000001 |
484.18370000000004 |
383.09040000000005 |
452.2595 |
Carle Eureka Hospital |
1337081670 |
MAG SULF 50% 8.12MEQ/2M |
J3475 |
0636 |
13.99 |
13.99 |
4.1970000000000001 |
12.7309 |
9.7929999999999993 |
4.1970000000000001 |
12.7309 |
10.072799999999999 |
11.891500000000001 |
Carle Eureka Hospital |
1337081690 |
MECLIZINE 25MG TAB |
0637 |
3.29 |
3.29 |
0.98699999999999999 |
2.9939 |
2.3029999999999999 |
0.98699999999999999 |
2.9939 |
2.3687999999999998 |
2.7965 |
Carle Eureka Hospital |
1337081699 |
MEPENZOLATE 25MG TAB |
0637 |
5 |
5 |
1.5 |
4.55 |
3.5 |
1.5 |
4.55 |
3.5999999999999996 |
4.25 |
Carle Eureka Hospital |
1337081702 |
MEPERIDINE 100MG/ML |
J2175 |
0636 |
20.73 |
20.73 |
6.2190000000000003 |
18.8643 |
14.510999999999999 |
6.2190000000000003 |
18.8643 |
14.925599999999999 |
17.6205 |
Carle Eureka Hospital |
1337081705 |
MEPERIDINE 50MG/ML |
J2175 |
0250 |
20.73 |
20.73 |
6.2190000000000003 |
18.8643 |
14.510999999999999 |
6.2190000000000003 |
18.8643 |
14.925599999999999 |
17.6205 |
Carle Eureka Hospital |
1337081706 |
MEPERIDINE 75MG/ML |
0250 |
20.73 |
20.73 |
6.2190000000000003 |
18.8643 |
14.510999999999999 |
6.2190000000000003 |
18.8643 |
14.925599999999999 |
17.6205 |
Carle Eureka Hospital |
1337081708 |
MEPIRACAINE |
0250 |
70.14 |
70.14 |
21.041999999999998 |
63.827400000000004 |
49.097999999999999 |
21.041999999999998 |
63.827400000000004 |
50.500799999999998 |
59.619 |
Carle Eureka Hospital |
1337081739 |
METHERGINE 0.2MG ML |
0637 |
23.57 |
23.57 |
7.0709999999999997 |
21.448700000000002 |
16.498999999999999 |
7.0709999999999997 |
21.448700000000002 |
16.970399999999998 |
20.034500000000001 |
Carle Eureka Hospital |
1337081758 |
METHYLPRED 125MG VIAL |
J2930 |
0636 |
34.43 |
34.43 |
10.328999999999999 |
31.331300000000002 |
24.100999999999999 |
10.328999999999999 |
31.331300000000002 |
24.7896 |
29.265499999999999 |
Carle Eureka Hospital |
1337081764 |
METHYLPRED 500MG VIAL |
J2930 |
0636 |
121.85 |
121.85 |
36.555 |
110.8835 |
85.294999999999987 |
36.555 |
110.8835 |
87.731999999999999 |
103.57249999999999 |
Carle Eureka Hospital |
1337081768 |
METOCLOPRAMIDE 10MG TAB |
0637 |
4.3499999999999996 |
4.3499999999999996 |
1.3049999999999999 |
3.9584999999999999 |
3.0449999999999995 |
1.3049999999999999 |
3.9584999999999999 |
3.1319999999999997 |
3.6974999999999998 |
Carle Eureka Hospital |
1337081783 |
METRONIDAZOLE 500MG VIAL |
0250 |
128.24 |
128.24 |
38.472000000000001 |
116.69840000000001 |
89.768000000000001 |
38.472000000000001 |
116.69840000000001 |
92.332800000000006 |
109.004 |
Carle Eureka Hospital |
1337081798 |
MIDAZOLAM 10MG/2ML |
0250 |
142.28 |
142.28 |
42.683999999999997 |
129.47480000000002 |
99.595999999999989 |
42.683999999999997 |
129.47480000000002 |
102.44159999999999 |
120.938 |
Carle Eureka Hospital |
1337081800 |
MIDAZOLAM 2MG/2ML |
0250 |
64.709999999999994 |
64.709999999999994 |
19.412999999999997 |
58.886099999999999 |
45.29699999999999 |
19.412999999999997 |
58.886099999999999 |
46.591199999999994 |
55.003499999999995 |
Carle Eureka Hospital |
1337081802 |
MIDAZOLAM 5MG/5ML |
0250 |
74.930000000000007 |
74.930000000000007 |
22.479000000000003 |
68.186300000000003 |
52.451000000000001 |
22.479000000000003 |
68.186300000000003 |
53.949600000000004 |
63.690500000000007 |
Carle Eureka Hospital |
1337081827 |
MOM CONC 10ML=30ML |
0637 |
2.09 |
2.09 |
0.62699999999999989 |
1.9018999999999999 |
1.4629999999999999 |
0.62699999999999989 |
1.9018999999999999 |
1.5047999999999999 |
1.7764999999999997 |
Carle Eureka Hospital |
1337081839 |
MORPHINE 10MG/ML TUBEX |
J2270 |
0636 |
20.73 |
20.73 |
6.2190000000000003 |
18.8643 |
14.510999999999999 |
6.2190000000000003 |
18.8643 |
14.925599999999999 |
17.6205 |
Carle Eureka Hospital |
1337081841 |
MORPHINE 15MG/ML TUBEX |
0250 |
6.06 |
6.06 |
1.8179999999999998 |
5.5145999999999997 |
4.2419999999999991 |
1.8179999999999998 |
5.5145999999999997 |
4.3632 |
5.1509999999999998 |
Carle Eureka Hospital |
1337081849 |
MORPHINE 4MG/ML TUBEX |
J2270 |
0636 |
4.97 |
4.97 |
1.4909999999999999 |
4.5226999999999995 |
3.4789999999999996 |
1.4909999999999999 |
4.5226999999999995 |
3.5783999999999998 |
4.2244999999999999 |
Carle Eureka Hospital |
1337081851 |
MORPHINE 5MG/10ML A |
0250 |
60.98 |
60.98 |
18.293999999999997 |
55.491799999999998 |
42.685999999999993 |
18.293999999999997 |
55.491799999999998 |
43.905599999999993 |
51.832999999999998 |
Carle Eureka Hospital |
1337081856 |
MOTRIN 50MG CHEWTAB |
0637 |
0.61 |
0.61 |
0.183 |
0.55510000000000004 |
0.42699999999999999 |
0.183 |
0.55510000000000004 |
0.43919999999999998 |
0.51849999999999996 |
Carle Eureka Hospital |
1337081892 |
NALBUPHINE 20MG/ML AMP |
J2300 |
0636 |
19.149999999999999 |
19.149999999999999 |
5.7449999999999992 |
17.426500000000001 |
13.404999999999998 |
5.7449999999999992 |
17.426500000000001 |
13.787999999999998 |
16.2775 |
Carle Eureka Hospital |
1337081904 |
NALOXONE 1MG/ML 2ML AMP |
J2310 |
0636 |
44.66 |
44.66 |
13.397999999999998 |
40.640599999999999 |
31.261999999999997 |
13.397999999999998 |
40.640599999999999 |
32.155199999999994 |
37.960999999999999 |
Carle Eureka Hospital |
1337081937 |
NEOSTIG 1:2000 0.5MG/ML |
J2710 |
0636 |
24.24 |
24.24 |
7.2719999999999994 |
22.058399999999999 |
16.967999999999996 |
7.2719999999999994 |
22.058399999999999 |
17.4528 |
20.603999999999999 |
Carle Eureka Hospital |
1337081962 |
NIFEDIPINE 10MG CAP |
0637 |
6.51 |
6.51 |
1.9529999999999998 |
5.9241000000000001 |
4.5569999999999995 |
1.9529999999999998 |
5.9241000000000001 |
4.6871999999999998 |
5.5335000000000001 |
Carle Eureka Hospital |
1337081970 |
NIPRIDE 50MG/ VIAL |
0250 |
92.82 |
92.82 |
27.845999999999997 |
84.466200000000001 |
64.97399999999999 |
27.845999999999997 |
84.466200000000001 |
66.830399999999997 |
78.896999999999991 |
Carle Eureka Hospital |
1337082007 |
NORMODYNE 20MG/4ML SYR |
0250 |
107.02 |
107.02 |
32.105999999999995 |
97.388199999999998 |
74.913999999999987 |
32.105999999999995 |
97.388199999999998 |
77.054400000000001 |
90.966999999999999 |
Carle Eureka Hospital |
1337082099 |
OXYTOCIN 10U/ML VIAL |
J2590 |
0636 |
13.99 |
13.99 |
4.1970000000000001 |
12.7309 |
9.7929999999999993 |
4.1970000000000001 |
12.7309 |
10.072799999999999 |
11.891500000000001 |
Carle Eureka Hospital |
1337082142 |
PERCODAN 1 TAB |
0637 |
7.49 |
7.49 |
2.2469999999999999 |
6.8159000000000001 |
5.2429999999999994 |
2.2469999999999999 |
6.8159000000000001 |
5.3928000000000003 |
6.3665000000000003 |
Carle Eureka Hospital |
1337082153 |
PHENAZOPYRIDINE 100MG TAB |
0637 |
2.5499999999999998 |
2.5499999999999998 |
0.7649999999999999 |
2.3205 |
1.7849999999999997 |
0.7649999999999999 |
2.3205 |
1.8359999999999999 |
2.1675 |
Carle Eureka Hospital |
1337082154 |
PHENAZOPYRIDINE 200MG TAB |
0637 |
4.6900000000000004 |
4.6900000000000004 |
1.407 |
4.2679000000000009 |
3.2829999999999999 |
1.407 |
4.2679000000000009 |
3.3768000000000002 |
3.9865000000000004 |
Carle Eureka Hospital |
1337082159 |
PHENOBARBITAL 130MG/ML |
0637 |
20.51 |
20.51 |
6.1530000000000005 |
18.664100000000001 |
14.356999999999999 |
6.1530000000000005 |
18.664100000000001 |
14.767200000000001 |
17.433500000000002 |
Carle Eureka Hospital |
1337082176 |
PHENYLEPHRINE 10MG/ML AMP |
J2370 |
0636 |
47.9 |
47.9 |
14.37 |
43.588999999999999 |
33.529999999999994 |
14.37 |
43.588999999999999 |
34.488 |
40.714999999999996 |
Carle Eureka Hospital |
1337082188 |
PHYSOSTIGMINE 2MG/2ML AM |
0637 |
53.95 |
53.95 |
16.184999999999999 |
49.094500000000004 |
37.765000000000001 |
16.184999999999999 |
49.094500000000004 |
38.844000000000001 |
45.857500000000002 |
Carle Eureka Hospital |
1337082189 |
PHYTONADIONE 10MG/ML AMP |
J3430 |
0636 |
35.5 |
35.5 |
10.65 |
32.305 |
24.849999999999998 |
10.65 |
32.305 |
25.56 |
30.175000000000001 |
Carle Eureka Hospital |
1337082216 |
PLAVIX 75MG TAB |
0637 |
16.36 |
16.36 |
4.9079999999999995 |
14.887600000000001 |
11.451999999999998 |
4.9079999999999995 |
14.887600000000001 |
11.779199999999999 |
13.905999999999999 |
Carle Eureka Hospital |
1337082218 |
PNEUMOCOCCAL VACC 0.500ML/ML |
90732 |
0636 |
74 |
74 |
22.2 |
67.34 |
51.8 |
22.2 |
67.34 |
53.28 |
62.9 |
Carle Eureka Hospital |
1337082239 |
POTAS CHL 20MEQ/10ML VIAL |
J3480 |
0636 |
50.55 |
50.55 |
15.164999999999999 |
46.000500000000002 |
35.384999999999998 |
15.164999999999999 |
46.000500000000002 |
36.395999999999994 |
42.967499999999994 |
Carle Eureka Hospital |
1337082240 |
POTAS CHL 40MEQ/20ML VIAL |
J3480 |
0636 |
50.44 |
50.44 |
15.131999999999998 |
45.900399999999998 |
35.307999999999993 |
15.131999999999998 |
45.900399999999998 |
36.316799999999994 |
42.873999999999995 |
Carle Eureka Hospital |
1337082289 |
PROCAIN 1000MG/10ML |
J2690 |
0636 |
284.18 |
284.18 |
85.254000000000005 |
258.60380000000004 |
198.92599999999999 |
85.254000000000005 |
258.60380000000004 |
204.6096 |
241.553 |
Carle Eureka Hospital |
1337082299 |
PROCHLORPER 10MG TAB |
0637 |
5.72 |
5.72 |
1.716 |
5.2051999999999996 |
4.0039999999999996 |
1.716 |
5.2051999999999996 |
4.1183999999999994 |
4.8620000000000001 |
Carle Eureka Hospital |
1337082300 |
PROCHLORPER 10MG/2ML |
J0780 |
0636 |
53.33 |
53.33 |
15.998999999999999 |
48.530299999999997 |
37.330999999999996 |
15.998999999999999 |
48.530299999999997 |
38.397599999999997 |
45.330500000000001 |
Carle Eureka Hospital |
1337082322 |
PROMETHAZINE 25MG/ML |
J2550 |
0636 |
18.25 |
18.25 |
5.4749999999999996 |
16.607500000000002 |
12.774999999999999 |
5.4749999999999996 |
16.607500000000002 |
13.139999999999999 |
15.512499999999999 |
Carle Eureka Hospital |
1337082324 |
PROMETHAZINE 50MG/ML |
J2550 |
0636 |
21.36 |
21.36 |
6.4079999999999995 |
19.4376 |
14.951999999999998 |
6.4079999999999995 |
19.4376 |
15.379199999999999 |
18.155999999999999 |
Carle Eureka Hospital |
1337082335 |
PROPRANOLOL 1MG/ML AMP |
J1800 |
0636 |
106.57 |
106.57 |
31.970999999999997 |
96.978700000000003 |
74.59899999999999 |
31.970999999999997 |
96.978700000000003 |
76.730399999999989 |
90.584499999999991 |
Carle Eureka Hospital |
1337082350 |
PROTAMINE 10MG/ML 5ML |
J2720 |
0636 |
139.05000000000001 |
139.05000000000001 |
41.715000000000003 |
126.53550000000001 |
97.335000000000008 |
41.715000000000003 |
126.53550000000001 |
100.116 |
118.19250000000001 |
Carle Eureka Hospital |
1337082398 |
RANITIDINE HCL 150MG TAB |
0637 |
9.49 |
9.49 |
2.847 |
8.6359000000000012 |
6.6429999999999998 |
2.847 |
8.6359000000000012 |
6.8327999999999998 |
8.0664999999999996 |
Carle Eureka Hospital |
1337082409 |
REOPRO 10MG/5ML |
J0130 |
0636 |
1154.3800000000001 |
1154.3800000000001 |
346.31400000000002 |
1050.4858000000002 |
808.06600000000003 |
346.31400000000002 |
1050.4858000000002 |
831.1536000000001 |
981.22300000000007 |
Carle Eureka Hospital |
1337082458 |
SCOPOLAMINE 0.3MG/ML |
0250 |
15.02 |
15.02 |
4.5059999999999993 |
13.668200000000001 |
10.513999999999999 |
4.5059999999999993 |
13.668200000000001 |
10.814399999999999 |
12.766999999999999 |
Carle Eureka Hospital |
1337082486 |
SILVER SULFA 1% 20GM TUBE |
0637 |
32.549999999999997 |
32.549999999999997 |
9.7649999999999988 |
29.6205 |
22.784999999999997 |
9.7649999999999988 |
29.6205 |
23.435999999999996 |
27.667499999999997 |
Carle Eureka Hospital |
1337082504 |
SOD BICARB 8.4% 50ML SYR |
0637 |
14.57 |
14.57 |
4.3709999999999996 |
13.258700000000001 |
10.199 |
4.3709999999999996 |
13.258700000000001 |
10.490399999999999 |
12.384499999999999 |
Carle Eureka Hospital |
1337082506 |
SOD CHL 0.9% 10ML/ML |
0250 |
2.97 |
2.97 |
0.89100000000000001 |
2.7027000000000001 |
2.0790000000000002 |
0.89100000000000001 |
2.7027000000000001 |
2.1383999999999999 |
2.5245000000000002 |
Carle Eureka Hospital |
1337082509 |
SOD CHL 0.9% 30ML/VIAL |
0250 |
1.03 |
1.03 |
0.309 |
0.93730000000000002 |
0.72099999999999997 |
0.309 |
0.93730000000000002 |
0.74160000000000004 |
0.87549999999999994 |
Carle Eureka Hospital |
1337082517 |
SOD TETRADECYL 2ML/VIAL |
0250 |
147.26 |
147.26 |
44.177999999999997 |
134.00659999999999 |
103.08199999999999 |
44.177999999999997 |
134.00659999999999 |
106.02719999999999 |
125.17099999999999 |
Carle Eureka Hospital |
1337082603 |
TENSILON 10MG/ML AMP |
0250 |
28.03 |
28.03 |
8.4090000000000007 |
25.507300000000001 |
19.620999999999999 |
8.4090000000000007 |
25.507300000000001 |
20.1816 |
23.825500000000002 |
Carle Eureka Hospital |
1337082681 |
TNKASE 50MG VIAL |
J3101 |
0636 |
5872.19 |
5872.19 |
1761.6569999999999 |
5343.6929 |
4110.5329999999994 |
1761.6569999999999 |
5343.6929 |
4227.9767999999995 |
4991.3615 |
Carle Eureka Hospital |
1337082724 |
TRIAMCIN PASTE 0.1% 15GM TUBE |
0637 |
101.18 |
101.18 |
30.353999999999999 |
92.073800000000006 |
70.825999999999993 |
30.353999999999999 |
92.073800000000006 |
72.849599999999995 |
86.003 |
Carle Eureka Hospital |
1337082726 |
TRIAMCINOLONE 200MG/5ML |
0637 |
130.79 |
130.79 |
39.236999999999995 |
119.0189 |
91.552999999999983 |
39.236999999999995 |
119.0189 |
94.16879999999999 |
111.17149999999999 |
Carle Eureka Hospital |
1337082729 |
TRIAMCINOLONE 40MG/ML |
J3301 |
0636 |
45.92 |
45.92 |
13.776 |
41.787200000000006 |
32.143999999999998 |
13.776 |
41.787200000000006 |
33.062399999999997 |
39.032000000000004 |
Carle Eureka Hospital |
1337082741 |
TRIGGER POINT INJ FOR OPM |
0250 |
41.33 |
41.33 |
12.398999999999999 |
37.610300000000002 |
28.930999999999997 |
12.398999999999999 |
37.610300000000002 |
29.757599999999996 |
35.130499999999998 |
Carle Eureka Hospital |
1337082751 |
TRIMETHOBEN 200MG/2ML |
J3250 |
0636 |
30.3 |
30.3 |
9.09 |
27.573 |
21.21 |
9.09 |
27.573 |
21.815999999999999 |
25.754999999999999 |
Carle Eureka Hospital |
1337082766 |
TUBERCULIN 0.500ML/ML |
0250 |
25.65 |
25.65 |
7.6949999999999994 |
23.3415 |
17.954999999999998 |
7.6949999999999994 |
23.3415 |
18.468 |
21.802499999999998 |
Carle Eureka Hospital |
1337082803 |
VECURONIUM 100MG/10ML |
0250 |
150.25 |
150.25 |
45.074999999999996 |
136.72749999999999 |
105.175 |
45.074999999999996 |
136.72749999999999 |
108.17999999999999 |
127.71249999999999 |
Carle Eureka Hospital |
1337082822 |
VICODIN ES 7.5/750MG |
0637 |
3.93 |
3.93 |
1.179 |
3.5763000000000003 |
2.7509999999999999 |
1.179 |
3.5763000000000003 |
2.8296000000000001 |
3.3405 |
Carle Eureka Hospital |
1337082867 |
WATER 10ML |
0250 |
2.66 |
2.66 |
0.79800000000000004 |
2.4206000000000003 |
1.8619999999999999 |
0.79800000000000004 |
2.4206000000000003 |
1.9152 |
2.2610000000000001 |
Carle Eureka Hospital |
1337082899 |
ZOFRAN 4MG/2ML INJ VIAL |
J2405 |
0636 |
140.79 |
140.79 |
42.236999999999995 |
128.1189 |
98.552999999999983 |
42.236999999999995 |
128.1189 |
101.36879999999999 |
119.67149999999999 |
Carle Eureka Hospital |
1337082912 |
ACTIQ 200 MCG LOLLIPOP |
0637 |
7.43 |
7.43 |
2.2289999999999996 |
6.7613000000000003 |
5.2009999999999996 |
2.2289999999999996 |
6.7613000000000003 |
5.3495999999999997 |
6.3154999999999992 |
Carle Eureka Hospital |
1337083050 |
PITOCIN BAG (LR W PITOCIN 10 U |
0258 |
82.5 |
82.5 |
24.75 |
75.075000000000003 |
57.749999999999993 |
24.75 |
75.075000000000003 |
59.4 |
70.125 |
Carle Eureka Hospital |
1337084534 |
WELLNESS FAIR TETNUS INJ W ADM |
0250 |
50 |
50 |
15 |
45.5 |
35 |
15 |
45.5 |
36 |
42.5 |
Carle Eureka Hospital |
1337520067 |
BAG LIFECARE FLEX 1000ML |
0272 |
112 |
112 |
33.6 |
101.92 |
78.399999999999991 |
33.6 |
101.92 |
80.64 |
95.2 |
Carle Eureka Hospital |
1337520068 |
BAG LIFECARE FLEX 250ML |
0272 |
84 |
84 |
25.2 |
76.44 |
58.8 |
25.2 |
76.44 |
60.48 |
71.399999999999991 |
Carle Eureka Hospital |
1337520069 |
BAG LIFECARE FLEX 500ML |
0272 |
111 |
111 |
33.299999999999997 |
101.01 |
77.699999999999989 |
33.299999999999997 |
101.01 |
79.92 |
94.35 |
Carle Eureka Hospital |
1337520430 |
BOTTLE EMPTY EVAC 250ML |
0272 |
102 |
102 |
30.599999999999998 |
92.820000000000007 |
71.399999999999991 |
30.599999999999998 |
92.820000000000007 |
73.44 |
86.7 |
Carle Eureka Hospital |
1337520523 |
FREEAMINE HBC 6.9% 1000ML |
0272 |
67 |
67 |
20.099999999999998 |
60.97 |
46.9 |
20.099999999999998 |
60.97 |
48.239999999999995 |
56.949999999999996 |
Carle Eureka Hospital |
1337520726 |
LIFECARE 2000ML W/Y TRANS 3000 |
0272 |
423 |
423 |
126.89999999999999 |
384.93 |
296.09999999999997 |
126.89999999999999 |
384.93 |
304.56 |
359.55 |
Carle Eureka Hospital |
1337520919 |
CARTRIDGE PCA |
0272 |
86 |
86 |
25.8 |
78.260000000000005 |
60.199999999999996 |
25.8 |
78.260000000000005 |
61.919999999999995 |
73.099999999999994 |
Carle Eureka Hospital |
1337580059 |
ADVANTAGE D5W 100ML |
0258 |
88 |
88 |
26.4 |
80.08 |
61.599999999999994 |
26.4 |
80.08 |
63.36 |
74.8 |
Carle Eureka Hospital |
1337580060 |
ADVANTAGE D5W 250ML |
0258 |
106 |
106 |
31.799999999999997 |
96.460000000000008 |
74.199999999999989 |
31.799999999999997 |
96.460000000000008 |
76.319999999999993 |
90.1 |
Carle Eureka Hospital |
1337580061 |
ADVANTAGE D5W 50ML |
0258 |
71 |
71 |
21.3 |
64.61 |
49.699999999999996 |
21.3 |
64.61 |
51.12 |
60.35 |
Carle Eureka Hospital |
1337580062 |
ADVANTAGE NS 100ML |
0258 |
88 |
88 |
26.4 |
80.08 |
61.599999999999994 |
26.4 |
80.08 |
63.36 |
74.8 |
Carle Eureka Hospital |
1337580063 |
ADVANTAGE NS 50ML |
0258 |
93 |
93 |
27.9 |
84.63000000000001 |
65.099999999999994 |
27.9 |
84.63000000000001 |
66.959999999999994 |
79.05 |
Carle Eureka Hospital |
1337580064 |
ADVANTAGE SODIUM CHL 0.9% 250M |
0258 |
112 |
112 |
33.6 |
101.92 |
78.399999999999991 |
33.6 |
101.92 |
80.64 |
95.2 |
Carle Eureka Hospital |
1337580088 |
ALCOHOL 10% & DEXTROSE 5% 100M |
0258 |
158 |
158 |
47.4 |
143.78 |
110.6 |
47.4 |
143.78 |
113.75999999999999 |
134.29999999999998 |
Carle Eureka Hospital |
1337580091 |
ALCOHOL 5% IN DEX 5% 1000ML |
0258 |
139 |
139 |
41.699999999999996 |
126.49000000000001 |
97.3 |
41.699999999999996 |
126.49000000000001 |
100.08 |
118.14999999999999 |
Carle Eureka Hospital |
1337580092 |
ALCOHOL 5% IN WATER 1000 ML |
0258 |
139 |
139 |
41.699999999999996 |
126.49000000000001 |
97.3 |
41.699999999999996 |
126.49000000000001 |
100.08 |
118.14999999999999 |
Carle Eureka Hospital |
1337580136 |
AMINOSYN 10% 500ML BOTT |
0258 |
334 |
334 |
100.2 |
303.94 |
233.79999999999998 |
100.2 |
303.94 |
240.48 |
283.89999999999998 |
Carle Eureka Hospital |
1337580137 |
AMINOSYN 3.5% 1000ML IVB |
0258 |
224 |
224 |
67.2 |
203.84 |
156.79999999999998 |
67.2 |
203.84 |
161.28 |
190.4 |
Carle Eureka Hospital |
1337580138 |
AMINOSYN 7% 500ML BOTT |
0258 |
276 |
276 |
82.8 |
251.16 |
193.2 |
82.8 |
251.16 |
198.72 |
234.6 |
Carle Eureka Hospital |
1337580139 |
AMINOSYN 8.5% 500ML BOTT |
0258 |
307 |
307 |
92.1 |
279.37 |
214.89999999999998 |
92.1 |
279.37 |
221.04 |
260.95 |
Carle Eureka Hospital |
1337580361 |
BRETYLIUM TOSYLATE/DEXTRO 5% |
0258 |
462 |
462 |
138.6 |
420.42 |
323.39999999999998 |
138.6 |
420.42 |
332.64 |
392.7 |
Carle Eureka Hospital |
1337580571 |
CIPRO 200MG/D5W 100ML |
0258 |
96 |
96 |
28.799999999999997 |
87.36 |
67.199999999999989 |
28.799999999999997 |
87.36 |
69.12 |
81.599999999999994 |
Carle Eureka Hospital |
1337580573 |
CIPRO 400MG/D5W 200ML |
0258 |
188 |
188 |
56.4 |
171.08 |
131.6 |
56.4 |
171.08 |
135.35999999999999 |
159.79999999999998 |
Carle Eureka Hospital |
1337580707 |
DEX 5% 50ML BTL |
0258 |
133 |
133 |
39.9 |
121.03 |
93.1 |
39.9 |
121.03 |
95.759999999999991 |
113.05 |
Carle Eureka Hospital |
1337580770 |
DEX 10% 1000ML BTL |
0258 |
100 |
100 |
30 |
91 |
70 |
30 |
91 |
72 |
85 |
Carle Eureka Hospital |
1337580771 |
DEX 10% 500ML BTL |
0258 |
106 |
106 |
31.799999999999997 |
96.460000000000008 |
74.199999999999989 |
31.799999999999997 |
96.460000000000008 |
76.319999999999993 |
90.1 |
Carle Eureka Hospital |
1337580772 |
DEX 10% PART FILL 1000ML BAG |
0258 |
106 |
106 |
31.799999999999997 |
96.460000000000008 |
74.199999999999989 |
31.799999999999997 |
96.460000000000008 |
76.319999999999993 |
90.1 |
Carle Eureka Hospital |
1337580773 |
DEX 2.5% 0.45 NS 1000 ML |
0258 |
45 |
45 |
13.5 |
40.950000000000003 |
31.499999999999996 |
13.5 |
40.950000000000003 |
32.4 |
38.25 |
Carle Eureka Hospital |
1337580774 |
DEX 20% / WATER 500ML |
0258 |
130 |
130 |
39 |
118.3 |
91 |
39 |
118.3 |
93.6 |
110.5 |
Carle Eureka Hospital |
1337580775 |
DEX 20% 500ML BTL |
0258 |
130 |
130 |
39 |
118.3 |
91 |
39 |
118.3 |
93.6 |
110.5 |
Carle Eureka Hospital |
1337580777 |
DEX 5% 0.225 NS 250 ML BTL |
0258 |
84 |
84 |
25.2 |
76.44 |
58.8 |
25.2 |
76.44 |
60.48 |
71.399999999999991 |
Carle Eureka Hospital |
1337580778 |
DEX 5% 1000ML BAG |
0258 |
73 |
73 |
21.9 |
66.430000000000007 |
51.099999999999994 |
21.9 |
66.430000000000007 |
52.559999999999995 |
62.05 |
Carle Eureka Hospital |
1337580779 |
DEX 5% 100ML BAG |
0258 |
91 |
91 |
27.3 |
82.81 |
63.699999999999996 |
27.3 |
82.81 |
65.52 |
77.349999999999994 |
Carle Eureka Hospital |
1337580780 |
DEX 5% 250ML BAG |
J7060 |
0258 |
73 |
73 |
21.9 |
66.430000000000007 |
51.099999999999994 |
21.9 |
66.430000000000007 |
52.559999999999995 |
62.05 |
Carle Eureka Hospital |
1337580781 |
DEX 5% 250ML BTL |
J7060 |
0258 |
83 |
83 |
24.9 |
75.53 |
58.099999999999994 |
24.9 |
75.53 |
59.76 |
70.55 |
Carle Eureka Hospital |
1337580782 |
DEX 5% 500ML BAG |
0258 |
91 |
91 |
27.3 |
82.81 |
63.699999999999996 |
27.3 |
82.81 |
65.52 |
77.349999999999994 |
Carle Eureka Hospital |
1337580784 |
DEX 5% 50ML BAG |
J7060 |
0258 |
94 |
94 |
28.2 |
85.54 |
65.8 |
28.2 |
85.54 |
67.679999999999993 |
79.899999999999991 |
Carle Eureka Hospital |
1337580785 |
DEX 5% 0.225 NS 1000ML BAG |
0258 |
100 |
100 |
30 |
91 |
70 |
30 |
91 |
72 |
85 |
Carle Eureka Hospital |
1337580786 |
DEX 5% 0.225% NS 250ML BAG |
0258 |
84 |
84 |
25.2 |
76.44 |
58.8 |
25.2 |
76.44 |
60.48 |
71.399999999999991 |
Carle Eureka Hospital |
1337580787 |
DEX 5% IN 0.225% NS 500ML BAG |
0258 |
85 |
85 |
25.5 |
77.350000000000009 |
59.499999999999993 |
25.5 |
77.350000000000009 |
61.199999999999996 |
72.25 |
Carle Eureka Hospital |
1337580788 |
DEX 5% IN 0.45% NS 1000ML BAG |
0258 |
94 |
94 |
28.2 |
85.54 |
65.8 |
28.2 |
85.54 |
67.679999999999993 |
79.899999999999991 |
Carle Eureka Hospital |
1337580789 |
DEX 5% IN 0.45% NS 500ML BAG |
0258 |
85 |
85 |
25.5 |
77.350000000000009 |
59.499999999999993 |
25.5 |
77.350000000000009 |
61.199999999999996 |
72.25 |
Carle Eureka Hospital |
1337580790 |
DEX 5% KCL 20MEQ 1000ML BAG |
0258 |
117 |
117 |
35.1 |
106.47 |
81.899999999999991 |
35.1 |
106.47 |
84.24 |
99.45 |
Carle Eureka Hospital |
1337580791 |
DEX 5% LACTATED RING 1000ML BA |
0258 |
114 |
114 |
34.199999999999996 |
103.74000000000001 |
79.8 |
34.199999999999996 |
103.74000000000001 |
82.08 |
96.899999999999991 |
Carle Eureka Hospital |
1337580792 |
DEX 5% LACTATED RING 500ML BAG |
0258 |
95 |
95 |
28.5 |
86.45 |
66.5 |
28.5 |
86.45 |
68.399999999999991 |
80.75 |
Carle Eureka Hospital |
1337580793 |
DEX 5% NS 0.9% 1000ML BAG |
0258 |
91 |
91 |
27.3 |
82.81 |
63.699999999999996 |
27.3 |
82.81 |
65.52 |
77.349999999999994 |
Carle Eureka Hospital |
1337580794 |
DEX 5% NS 0.9% 500ML BAG |
0258 |
77 |
77 |
23.099999999999998 |
70.070000000000007 |
53.9 |
23.099999999999998 |
70.070000000000007 |
55.44 |
65.45 |
Carle Eureka Hospital |
1337580795 |
DEX 5% 1/4 NS W/K 10mEq 1000ML |
0258 |
143 |
143 |
42.9 |
130.13 |
100.1 |
42.9 |
130.13 |
102.96 |
121.55 |
Carle Eureka Hospital |
1337580796 |
DEX 5%-0.225%NS W/KCL 20M 1000 |
0258 |
143 |
143 |
42.9 |
130.13 |
100.1 |
42.9 |
130.13 |
102.96 |
121.55 |
Carle Eureka Hospital |
1337580797 |
DEX 5%-0.225%NS W/KCL 30M 1000 |
0258 |
143 |
143 |
42.9 |
130.13 |
100.1 |
42.9 |
130.13 |
102.96 |
121.55 |
Carle Eureka Hospital |
1337580798 |
DEX 5%-0.225%NS W/KCL 40 1000 |
0258 |
143 |
143 |
42.9 |
130.13 |
100.1 |
42.9 |
130.13 |
102.96 |
121.55 |
Carle Eureka Hospital |
1337580799 |
DEX 5%-0.45%NS W/KCL 10ME 1000 |
0258 |
143 |
143 |
42.9 |
130.13 |
100.1 |
42.9 |
130.13 |
102.96 |
121.55 |
Carle Eureka Hospital |
1337580800 |
DEX 5%-0.45%NS W/KCL 20ME 1000 |
0258 |
135 |
135 |
40.5 |
122.85000000000001 |
94.5 |
40.5 |
122.85000000000001 |
97.2 |
114.75 |
Carle Eureka Hospital |
1337580801 |
DEX 5%-0.45%NS W/KCL 30ME 1000 |
0258 |
135 |
135 |
40.5 |
122.85000000000001 |
94.5 |
40.5 |
122.85000000000001 |
97.2 |
114.75 |
Carle Eureka Hospital |
1337580802 |
DEX 5%-0.45%NS W/KCL 40ME 1000 |
0258 |
109 |
109 |
32.699999999999996 |
99.19 |
76.3 |
32.699999999999996 |
99.19 |
78.48 |
92.649999999999991 |
Carle Eureka Hospital |
1337580803 |
DEX 5%-0.9%NS W/KCL 20MEQ 1000 |
0258 |
187 |
187 |
56.1 |
170.17000000000002 |
130.9 |
56.1 |
170.17000000000002 |
134.63999999999999 |
158.94999999999999 |
Carle Eureka Hospital |
1337580804 |
DEX 5%-LR W/KCL 20MEQ 1000 |
0258 |
203 |
203 |
60.9 |
184.73000000000002 |
142.1 |
60.9 |
184.73000000000002 |
146.16 |
172.54999999999998 |
Carle Eureka Hospital |
1337580805 |
DEX 50% 500ML BOTT |
0258 |
239 |
239 |
71.7 |
217.49 |
167.29999999999998 |
71.7 |
217.49 |
172.07999999999998 |
203.15 |
Carle Eureka Hospital |
1337580806 |
DEX 50% PART FILL 500ML BAG |
0258 |
239 |
239 |
71.7 |
217.49 |
167.29999999999998 |
71.7 |
217.49 |
172.07999999999998 |
203.15 |
Carle Eureka Hospital |
1337580807 |
DEX 70% 250ML BOTT |
0258 |
241 |
241 |
72.3 |
219.31 |
168.7 |
72.3 |
219.31 |
173.51999999999998 |
204.85 |
Carle Eureka Hospital |
1337580808 |
DEX 70% PART FILL 500ML IVBA |
0258 |
371 |
371 |
111.3 |
337.61 |
259.7 |
111.3 |
337.61 |
267.12 |
315.34999999999997 |
Carle Eureka Hospital |
1337580851 |
DIFLUCAN 200MG/NS 100ML |
0258 |
459 |
459 |
137.69999999999999 |
417.69 |
321.29999999999995 |
137.69999999999999 |
417.69 |
330.47999999999996 |
390.15 |
Carle Eureka Hospital |
1337580852 |
DIFLUCAN 400MG/NS 200ML |
0258 |
418 |
418 |
125.39999999999999 |
380.38 |
292.59999999999997 |
125.39999999999999 |
380.38 |
300.95999999999998 |
355.3 |
Carle Eureka Hospital |
1337580945 |
DOPAMINE 400MG/500ML D5W BAG |
0258 |
252 |
252 |
75.599999999999994 |
229.32000000000002 |
176.39999999999998 |
75.599999999999994 |
229.32000000000002 |
181.44 |
214.2 |
Carle Eureka Hospital |
1337580947 |
DOPAMINE PREMIX 400MG/250ML |
0258 |
221 |
221 |
66.3 |
201.11 |
154.69999999999999 |
66.3 |
201.11 |
159.12 |
187.85 |
Carle Eureka Hospital |
1337580948 |
DOPAMINE PREMIX 800MG/250ML |
0258 |
361 |
361 |
108.3 |
328.51 |
252.7 |
108.3 |
328.51 |
259.92 |
306.84999999999997 |
Carle Eureka Hospital |
1337581128 |
FLAGYL 500MG/NS 100ML |
0258 |
72 |
72 |
21.599999999999998 |
65.52 |
50.4 |
21.599999999999998 |
65.52 |
51.839999999999996 |
61.199999999999996 |
Carle Eureka Hospital |
1337581188 |
FREAMINE HBC 6.9% 750ML BOTT |
0258 |
615 |
615 |
184.5 |
559.65 |
430.5 |
184.5 |
559.65 |
442.8 |
522.75 |
Carle Eureka Hospital |
1337581189 |
FREAMINE III 8.5% 500ML BOTT |
0258 |
533 |
533 |
159.9 |
485.03000000000003 |
373.09999999999997 |
159.9 |
485.03000000000003 |
383.76 |
453.05 |
Carle Eureka Hospital |
1337581293 |
HEPARIN 1000U/NS 500ML PRE-MIX |
0258 |
81 |
81 |
24.3 |
73.710000000000008 |
56.699999999999996 |
24.3 |
73.710000000000008 |
58.32 |
68.849999999999994 |
Carle Eureka Hospital |
1337581294 |
HEPARIN 25,000 U /0.45% NS 250 |
0258 |
91 |
91 |
27.3 |
82.81 |
63.699999999999996 |
27.3 |
82.81 |
65.52 |
77.349999999999994 |
Carle Eureka Hospital |
1337581310 |
HEPATAMINE 8% 500ML BAG |
0258 |
361 |
361 |
108.3 |
328.51 |
252.7 |
108.3 |
328.51 |
259.92 |
306.84999999999997 |
Carle Eureka Hospital |
1337581312 |
HESPAN 6000MG /0.9% NS 500ML B |
0258 |
467 |
467 |
140.1 |
424.97 |
326.89999999999998 |
140.1 |
424.97 |
336.24 |
396.95 |
Carle Eureka Hospital |
1337581416 |
IMPERSOL W/DEX 4.25% 2000 ML |
0258 |
24 |
24 |
7.1999999999999993 |
21.84 |
16.799999999999997 |
7.1999999999999993 |
21.84 |
17.28 |
20.399999999999999 |
Carle Eureka Hospital |
1337581432 |
INPERSOL W/DEX 1.5% 1000 ML |
0258 |
26 |
26 |
7.8 |
23.66 |
18.2 |
7.8 |
23.66 |
18.72 |
22.099999999999998 |
Carle Eureka Hospital |
1337581453 |
IONOSOL B IN D5 1000 L |
0258 |
19 |
19 |
5.7 |
17.29 |
13.299999999999999 |
5.7 |
17.29 |
13.68 |
16.149999999999999 |
Carle Eureka Hospital |
1337581454 |
IONOSOL G INVERT SUGAR 10% 100 |
0258 |
19 |
19 |
5.7 |
17.29 |
13.299999999999999 |
5.7 |
17.29 |
13.68 |
16.149999999999999 |
Carle Eureka Hospital |
1337581503 |
LACTATED RINGERS 1000 INJ GLAS |
0258 |
9 |
9 |
2.6999999999999997 |
8.19 |
6.3 |
2.6999999999999997 |
8.19 |
6.4799999999999995 |
7.6499999999999995 |
Carle Eureka Hospital |
1337581504 |
LACTATED RINGERS 1000ML BAG |
0258 |
100 |
100 |
30 |
91 |
70 |
30 |
91 |
72 |
85 |
Carle Eureka Hospital |
1337581505 |
LACTATED RINGERS 1000ML IRR |
0258 |
113 |
113 |
33.9 |
102.83 |
79.099999999999994 |
33.9 |
102.83 |
81.36 |
96.05 |
Carle Eureka Hospital |
1337581506 |
LACTATED RINGERS 500ML BAG |
0258 |
93 |
93 |
27.9 |
84.63000000000001 |
65.099999999999994 |
27.9 |
84.63000000000001 |
66.959999999999994 |
79.05 |
Carle Eureka Hospital |
1337581528 |
LEVAQUIN 500MG/100ML |
J1956 |
0636 |
201 |
201 |
60.3 |
182.91 |
140.69999999999999 |
60.3 |
182.91 |
144.72 |
170.85 |
Carle Eureka Hospital |
1337581578 |
LIDOCAINE 0.4% D5W 250ML BOTT |
0258 |
121 |
121 |
36.299999999999997 |
110.11 |
84.699999999999989 |
36.299999999999997 |
110.11 |
87.11999999999999 |
102.85 |
Carle Eureka Hospital |
1337581603 |
LIPOSYN II 20% 200ML BOTT |
0258 |
481 |
481 |
144.29999999999998 |
437.71000000000004 |
336.7 |
144.29999999999998 |
437.71000000000004 |
346.32 |
408.84999999999997 |
Carle Eureka Hospital |
1337581604 |
LIPOSYN II 20% 500ML BOTT |
0258 |
655 |
655 |
196.5 |
596.05000000000007 |
458.49999999999994 |
196.5 |
596.05000000000007 |
471.59999999999997 |
556.75 |
Carle Eureka Hospital |
1337581613 |
LMD 10% DEX 5% 500ML BOTT |
J7100 |
0636 |
469 |
469 |
140.69999999999999 |
426.79 |
328.29999999999995 |
140.69999999999999 |
426.79 |
337.68 |
398.65 |
Carle Eureka Hospital |
1337581614 |
LMD 10% IN NS 500ML |
0258 |
480 |
480 |
144 |
436.8 |
336 |
144 |
436.8 |
345.59999999999997 |
408 |
Carle Eureka Hospital |
1337581665 |
MAG SULF 1GM/D5W 100ML |
0258 |
45 |
45 |
13.5 |
40.950000000000003 |
31.499999999999996 |
13.5 |
40.950000000000003 |
32.4 |
38.25 |
Carle Eureka Hospital |
1337581666 |
MAG SULF 40GM/1000ML VIA |
0258 |
66 |
66 |
19.8 |
60.06 |
46.199999999999996 |
19.8 |
60.06 |
47.519999999999996 |
56.1 |
Carle Eureka Hospital |
1337581667 |
MAG SULF 4GM BOLUS 50ML |
0258 |
47 |
47 |
14.1 |
42.77 |
32.9 |
14.1 |
42.77 |
33.839999999999996 |
39.949999999999996 |
Carle Eureka Hospital |
1337581677 |
MANNITOL 10% 1000ML BAG |
0258 |
590 |
590 |
177 |
536.9 |
413 |
177 |
536.9 |
424.8 |
501.5 |
Carle Eureka Hospital |
1337581678 |
MANNITOL 20% 500ML IVBT |
0258 |
593 |
593 |
177.9 |
539.63 |
415.09999999999997 |
177.9 |
539.63 |
426.96 |
504.05 |
Carle Eureka Hospital |
1337581945 |
NEPHRAMINE 5.4% 250 ML |
0258 |
58 |
58 |
17.399999999999999 |
52.78 |
40.599999999999994 |
17.399999999999999 |
52.78 |
41.76 |
49.3 |
Carle Eureka Hospital |
1337581946 |
NEPHRAMINE 5.4% 250ML |
0258 |
547 |
547 |
164.1 |
497.77000000000004 |
382.9 |
164.1 |
497.77000000000004 |
393.84 |
464.95 |
Carle Eureka Hospital |
1337581979 |
NITRO 50MG DEX 5% 500ML BOTT |
0258 |
113 |
113 |
33.9 |
102.83 |
79.099999999999994 |
33.9 |
102.83 |
81.36 |
96.05 |
Carle Eureka Hospital |
1337581983 |
NITRO QUAD STR 100MG/250ML |
0258 |
166 |
166 |
49.8 |
151.06 |
116.19999999999999 |
49.8 |
151.06 |
119.52 |
141.1 |
Carle Eureka Hospital |
1337582008 |
NORMOSOL R PH7.4 1000ML |
0258 |
98 |
98 |
29.4 |
89.18 |
68.599999999999994 |
29.4 |
89.18 |
70.56 |
83.3 |
Carle Eureka Hospital |
1337582009 |
NORMOSOL-M/DEX 5% 1000ML BOT |
0258 |
164 |
164 |
49.199999999999996 |
149.24 |
114.8 |
49.199999999999996 |
149.24 |
118.08 |
139.4 |
Carle Eureka Hospital |
1337582010 |
NORMOSOL-M/DEX 5% 500ML BAG |
0258 |
141 |
141 |
42.3 |
128.31 |
98.699999999999989 |
42.3 |
128.31 |
101.52 |
119.85 |
Carle Eureka Hospital |
1337582011 |
NORMOSOL-R 1000ML BAG |
0258 |
164 |
164 |
49.199999999999996 |
149.24 |
114.8 |
49.199999999999996 |
149.24 |
118.08 |
139.4 |
Carle Eureka Hospital |
1337582012 |
NORMOSOL-R/DEX 5% 1000ML BAG |
0258 |
164 |
164 |
49.199999999999996 |
149.24 |
114.8 |
49.199999999999996 |
149.24 |
118.08 |
139.4 |
Carle Eureka Hospital |
1337582021 |
NS 0.45% 1000ML BAG |
0258 |
88 |
88 |
26.4 |
80.08 |
61.599999999999994 |
26.4 |
80.08 |
63.36 |
74.8 |
Carle Eureka Hospital |
1337582022 |
NS 0.45% 2000ML |
0258 |
7 |
7 |
2.1 |
6.37 |
4.8999999999999995 |
2.1 |
6.37 |
5.04 |
5.95 |
Carle Eureka Hospital |
1337582023 |
NS 0.9 1000 IRRIG |
0250 |
74 |
74 |
22.2 |
67.34 |
51.8 |
22.2 |
67.34 |
53.28 |
62.9 |
Carle Eureka Hospital |
1337582024 |
NS 0.9 250 IRRIG |
0250 |
93 |
93 |
27.9 |
84.63000000000001 |
65.099999999999994 |
27.9 |
84.63000000000001 |
66.959999999999994 |
79.05 |
Carle Eureka Hospital |
1337582025 |
NS 0.9% 1000ML BAG |
0258 |
88 |
88 |
26.4 |
80.08 |
61.599999999999994 |
26.4 |
80.08 |
63.36 |
74.8 |
Carle Eureka Hospital |
1337582026 |
NS 0.9% 100ML BAG |
0258 |
59 |
59 |
17.7 |
53.690000000000005 |
41.3 |
17.7 |
53.690000000000005 |
42.48 |
50.15 |
Carle Eureka Hospital |
1337582027 |
NS 0.9% 250ML BAG |
0258 |
77 |
77 |
23.099999999999998 |
70.070000000000007 |
53.9 |
23.099999999999998 |
70.070000000000007 |
55.44 |
65.45 |
Carle Eureka Hospital |
1337582028 |
NS 0.9% 250ML IVBT |
0258 |
82 |
82 |
24.599999999999998 |
74.62 |
57.4 |
24.599999999999998 |
74.62 |
59.04 |
69.7 |
Carle Eureka Hospital |
1337582029 |
NS 0.9% 500ML BAG |
J7040 |
0636 |
90 |
90 |
27 |
81.900000000000006 |
62.999999999999993 |
27 |
81.900000000000006 |
64.8 |
76.5 |
Carle Eureka Hospital |
1337582030 |
NS 0.9% 50ML BAG |
0258 |
59 |
59 |
17.7 |
53.690000000000005 |
41.3 |
17.7 |
53.690000000000005 |
42.48 |
50.15 |
Carle Eureka Hospital |
1337582031 |
NS 0.9% IRRIG 1000ML |
0258 |
58 |
58 |
17.399999999999999 |
52.78 |
40.599999999999994 |
17.399999999999999 |
52.78 |
41.76 |
49.3 |
Carle Eureka Hospital |
1337582032 |
NS 0.9% IRRIG 250ML |
0250 |
93 |
93 |
27.9 |
84.63000000000001 |
65.099999999999994 |
27.9 |
84.63000000000001 |
66.959999999999994 |
79.05 |
Carle Eureka Hospital |
1337582033 |
NS 0.9% IRRIG 3000ML IVG |
0250 |
139 |
139 |
41.699999999999996 |
126.49000000000001 |
97.3 |
41.699999999999996 |
126.49000000000001 |
100.08 |
118.14999999999999 |
Carle Eureka Hospital |
1337582034 |
NS 0.9% IRRIG 500ML IVBT |
0250 |
101 |
101 |
30.299999999999997 |
91.91 |
70.699999999999989 |
30.299999999999997 |
91.91 |
72.72 |
85.85 |
Carle Eureka Hospital |
1337582035 |
NS 0.9% W/KCL 20 1000ML BAG |
0258 |
192 |
192 |
57.599999999999994 |
174.72 |
134.39999999999998 |
57.599999999999994 |
174.72 |
138.24 |
163.19999999999999 |
Carle Eureka Hospital |
1337582036 |
NS 3% 500ML IVBT |
0258 |
72 |
72 |
21.599999999999998 |
65.52 |
50.4 |
21.599999999999998 |
65.52 |
51.839999999999996 |
61.199999999999996 |
Carle Eureka Hospital |
1337582037 |
NS 5% 500 GLASS INJ |
0258 |
96 |
96 |
28.799999999999997 |
87.36 |
67.199999999999989 |
28.799999999999997 |
87.36 |
69.12 |
81.599999999999994 |
Carle Eureka Hospital |
1337582038 |
NS IRRIG 1500ML |
0250 |
123 |
123 |
36.9 |
111.93 |
86.1 |
36.9 |
111.93 |
88.56 |
104.55 |
Carle Eureka Hospital |
1337582283 |
PRIMACOR 20MG/D5W 100ML |
J2260 |
0636 |
448 |
448 |
134.4 |
407.68 |
313.59999999999997 |
134.4 |
407.68 |
322.56 |
380.8 |
Carle Eureka Hospital |
1337582521 |
SODIUM CHLORIDE 0.45 1000CC |
0258 |
93 |
93 |
27.9 |
84.63000000000001 |
65.099999999999994 |
27.9 |
84.63000000000001 |
66.959999999999994 |
79.05 |
Carle Eureka Hospital |
1337582523 |
SODIUM LAC 1/6 MOLAR 1000 GLAS |
0258 |
115 |
115 |
34.5 |
104.65 |
80.5 |
34.5 |
104.65 |
82.8 |
97.75 |
Carle Eureka Hospital |
1337582544 |
STERILE WATER 250ML IRRIG |
0250 |
76 |
76 |
22.8 |
69.16 |
53.199999999999996 |
22.8 |
69.16 |
54.72 |
64.599999999999994 |
Carle Eureka Hospital |
1337582545 |
STERILE WATER 500ML IRRIG |
0250 |
70 |
70 |
21 |
63.7 |
49 |
21 |
63.7 |
50.4 |
59.5 |
Carle Eureka Hospital |
1337582868 |
WATER FOR INJ 250ML IVBT |
0258 |
81 |
81 |
24.3 |
73.710000000000008 |
56.699999999999996 |
24.3 |
73.710000000000008 |
58.32 |
68.849999999999994 |
Carle Eureka Hospital |
1337582869 |
WATER FOR INJ 500ML IVBT |
0258 |
98 |
98 |
29.4 |
89.18 |
68.599999999999994 |
29.4 |
89.18 |
70.56 |
83.3 |
Carle Eureka Hospital |
1337582871 |
WATER FOR IRRIG 1000ML IVB |
0250 |
115 |
115 |
34.5 |
104.65 |
80.5 |
34.5 |
104.65 |
82.8 |
97.75 |
Carle Eureka Hospital |
1337582874 |
WATER STERILE 1000ML IV |
0258 |
96 |
96 |
28.799999999999997 |
87.36 |
67.199999999999989 |
28.799999999999997 |
87.36 |
69.12 |
81.599999999999994 |
Carle Eureka Hospital |
1337582875 |
WATER STERILE 1500ML IRRIG |
0250 |
77 |
77 |
23.099999999999998 |
70.070000000000007 |
53.9 |
23.099999999999998 |
70.070000000000007 |
55.44 |
65.45 |
Carle Eureka Hospital |
1337582876 |
WATER STERILE 2000ML IRRIG |
0250 |
82 |
82 |
24.599999999999998 |
74.62 |
57.4 |
24.599999999999998 |
74.62 |
59.04 |
69.7 |
Carle Eureka Hospital |
1337582877 |
WATER TOPICAL IRRIG 1500 |
0250 |
77 |
77 |
23.099999999999998 |
70.070000000000007 |
53.9 |
23.099999999999998 |
70.070000000000007 |
55.44 |
65.45 |
Carle Eureka Hospital |
1337582883 |
ZANTAC PRE-MIX 50MG/50ML |
0258 |
40 |
40 |
12 |
36.4 |
28 |
12 |
36.4 |
28.799999999999997 |
34 |
Carle Eureka Hospital |
1338000504 |
ANESTHESIA GENERAL EA. MIN. |
0964 |
18 |
18 |
5.3999999999999995 |
16.38 |
12.6 |
5.3999999999999995 |
16.38 |
12.959999999999999 |
15.299999999999999 |
Carle Eureka Hospital |
1338000505 |
ANESTHESIA IV SED EA MIN |
0964 |
15 |
15 |
4.5 |
13.65 |
10.5 |
4.5 |
13.65 |
10.799999999999999 |
12.75 |
Carle Eureka Hospital |
1338000506 |
ANESTHESIA REGIONAL PER MIN |
0964 |
19 |
19 |
5.7 |
17.29 |
13.299999999999999 |
5.7 |
17.29 |
13.68 |
16.149999999999999 |
Carle Eureka Hospital |
1338000510 |
DIAGNOSTIC LUMBAR PUNCTURE |
62270 |
0964 |
275 |
275 |
82.5 |
250.25 |
192.5 |
82.5 |
250.25 |
198 |
233.75 |
Carle Eureka Hospital |
1338000523 |
EPIDURAL BLOOD PATCH PF |
62273 |
0964 |
370 |
370 |
111 |
336.7 |
259 |
111 |
336.7 |
266.39999999999998 |
314.5 |
Carle Eureka Hospital |
1338000525 |
ER INTUBATION |
31500 |
0964 |
787 |
787 |
236.1 |
716.17000000000007 |
550.9 |
236.1 |
716.17000000000007 |
566.64 |
668.94999999999993 |
Carle Eureka Hospital |
1338000559 |
INSERT PICC LINE CENTR PC |
0964 |
483 |
483 |
144.9 |
439.53000000000003 |
338.09999999999997 |
144.9 |
439.53000000000003 |
347.76 |
410.55 |
Carle Eureka Hospital |
1338000680 |
ANESTHESIA MAC EA MIN PF |
0964 |
15 |
15 |
4.5 |
13.65 |
10.5 |
4.5 |
13.65 |
10.799999999999999 |
12.75 |
Carle Eureka Hospital |
1338000687 |
PF PREOP REGIONAL ANES BLOCK |
0964 |
700 |
700 |
210 |
637 |
489.99999999999994 |
210 |
637 |
504 |
595 |
Carle Eureka Hospital |
1338010002 |
1000CC 5% D/LACT RINGERS |
0258 |
88 |
88 |
26.4 |
80.08 |
61.599999999999994 |
26.4 |
80.08 |
63.36 |
74.8 |
Carle Eureka Hospital |
1338010004 |
5% D/LACT RINGERS 500CC |
0370 |
69 |
69 |
20.7 |
62.79 |
48.3 |
20.7 |
62.79 |
49.68 |
58.65 |
Carle Eureka Hospital |
1338010024 |
ANES GENERAL CHG 1ST HR |
0370 |
455 |
455 |
136.5 |
414.05 |
318.5 |
136.5 |
414.05 |
327.59999999999997 |
386.75 |
Carle Eureka Hospital |
1338010025 |
ANES GENERAL EA ADD 1/2 HR |
0370 |
165 |
165 |
49.5 |
150.15 |
115.49999999999999 |
49.5 |
150.15 |
118.8 |
140.25 |
Carle Eureka Hospital |
1338010026 |
ANES REGIONAL 1ST HR |
0370 |
620 |
620 |
186 |
564.20000000000005 |
434 |
186 |
564.20000000000005 |
446.4 |
527 |
Carle Eureka Hospital |
1338010027 |
ANES REGIONAL EA ADD 1/2 HR |
0370 |
325 |
325 |
97.5 |
295.75 |
227.49999999999997 |
97.5 |
295.75 |
234 |
276.25 |
Carle Eureka Hospital |
1338010218 |
HEMODYNAMIC MONITORING/MIN |
0370 |
7 |
7 |
2.1 |
6.37 |
4.8999999999999995 |
2.1 |
6.37 |
5.04 |
5.95 |
Carle Eureka Hospital |
1338010254 |
LACTATED RINGERS 1000 CC |
0258 |
68 |
68 |
20.399999999999999 |
61.88 |
47.599999999999994 |
20.399999999999999 |
61.88 |
48.96 |
57.8 |
Carle Eureka Hospital |
1338010255 |
LACTATED RINGERS 500CC IV |
0258 |
119 |
119 |
35.699999999999996 |
108.29 |
83.3 |
35.699999999999996 |
108.29 |
85.679999999999993 |
101.14999999999999 |
Carle Eureka Hospital |
1338010283 |
MONITORED ANES 1ST HR |
0370 |
290 |
290 |
87 |
263.90000000000003 |
203 |
87 |
263.90000000000003 |
208.79999999999998 |
246.5 |
Carle Eureka Hospital |
1338010284 |
MONITORED ANES EA ADD 1/2 HR |
0370 |
140 |
140 |
42 |
127.4 |
98 |
42 |
127.4 |
100.8 |
119 |
Carle Eureka Hospital |
1338010290 |
NACL 1000CC IV |
0258 |
95 |
95 |
28.5 |
86.45 |
66.5 |
28.5 |
86.45 |
68.399999999999991 |
80.75 |
Carle Eureka Hospital |
1338010468 |
WARMING BLANKET |
0270 |
24 |
24 |
7.1999999999999993 |
21.84 |
16.799999999999997 |
7.1999999999999993 |
21.84 |
17.28 |
20.399999999999999 |
Carle Eureka Hospital |
1338020349 |
TRANSDUCER CVP SETUP |
0272 |
206 |
206 |
61.8 |
187.46 |
144.19999999999999 |
61.8 |
187.46 |
148.32 |
175.1 |
Carle Eureka Hospital |
1338020487 |
TUBES ET ALL SIZES |
0272 |
37 |
37 |
11.1 |
33.67 |
25.9 |
11.1 |
33.67 |
26.64 |
31.45 |
Carle Eureka Hospital |
1338020935 |
SUPPLIES PICC LINE |
0272 |
322 |
322 |
96.6 |
293.02 |
225.39999999999998 |
96.6 |
293.02 |
231.84 |
273.7 |
Carle Eureka Hospital |
1338021044 |
TUBE SALEM SUMP |
0272 |
20 |
20 |
6 |
18.2 |
14 |
6 |
18.2 |
14.399999999999999 |
17 |
Carle Eureka Hospital |
1338021389 |
TRAY EPIDURAL CATHETER |
0272 |
79 |
79 |
23.7 |
71.89 |
55.3 |
23.7 |
71.89 |
56.879999999999995 |
67.149999999999991 |
Carle Eureka Hospital |
1338021394 |
TRAY LUMBAR PUNCTURE |
0272 |
32 |
32 |
9.6 |
29.12 |
22.4 |
9.6 |
29.12 |
23.04 |
27.2 |
Carle Eureka Hospital |
1338021480 |
TRAY PIC |
0272 |
223 |
223 |
66.899999999999991 |
202.93 |
156.1 |
66.899999999999991 |
202.93 |
160.56 |
189.54999999999998 |
Carle Eureka Hospital |
1338040609 |
PHASE I RECOVERY FIRST 30 MIN |
0710 |
340 |
340 |
102 |
309.40000000000003 |
237.99999999999997 |
102 |
309.40000000000003 |
244.79999999999998 |
289 |
Carle Eureka Hospital |
1338040610 |
PHASE I RECOVERY EA ADD 30 MIN |
0710 |
175 |
175 |
52.5 |
159.25 |
122.49999999999999 |
52.5 |
159.25 |
126 |
148.75 |
Carle Eureka Hospital |
1338050480 |
INSERT PICC >=AGE 5 WO IMAGE |
36569 |
0361 |
1845 |
1845 |
553.5 |
1678.95 |
1291.5 |
553.5 |
1678.95 |
1328.3999999999999 |
1568.25 |
Carle Eureka Hospital |
1338061311 |
INSERT PICC >=AGE 5 W IMAGE |
36573 |
0361 |
2242 |
2242 |
672.6 |
2040.22 |
1569.3999999999999 |
672.6 |
2040.22 |
1614.24 |
1905.7 |
Carle Eureka Hospital |
1338902011 |
WCSE PTA SERVICE |
0420 |
37.5 |
37.5 |
11.25 |
34.125 |
26.25 |
11.25 |
34.125 |
27 |
31.875 |
Carle Eureka Hospital |
1338902012 |
WCSE PT SERVICE |
0420 |
62 |
62 |
18.599999999999998 |
56.42 |
43.4 |
18.599999999999998 |
56.42 |
44.64 |
52.699999999999996 |
Carle Eureka Hospital |
1338902024 |
TREMONT PTA SERVICE |
0420 |
39.799999999999997 |
39.799999999999997 |
11.94 |
36.217999999999996 |
27.859999999999996 |
11.94 |
36.217999999999996 |
28.655999999999995 |
33.83 |
Carle Eureka Hospital |
1338902025 |
TREMONT PT SERVICE |
0420 |
62 |
62 |
18.599999999999998 |
56.42 |
43.4 |
18.599999999999998 |
56.42 |
44.64 |
52.699999999999996 |
Carle Eureka Hospital |
1338902104 |
MORTON SCHOOL PTA SERVICE |
0420 |
39.799999999999997 |
39.799999999999997 |
11.94 |
36.217999999999996 |
27.859999999999996 |
11.94 |
36.217999999999996 |
28.655999999999995 |
33.83 |
Carle Eureka Hospital |
1338902106 |
MORTON SCHOOL DIST PT SERVICE |
0420 |
59.4 |
59.4 |
17.82 |
54.054000000000002 |
41.58 |
17.82 |
54.054000000000002 |
42.768000000000001 |
50.489999999999995 |
Carle Eureka Hospital |
1338902108 |
MISC PT |
0420 |
62 |
62 |
18.599999999999998 |
56.42 |
43.4 |
18.599999999999998 |
56.42 |
44.64 |
52.699999999999996 |
Carle Eureka Hospital |
1338902115 |
MACKINAW PTA SERVICE |
0420 |
39.799999999999997 |
39.799999999999997 |
11.94 |
36.217999999999996 |
27.859999999999996 |
11.94 |
36.217999999999996 |
28.655999999999995 |
33.83 |
Carle Eureka Hospital |
1338902116 |
MACKINAW PT SERVICE |
0420 |
59.4 |
59.4 |
17.82 |
54.054000000000002 |
41.58 |
17.82 |
54.054000000000002 |
42.768000000000001 |
50.489999999999995 |
Carle Eureka Hospital |
1338902118 |
MACKINAW COTA SERVICE |
0430 |
39 |
39 |
11.7 |
35.49 |
27.299999999999997 |
11.7 |
35.49 |
28.08 |
33.15 |
Carle Eureka Hospital |
1338902190 |
COTA SERVICES - 504 |
0430 |
39 |
39 |
11.7 |
35.49 |
27.299999999999997 |
11.7 |
35.49 |
28.08 |
33.15 |
Carle Eureka Hospital |
1338902217 |
504 PTA SERVICE |
0420 |
39.799999999999997 |
39.799999999999997 |
11.94 |
36.217999999999996 |
27.859999999999996 |
11.94 |
36.217999999999996 |
28.655999999999995 |
33.83 |
Carle Eureka Hospital |
1338902218 |
504 PT SERVICE |
0420 |
62 |
62 |
18.599999999999998 |
56.42 |
43.4 |
18.599999999999998 |
56.42 |
44.64 |
52.699999999999996 |
Carle Eureka Hospital |
1338902267 |
PT INDIVIDUAL THERAPY ON-SITE |
0420 |
47 |
47 |
14.1 |
42.77 |
32.9 |
14.1 |
42.77 |
33.839999999999996 |
39.949999999999996 |
Carle Eureka Hospital |
1338910222 |
WASH TOWNSHIP COTA SERVICE |
0430 |
39.020000000000003 |
39.020000000000003 |
11.706000000000001 |
35.508200000000002 |
27.314 |
11.706000000000001 |
35.508200000000002 |
28.0944 |
33.167000000000002 |
Carle Eureka Hospital |
1338920285 |
MORTON SCHOOL COTA SERVICE |
0430 |
39 |
39 |
11.7 |
35.49 |
27.299999999999997 |
11.7 |
35.49 |
28.08 |
33.15 |
Carle Eureka Hospital |
1339102003 |
WORK HARDENING INITIAL 2HRS OM |
97545 |
0420 |
4.0999999999999996 |
4.0999999999999996 |
1.2299999999999998 |
3.7309999999999999 |
2.8699999999999997 |
1.2299999999999998 |
3.7309999999999999 |
2.9519999999999995 |
3.4849999999999994 |
Carle Eureka Hospital |
1339102004 |
WORK HARDENING EACH ADDL PT OM |
97546 |
0420 |
4.0999999999999996 |
4.0999999999999996 |
1.2299999999999998 |
3.7309999999999999 |
2.8699999999999997 |
1.2299999999999998 |
3.7309999999999999 |
2.9519999999999995 |
3.4849999999999994 |
Carle Eureka Hospital |
1339102009 |
WHIRLPOOL |
97022 |
0420 |
100 |
100 |
30 |
91 |
70 |
30 |
91 |
72 |
85 |
Carle Eureka Hospital |
1339102010 |
WHEELCHAIR MANAGEMENT 15 MIN |
97542 |
0420 |
115 |
115 |
34.5 |
104.65 |
80.5 |
34.5 |
104.65 |
82.8 |
97.75 |
Carle Eureka Hospital |
1339102021 |
ULTRASOUND 15 MIN |
97035 |
0420 |
71 |
71 |
21.3 |
64.61 |
49.699999999999996 |
21.3 |
64.61 |
51.12 |
60.35 |
Carle Eureka Hospital |
1339102029 |
TRANSFER TRAINING |
97530 |
0420 |
130 |
130 |
39 |
118.3 |
91 |
39 |
118.3 |
93.6 |
110.5 |
Carle Eureka Hospital |
1339102030 |
TRAINING ADL 15 MIN |
97535 |
0420 |
135 |
135 |
40.5 |
122.85000000000001 |
94.5 |
40.5 |
122.85000000000001 |
97.2 |
114.75 |
Carle Eureka Hospital |
1339102032 |
THERAPEUTIC EXERCISE |
97110 |
0420 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
1339102053 |
RE-EVALUATION PT |
97164 |
0420 |
215 |
215 |
64.5 |
195.65 |
150.5 |
64.5 |
195.65 |
154.79999999999998 |
182.75 |
Carle Eureka Hospital |
1339102061 |
PROSTHETIC FIT INITIAL 15 MIN |
97761 |
0420 |
125 |
125 |
37.5 |
113.75 |
87.5 |
37.5 |
113.75 |
90 |
106.25 |
Carle Eureka Hospital |
1339102071 |
PHONOPHORESIS EACH 15 MIN |
97035 |
0420 |
71 |
71 |
21.3 |
64.61 |
49.699999999999996 |
21.3 |
64.61 |
51.12 |
60.35 |
Carle Eureka Hospital |
1339102073 |
PARAFFIN TREATMENT |
97018 |
0420 |
74 |
74 |
22.2 |
67.34 |
51.8 |
22.2 |
67.34 |
53.28 |
62.9 |
Carle Eureka Hospital |
1339102087 |
ORTHOTICS/PROSTHET SUBSEQ 15MI |
97763 |
0420 |
125 |
125 |
37.5 |
113.75 |
87.5 |
37.5 |
113.75 |
90 |
106.25 |
Carle Eureka Hospital |
1339102089 |
ORTHOTIC FIT INITIAL 15 MIN |
97760 |
0420 |
180 |
180 |
54 |
163.80000000000001 |
125.99999999999999 |
54 |
163.80000000000001 |
129.6 |
153 |
Carle Eureka Hospital |
1339102111 |
MECHANICAL TRACTION |
97012 |
0420 |
76 |
76 |
22.8 |
69.16 |
53.199999999999996 |
22.8 |
69.16 |
54.72 |
64.599999999999994 |
Carle Eureka Hospital |
1339102114 |
MANUAL THERAPY 15 MIN |
97140 |
0420 |
140 |
140 |
42 |
127.4 |
98 |
42 |
127.4 |
100.8 |
119 |
Carle Eureka Hospital |
1339102133 |
IONTOPHORESIS 15 MIN |
97033 |
0420 |
83 |
83 |
24.9 |
75.53 |
58.099999999999994 |
24.9 |
75.53 |
59.76 |
70.55 |
Carle Eureka Hospital |
1339102135 |
IFSP PT DEVELP ONSITE |
99499 |
0420 |
14.53 |
14.53 |
4.359 |
13.222300000000001 |
10.170999999999999 |
4.359 |
13.222300000000001 |
10.461599999999999 |
12.350499999999998 |
Carle Eureka Hospital |
1339102139 |
HVGS/US COMBO 15 MIN |
97032 |
0420 |
93 |
93 |
27.9 |
84.63000000000001 |
65.099999999999994 |
27.9 |
84.63000000000001 |
66.959999999999994 |
79.05 |
Carle Eureka Hospital |
1339102147 |
HIGH VOLT GALVANIC STIM |
97014 |
0420 |
61 |
61 |
18.3 |
55.510000000000005 |
42.699999999999996 |
18.3 |
55.510000000000005 |
43.92 |
51.85 |
Carle Eureka Hospital |
1339102150 |
GROUP THERAPY |
97150 |
0420 |
93 |
93 |
27.9 |
84.63000000000001 |
65.099999999999994 |
27.9 |
84.63000000000001 |
66.959999999999994 |
79.05 |
Carle Eureka Hospital |
1339102152 |
GAIT TRAINING |
97116 |
0420 |
105 |
105 |
31.5 |
95.55 |
73.5 |
31.5 |
95.55 |
75.599999999999994 |
89.25 |
Carle Eureka Hospital |
1339102156 |
FUNCTION CAPACITY EVAL/15 MIN |
97750 |
0420 |
140 |
140 |
42 |
127.4 |
98 |
42 |
127.4 |
100.8 |
119 |
Carle Eureka Hospital |
1339102169 |
ESTIM ATTENDED/POINT STIM |
97032 |
0420 |
93 |
93 |
27.9 |
84.63000000000001 |
65.099999999999994 |
27.9 |
84.63000000000001 |
66.959999999999994 |
79.05 |
Carle Eureka Hospital |
1339102178 |
ELECTRICAL STIMULATION |
97014 |
0420 |
61 |
61 |
18.3 |
55.510000000000005 |
42.699999999999996 |
18.3 |
55.510000000000005 |
43.92 |
51.85 |
Carle Eureka Hospital |
1339102206 |
BALANCE/NEUROMUSCULAR RE-ED |
97112 |
0420 |
130 |
130 |
39 |
118.3 |
91 |
39 |
118.3 |
93.6 |
110.5 |
Carle Eureka Hospital |
1339102207 |
POST OFFER BACK SCREEN ECH |
97750 |
0420 |
4.6500000000000004 |
4.6500000000000004 |
1.395 |
4.2315000000000005 |
3.2549999999999999 |
1.395 |
4.2315000000000005 |
3.3480000000000003 |
3.9525000000000001 |
Carle Eureka Hospital |
1339102219 |
EI PT THERAPY INDIV OFFSITE |
97110 |
0420 |
47 |
47 |
14.1 |
42.77 |
32.9 |
14.1 |
42.77 |
33.839999999999996 |
39.949999999999996 |
Carle Eureka Hospital |
1339102244 |
THERAPEUTIC ACTIVITY PT |
97530 |
0420 |
130 |
130 |
39 |
118.3 |
91 |
39 |
118.3 |
93.6 |
110.5 |
Carle Eureka Hospital |
1339120294 |
EVALUATION PT LOW COMPLEXITY |
97161 |
0420 |
380 |
380 |
114 |
345.8 |
266 |
114 |
345.8 |
273.59999999999997 |
323 |
Carle Eureka Hospital |
1339120295 |
EVALUATION PT MOD COMPLEXITY |
97162 |
0420 |
380 |
380 |
114 |
345.8 |
266 |
114 |
345.8 |
273.59999999999997 |
323 |
Carle Eureka Hospital |
1339120296 |
EVALUATION PT HIGH COMPLEXITY |
97163 |
0420 |
380 |
380 |
114 |
345.8 |
266 |
114 |
345.8 |
273.59999999999997 |
323 |
Carle Eureka Hospital |
1339120302 |
EI PEDS DEVELOPMENT TESTING 15 |
96112 |
0420 |
18.13 |
18.13 |
5.4389999999999992 |
16.4983 |
12.690999999999999 |
5.4389999999999992 |
16.4983 |
13.053599999999999 |
15.410499999999999 |
Carle Eureka Hospital |
1339150994 |
EI IFSP PT DEVELP OFFSITE |
99499 |
0420 |
18.13 |
18.13 |
5.4389999999999992 |
16.4983 |
12.690999999999999 |
5.4389999999999992 |
16.4983 |
13.053599999999999 |
15.410499999999999 |
Carle Eureka Hospital |
1339161165 |
CANALITH REPOSITIONING PROC |
95992 |
0420 |
120 |
120 |
36 |
109.2 |
84 |
36 |
109.2 |
86.399999999999991 |
102 |
Carle Eureka Hospital |
1339202010 |
WHEELCHAIR MANAGEMENT 15 MIN |
97542 |
0430 |
145 |
145 |
43.5 |
131.95000000000002 |
101.5 |
43.5 |
131.95000000000002 |
104.39999999999999 |
123.25 |
Carle Eureka Hospital |
1339202021 |
ULTRASOUND 15 MIN |
97035 |
0430 |
71 |
71 |
21.3 |
64.61 |
49.699999999999996 |
21.3 |
64.61 |
51.12 |
60.35 |
Carle Eureka Hospital |
1339202029 |
TRANSFER TRAINING |
97530 |
0430 |
130 |
130 |
39 |
118.3 |
91 |
39 |
118.3 |
93.6 |
110.5 |
Carle Eureka Hospital |
1339202030 |
TRAINING ADL 15 MIN |
97535 |
0430 |
135 |
135 |
40.5 |
122.85000000000001 |
94.5 |
40.5 |
122.85000000000001 |
97.2 |
114.75 |
Carle Eureka Hospital |
1339202032 |
THERAPEUTIC EXERCISE |
97110 |
0430 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
1339202054 |
RE-EVALUATION OT |
97168 |
0430 |
275 |
275 |
82.5 |
250.25 |
192.5 |
82.5 |
250.25 |
198 |
233.75 |
Carle Eureka Hospital |
1339202073 |
PARAFFIN TREATMENT |
97018 |
0430 |
74 |
74 |
22.2 |
67.34 |
51.8 |
22.2 |
67.34 |
53.28 |
62.9 |
Carle Eureka Hospital |
1339202089 |
ORTHOTIC FIT INITIAL 15 MIN |
97760 |
0430 |
180 |
180 |
54 |
163.80000000000001 |
125.99999999999999 |
54 |
163.80000000000001 |
129.6 |
153 |
Carle Eureka Hospital |
1339202114 |
MANUAL THERAPY 15 MIN |
97140 |
0430 |
140 |
140 |
42 |
127.4 |
98 |
42 |
127.4 |
100.8 |
119 |
Carle Eureka Hospital |
1339202133 |
IONTOPHORESIS 15 MIN |
97033 |
0430 |
83 |
83 |
24.9 |
75.53 |
58.099999999999994 |
24.9 |
75.53 |
59.76 |
70.55 |
Carle Eureka Hospital |
1339202144 |
TRAINING ADL 15 MIN |
97535 |
0430 |
135 |
135 |
40.5 |
122.85000000000001 |
94.5 |
40.5 |
122.85000000000001 |
97.2 |
114.75 |
Carle Eureka Hospital |
1339202178 |
ELECTRICAL STIMULATION 15 MIN |
97032 |
0430 |
93 |
93 |
27.9 |
84.63000000000001 |
65.099999999999994 |
27.9 |
84.63000000000001 |
66.959999999999994 |
79.05 |
Carle Eureka Hospital |
1339202234 |
U/E TREATMENT 15 MIN |
97110 |
0430 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
1339220297 |
EVALUATION OT LOW COMPLEXITY |
97165 |
0430 |
380 |
380 |
114 |
345.8 |
266 |
114 |
345.8 |
273.59999999999997 |
323 |
Carle Eureka Hospital |
1339220298 |
EVALUATION OT MOD COMPLEXITY |
97166 |
0430 |
380 |
380 |
114 |
345.8 |
266 |
114 |
345.8 |
273.59999999999997 |
323 |
Carle Eureka Hospital |
1339220299 |
EVALUATION OT HIGH COMPLEXITY |
97167 |
0430 |
360 |
360 |
108 |
327.60000000000002 |
251.99999999999997 |
108 |
327.60000000000002 |
259.2 |
306 |
Carle Eureka Hospital |
1339220305 |
OT THER INT COG FC INIT 15M |
97129 |
0430 |
185 |
185 |
55.5 |
168.35 |
129.5 |
55.5 |
168.35 |
133.19999999999999 |
157.25 |
Carle Eureka Hospital |
1339220306 |
OT THER INT COG FC EA AD 15M |
97130 |
0430 |
185 |
185 |
55.5 |
168.35 |
129.5 |
55.5 |
168.35 |
133.19999999999999 |
157.25 |
Carle Eureka Hospital |
1339302019 |
VIDEO FLUOROSCOPY |
92611 |
0440 |
410 |
410 |
123 |
373.1 |
287 |
123 |
373.1 |
295.2 |
348.5 |
Carle Eureka Hospital |
1339302023 |
TYMPANOMETRY |
92567 |
0471 |
94 |
94 |
28.2 |
85.54 |
65.8 |
28.2 |
85.54 |
67.679999999999993 |
79.899999999999991 |
Carle Eureka Hospital |
1339302028 |
TREATMENT SWALLOW DYSFUNTION |
92526 |
0440 |
325 |
325 |
97.5 |
295.75 |
227.49999999999997 |
97.5 |
295.75 |
234 |
276.25 |
Carle Eureka Hospital |
1339302033 |
PURETONE SCREENING TEST AIR |
92551 |
0471 |
23 |
23 |
6.8999999999999995 |
20.93 |
16.099999999999998 |
6.8999999999999995 |
20.93 |
16.559999999999999 |
19.55 |
Carle Eureka Hospital |
1339302038 |
SPEECH THERAPY SESSION |
92507 |
0440 |
360 |
360 |
108 |
327.60000000000002 |
251.99999999999997 |
108 |
327.60000000000002 |
259.2 |
306 |
Carle Eureka Hospital |
1339302161 |
EVALUATION OF SWALLOWING |
92610 |
0440 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
1339302193 |
CONDITIONING PLAY AUDIOMETRY |
92582 |
0471 |
266 |
266 |
79.8 |
242.06 |
186.2 |
79.8 |
242.06 |
191.51999999999998 |
226.1 |
Carle Eureka Hospital |
1339302194 |
COMPREHENSIVE AUDIO EVAL |
92557 |
0471 |
420 |
420 |
126 |
382.2 |
294 |
126 |
382.2 |
302.39999999999998 |
357 |
Carle Eureka Hospital |
1339302208 |
ASSESSMENT APHASIA |
96105 |
0440 |
410 |
410 |
123 |
373.1 |
287 |
123 |
373.1 |
295.2 |
348.5 |
Carle Eureka Hospital |
1339320288 |
ST EVALUATION FLUENCY |
92521 |
0440 |
135 |
135 |
40.5 |
122.85000000000001 |
94.5 |
40.5 |
122.85000000000001 |
97.2 |
114.75 |
Carle Eureka Hospital |
1339320289 |
ST EVALUATION SOUND PRODUCTION |
92522 |
0440 |
130 |
130 |
39 |
118.3 |
91 |
39 |
118.3 |
93.6 |
110.5 |
Carle Eureka Hospital |
1339320290 |
ST EVAL SOUND PROD/COMPREHENSN |
92523 |
0440 |
355 |
355 |
106.5 |
323.05 |
248.49999999999997 |
106.5 |
323.05 |
255.6 |
301.75 |
Carle Eureka Hospital |
1339320291 |
ST ANALYSIS VOICE/RESONONANCE |
92524 |
0440 |
195 |
195 |
58.5 |
177.45000000000002 |
136.5 |
58.5 |
177.45000000000002 |
140.4 |
165.75 |
Carle Eureka Hospital |
1339320300 |
HEARING AID EXAM SELECT MON |
92590 |
0470 |
168 |
168 |
50.4 |
152.88 |
117.6 |
50.4 |
152.88 |
120.96 |
142.79999999999998 |
Carle Eureka Hospital |
1339320301 |
HEARING AID EXAM SELECT BIN |
92591 |
0470 |
200 |
200 |
60 |
182 |
140 |
60 |
182 |
144 |
170 |
Carle Eureka Hospital |
1339320305 |
ST THER INT COG FC INIT 15M |
97129 |
0440 |
185 |
185 |
55.5 |
168.35 |
129.5 |
55.5 |
168.35 |
133.19999999999999 |
157.25 |
Carle Eureka Hospital |
1339320306 |
ST THER INT COG FC EA AD 15M |
97130 |
0440 |
185 |
185 |
55.5 |
168.35 |
129.5 |
55.5 |
168.35 |
133.19999999999999 |
157.25 |
Carle Eureka Hospital |
1339320610 |
HEARING AID FITTING ADV BINAUR |
V5160 |
0470 |
153 |
153 |
45.9 |
139.23000000000002 |
107.1 |
45.9 |
139.23000000000002 |
110.16 |
130.04999999999998 |
Carle Eureka Hospital |
1339320611 |
HEARING AID FITTING ADV MONO |
V5241 |
0271 |
143 |
143 |
42.9 |
130.13 |
100.1 |
42.9 |
130.13 |
102.96 |
121.55 |
Carle Eureka Hospital |
1339322818 |
HEARING AID CHARGER |
V5267 |
0272 |
400 |
400 |
120 |
364 |
280 |
120 |
364 |
288 |
340 |
Carle Eureka Hospital |
1339361165 |
CANALITH REPOSITIONING PROC |
95992 |
0472 |
120 |
120 |
36 |
109.2 |
84 |
36 |
109.2 |
86.399999999999991 |
102 |
Carle Eureka Hospital |
1525710481 |
SCHOOL NURSE HOURS |
0990 |
23 |
23 |
6.8999999999999995 |
20.93 |
16.099999999999998 |
6.8999999999999995 |
20.93 |
16.559999999999999 |
19.55 |
Carle Eureka Hospital |
1525710482 |
BENEFITS PER HOUR |
0990 |
3.5 |
3.5 |
1.05 |
3.1850000000000001 |
2.4499999999999997 |
1.05 |
3.1850000000000001 |
2.52 |
2.9750000000000001 |
Carle Eureka Hospital |
0314050360 |
PH ANALYSIS ARTERIAL BLOOD |
82800 |
0300 |
86 |
86 |
25.8 |
78.260000000000005 |
60.199999999999996 |
25.8 |
78.260000000000005 |
61.919999999999995 |
73.099999999999994 |
Carle Eureka Hospital |
0314050456 |
IONIZED CALCIUM |
82330 |
0301 |
130 |
130 |
39 |
118.3 |
91 |
39 |
118.3 |
93.6 |
110.5 |
Carle Eureka Hospital |
0314050561 |
GLUCOSE |
82947 |
0301 |
46 |
46 |
13.799999999999999 |
41.86 |
32.199999999999996 |
13.799999999999999 |
41.86 |
33.119999999999997 |
39.1 |
Carle Eureka Hospital |
0314050605 |
ELECTROLYTE PANEL |
80051 |
0301 |
100 |
100 |
30 |
91 |
70 |
30 |
91 |
72 |
85 |
Carle Eureka Hospital |
0314050677 |
COOXIMETRY |
82810 |
0301 |
82 |
82 |
24.599999999999998 |
74.62 |
57.4 |
24.599999999999998 |
74.62 |
59.04 |
69.7 |
Carle Eureka Hospital |
0314050878 |
BLOOD GAS ANALYSIS |
82803 |
0301 |
190 |
190 |
57 |
172.9 |
133 |
57 |
172.9 |
136.79999999999998 |
161.5 |
Carle Eureka Hospital |
0314050889 |
ACT-ACTIVATED CLOTTING TIME |
85347 |
0301 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
0331090677 |
VENIPUNCTURE |
36415 |
0300 |
15 |
15 |
4.5 |
13.65 |
10.5 |
4.5 |
13.65 |
10.799999999999999 |
12.75 |
Carle Eureka Hospital |
0331091485 |
INFLUENZA A |
87400 |
0302 |
140 |
140 |
42 |
127.4 |
98 |
42 |
127.4 |
100.8 |
119 |
Carle Eureka Hospital |
0331091486 |
INFLUENZA B |
87400 |
0302 |
140 |
140 |
42 |
127.4 |
98 |
42 |
127.4 |
100.8 |
119 |
Carle Eureka Hospital |
0331290064 |
ANTITHROMBIN III |
85300 |
0300 |
190 |
190 |
57 |
172.9 |
133 |
57 |
172.9 |
136.79999999999998 |
161.5 |
Carle Eureka Hospital |
0331290087 |
BLEEDING TIME DUKE |
85002 |
0305 |
140 |
140 |
42 |
127.4 |
98 |
42 |
127.4 |
100.8 |
119 |
Carle Eureka Hospital |
0331290088 |
BLEEDING TIME IVY |
85002 |
0305 |
140 |
140 |
42 |
127.4 |
98 |
42 |
127.4 |
100.8 |
119 |
Carle Eureka Hospital |
0331290121 |
CBC AUTOMATED DIFF |
85025 |
0305 |
73 |
73 |
21.9 |
66.430000000000007 |
51.099999999999994 |
21.9 |
66.430000000000007 |
52.559999999999995 |
62.05 |
Carle Eureka Hospital |
0331290130 |
OBSCN |
82270 |
0301 |
63 |
63 |
18.899999999999999 |
57.330000000000005 |
44.099999999999994 |
18.899999999999999 |
57.330000000000005 |
45.36 |
53.55 |
Carle Eureka Hospital |
0331290251 |
D-DIMER |
85379 |
0305 |
130 |
130 |
39 |
118.3 |
91 |
39 |
118.3 |
93.6 |
110.5 |
Carle Eureka Hospital |
0331290287 |
FECAL FAT QUALITATIVE |
82705 |
0301 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
0331290295 |
FIBRIN SPLIT PRODUCTS-SEMI-QNT |
85362 |
0305 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
0331290296 |
FIBRINOGEN |
85384 |
0305 |
140 |
140 |
42 |
127.4 |
98 |
42 |
127.4 |
100.8 |
119 |
Carle Eureka Hospital |
0331290350 |
HEMATOCRIT |
85014 |
0305 |
32 |
32 |
9.6 |
29.12 |
22.4 |
9.6 |
29.12 |
23.04 |
27.2 |
Carle Eureka Hospital |
0331290352 |
HEMOGLOBIN |
85018 |
0305 |
32 |
32 |
9.6 |
29.12 |
22.4 |
9.6 |
29.12 |
23.04 |
27.2 |
Carle Eureka Hospital |
0331290355 |
CBC NO DIFFERENTIAL |
85027 |
0305 |
61 |
61 |
18.3 |
55.510000000000005 |
42.699999999999996 |
18.3 |
55.510000000000005 |
43.92 |
51.85 |
Carle Eureka Hospital |
0331290463 |
OCCULT BLOOD FECES QUALITATIVE |
82270 |
0301 |
63 |
63 |
18.899999999999999 |
57.330000000000005 |
44.099999999999994 |
18.899999999999999 |
57.330000000000005 |
45.36 |
53.55 |
Carle Eureka Hospital |
0331290464 |
OCCULT BLOOD GASTRIC |
82271 |
0301 |
51 |
51 |
15.299999999999999 |
46.410000000000004 |
35.699999999999996 |
15.299999999999999 |
46.410000000000004 |
36.72 |
43.35 |
Carle Eureka Hospital |
0331290474 |
PARTIAL THROMBOPLASTIN TIME |
85730 |
0305 |
100 |
100 |
30 |
91 |
70 |
30 |
91 |
72 |
85 |
Carle Eureka Hospital |
0331290499 |
PLATELET COUNT |
85049 |
0305 |
51 |
51 |
15.299999999999999 |
46.410000000000004 |
35.699999999999996 |
15.299999999999999 |
46.410000000000004 |
36.72 |
43.35 |
Carle Eureka Hospital |
0331290513 |
PREG TEST-HCG SERUM QUAL |
84703 |
0300 |
115 |
115 |
34.5 |
104.65 |
80.5 |
34.5 |
104.65 |
82.8 |
97.75 |
Carle Eureka Hospital |
0331290514 |
PREG TEST-HCG URINE QUAL |
81025 |
0300 |
110 |
110 |
33 |
100.10000000000001 |
77 |
33 |
100.10000000000001 |
79.2 |
93.5 |
Carle Eureka Hospital |
0331290531 |
PROTHROMBIN TIME |
85610 |
0305 |
79 |
79 |
23.7 |
71.89 |
55.3 |
23.7 |
71.89 |
56.879999999999995 |
67.149999999999991 |
Carle Eureka Hospital |
0331290542 |
RBC RED BLOOD CELL COUNT |
85041 |
0305 |
34 |
34 |
10.199999999999999 |
30.94 |
23.799999999999997 |
10.199999999999999 |
30.94 |
24.48 |
28.9 |
Carle Eureka Hospital |
0331290558 |
RETICULOCYTE COUNT |
85045 |
0305 |
75 |
75 |
22.5 |
68.25 |
52.5 |
22.5 |
68.25 |
54 |
63.75 |
Carle Eureka Hospital |
0331290571 |
SEDIMENTATION RATE |
85652 |
0305 |
71 |
71 |
21.3 |
64.61 |
49.699999999999996 |
21.3 |
64.61 |
51.12 |
60.35 |
Carle Eureka Hospital |
0331290572 |
SEMEN ANALYSIS FERTILITY |
89322 |
0300 |
220 |
220 |
66 |
200.20000000000002 |
154 |
66 |
200.20000000000002 |
158.4 |
187 |
Carle Eureka Hospital |
0331290589 |
SPECIFIC GRAVITY MISC |
84315 |
0301 |
45 |
45 |
13.5 |
40.950000000000003 |
31.499999999999996 |
13.5 |
40.950000000000003 |
32.4 |
38.25 |
Carle Eureka Hospital |
0331290590 |
SPERM COUNT POST SURGERY |
89321 |
0300 |
135 |
135 |
40.5 |
122.85000000000001 |
94.5 |
40.5 |
122.85000000000001 |
97.2 |
114.75 |
Carle Eureka Hospital |
0331290594 |
STOOL FOR LEUKOCYTES |
83630 |
0301 |
185 |
185 |
55.5 |
168.35 |
129.5 |
55.5 |
168.35 |
133.19999999999999 |
157.25 |
Carle Eureka Hospital |
0331290600 |
SYNOVIAL FLUID CRYSTAL EXAM |
89060 |
0300 |
67 |
67 |
20.099999999999998 |
60.97 |
46.9 |
20.099999999999998 |
60.97 |
48.239999999999995 |
56.949999999999996 |
Carle Eureka Hospital |
0331290626 |
TOTAL EOSINOPHIL COUNT |
85048 |
0305 |
57 |
57 |
17.099999999999998 |
51.870000000000005 |
39.9 |
17.099999999999998 |
51.870000000000005 |
41.04 |
48.449999999999996 |
Carle Eureka Hospital |
0331290654 |
URINALYSIS MACROSCOPIC |
81003 |
0307 |
39 |
39 |
11.7 |
35.49 |
27.299999999999997 |
11.7 |
35.49 |
28.08 |
33.15 |
Carle Eureka Hospital |
0331290655 |
URINALYSIS MICROSCOPIC |
81015 |
0307 |
41 |
41 |
12.299999999999999 |
37.31 |
28.7 |
12.299999999999999 |
37.31 |
29.52 |
34.85 |
Carle Eureka Hospital |
0331290658 |
URINE BLOOD |
82271 |
0301 |
54 |
54 |
16.2 |
49.14 |
37.799999999999997 |
16.2 |
49.14 |
38.879999999999995 |
45.9 |
Carle Eureka Hospital |
0331290662 |
URINE GLUCOSE |
81003 |
0307 |
53 |
53 |
15.899999999999999 |
48.230000000000004 |
37.099999999999994 |
15.899999999999999 |
48.230000000000004 |
38.159999999999997 |
45.05 |
Carle Eureka Hospital |
0331290663 |
URINE KETONES |
81003 |
0307 |
39 |
39 |
11.7 |
35.49 |
27.299999999999997 |
11.7 |
35.49 |
28.08 |
33.15 |
Carle Eureka Hospital |
0331290664 |
URINE PH |
81003 |
0307 |
39 |
39 |
11.7 |
35.49 |
27.299999999999997 |
11.7 |
35.49 |
28.08 |
33.15 |
Carle Eureka Hospital |
0331290665 |
URINE REDUCING SUBSTANCE |
81002 |
0301 |
43 |
43 |
12.9 |
39.130000000000003 |
30.099999999999998 |
12.9 |
39.130000000000003 |
30.959999999999997 |
36.549999999999997 |
Carle Eureka Hospital |
0331290666 |
URINE SPECIFIC GRAVITY |
81002 |
0301 |
32 |
32 |
9.6 |
29.12 |
22.4 |
9.6 |
29.12 |
23.04 |
27.2 |
Carle Eureka Hospital |
0331290688 |
WBC DIFFERENTIAL |
85007 |
0305 |
47 |
47 |
14.1 |
42.77 |
32.9 |
14.1 |
42.77 |
33.839999999999996 |
39.949999999999996 |
Carle Eureka Hospital |
0331290692 |
WHITE BLOOD CELL COUNT |
85048 |
0305 |
50 |
50 |
15 |
45.5 |
35 |
15 |
45.5 |
36 |
42.5 |
Carle Eureka Hospital |
0331290702 |
COMPLETE BLOOD COUNT CAT |
0305 |
9.5 |
9.5 |
2.85 |
8.6449999999999996 |
6.6499999999999995 |
2.85 |
8.6449999999999996 |
6.84 |
8.0749999999999993 |
Carle Eureka Hospital |
0331290703 |
COMPLETE BLOOD COUNT DOG |
0305 |
9.5 |
9.5 |
2.85 |
8.6449999999999996 |
6.6499999999999995 |
2.85 |
8.6449999999999996 |
6.84 |
8.0749999999999993 |
Carle Eureka Hospital |
0331290704 |
COMPLETE BLOOD COUNT VET OTHER |
0305 |
9.5 |
9.5 |
2.85 |
8.6449999999999996 |
6.6499999999999995 |
2.85 |
8.6449999999999996 |
6.84 |
8.0749999999999993 |
Carle Eureka Hospital |
0331291005 |
CSF COUNT-NO DIFF CHARGE |
89050 |
0300 |
79 |
79 |
23.7 |
71.89 |
55.3 |
23.7 |
71.89 |
56.879999999999995 |
67.149999999999991 |
Carle Eureka Hospital |
0331291006 |
CSF COUNT WITH DIFF CHARGE |
89051 |
0300 |
98 |
98 |
29.4 |
89.18 |
68.599999999999994 |
29.4 |
89.18 |
70.56 |
83.3 |
Carle Eureka Hospital |
0331291007 |
FLUID COUNT-NO DIFF CHARGE |
89050 |
0300 |
79 |
79 |
23.7 |
71.89 |
55.3 |
23.7 |
71.89 |
56.879999999999995 |
67.149999999999991 |
Carle Eureka Hospital |
0331291008 |
FLUID COUNT WITH DIFF CHARGE |
89051 |
0300 |
98 |
98 |
29.4 |
89.18 |
68.599999999999994 |
29.4 |
89.18 |
70.56 |
83.3 |
Carle Eureka Hospital |
0331291012 |
RETICULACYTE COUNT MANUAL |
85044 |
0305 |
64 |
64 |
19.2 |
58.24 |
44.8 |
19.2 |
58.24 |
46.08 |
54.4 |
Carle Eureka Hospital |
0331291178 |
HEMOGM CHARGE TEST |
85027 |
0305 |
61 |
61 |
18.3 |
55.510000000000005 |
42.699999999999996 |
18.3 |
55.510000000000005 |
43.92 |
51.85 |
Carle Eureka Hospital |
0331291179 |
MANUAL DIFF CHARGE TEST |
85007 |
0305 |
47 |
47 |
14.1 |
42.77 |
32.9 |
14.1 |
42.77 |
33.839999999999996 |
39.949999999999996 |
Carle Eureka Hospital |
0331291249 |
OBSTETRICS PANEL |
80055 |
0300 |
630 |
630 |
189 |
573.30000000000007 |
441 |
189 |
573.30000000000007 |
453.59999999999997 |
535.5 |
Carle Eureka Hospital |
0331291300 |
OCCULT BLOOD FECAL SCREEN IMMU |
82274 |
0301 |
145 |
145 |
43.5 |
131.95000000000002 |
101.5 |
43.5 |
131.95000000000002 |
104.39999999999999 |
123.25 |
Carle Eureka Hospital |
0331291617 |
URINE MACROSCOPIC |
81003 |
0307 |
39 |
39 |
11.7 |
35.49 |
27.299999999999997 |
11.7 |
35.49 |
28.08 |
33.15 |
Carle Eureka Hospital |
0331291618 |
URINE WITH MICROSCOPIC |
81001 |
0307 |
54 |
54 |
16.2 |
49.14 |
37.799999999999997 |
16.2 |
49.14 |
38.879999999999995 |
45.9 |
Carle Eureka Hospital |
0331291803 |
P2Y12 |
85576 |
0305 |
185 |
185 |
55.5 |
168.35 |
129.5 |
55.5 |
168.35 |
133.19999999999999 |
157.25 |
Carle Eureka Hospital |
0331490007 |
ACETAMINOPHEN |
80329 |
0300 |
160 |
160 |
48 |
145.6 |
112 |
48 |
145.6 |
115.19999999999999 |
136 |
Carle Eureka Hospital |
0331490016 |
ALBUMIN |
82040 |
0300 |
71 |
71 |
21.3 |
64.61 |
49.699999999999996 |
21.3 |
64.61 |
51.12 |
60.35 |
Carle Eureka Hospital |
0331490021 |
ALKALINE PHOSPHATASE |
84075 |
0300 |
68 |
68 |
20.399999999999999 |
61.88 |
47.599999999999994 |
20.399999999999999 |
61.88 |
48.96 |
57.8 |
Carle Eureka Hospital |
0331490027 |
ALT (SGPT) |
84460 |
0300 |
74 |
74 |
22.2 |
67.34 |
51.8 |
22.2 |
67.34 |
53.28 |
62.9 |
Carle Eureka Hospital |
0331490029 |
AMIKACIN PEAK |
80150 |
0300 |
410 |
410 |
123 |
373.1 |
287 |
123 |
373.1 |
295.2 |
348.5 |
Carle Eureka Hospital |
0331490035 |
AMMONIA PLASMA |
82140 |
0300 |
135 |
135 |
40.5 |
122.85000000000001 |
94.5 |
40.5 |
122.85000000000001 |
97.2 |
114.75 |
Carle Eureka Hospital |
0331490036 |
AMYLASE |
82150 |
0300 |
130 |
130 |
39 |
118.3 |
91 |
39 |
118.3 |
93.6 |
110.5 |
Carle Eureka Hospital |
0331490072 |
AST SGOT |
84450 |
0300 |
75 |
75 |
22.5 |
68.25 |
52.5 |
22.5 |
68.25 |
54 |
63.75 |
Carle Eureka Hospital |
0331490075 |
BASIC METABOLIC PANEL |
80048 |
0300 |
130 |
130 |
39 |
118.3 |
91 |
39 |
118.3 |
93.6 |
110.5 |
Carle Eureka Hospital |
0331490080 |
BHCG-QUANTITATIVE |
84702 |
0300 |
175 |
175 |
52.5 |
159.25 |
122.49999999999999 |
52.5 |
159.25 |
126 |
148.75 |
Carle Eureka Hospital |
0331490081 |
BILIRUBIN DIRECT |
82248 |
0300 |
54 |
54 |
16.2 |
49.14 |
37.799999999999997 |
16.2 |
49.14 |
38.879999999999995 |
45.9 |
Carle Eureka Hospital |
0331490082 |
BILIRUBIN NEONATAL DIRECT |
82248 |
0301 |
54 |
54 |
16.2 |
49.14 |
37.799999999999997 |
16.2 |
49.14 |
38.879999999999995 |
45.9 |
Carle Eureka Hospital |
0331490083 |
BILIRUBIN NEONATAL TOTAL |
82247 |
0300 |
75 |
75 |
22.5 |
68.25 |
52.5 |
22.5 |
68.25 |
54 |
63.75 |
Carle Eureka Hospital |
0331490085 |
BILIRUBIN TOTAL |
82247 |
0300 |
75 |
75 |
22.5 |
68.25 |
52.5 |
22.5 |
68.25 |
54 |
63.75 |
Carle Eureka Hospital |
0331490103 |
BUN |
84520 |
0300 |
71 |
71 |
21.3 |
64.61 |
49.699999999999996 |
21.3 |
64.61 |
51.12 |
60.35 |
Carle Eureka Hospital |
0331490108 |
CALCIUM |
82310 |
0300 |
74 |
74 |
22.2 |
67.34 |
51.8 |
22.2 |
67.34 |
53.28 |
62.9 |
Carle Eureka Hospital |
0331490116 |
CARBAMAZEPINE-TEGRETOL |
80156 |
0300 |
140 |
140 |
42 |
127.4 |
98 |
42 |
127.4 |
100.8 |
119 |
Carle Eureka Hospital |
0331490117 |
CARBON DIOXIDE-TCO2 |
82374 |
0300 |
63 |
63 |
18.899999999999999 |
57.330000000000005 |
44.099999999999994 |
18.899999999999999 |
57.330000000000005 |
45.36 |
53.55 |
Carle Eureka Hospital |
0331490131 |
CHLORIDE |
82435 |
0300 |
61 |
61 |
18.3 |
55.510000000000005 |
42.699999999999996 |
18.3 |
55.510000000000005 |
43.92 |
51.85 |
Carle Eureka Hospital |
0331490134 |
CHOLESTEROL |
82465 |
0300 |
74 |
74 |
22.2 |
67.34 |
51.8 |
22.2 |
67.34 |
53.28 |
62.9 |
Carle Eureka Hospital |
0331490139 |
CKMB |
82553 |
0300 |
185 |
185 |
55.5 |
168.35 |
129.5 |
55.5 |
168.35 |
133.19999999999999 |
157.25 |
Carle Eureka Hospital |
0331490140 |
CK-TOTAL |
82550 |
0300 |
115 |
115 |
34.5 |
104.65 |
80.5 |
34.5 |
104.65 |
82.8 |
97.75 |
Carle Eureka Hospital |
0331490156 |
COMPREHENSIVE METABOLIC PANEL |
80053 |
0300 |
175 |
175 |
52.5 |
159.25 |
122.49999999999999 |
52.5 |
159.25 |
126 |
148.75 |
Carle Eureka Hospital |
0331490163 |
CREATININE |
82565 |
0300 |
75 |
75 |
22.5 |
68.25 |
52.5 |
22.5 |
68.25 |
54 |
63.75 |
Carle Eureka Hospital |
0331490164 |
CREATININE CLEARANCE 24HR UR |
82575 |
0300 |
170 |
170 |
51 |
154.70000000000002 |
118.99999999999999 |
51 |
154.70000000000002 |
122.39999999999999 |
144.5 |
Carle Eureka Hospital |
0331490165 |
CREATININE URINE RANDOM |
82570 |
0300 |
79 |
79 |
23.7 |
71.89 |
55.3 |
23.7 |
71.89 |
56.879999999999995 |
67.149999999999991 |
Carle Eureka Hospital |
0331490166 |
CREATININE-24HR URINE |
82570 |
0300 |
83 |
83 |
24.9 |
75.53 |
58.099999999999994 |
24.9 |
75.53 |
59.76 |
70.55 |
Carle Eureka Hospital |
0331490176 |
CRP QUANTITATIVE |
86140 |
0300 |
86 |
86 |
25.8 |
78.260000000000005 |
60.199999999999996 |
25.8 |
78.260000000000005 |
61.919999999999995 |
73.099999999999994 |
Carle Eureka Hospital |
0331490193 |
CSF GLUCOSE |
82945 |
0301 |
83 |
83 |
24.9 |
75.53 |
58.099999999999994 |
24.9 |
75.53 |
59.76 |
70.55 |
Carle Eureka Hospital |
0331490202 |
CSF PROTEIN |
84157 |
0300 |
79 |
79 |
23.7 |
71.89 |
55.3 |
23.7 |
71.89 |
56.879999999999995 |
67.149999999999991 |
Carle Eureka Hospital |
0331490256 |
DIGOXIN LANOXIN |
80162 |
0300 |
125 |
125 |
37.5 |
113.75 |
87.5 |
37.5 |
113.75 |
90 |
106.25 |
Carle Eureka Hospital |
0331490266 |
DRUG SCREEN SUBSTANCE ABUSE |
80307 |
0300 |
85 |
85 |
25.5 |
77.350000000000009 |
59.499999999999993 |
25.5 |
77.350000000000009 |
61.199999999999996 |
72.25 |
Carle Eureka Hospital |
0331490267 |
ELECTROLYTE PANEL |
80051 |
0300 |
98 |
98 |
29.4 |
89.18 |
68.599999999999994 |
29.4 |
89.18 |
70.56 |
83.3 |
Carle Eureka Hospital |
0331490276 |
ESTRADIOL |
82670 |
0300 |
225 |
225 |
67.5 |
204.75 |
157.5 |
67.5 |
204.75 |
162 |
191.25 |
Carle Eureka Hospital |
0331490280 |
ETHANOL-SERUM CLINICAL |
80320 |
0300 |
230 |
230 |
69 |
209.3 |
161 |
69 |
209.3 |
165.6 |
195.5 |
Carle Eureka Hospital |
0331490291 |
FERRITIN |
82728 |
0300 |
145 |
145 |
43.5 |
131.95000000000002 |
101.5 |
43.5 |
131.95000000000002 |
104.39999999999999 |
123.25 |
Carle Eureka Hospital |
0331490301 |
FLUID MISC-GLUCOSE |
82945 |
0301 |
83 |
83 |
24.9 |
75.53 |
58.099999999999994 |
24.9 |
75.53 |
59.76 |
70.55 |
Carle Eureka Hospital |
0331490303 |
FLUID MISC-PROTEIN |
84157 |
0300 |
79 |
79 |
23.7 |
71.89 |
55.3 |
23.7 |
71.89 |
56.879999999999995 |
67.149999999999991 |
Carle Eureka Hospital |
0331490304 |
FLUIDMISC-LD |
83615 |
0300 |
83 |
83 |
24.9 |
75.53 |
58.099999999999994 |
24.9 |
75.53 |
59.76 |
70.55 |
Carle Eureka Hospital |
0331490306 |
FOLATE-SERUM |
82746 |
0300 |
140 |
140 |
42 |
127.4 |
98 |
42 |
127.4 |
100.8 |
119 |
Carle Eureka Hospital |
0331490307 |
FOLLICLE STIMULATING HORMONE |
83001 |
0300 |
215 |
215 |
64.5 |
195.65 |
150.5 |
64.5 |
195.65 |
154.79999999999998 |
182.75 |
Carle Eureka Hospital |
0331490321 |
GENTAMICIN-PEAK LEVEL |
80170 |
0300 |
205 |
205 |
61.5 |
186.55 |
143.5 |
61.5 |
186.55 |
147.6 |
174.25 |
Carle Eureka Hospital |
0331490322 |
GENTAMICIN-RANDOM LEVEL |
80170 |
0300 |
190 |
190 |
57 |
172.9 |
133 |
57 |
172.9 |
136.79999999999998 |
161.5 |
Carle Eureka Hospital |
0331490323 |
GENTAMICIN-TROUGH LEVEL |
80170 |
0300 |
205 |
205 |
61.5 |
186.55 |
143.5 |
61.5 |
186.55 |
147.6 |
174.25 |
Carle Eureka Hospital |
0331490324 |
GGTP |
82977 |
0300 |
98 |
98 |
29.4 |
89.18 |
68.599999999999994 |
29.4 |
89.18 |
70.56 |
83.3 |
Carle Eureka Hospital |
0331490327 |
GLUCOSE |
82947 |
0300 |
100 |
100 |
30 |
91 |
70 |
30 |
91 |
72 |
85 |
Carle Eureka Hospital |
0331490328 |
GLUCOSE 1 HR PP 50 GM DOSE |
82950 |
0300 |
68 |
68 |
20.399999999999999 |
61.88 |
47.599999999999994 |
20.399999999999999 |
61.88 |
48.96 |
57.8 |
Carle Eureka Hospital |
0331490329 |
GLUCOSE 2HR PP |
82947 |
0300 |
100 |
100 |
30 |
91 |
70 |
30 |
91 |
72 |
85 |
Carle Eureka Hospital |
0331490331 |
GLUCOSE RANDOM |
82947 |
0300 |
75 |
75 |
22.5 |
68.25 |
52.5 |
22.5 |
68.25 |
54 |
63.75 |
Carle Eureka Hospital |
0331490343 |
HDL CHOLESTEROL |
83718 |
0300 |
115 |
115 |
34.5 |
104.65 |
80.5 |
34.5 |
104.65 |
82.8 |
97.75 |
Carle Eureka Hospital |
0331490353 |
HEMOGLOBIN A1C |
83036 |
0301 |
98 |
98 |
29.4 |
89.18 |
68.599999999999994 |
29.4 |
89.18 |
70.56 |
83.3 |
Carle Eureka Hospital |
0331490359 |
HEPATIC FUNCTION PANEL |
80076 |
0300 |
135 |
135 |
40.5 |
122.85000000000001 |
94.5 |
40.5 |
122.85000000000001 |
97.2 |
114.75 |
Carle Eureka Hospital |
0331490360 |
HEPATITIS A ANTIBODY IGM |
86709 |
0300 |
190 |
190 |
57 |
172.9 |
133 |
57 |
172.9 |
136.79999999999998 |
161.5 |
Carle Eureka Hospital |
0331490361 |
HEPATITIS B CORE ANTIBODY IGM |
86705 |
0302 |
135 |
135 |
40.5 |
122.85000000000001 |
94.5 |
40.5 |
122.85000000000001 |
97.2 |
114.75 |
Carle Eureka Hospital |
0331490363 |
HEPATITIS B SURFACE ANTIGEN |
87340 |
0300 |
97 |
97 |
29.099999999999998 |
88.27 |
67.899999999999991 |
29.099999999999998 |
88.27 |
69.84 |
82.45 |
Carle Eureka Hospital |
0331490364 |
HEPATITIS C ANTIBODY |
86803 |
0300 |
135 |
135 |
40.5 |
122.85000000000001 |
94.5 |
40.5 |
122.85000000000001 |
97.2 |
114.75 |
Carle Eureka Hospital |
0331490365 |
HEPATITIS PANEL ACUTE |
80074 |
0300 |
445 |
445 |
133.5 |
404.95 |
311.5 |
133.5 |
404.95 |
320.39999999999998 |
378.25 |
Carle Eureka Hospital |
0331490394 |
IRON |
83540 |
0300 |
115 |
115 |
34.5 |
104.65 |
80.5 |
34.5 |
104.65 |
82.8 |
97.75 |
Carle Eureka Hospital |
0331490399 |
KETONES ACETONE-SERUM |
82009 |
0300 |
44 |
44 |
13.2 |
40.04 |
30.799999999999997 |
13.2 |
40.04 |
31.68 |
37.4 |
Carle Eureka Hospital |
0331490405 |
LACTIC ACID |
83605 |
0300 |
130 |
130 |
39 |
118.3 |
91 |
39 |
118.3 |
93.6 |
110.5 |
Carle Eureka Hospital |
0331490408 |
LDH |
83615 |
0300 |
90 |
90 |
27 |
81.900000000000006 |
62.999999999999993 |
27 |
81.900000000000006 |
64.8 |
76.5 |
Carle Eureka Hospital |
0331490430 |
LH - LUTEINIZING HORMONE |
83002 |
0300 |
210 |
210 |
63 |
191.1 |
147 |
63 |
191.1 |
151.19999999999999 |
178.5 |
Carle Eureka Hospital |
0331490432 |
LIPASE |
83690 |
0300 |
125 |
125 |
37.5 |
113.75 |
87.5 |
37.5 |
113.75 |
90 |
106.25 |
Carle Eureka Hospital |
0331490433 |
LIPID PANEL |
80061 |
0300 |
175 |
175 |
52.5 |
159.25 |
122.49999999999999 |
52.5 |
159.25 |
126 |
148.75 |
Carle Eureka Hospital |
0331490434 |
LITHIUM |
80178 |
0300 |
94 |
94 |
28.2 |
85.54 |
65.8 |
28.2 |
85.54 |
67.679999999999993 |
79.899999999999991 |
Carle Eureka Hospital |
0331490440 |
MAGNESIUM |
83735 |
0300 |
105 |
105 |
31.5 |
95.55 |
73.5 |
31.5 |
95.55 |
75.599999999999994 |
89.25 |
Carle Eureka Hospital |
0331490448 |
MICROALBUMIN-RANDOM URINE |
82043 |
0300 |
100 |
100 |
30 |
91 |
70 |
30 |
91 |
72 |
85 |
Carle Eureka Hospital |
0331490453 |
MYOGLOBIN |
83874 |
0300 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
0331490467 |
OSMOLALITY SERUM |
83930 |
0300 |
83 |
83 |
24.9 |
75.53 |
58.099999999999994 |
24.9 |
75.53 |
59.76 |
70.55 |
Carle Eureka Hospital |
0331490468 |
OSMOLALITY URINE |
83935 |
0300 |
83 |
83 |
24.9 |
75.53 |
58.099999999999994 |
24.9 |
75.53 |
59.76 |
70.55 |
Carle Eureka Hospital |
0331490478 |
PERIOD AND VOLUME |
81050 |
0300 |
31 |
31 |
9.2999999999999989 |
28.21 |
21.7 |
9.2999999999999989 |
28.21 |
22.32 |
26.349999999999998 |
Carle Eureka Hospital |
0331490481 |
PG TEST FOR FETAL MATURITY |
84081 |
0300 |
620 |
620 |
186 |
564.20000000000005 |
434 |
186 |
564.20000000000005 |
446.4 |
527 |
Carle Eureka Hospital |
0331490484 |
PHENOBARBITAL |
80184 |
0300 |
140 |
140 |
42 |
127.4 |
98 |
42 |
127.4 |
100.8 |
119 |
Carle Eureka Hospital |
0331490486 |
PHENYTOIN DILANTIN |
80185 |
0300 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
0331490490 |
PHOSPHORUS |
84100 |
0300 |
79 |
79 |
23.7 |
71.89 |
55.3 |
23.7 |
71.89 |
56.879999999999995 |
67.149999999999991 |
Carle Eureka Hospital |
0331490506 |
POTASSIUM |
84132 |
0300 |
74 |
74 |
22.2 |
67.34 |
51.8 |
22.2 |
67.34 |
53.28 |
62.9 |
Carle Eureka Hospital |
0331490507 |
POTASSIUM-24HR URINE |
84133 |
0300 |
83 |
83 |
24.9 |
75.53 |
58.099999999999994 |
24.9 |
75.53 |
59.76 |
70.55 |
Carle Eureka Hospital |
0331490508 |
POTASSIUM-RANDOM URINE |
84133 |
0300 |
63 |
63 |
18.899999999999999 |
57.330000000000005 |
44.099999999999994 |
18.899999999999999 |
57.330000000000005 |
45.36 |
53.55 |
Carle Eureka Hospital |
0331490509 |
PREALBUMIN TRANSTHYRETIN |
84134 |
0300 |
135 |
135 |
40.5 |
122.85000000000001 |
94.5 |
40.5 |
122.85000000000001 |
97.2 |
114.75 |
Carle Eureka Hospital |
0331490521 |
PROGESTERONE |
84144 |
0300 |
240 |
240 |
72 |
218.4 |
168 |
72 |
218.4 |
172.79999999999998 |
204 |
Carle Eureka Hospital |
0331490524 |
PROLACTIN |
84146 |
0300 |
220 |
220 |
66 |
200.20000000000002 |
154 |
66 |
200.20000000000002 |
158.4 |
187 |
Carle Eureka Hospital |
0331490525 |
PSA DIAGNOSTIC |
84153 |
0301 |
175 |
175 |
52.5 |
159.25 |
122.49999999999999 |
52.5 |
159.25 |
126 |
148.75 |
Carle Eureka Hospital |
0331490526 |
PSA SCREENING |
84153 |
0301 |
185 |
185 |
55.5 |
168.35 |
129.5 |
55.5 |
168.35 |
133.19999999999999 |
157.25 |
Carle Eureka Hospital |
0331490529 |
PROTEIN-24HR URINE |
84156 |
0300 |
115 |
115 |
34.5 |
104.65 |
80.5 |
34.5 |
104.65 |
82.8 |
97.75 |
Carle Eureka Hospital |
0331490530 |
PROTEIN-RANDOM URINE |
84156 |
0300 |
83 |
83 |
24.9 |
75.53 |
58.099999999999994 |
24.9 |
75.53 |
59.76 |
70.55 |
Carle Eureka Hospital |
0331490554 |
RENAL FUNCTION PANEL |
80069 |
0301 |
160 |
160 |
48 |
145.6 |
112 |
48 |
145.6 |
115.19999999999999 |
136 |
Carle Eureka Hospital |
0331490568 |
RUBELLA ANTIBODY-IGG |
86762 |
0300 |
165 |
165 |
49.5 |
150.15 |
115.49999999999999 |
49.5 |
150.15 |
118.8 |
140.25 |
Carle Eureka Hospital |
0331490570 |
SALICYLATE |
80329 |
0300 |
130 |
130 |
39 |
118.3 |
91 |
39 |
118.3 |
93.6 |
110.5 |
Carle Eureka Hospital |
0331490580 |
SODIUM |
84295 |
0300 |
79 |
79 |
23.7 |
71.89 |
55.3 |
23.7 |
71.89 |
56.879999999999995 |
67.149999999999991 |
Carle Eureka Hospital |
0331490582 |
SODIUM-24HR URINE |
84300 |
0300 |
94 |
94 |
28.2 |
85.54 |
65.8 |
28.2 |
85.54 |
67.679999999999993 |
79.899999999999991 |
Carle Eureka Hospital |
0331490583 |
SODIUM-RANDOM URINE |
84300 |
0300 |
68 |
68 |
20.399999999999999 |
61.88 |
47.599999999999994 |
20.399999999999999 |
61.88 |
48.96 |
57.8 |
Carle Eureka Hospital |
0331490603 |
SYNOVIAL FLUID GLUCOSE |
82945 |
0301 |
110 |
110 |
33 |
100.10000000000001 |
77 |
33 |
100.10000000000001 |
79.2 |
93.5 |
Carle Eureka Hospital |
0331490605 |
SYNOVIAL FLUID PROTEIN |
84157 |
0300 |
90 |
90 |
27 |
81.900000000000006 |
62.999999999999993 |
27 |
81.900000000000006 |
64.8 |
76.5 |
Carle Eureka Hospital |
0331490606 |
SYNOVIAL FLUID URIC ACID |
84560 |
0300 |
100 |
100 |
30 |
91 |
70 |
30 |
91 |
72 |
85 |
Carle Eureka Hospital |
0331490609 |
T4 - THYROXINE |
84436 |
0300 |
74 |
74 |
22.2 |
67.34 |
51.8 |
22.2 |
67.34 |
53.28 |
62.9 |
Carle Eureka Hospital |
0331490610 |
T4 FREE |
84439 |
0300 |
94 |
94 |
28.2 |
85.54 |
65.8 |
28.2 |
85.54 |
67.679999999999993 |
79.899999999999991 |
Carle Eureka Hospital |
0331490621 |
TOBRAMCIN-TROUGH LEVEL |
80200 |
0300 |
165 |
165 |
49.5 |
150.15 |
115.49999999999999 |
49.5 |
150.15 |
118.8 |
140.25 |
Carle Eureka Hospital |
0331490622 |
TOBRAMYCIN-PEAK LEVEL |
80200 |
0300 |
165 |
165 |
49.5 |
150.15 |
115.49999999999999 |
49.5 |
150.15 |
118.8 |
140.25 |
Carle Eureka Hospital |
0331490623 |
TOBRAMYCIN-RANDOM LEVEL |
80200 |
0300 |
165 |
165 |
49.5 |
150.15 |
115.49999999999999 |
49.5 |
150.15 |
118.8 |
140.25 |
Carle Eureka Hospital |
0331490627 |
TOTAL IRON BINDING CAPACITY |
83550 |
0301 |
83 |
83 |
24.9 |
75.53 |
58.099999999999994 |
24.9 |
75.53 |
59.76 |
70.55 |
Carle Eureka Hospital |
0331490628 |
TOTAL PROTEIN-SERUM |
84155 |
0300 |
74 |
74 |
22.2 |
67.34 |
51.8 |
22.2 |
67.34 |
53.28 |
62.9 |
Carle Eureka Hospital |
0331490638 |
TRIGLYCERIDES |
84478 |
0300 |
135 |
135 |
40.5 |
122.85000000000001 |
94.5 |
40.5 |
122.85000000000001 |
97.2 |
114.75 |
Carle Eureka Hospital |
0331490640 |
TROPONIN I |
84484 |
0300 |
155 |
155 |
46.5 |
141.05000000000001 |
108.5 |
46.5 |
141.05000000000001 |
111.6 |
131.75 |
Carle Eureka Hospital |
0331490641 |
TSH THYROID STIMULATING HORM |
84443 |
0300 |
160 |
160 |
48 |
145.6 |
112 |
48 |
145.6 |
115.19999999999999 |
136 |
Carle Eureka Hospital |
0331490652 |
URIC ACID |
84550 |
0300 |
74 |
74 |
22.2 |
67.34 |
51.8 |
22.2 |
67.34 |
53.28 |
62.9 |
Carle Eureka Hospital |
0331490671 |
VALPROIC ACID DEPAKENE |
80164 |
0300 |
125 |
125 |
37.5 |
113.75 |
87.5 |
37.5 |
113.75 |
90 |
106.25 |
Carle Eureka Hospital |
0331490672 |
VANCOMYCIN-PEAK LEVEL |
80202 |
0300 |
220 |
220 |
66 |
200.20000000000002 |
154 |
66 |
200.20000000000002 |
158.4 |
187 |
Carle Eureka Hospital |
0331490673 |
VANCOMYCIN-RANDOM LEVEL |
80202 |
0300 |
165 |
165 |
49.5 |
150.15 |
115.49999999999999 |
49.5 |
150.15 |
118.8 |
140.25 |
Carle Eureka Hospital |
0331490674 |
VANCOMYCIN-TROUGH LEVEL |
80202 |
0300 |
165 |
165 |
49.5 |
150.15 |
115.49999999999999 |
49.5 |
150.15 |
118.8 |
140.25 |
Carle Eureka Hospital |
0331490679 |
VET PANEL |
0300 |
21 |
21 |
6.3 |
19.11 |
14.7 |
6.3 |
19.11 |
15.12 |
17.849999999999998 |
Carle Eureka Hospital |
0331490683 |
VITAMIN B12 |
82607 |
0300 |
140 |
140 |
42 |
127.4 |
98 |
42 |
127.4 |
100.8 |
119 |
Carle Eureka Hospital |
0331490697 |
B-TYPE NATRIURETIC PEPTIDE |
83880 |
0301 |
265 |
265 |
79.5 |
241.15 |
185.5 |
79.5 |
241.15 |
190.79999999999998 |
225.25 |
Carle Eureka Hospital |
0331490765 |
ANTI NUCLEAR ANTIBODY TITER |
86039 |
0302 |
105 |
105 |
31.5 |
95.55 |
73.5 |
31.5 |
95.55 |
75.599999999999994 |
89.25 |
Carle Eureka Hospital |
0331491048 |
BILIRUBIN CORD |
82247 |
0301 |
75 |
75 |
22.5 |
68.25 |
52.5 |
22.5 |
68.25 |
54 |
63.75 |
Carle Eureka Hospital |
0331491052 |
TOLERANCE TEST ADD GLUCOSE |
82952 |
0301 |
49 |
49 |
14.7 |
44.59 |
34.299999999999997 |
14.7 |
44.59 |
35.28 |
41.65 |
Carle Eureka Hospital |
0331491104 |
GENERAL HEALTH PANEL |
80050 |
0301 |
435 |
435 |
130.5 |
395.85 |
304.5 |
130.5 |
395.85 |
313.2 |
369.75 |
Carle Eureka Hospital |
0331491172 |
VITAMIN D 25 HYDORXY |
82306 |
0301 |
340 |
340 |
102 |
309.40000000000003 |
237.99999999999997 |
102 |
309.40000000000003 |
244.79999999999998 |
289 |
Carle Eureka Hospital |
0331491388 |
PARATHORMONE (PTH) |
83970 |
0301 |
305 |
305 |
91.5 |
277.55 |
213.5 |
91.5 |
277.55 |
219.6 |
259.25 |
Carle Eureka Hospital |
0331491525 |
CORTISOL |
82533 |
0300 |
155 |
155 |
46.5 |
141.05000000000001 |
108.5 |
46.5 |
141.05000000000001 |
111.6 |
131.75 |
Carle Eureka Hospital |
0331491526 |
CORTISOL - DST SUPPRESSION |
82533 |
0300 |
175 |
175 |
52.5 |
159.25 |
122.49999999999999 |
52.5 |
159.25 |
126 |
148.75 |
Carle Eureka Hospital |
0331491527 |
ACTH STIMULATION PANEL |
80400 |
0300 |
325 |
325 |
97.5 |
295.75 |
227.49999999999997 |
97.5 |
295.75 |
234 |
276.25 |
Carle Eureka Hospital |
0331491637 |
FETAL FIBRONECTIN |
82731 |
0300 |
670 |
670 |
201 |
609.70000000000005 |
468.99999999999994 |
201 |
609.70000000000005 |
482.4 |
569.5 |
Carle Eureka Hospital |
0331491653 |
ACETAMINOPHEN SCREEN URINE |
80329 |
0300 |
160 |
160 |
48 |
145.6 |
112 |
48 |
145.6 |
115.19999999999999 |
136 |
Carle Eureka Hospital |
0331491667 |
GESTATIONAL GTT 2 HR |
82951 |
0300 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
0331491669 |
ACL COLLECTION FEE |
0300 |
7.4 |
7.4 |
2.2200000000000002 |
6.7340000000000009 |
5.18 |
2.2200000000000002 |
6.7340000000000009 |
5.3280000000000003 |
6.29 |
Carle Eureka Hospital |
0331491693 |
PROCALCITONIN |
84145 |
0301 |
265 |
265 |
79.5 |
241.15 |
185.5 |
79.5 |
241.15 |
190.79999999999998 |
225.25 |
Carle Eureka Hospital |
0331491706 |
GTT ADD GLUCOSE |
82947 |
0300 |
75 |
75 |
22.5 |
68.25 |
52.5 |
22.5 |
68.25 |
54 |
63.75 |
Carle Eureka Hospital |
0331491707 |
GLUCOSE TOLERANCE 2 HR |
82950 |
0300 |
83 |
83 |
24.9 |
75.53 |
58.099999999999994 |
24.9 |
75.53 |
59.76 |
70.55 |
Carle Eureka Hospital |
0331491807 |
HIV AG AB |
87806 |
0306 |
103 |
103 |
30.9 |
93.73 |
72.099999999999994 |
30.9 |
93.73 |
74.16 |
87.55 |
Carle Eureka Hospital |
0331491822 |
GLUCOSE BEDSIDE OP SINGLE TEST |
82962 |
0300 |
25 |
25 |
7.5 |
22.75 |
17.5 |
7.5 |
22.75 |
18 |
21.25 |
Carle Eureka Hospital |
0331690012 |
AEROBE DEFINITIVE ID 1 |
87077 |
0306 |
61 |
61 |
18.3 |
55.510000000000005 |
42.699999999999996 |
18.3 |
55.510000000000005 |
43.92 |
51.85 |
Carle Eureka Hospital |
0331690013 |
AEROBIC CULTURE |
87070 |
0306 |
115 |
115 |
34.5 |
104.65 |
80.5 |
34.5 |
104.65 |
82.8 |
97.75 |
Carle Eureka Hospital |
0331690041 |
ANAEROBE DEFINITIVE ID 1 |
87076 |
0306 |
94 |
94 |
28.2 |
85.54 |
65.8 |
28.2 |
85.54 |
67.679999999999993 |
79.899999999999991 |
Carle Eureka Hospital |
0331690076 |
BETA LACTAMASE DETECTION |
87185 |
0306 |
49 |
49 |
14.7 |
44.59 |
34.299999999999997 |
14.7 |
44.59 |
35.28 |
41.65 |
Carle Eureka Hospital |
0331690142 |
TOXIGENIC C DIFFICILE |
87493 |
0306 |
255 |
255 |
76.5 |
232.05 |
178.5 |
76.5 |
232.05 |
183.6 |
216.75 |
Carle Eureka Hospital |
0331690147 |
COLD AGGLUTININS |
86157 |
0302 |
76 |
76 |
22.8 |
69.16 |
53.199999999999996 |
22.8 |
69.16 |
54.72 |
64.599999999999994 |
Carle Eureka Hospital |
0331690192 |
CSF FUNGUS CULTURE |
87102 |
0306 |
100 |
100 |
30 |
91 |
70 |
30 |
91 |
72 |
85 |
Carle Eureka Hospital |
0331690206 |
CULTURE AFB CULTURE ONLY |
87116 |
0306 |
115 |
115 |
34.5 |
104.65 |
80.5 |
34.5 |
104.65 |
82.8 |
97.75 |
Carle Eureka Hospital |
0331690207 |
CULTURE ANAEROBIC |
87075 |
0306 |
155 |
155 |
46.5 |
141.05000000000001 |
108.5 |
46.5 |
141.05000000000001 |
111.6 |
131.75 |
Carle Eureka Hospital |
0331690209 |
CULTURE BLOOD |
87040 |
0306 |
130 |
130 |
39 |
118.3 |
91 |
39 |
118.3 |
93.6 |
110.5 |
Carle Eureka Hospital |
0331690210 |
CULTURE BLOOD FUNGUS |
87103 |
0306 |
160 |
160 |
48 |
145.6 |
112 |
48 |
145.6 |
115.19999999999999 |
136 |
Carle Eureka Hospital |
0331690214 |
CULTURE CATHETER TIP |
87070 |
0306 |
115 |
115 |
34.5 |
104.65 |
80.5 |
34.5 |
104.65 |
82.8 |
97.75 |
Carle Eureka Hospital |
0331690217 |
CULTURE FOR CAMPYLOBACTER |
87046 |
0306 |
86 |
86 |
25.8 |
78.260000000000005 |
60.199999999999996 |
25.8 |
78.260000000000005 |
61.919999999999995 |
73.099999999999994 |
Carle Eureka Hospital |
0331690218 |
CULTURE FOR E.COLI 0157 |
87046 |
0306 |
68 |
68 |
20.399999999999999 |
61.88 |
47.599999999999994 |
20.399999999999999 |
61.88 |
48.96 |
57.8 |
Carle Eureka Hospital |
0331690219 |
CULTURE FOR YERSINIA |
87046 |
0306 |
86 |
86 |
25.8 |
78.260000000000005 |
60.199999999999996 |
25.8 |
78.260000000000005 |
61.919999999999995 |
73.099999999999994 |
Carle Eureka Hospital |
0331690220 |
CULTURE FUNGUS |
87102 |
0306 |
100 |
100 |
30 |
91 |
70 |
30 |
91 |
72 |
85 |
Carle Eureka Hospital |
0331690221 |
CULTURE FUNGUS SKIN HAIR NAI |
87101 |
0306 |
140 |
140 |
42 |
127.4 |
98 |
42 |
127.4 |
100.8 |
119 |
Carle Eureka Hospital |
0331690225 |
CULTURE MAXILLARY SINUS |
87070 |
0306 |
115 |
115 |
34.5 |
104.65 |
80.5 |
34.5 |
104.65 |
82.8 |
97.75 |
Carle Eureka Hospital |
0331690226 |
CULTURE NOSE/NASOPHARYNGEAL |
87070 |
0306 |
115 |
115 |
34.5 |
104.65 |
80.5 |
34.5 |
104.65 |
82.8 |
97.75 |
Carle Eureka Hospital |
0331690227 |
CULTURE OTHER-SPECIFY SOURCE |
87070 |
0306 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
0331690228 |
CULTURE QUANTITATIVE AEROBIC |
87071 |
0306 |
200 |
200 |
60 |
182 |
140 |
60 |
182 |
144 |
170 |
Carle Eureka Hospital |
0331690234 |
CULTURE THROAT |
87070 |
0306 |
115 |
115 |
34.5 |
104.65 |
80.5 |
34.5 |
104.65 |
82.8 |
97.75 |
Carle Eureka Hospital |
0331690235 |
CULTURE THROAT-BETA STREP ONLY |
87081 |
0306 |
115 |
115 |
34.5 |
104.65 |
80.5 |
34.5 |
104.65 |
82.8 |
97.75 |
Carle Eureka Hospital |
0331690237 |
CULTURE URINE |
87086 |
0306 |
86 |
86 |
25.8 |
78.260000000000005 |
60.199999999999996 |
25.8 |
78.260000000000005 |
61.919999999999995 |
73.099999999999994 |
Carle Eureka Hospital |
0331690240 |
CULTURE VAGINAL B-STREP ONLY |
87081 |
0306 |
86 |
86 |
25.8 |
78.260000000000005 |
60.199999999999996 |
25.8 |
78.260000000000005 |
61.919999999999995 |
73.099999999999994 |
Carle Eureka Hospital |
0331690242 |
CULTURE/SALMONELLA & SHIGELLA |
87045 |
0306 |
140 |
140 |
42 |
127.4 |
98 |
42 |
127.4 |
100.8 |
119 |
Carle Eureka Hospital |
0331690281 |
EXAM FOR CLUE CELLS |
87205 |
0306 |
50 |
50 |
15 |
45.5 |
35 |
15 |
45.5 |
36 |
42.5 |
Carle Eureka Hospital |
0331690282 |
EXAM FOR FUNGUS/YEAST |
87205 |
0306 |
50 |
50 |
15 |
45.5 |
35 |
15 |
45.5 |
36 |
42.5 |
Carle Eureka Hospital |
0331690283 |
EXAM FOR TRICHOMONAS |
87210 |
0306 |
57 |
57 |
17.099999999999998 |
51.870000000000005 |
39.9 |
17.099999999999998 |
51.870000000000005 |
41.04 |
48.449999999999996 |
Carle Eureka Hospital |
0331690285 |
EYEBANK CULTURE |
87070 |
0306 |
115 |
115 |
34.5 |
104.65 |
80.5 |
34.5 |
104.65 |
82.8 |
97.75 |
Carle Eureka Hospital |
0331690318 |
GC SMEAR ONLY |
87205 |
0306 |
51 |
51 |
15.299999999999999 |
46.410000000000004 |
35.699999999999996 |
15.299999999999999 |
46.410000000000004 |
36.72 |
43.35 |
Carle Eureka Hospital |
0331690336 |
GRAM SMEAR |
87205 |
0306 |
50 |
50 |
15 |
45.5 |
35 |
15 |
45.5 |
36 |
42.5 |
Carle Eureka Hospital |
0331690339 |
H.PYLORI RAPID UREASE TEST |
87081 |
0301 |
83 |
83 |
24.9 |
75.53 |
58.099999999999994 |
24.9 |
75.53 |
59.76 |
70.55 |
Carle Eureka Hospital |
0331690376 |
HOMOGENIZATION TISSUE CULTURE |
87176 |
0306 |
55 |
55 |
16.5 |
50.050000000000004 |
38.5 |
16.5 |
50.050000000000004 |
39.6 |
46.75 |
Carle Eureka Hospital |
0331690379 |
IDENTIFICATION OF FUNGUS |
87107 |
0306 |
120 |
120 |
36 |
109.2 |
84 |
36 |
109.2 |
86.399999999999991 |
102 |
Carle Eureka Hospital |
0331690401 |
KOH EXAM OF SKIN HAIR NAILS |
87220 |
0306 |
88 |
88 |
26.4 |
80.08 |
61.599999999999994 |
26.4 |
80.08 |
63.36 |
74.8 |
Carle Eureka Hospital |
0331690450 |
MONO TEST |
86308 |
0302 |
100 |
100 |
30 |
91 |
70 |
30 |
91 |
72 |
85 |
Carle Eureka Hospital |
0331690460 |
NEONATAL SCREEN |
84030 |
0300 |
256 |
256 |
76.8 |
232.96 |
179.2 |
76.8 |
232.96 |
184.32 |
217.6 |
Carle Eureka Hospital |
0331690539 |
RAPID SCREEN FOR GROUP A STREP |
87880 |
0306 |
115 |
115 |
34.5 |
104.65 |
80.5 |
34.5 |
104.65 |
82.8 |
97.75 |
Carle Eureka Hospital |
0331690556 |
REPEAT NEONATAL SCREEN |
84030 |
0300 |
130 |
130 |
39 |
118.3 |
91 |
39 |
118.3 |
93.6 |
110.5 |
Carle Eureka Hospital |
0331690557 |
RESPIRATORY SYNCYTIAL VIRUS |
87807 |
0306 |
125 |
125 |
37.5 |
113.75 |
87.5 |
37.5 |
113.75 |
90 |
106.25 |
Carle Eureka Hospital |
0331690565 |
ROTAVIRUS IN FECES |
87425 |
0306 |
140 |
140 |
42 |
127.4 |
98 |
42 |
127.4 |
100.8 |
119 |
Carle Eureka Hospital |
0331690566 |
RPR TEST |
86592 |
0302 |
74 |
74 |
22.2 |
67.34 |
51.8 |
22.2 |
67.34 |
53.28 |
62.9 |
Carle Eureka Hospital |
0331690579 |
SMEAR FOR ACID FAST BACILLI |
87206 |
0306 |
51 |
51 |
15.299999999999999 |
46.410000000000004 |
35.699999999999996 |
15.299999999999999 |
46.410000000000004 |
36.72 |
43.35 |
Carle Eureka Hospital |
0331690596 |
SUSCEPTIBILITY KB |
87184 |
0306 |
68 |
68 |
20.399999999999999 |
61.88 |
47.599999999999994 |
20.399999999999999 |
61.88 |
48.96 |
57.8 |
Carle Eureka Hospital |
0331690597 |
SUSCEPTIBILITY MIC |
87186 |
0306 |
90 |
90 |
27 |
81.900000000000006 |
62.999999999999993 |
27 |
81.900000000000006 |
64.8 |
76.5 |
Carle Eureka Hospital |
0331690660 |
ISOLATION AND ID, URINE |
87088 |
0306 |
86 |
86 |
25.8 |
78.260000000000005 |
60.199999999999996 |
25.8 |
78.260000000000005 |
61.919999999999995 |
73.099999999999994 |
Carle Eureka Hospital |
0331690691 |
EXAM FOR TRICH CLUE & FUNGUS |
87210 |
0306 |
57 |
57 |
17.099999999999998 |
51.870000000000005 |
39.9 |
17.099999999999998 |
51.870000000000005 |
41.04 |
48.449999999999996 |
Carle Eureka Hospital |
0331690693 |
YEAST DEFINITIVE ID |
87106 |
0306 |
97 |
97 |
29.099999999999998 |
88.27 |
67.899999999999991 |
29.099999999999998 |
88.27 |
69.84 |
82.45 |
Carle Eureka Hospital |
0331691013 |
SPECIFIC ORGANISM CULTURE |
87081 |
0306 |
86 |
86 |
25.8 |
78.260000000000005 |
60.199999999999996 |
25.8 |
78.260000000000005 |
61.919999999999995 |
73.099999999999994 |
Carle Eureka Hospital |
0331691014 |
BETA LACTAMASE DETECTION 2 |
87185 |
0306 |
49 |
49 |
14.7 |
44.59 |
34.299999999999997 |
14.7 |
44.59 |
35.28 |
41.65 |
Carle Eureka Hospital |
0331691015 |
YEAST DEFINITIVE ID 2 |
87106 |
0306 |
97 |
97 |
29.099999999999998 |
88.27 |
67.899999999999991 |
29.099999999999998 |
88.27 |
69.84 |
82.45 |
Carle Eureka Hospital |
0331691016 |
IDENTIFICATION OF FUNGUS-MOLD2 |
8707759 |
0306 |
77 |
77 |
23.099999999999998 |
70.070000000000007 |
53.9 |
23.099999999999998 |
70.070000000000007 |
55.44 |
65.45 |
Carle Eureka Hospital |
0331691017 |
RAPID HIV FROM SOURCE |
86703 |
0302 |
180 |
180 |
54 |
163.80000000000001 |
125.99999999999999 |
54 |
163.80000000000001 |
129.6 |
153 |
Carle Eureka Hospital |
0331691018 |
ANAEROBE DEFINITIVE ID 2 |
87076 |
0306 |
94 |
94 |
28.2 |
85.54 |
65.8 |
28.2 |
85.54 |
67.679999999999993 |
79.899999999999991 |
Carle Eureka Hospital |
0331691019 |
ANAEROBE DEFINITIVE ID 3 |
87076 |
0306 |
125 |
125 |
37.5 |
113.75 |
87.5 |
37.5 |
113.75 |
90 |
106.25 |
Carle Eureka Hospital |
0331691020 |
AEROBE DEFINITIVE ID 2 |
87077 |
0306 |
61 |
61 |
18.3 |
55.510000000000005 |
42.699999999999996 |
18.3 |
55.510000000000005 |
43.92 |
51.85 |
Carle Eureka Hospital |
0331691021 |
AEROBE DEFINITIVE ID 3 |
87077 |
0306 |
61 |
61 |
18.3 |
55.510000000000005 |
42.699999999999996 |
18.3 |
55.510000000000005 |
43.92 |
51.85 |
Carle Eureka Hospital |
0331691060 |
VET SUSCEPTIBILITY |
0306 |
15 |
15 |
4.5 |
13.65 |
10.5 |
4.5 |
13.65 |
10.799999999999999 |
12.75 |
Carle Eureka Hospital |
0331691190 |
GRAM NEGATIVE MIC |
87186 |
0306 |
90 |
90 |
27 |
81.900000000000006 |
62.999999999999993 |
27 |
81.900000000000006 |
64.8 |
76.5 |
Carle Eureka Hospital |
0331691256 |
GRAM POSITIVE MIC |
87186 |
0306 |
90 |
90 |
27 |
81.900000000000006 |
62.999999999999993 |
27 |
81.900000000000006 |
64.8 |
76.5 |
Carle Eureka Hospital |
0331691485 |
INFLUENZA A |
87276 |
0302 |
110 |
110 |
33 |
100.10000000000001 |
77 |
33 |
100.10000000000001 |
79.2 |
93.5 |
Carle Eureka Hospital |
0331691486 |
INFLUENZA B |
87275 |
0302 |
110 |
110 |
33 |
100.10000000000001 |
77 |
33 |
100.10000000000001 |
79.2 |
93.5 |
Carle Eureka Hospital |
0331691559 |
CONCENTRATION FOR INFCT AGENTS |
87015 |
0306 |
63 |
63 |
18.899999999999999 |
57.330000000000005 |
44.099999999999994 |
18.899999999999999 |
57.330000000000005 |
45.36 |
53.55 |
Carle Eureka Hospital |
0331691565 |
RAPID MRSA |
87641 |
0306 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
0331691660 |
SHIGA TOXIN 1 |
87427 |
0306 |
110 |
110 |
33 |
100.10000000000001 |
77 |
33 |
100.10000000000001 |
79.2 |
93.5 |
Carle Eureka Hospital |
0331691661 |
SHIGA TOXIN 2 |
87427 |
0306 |
110 |
110 |
33 |
100.10000000000001 |
77 |
33 |
100.10000000000001 |
79.2 |
93.5 |
Carle Eureka Hospital |
0331691666 |
CULTURE FOR E COLI 0157 |
87046 |
0306 |
86 |
86 |
25.8 |
78.260000000000005 |
60.199999999999996 |
25.8 |
78.260000000000005 |
61.919999999999995 |
73.099999999999994 |
Carle Eureka Hospital |
0331691670 |
CAMPYLOBACTER ANTIGEN |
87899 |
0306 |
44 |
44 |
13.2 |
40.04 |
30.799999999999997 |
13.2 |
40.04 |
31.68 |
37.4 |
Carle Eureka Hospital |
0331691705 |
PRE OP NASAL MRSA |
87641 |
0306 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
0331691711 |
STREPTOCOCCUS GROUP A PROBE |
87651 |
0300 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
0331691733 |
STREPT PNEUM URINARY ANTIGEN |
87899 |
0300 |
110 |
110 |
33 |
100.10000000000001 |
77 |
33 |
100.10000000000001 |
79.2 |
93.5 |
Carle Eureka Hospital |
0331691734 |
LEGIONELLA PNEUM URINE ANTIGEN |
87899 |
0300 |
110 |
110 |
33 |
100.10000000000001 |
77 |
33 |
100.10000000000001 |
79.2 |
93.5 |
Carle Eureka Hospital |
0331691796 |
CHLAMYDIA CT/NG |
87491 |
0302 |
144 |
144 |
43.199999999999996 |
131.04 |
100.8 |
43.199999999999996 |
131.04 |
103.67999999999999 |
122.39999999999999 |
Carle Eureka Hospital |
0331691797 |
NEISSERIA GONORRHOEA CT/NG |
87591 |
0302 |
144 |
144 |
43.199999999999996 |
131.04 |
100.8 |
43.199999999999996 |
131.04 |
103.67999999999999 |
122.39999999999999 |
Carle Eureka Hospital |
0331694836 |
COVID 19 NON CDC |
87635 |
0300 |
153 |
153 |
45.9 |
139.23000000000002 |
107.1 |
45.9 |
139.23000000000002 |
110.16 |
130.04999999999998 |
Carle Eureka Hospital |
0331694839 |
SARS COV 2 IGG ANTIBODY |
86769 |
0302 |
73 |
73 |
21.9 |
66.430000000000007 |
51.099999999999994 |
21.9 |
66.430000000000007 |
52.559999999999995 |
62.05 |
Carle Eureka Hospital |
0331790099 |
BODY FLUID CYTOLOGY |
88104 |
0311 |
215 |
215 |
64.5 |
195.65 |
150.5 |
64.5 |
195.65 |
154.79999999999998 |
182.75 |
Carle Eureka Hospital |
0331790245 |
CYTOLOGY SMEARS ANY SOURCE |
88161 |
0311 |
235 |
235 |
70.5 |
213.85 |
164.5 |
70.5 |
213.85 |
169.2 |
199.75 |
Carle Eureka Hospital |
0331790246 |
CYTOMEGALIC INCLUSION BODIES |
87207 |
0300 |
190 |
190 |
57 |
172.9 |
133 |
57 |
172.9 |
136.79999999999998 |
161.5 |
Carle Eureka Hospital |
0331790248 |
DARK FIELD EXAMINATION |
87166 |
0300 |
130 |
130 |
39 |
118.3 |
91 |
39 |
118.3 |
93.6 |
110.5 |
Carle Eureka Hospital |
0331790278 |
ESTROGEN RECEPTOR OR ASSAY |
84233 |
0300 |
335 |
335 |
100.5 |
304.85000000000002 |
234.49999999999997 |
100.5 |
304.85000000000002 |
241.2 |
284.75 |
Carle Eureka Hospital |
0331790310 |
FROZEN SECTION 1 |
88331 |
0310 |
710 |
710 |
213 |
646.1 |
496.99999999999994 |
213 |
646.1 |
511.2 |
603.5 |
Carle Eureka Hospital |
0331790311 |
FROZEN SECTION EACH ADDITIONAL |
88332 |
0310 |
380 |
380 |
114 |
345.8 |
266 |
114 |
345.8 |
273.59999999999997 |
323 |
Carle Eureka Hospital |
0331790338 |
H AND E SLIDE PREPARATION |
88399 |
0300 |
61 |
61 |
18.3 |
55.510000000000005 |
42.699999999999996 |
18.3 |
55.510000000000005 |
43.92 |
51.85 |
Carle Eureka Hospital |
0331790369 |
HISTOCHEMISTRY OR CYTOCHEM |
88319 |
0310 |
545 |
545 |
163.5 |
495.95 |
381.5 |
163.5 |
495.95 |
392.4 |
463.25 |
Carle Eureka Hospital |
0331790377 |
HORMONE RECEPTOR ASSAY |
84233 |
0300 |
695 |
695 |
208.5 |
632.45000000000005 |
486.49999999999994 |
208.5 |
632.45000000000005 |
500.4 |
590.75 |
Carle Eureka Hospital |
0331790382 |
IMMUNOCYTOCHEMISTRY INITIAL |
88342 |
0310 |
244 |
244 |
73.2 |
222.04000000000002 |
170.79999999999998 |
73.2 |
222.04000000000002 |
175.68 |
207.4 |
Carle Eureka Hospital |
0331790417 |
LEUKOCYTE ALKALINE PHOS STAIN |
85540 |
0300 |
140 |
140 |
42 |
127.4 |
98 |
42 |
127.4 |
100.8 |
119 |
Carle Eureka Hospital |
0331790424 |
LEVEL I SURG PATH GROSS ONLY |
88300 |
0310 |
145 |
145 |
43.5 |
131.95000000000002 |
101.5 |
43.5 |
131.95000000000002 |
104.39999999999999 |
123.25 |
Carle Eureka Hospital |
0331790425 |
LEVEL II SURG PATH GROSS & MIC |
88302 |
0310 |
195 |
195 |
58.5 |
177.45000000000002 |
136.5 |
58.5 |
177.45000000000002 |
140.4 |
165.75 |
Carle Eureka Hospital |
0331790426 |
LEVEL III SURG PATH GROSS & MI |
88304 |
0310 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
0331790427 |
LEVEL IV SURG PATH GROSS & MIC |
88305 |
0310 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
0331790428 |
LEVEL V SURG PATH GROSS & MIC |
88307 |
0310 |
1215 |
1215 |
364.5 |
1105.6500000000001 |
850.5 |
364.5 |
1105.6500000000001 |
874.8 |
1032.75 |
Carle Eureka Hospital |
0331790429 |
LEVEL VI SURG PATH GROSS & MIC |
88309 |
0310 |
1295 |
1295 |
388.5 |
1178.45 |
906.49999999999989 |
388.5 |
1178.45 |
932.4 |
1100.75 |
Carle Eureka Hospital |
0331790475 |
PATH CONSULT DURING SURGERY |
88329 |
0310 |
215 |
215 |
64.5 |
195.65 |
150.5 |
64.5 |
195.65 |
154.79999999999998 |
182.75 |
Carle Eureka Hospital |
0331790477 |
PATH CONSULTATION-MAYO CLINIC |
88325 |
0310 |
520 |
520 |
156 |
473.2 |
364 |
156 |
473.2 |
374.4 |
442 |
Carle Eureka Hospital |
0331790523 |
PROGESTERONE RECEPTOR ASSAY |
84234 |
0300 |
480 |
480 |
144 |
436.8 |
336 |
144 |
436.8 |
345.59999999999997 |
408 |
Carle Eureka Hospital |
0331790536 |
QUANTITATIVE IRON LIVER TISSUE |
83540 |
0301 |
115 |
115 |
34.5 |
104.65 |
80.5 |
34.5 |
104.65 |
82.8 |
97.75 |
Carle Eureka Hospital |
0331790584 |
SPECIAL STAIN BY MAYO |
88341 |
0310 |
480 |
480 |
144 |
436.8 |
336 |
144 |
436.8 |
345.59999999999997 |
408 |
Carle Eureka Hospital |
0331790585 |
SPECIAL STAIN GROUP 1 |
88312 |
0310 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
0331790586 |
SPECIAL STAIN GROUP 2 |
88313 |
0300 |
235 |
235 |
70.5 |
213.85 |
164.5 |
70.5 |
213.85 |
169.2 |
199.75 |
Carle Eureka Hospital |
0331790587 |
SPECIAL STAIN HISTO GRP II |
88313 |
0310 |
195 |
195 |
58.5 |
177.45000000000002 |
136.5 |
58.5 |
177.45000000000002 |
140.4 |
165.75 |
Carle Eureka Hospital |
0331790591 |
SPUTUM FOR CYTO |
88162 |
0311 |
300 |
300 |
90 |
273 |
210 |
90 |
273 |
216 |
255 |
Carle Eureka Hospital |
0331790619 |
TISSUE DECALCIFICATION |
88311 |
0310 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
0331790650 |
TZANCK TEST FOR VIRAL INCLUSIO |
87207 |
0300 |
190 |
190 |
57 |
172.9 |
133 |
57 |
172.9 |
136.79999999999998 |
161.5 |
Carle Eureka Hospital |
0331791026 |
PATH CONSULT MAYO COMPREHENSIV |
88325 |
0310 |
500 |
500 |
150 |
455 |
350 |
150 |
455 |
360 |
425 |
Carle Eureka Hospital |
0331791027 |
PATH CONSULTATION MAYO |
88321 |
0310 |
500 |
500 |
150 |
455 |
350 |
150 |
455 |
360 |
425 |
Carle Eureka Hospital |
0331791030 |
MUSCLE BIOPSY TO ST FRANCIS |
99001 |
0300 |
145 |
145 |
43.5 |
131.95000000000002 |
101.5 |
43.5 |
131.95000000000002 |
104.39999999999999 |
123.25 |
Carle Eureka Hospital |
0331791691 |
FNA PATHOLOGIST EVALUATION |
88172 |
0311 |
410 |
410 |
123 |
373.1 |
287 |
123 |
373.1 |
295.2 |
348.5 |
Carle Eureka Hospital |
0331791692 |
FNA ADDITIONAL EVALUATION |
88177 |
0311 |
265 |
265 |
79.5 |
241.15 |
185.5 |
79.5 |
241.15 |
190.79999999999998 |
225.25 |
Carle Eureka Hospital |
0331791694 |
FNA EVAL INT AND REPORT |
88173 |
0311 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
0331791710 |
PATH CONSLT WSLIDEPREP BY MAYO |
88323 |
0312 |
500 |
500 |
150 |
455 |
350 |
150 |
455 |
360 |
425 |
Carle Eureka Hospital |
0331890000 |
17-HYDROXYPROGESTERONE |
83498 |
0300 |
310 |
310 |
93 |
282.10000000000002 |
217 |
93 |
282.10000000000002 |
223.2 |
263.5 |
Carle Eureka Hospital |
0331890001 |
5-HIAA 24HR URINE |
83497 |
0300 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
0331890008 |
ACETYLCHOLINE RECEPTOR AB |
84238 |
0300 |
345 |
345 |
103.5 |
313.95 |
241.49999999999997 |
103.5 |
313.95 |
248.39999999999998 |
293.25 |
Carle Eureka Hospital |
0331890009 |
ACID PHOSPHATASE PROSTATIC |
84066 |
0300 |
140 |
140 |
42 |
127.4 |
98 |
42 |
127.4 |
100.8 |
119 |
Carle Eureka Hospital |
0331890011 |
ADRENOCORTICOTROPIC HORMONE |
82024 |
0300 |
370 |
370 |
111 |
336.7 |
259 |
111 |
336.7 |
266.39999999999998 |
314.5 |
Carle Eureka Hospital |
0331890018 |
ALDOLASE |
82085 |
0300 |
110 |
110 |
33 |
100.10000000000001 |
77 |
33 |
100.10000000000001 |
79.2 |
93.5 |
Carle Eureka Hospital |
0331890019 |
ALDOSTERONE |
82088 |
0300 |
380 |
380 |
114 |
345.8 |
266 |
114 |
345.8 |
273.59999999999997 |
323 |
Carle Eureka Hospital |
0331890022 |
ALKALINE PHOSPHATASE ISOENZYME |
84080 |
0300 |
140 |
140 |
42 |
127.4 |
98 |
42 |
127.4 |
100.8 |
119 |
Carle Eureka Hospital |
0331890023 |
ALPHA-1-ANTITRYPSIN |
82103 |
0300 |
125 |
125 |
37.5 |
113.75 |
87.5 |
37.5 |
113.75 |
90 |
106.25 |
Carle Eureka Hospital |
0331890024 |
ALPHAFETOPROTEIN MATERNAL |
82105 |
0300 |
190 |
190 |
57 |
172.9 |
133 |
57 |
172.9 |
136.79999999999998 |
161.5 |
Carle Eureka Hospital |
0331890025 |
ALPHAFETOPROTEIN TUMOR MARKER |
82105 |
0300 |
190 |
190 |
57 |
172.9 |
133 |
57 |
172.9 |
136.79999999999998 |
161.5 |
Carle Eureka Hospital |
0331890027 |
RMSF IGG (FEB) |
86757 |
0302 |
120 |
120 |
36 |
109.2 |
84 |
36 |
109.2 |
86.399999999999991 |
102 |
Carle Eureka Hospital |
0331890028 |
AMIKACIN RANDOM |
80150 |
0300 |
410 |
410 |
123 |
373.1 |
287 |
123 |
373.1 |
295.2 |
348.5 |
Carle Eureka Hospital |
0331890029 |
TYPHUS FEVER IGG (FEB) |
86757 |
0302 |
95 |
95 |
28.5 |
86.45 |
66.5 |
28.5 |
86.45 |
68.399999999999991 |
80.75 |
Carle Eureka Hospital |
0331890031 |
AMIKACIN |
80150 |
0300 |
410 |
410 |
123 |
373.1 |
287 |
123 |
373.1 |
295.2 |
348.5 |
Carle Eureka Hospital |
0331890033 |
AMINOLEVULINIC ACID 24HR URINE |
82135 |
0300 |
185 |
185 |
55.5 |
168.35 |
129.5 |
55.5 |
168.35 |
133.19999999999999 |
157.25 |
Carle Eureka Hospital |
0331890034 |
AMITRIPTYLINE ELAVIL |
80335 |
0300 |
215 |
215 |
64.5 |
195.65 |
150.5 |
64.5 |
195.65 |
154.79999999999998 |
182.75 |
Carle Eureka Hospital |
0331890038 |
AMYLASE 24HR URINE |
82150 |
0300 |
195 |
195 |
58.5 |
177.45000000000002 |
136.5 |
58.5 |
177.45000000000002 |
140.4 |
165.75 |
Carle Eureka Hospital |
0331890039 |
AMYLASE URINE RANDOM |
82150 |
0300 |
140 |
140 |
42 |
127.4 |
98 |
42 |
127.4 |
100.8 |
119 |
Carle Eureka Hospital |
0331890043 |
ANGIOTENSIN 1 CONVERTING ENZ |
82164 |
0300 |
165 |
165 |
49.5 |
150.15 |
115.49999999999999 |
49.5 |
150.15 |
118.8 |
140.25 |
Carle Eureka Hospital |
0331890055 |
ANTI-DNA ANTIBODY |
86225 |
0300 |
160 |
160 |
48 |
145.6 |
112 |
48 |
145.6 |
115.19999999999999 |
136 |
Carle Eureka Hospital |
0331890058 |
ANTI-MICROSOMAL ANTIBODY |
86376 |
0300 |
135 |
135 |
40.5 |
122.85000000000001 |
94.5 |
40.5 |
122.85000000000001 |
97.2 |
114.75 |
Carle Eureka Hospital |
0331890059 |
ANTI-MITOCHONDRIAL ANTIBODY |
86255 |
0300 |
175 |
175 |
52.5 |
159.25 |
122.49999999999999 |
52.5 |
159.25 |
126 |
148.75 |
Carle Eureka Hospital |
0331890060 |
ANTINUCLEAR ANTIBODY-ANA |
86038 |
0300 |
140 |
140 |
42 |
127.4 |
98 |
42 |
127.4 |
100.8 |
119 |
Carle Eureka Hospital |
0331890061 |
ANTI-PLATELET ANTIBODY |
86023 |
0300 |
395 |
395 |
118.5 |
359.45 |
276.5 |
118.5 |
359.45 |
284.39999999999998 |
335.75 |
Carle Eureka Hospital |
0331890062 |
ANTI-SMOOTH MUSCLE ANTIBODY |
86255 |
0300 |
175 |
175 |
52.5 |
159.25 |
122.49999999999999 |
52.5 |
159.25 |
126 |
148.75 |
Carle Eureka Hospital |
0331890063 |
ANTISTREPTOLYSIN O TITER-ASO |
86060 |
0300 |
155 |
155 |
46.5 |
141.05000000000001 |
108.5 |
46.5 |
141.05000000000001 |
111.6 |
131.75 |
Carle Eureka Hospital |
0331890064 |
ANTITHROMBIN III |
85300 |
0300 |
160 |
160 |
48 |
145.6 |
112 |
48 |
145.6 |
115.19999999999999 |
136 |
Carle Eureka Hospital |
0331890077 |
BETA-2 MICROGLOBULIN |
82232 |
0301 |
185 |
185 |
55.5 |
168.35 |
129.5 |
55.5 |
168.35 |
133.19999999999999 |
157.25 |
Carle Eureka Hospital |
0331890079 |
BETA-HCG TUMORMARKER |
84702 |
0301 |
175 |
175 |
52.5 |
159.25 |
122.49999999999999 |
52.5 |
159.25 |
126 |
148.75 |
Carle Eureka Hospital |
0331890086 |
BLASTOMYCES ANTIBODY |
86612 |
0300 |
120 |
120 |
36 |
109.2 |
84 |
36 |
109.2 |
86.399999999999991 |
102 |
Carle Eureka Hospital |
0331890104 |
CA 125 |
86304 |
0300 |
240 |
240 |
72 |
218.4 |
168 |
72 |
218.4 |
172.79999999999998 |
204 |
Carle Eureka Hospital |
0331890105 |
CA 19-9 |
86301 |
0300 |
195 |
195 |
58.5 |
177.45000000000002 |
136.5 |
58.5 |
177.45000000000002 |
140.4 |
165.75 |
Carle Eureka Hospital |
0331890106 |
CA 2729 |
86300 |
0300 |
195 |
195 |
58.5 |
177.45000000000002 |
136.5 |
58.5 |
177.45000000000002 |
140.4 |
165.75 |
Carle Eureka Hospital |
0331890109 |
CALCIUM IONIZED |
82330 |
0300 |
130 |
130 |
39 |
118.3 |
91 |
39 |
118.3 |
93.6 |
110.5 |
Carle Eureka Hospital |
0331890110 |
CALCIUM-24HR URINE |
82340 |
0300 |
120 |
120 |
36 |
109.2 |
84 |
36 |
109.2 |
86.399999999999991 |
102 |
Carle Eureka Hospital |
0331890112 |
CALCIUM-URINE RANDOM |
82340 |
0300 |
120 |
120 |
36 |
109.2 |
84 |
36 |
109.2 |
86.399999999999991 |
102 |
Carle Eureka Hospital |
0331890120 |
CATECHOLAMINES 24HR URINE |
82384 |
0300 |
290 |
290 |
87 |
263.90000000000003 |
203 |
87 |
263.90000000000003 |
208.79999999999998 |
246.5 |
Carle Eureka Hospital |
0331890125 |
CEA-CARCINO EMBRYONIC ANTIGEN |
82378 |
0300 |
180 |
180 |
54 |
163.80000000000001 |
125.99999999999999 |
54 |
163.80000000000001 |
129.6 |
153 |
Carle Eureka Hospital |
0331890128 |
CERULOPLASMIN |
82390 |
0300 |
120 |
120 |
36 |
109.2 |
84 |
36 |
109.2 |
86.399999999999991 |
102 |
Carle Eureka Hospital |
0331890132 |
CHLORIDE URINE RANDOM |
82436 |
0300 |
125 |
125 |
37.5 |
113.75 |
87.5 |
37.5 |
113.75 |
90 |
106.25 |
Carle Eureka Hospital |
0331890133 |
CHLORIDE-24HR URINE |
82436 |
0300 |
125 |
125 |
37.5 |
113.75 |
87.5 |
37.5 |
113.75 |
90 |
106.25 |
Carle Eureka Hospital |
0331890135 |
CHOLINESTERASE - PLASMA |
82480 |
0300 |
96 |
96 |
28.799999999999997 |
87.36 |
67.199999999999989 |
28.799999999999997 |
87.36 |
69.12 |
81.599999999999994 |
Carle Eureka Hospital |
0331890138 |
CITRIC ACID-24HR URINE |
82507 |
0301 |
165 |
165 |
49.5 |
150.15 |
115.49999999999999 |
49.5 |
150.15 |
118.8 |
140.25 |
Carle Eureka Hospital |
0331890141 |
CLOMIPRAMINE ANAFRANIL |
80335 |
0300 |
215 |
215 |
64.5 |
195.65 |
150.5 |
64.5 |
195.65 |
154.79999999999998 |
182.75 |
Carle Eureka Hospital |
0331890147 |
COLD AGGLUTININS |
86157 |
0302 |
76 |
76 |
22.8 |
69.16 |
53.199999999999996 |
22.8 |
69.16 |
54.72 |
64.599999999999994 |
Carle Eureka Hospital |
0331890151 |
COMPLEMENT C3 |
86160 |
0300 |
115 |
115 |
34.5 |
104.65 |
80.5 |
34.5 |
104.65 |
82.8 |
97.75 |
Carle Eureka Hospital |
0331890153 |
COMPLEMENT C4 |
86160 |
0300 |
115 |
115 |
34.5 |
104.65 |
80.5 |
34.5 |
104.65 |
82.8 |
97.75 |
Carle Eureka Hospital |
0331890154 |
COMPLEMENT TOTAL |
86162 |
0300 |
190 |
190 |
57 |
172.9 |
133 |
57 |
172.9 |
136.79999999999998 |
161.5 |
Carle Eureka Hospital |
0331890162 |
CORTISOL-URINE FREE BY HPLC |
82530 |
0301 |
190 |
190 |
57 |
172.9 |
133 |
57 |
172.9 |
136.79999999999998 |
161.5 |
Carle Eureka Hospital |
0331890177 |
CRYOGLOBULIN |
82595 |
0300 |
110 |
110 |
33 |
100.10000000000001 |
77 |
33 |
100.10000000000001 |
79.2 |
93.5 |
Carle Eureka Hospital |
0331890180 |
CRYPTOCOCCAL ANTIGEN CSF |
87327 |
0300 |
135 |
135 |
40.5 |
122.85000000000001 |
94.5 |
40.5 |
122.85000000000001 |
97.2 |
114.75 |
Carle Eureka Hospital |
0331890181 |
CRYPTOSPORIDIUM FECES |
87272 |
0300 |
64 |
64 |
19.2 |
58.24 |
44.8 |
19.2 |
58.24 |
46.08 |
54.4 |
Carle Eureka Hospital |
0331890194 |
CSF IGG ALBUMIN INDEX |
82784 |
0300 |
105 |
105 |
31.5 |
95.55 |
73.5 |
31.5 |
95.55 |
75.599999999999994 |
89.25 |
Carle Eureka Hospital |
0331890200 |
CSF OLIGOCLONAL BANDS |
83916 |
0300 |
230 |
230 |
69 |
209.3 |
161 |
69 |
209.3 |
165.6 |
195.5 |
Carle Eureka Hospital |
0331890203 |
CSF VDRL |
86592 |
0300 |
74 |
74 |
22.2 |
67.34 |
51.8 |
22.2 |
67.34 |
53.28 |
62.9 |
Carle Eureka Hospital |
0331890219 |
YERSINIA CULTURE |
87046 |
0306 |
110 |
110 |
33 |
100.10000000000001 |
77 |
33 |
100.10000000000001 |
79.2 |
93.5 |
Carle Eureka Hospital |
0331890243 |
CYCLOSPORINE |
80158 |
0300 |
215 |
215 |
64.5 |
195.65 |
150.5 |
64.5 |
195.65 |
154.79999999999998 |
182.75 |
Carle Eureka Hospital |
0331890247 |
CYTOMEGALOVIRUS IGM AB |
86645 |
0300 |
160 |
160 |
48 |
145.6 |
112 |
48 |
145.6 |
115.19999999999999 |
136 |
Carle Eureka Hospital |
0331890253 |
DESIPRAMINE |
80335 |
0300 |
215 |
215 |
64.5 |
195.65 |
150.5 |
64.5 |
195.65 |
154.79999999999998 |
182.75 |
Carle Eureka Hospital |
0331890254 |
DHEA-SO4 |
82627 |
0300 |
255 |
255 |
76.5 |
232.05 |
178.5 |
76.5 |
232.05 |
183.6 |
216.75 |
Carle Eureka Hospital |
0331890259 |
DOXEPIN SINEQUAN |
80335 |
0300 |
215 |
215 |
64.5 |
195.65 |
150.5 |
64.5 |
195.65 |
154.79999999999998 |
182.75 |
Carle Eureka Hospital |
0331890275 |
ERYTHROPOIETIN |
82668 |
0300 |
175 |
175 |
52.5 |
159.25 |
122.49999999999999 |
52.5 |
159.25 |
126 |
148.75 |
Carle Eureka Hospital |
0331890277 |
ESTRIOL |
82677 |
0300 |
165 |
165 |
49.5 |
150.15 |
115.49999999999999 |
49.5 |
150.15 |
118.8 |
140.25 |
Carle Eureka Hospital |
0331890278 |
ESTROGEN RECEPTOR STAIN |
88361 |
0300 |
860 |
860 |
258 |
782.6 |
602 |
258 |
782.6 |
619.19999999999993 |
731 |
Carle Eureka Hospital |
0331890279 |
ETHANOL BLOOD CHAIN CUSTODY |
80320 |
0300 |
230 |
230 |
69 |
209.3 |
161 |
69 |
209.3 |
165.6 |
195.5 |
Carle Eureka Hospital |
0331890315 |
GABAPENTIN |
80171 |
0300 |
165 |
165 |
49.5 |
150.15 |
115.49999999999999 |
49.5 |
150.15 |
118.8 |
140.25 |
Carle Eureka Hospital |
0331890316 |
GASTRIN |
82941 |
0300 |
165 |
165 |
49.5 |
150.15 |
115.49999999999999 |
49.5 |
150.15 |
118.8 |
140.25 |
Carle Eureka Hospital |
0331890325 |
GIARDIA SCREEN |
87329 |
0300 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
0331890326 |
GLUCAGON |
82943 |
0300 |
200 |
200 |
60 |
182 |
140 |
60 |
182 |
144 |
170 |
Carle Eureka Hospital |
0331890340 |
HAPTOGLOBIN |
83010 |
0300 |
125 |
125 |
37.5 |
113.75 |
87.5 |
37.5 |
113.75 |
90 |
106.25 |
Carle Eureka Hospital |
0331890342 |
HCV RNA BY PCR QUANTITATIVE |
87522 |
0306 |
400 |
400 |
120 |
364 |
280 |
120 |
364 |
288 |
340 |
Carle Eureka Hospital |
0331890357 |
HEMOSIDERIN-URINE |
83070 |
0300 |
135 |
135 |
40.5 |
122.85000000000001 |
94.5 |
40.5 |
122.85000000000001 |
97.2 |
114.75 |
Carle Eureka Hospital |
0331890362 |
HEPATITIS B SURFACE ANTIBODY |
86706 |
0300 |
115 |
115 |
34.5 |
104.65 |
80.5 |
34.5 |
104.65 |
82.8 |
97.75 |
Carle Eureka Hospital |
0331890366 |
HERPES CULTURE WITH TYPING |
87255 |
0300 |
265 |
265 |
79.5 |
241.15 |
185.5 |
79.5 |
241.15 |
190.79999999999998 |
225.25 |
Carle Eureka Hospital |
0331890368 |
HERPES SIMPLEX VIRUS1&2 DNA PC |
87529 |
0306 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
0331890370 |
HISTOPLASMA ANTIBODY |
86698 |
0300 |
115 |
115 |
34.5 |
104.65 |
80.5 |
34.5 |
104.65 |
82.8 |
97.75 |
Carle Eureka Hospital |
0331890371 |
HIV 1 ANTIBODY |
86701 |
0300 |
160 |
160 |
48 |
145.6 |
112 |
48 |
145.6 |
115.19999999999999 |
136 |
Carle Eureka Hospital |
0331890372 |
HIV RNA BY PCR QUANTITATIVE |
87536 |
0306 |
510 |
510 |
153 |
464.1 |
357 |
153 |
464.1 |
367.2 |
433.5 |
Carle Eureka Hospital |
0331890373 |
HLA B27 TYPING |
86812 |
0300 |
245 |
245 |
73.5 |
222.95000000000002 |
171.5 |
73.5 |
222.95000000000002 |
176.4 |
208.25 |
Carle Eureka Hospital |
0331890375 |
HOMOCYSTEINE SERUM OR PLASMA |
83090 |
0301 |
160 |
160 |
48 |
145.6 |
112 |
48 |
145.6 |
115.19999999999999 |
136 |
Carle Eureka Hospital |
0331890378 |
HUMAN GROWTH HORMONE |
83003 |
0300 |
155 |
155 |
46.5 |
141.05000000000001 |
108.5 |
46.5 |
141.05000000000001 |
111.6 |
131.75 |
Carle Eureka Hospital |
0331890382 |
IMMUNOHISTOCHEM INITIAL |
88342 |
0310 |
480 |
480 |
144 |
436.8 |
336 |
144 |
436.8 |
345.59999999999997 |
408 |
Carle Eureka Hospital |
0331890385 |
IMMUNOELECTROPHORESIS URINE |
86335 |
0300 |
245 |
245 |
73.5 |
222.95000000000002 |
171.5 |
73.5 |
222.95000000000002 |
176.4 |
208.25 |
Carle Eureka Hospital |
0331890386 |
IMMUNOGLOBULIN A IGA |
82784 |
0300 |
105 |
105 |
31.5 |
95.55 |
73.5 |
31.5 |
95.55 |
75.599999999999994 |
89.25 |
Carle Eureka Hospital |
0331890387 |
IMMUNOGLOBULIN E IGE |
82785 |
0300 |
155 |
155 |
46.5 |
141.05000000000001 |
108.5 |
46.5 |
141.05000000000001 |
111.6 |
131.75 |
Carle Eureka Hospital |
0331890388 |
IMMUNOGLOBULIN G IGG |
82784 |
0300 |
105 |
105 |
31.5 |
95.55 |
73.5 |
31.5 |
95.55 |
75.599999999999994 |
89.25 |
Carle Eureka Hospital |
0331890389 |
IMMUNOGLOBULIN M IGM |
82784 |
0300 |
105 |
105 |
31.5 |
95.55 |
73.5 |
31.5 |
95.55 |
75.599999999999994 |
89.25 |
Carle Eureka Hospital |
0331890392 |
INSULIN |
83525 |
0300 |
140 |
140 |
42 |
127.4 |
98 |
42 |
127.4 |
100.8 |
119 |
Carle Eureka Hospital |
0331890411 |
LEAD LEVEL BLOOD |
83655 |
0300 |
140 |
140 |
42 |
127.4 |
98 |
42 |
127.4 |
100.8 |
119 |
Carle Eureka Hospital |
0331890412 |
LEGAL COLLECTION-POLICE DEPT |
0300 |
61 |
61 |
18.3 |
55.510000000000005 |
42.699999999999996 |
18.3 |
55.510000000000005 |
43.92 |
51.85 |
Carle Eureka Hospital |
0331890415 |
LEGIONELLA ANTIGEN URINE |
87899 |
0306 |
125 |
125 |
37.5 |
113.75 |
87.5 |
37.5 |
113.75 |
90 |
106.25 |
Carle Eureka Hospital |
0331890416 |
LEGIONELLA PNEUMOPHILA SMEAR |
87278 |
0300 |
110 |
110 |
33 |
100.10000000000001 |
77 |
33 |
100.10000000000001 |
79.2 |
93.5 |
Carle Eureka Hospital |
0331890431 |
LIDOCAINE |
80176 |
0300 |
255 |
255 |
76.5 |
232.05 |
178.5 |
76.5 |
232.05 |
183.6 |
216.75 |
Carle Eureka Hospital |
0331890436 |
LYME AB ON CSF |
86618 |
0302 |
195 |
195 |
58.5 |
177.45000000000002 |
136.5 |
58.5 |
177.45000000000002 |
140.4 |
165.75 |
Carle Eureka Hospital |
0331890437 |
LYME DISEASE AB TITER |
86618 |
0300 |
195 |
195 |
58.5 |
177.45000000000002 |
136.5 |
58.5 |
177.45000000000002 |
140.4 |
165.75 |
Carle Eureka Hospital |
0331890438 |
LYMPHOCYTES CD4 |
86361 |
0300 |
155 |
155 |
46.5 |
141.05000000000001 |
108.5 |
46.5 |
141.05000000000001 |
111.6 |
131.75 |
Carle Eureka Hospital |
0331890439 |
LYMPHOCYTES CD4/CD8 |
86360 |
0300 |
440 |
440 |
132 |
400.40000000000003 |
308 |
132 |
400.40000000000003 |
316.8 |
374 |
Carle Eureka Hospital |
0331890441 |
MAGNESIUM 24 HR URINE |
83735 |
0301 |
140 |
140 |
42 |
127.4 |
98 |
42 |
127.4 |
100.8 |
119 |
Carle Eureka Hospital |
0331890442 |
MAGNESIUM RANDOM URINE |
83735 |
0301 |
140 |
140 |
42 |
127.4 |
98 |
42 |
127.4 |
100.8 |
119 |
Carle Eureka Hospital |
0331890444 |
MALARIAL SMEAR |
87207 |
0306 |
190 |
190 |
57 |
172.9 |
133 |
57 |
172.9 |
136.79999999999998 |
161.5 |
Carle Eureka Hospital |
0331890446 |
METANEPHRINES 24HR URINE |
83835 |
0300 |
325 |
325 |
97.5 |
295.75 |
227.49999999999997 |
97.5 |
295.75 |
234 |
276.25 |
Carle Eureka Hospital |
0331890447 |
TREPONEMA PALLINIUM ANTIBODY |
86780 |
0300 |
76 |
76 |
22.8 |
69.16 |
53.199999999999996 |
22.8 |
69.16 |
54.72 |
64.599999999999994 |
Carle Eureka Hospital |
0331890454 |
MYOGLOBIN URINE QUANT |
83874 |
0300 |
135 |
135 |
40.5 |
122.85000000000001 |
94.5 |
40.5 |
122.85000000000001 |
97.2 |
114.75 |
Carle Eureka Hospital |
0331890466 |
ORGANIC ACIDS SCREEN-URINE |
83918 |
0300 |
310 |
310 |
93 |
282.10000000000002 |
217 |
93 |
282.10000000000002 |
223.2 |
263.5 |
Carle Eureka Hospital |
0331890470 |
OXALATE-24HR URINE |
83945 |
0301 |
120 |
120 |
36 |
109.2 |
84 |
36 |
109.2 |
86.399999999999991 |
102 |
Carle Eureka Hospital |
0331890471 |
PAP CYTOLOGY CERVIX/VAGINAL |
88164 |
0311 |
160 |
160 |
48 |
145.6 |
112 |
48 |
145.6 |
115.19999999999999 |
136 |
Carle Eureka Hospital |
0331890472 |
PAP THIN PREP CYTOLOGY |
88142 |
0311 |
190 |
190 |
57 |
172.9 |
133 |
57 |
172.9 |
136.79999999999998 |
161.5 |
Carle Eureka Hospital |
0331890484 |
PHENOBARBITAL(PRIMIDONE) |
80184 |
0300 |
185 |
185 |
55.5 |
168.35 |
129.5 |
55.5 |
168.35 |
133.19999999999999 |
157.25 |
Carle Eureka Hospital |
0331890491 |
PHOSPHORUS-24HR URINE |
84105 |
0300 |
160 |
160 |
48 |
145.6 |
112 |
48 |
145.6 |
115.19999999999999 |
136 |
Carle Eureka Hospital |
0331890492 |
PINWORM EXAMINATION |
87172 |
0306 |
140 |
140 |
42 |
127.4 |
98 |
42 |
127.4 |
100.8 |
119 |
Carle Eureka Hospital |
0331890505 |
PORPHYRIN QUANT 24HR URINE |
84120 |
0300 |
210 |
210 |
63 |
191.1 |
147 |
63 |
191.1 |
151.19999999999999 |
178.5 |
Carle Eureka Hospital |
0331890518 |
PRIMIDONE |
80188 |
0300 |
220 |
220 |
66 |
200.20000000000002 |
154 |
66 |
200.20000000000002 |
158.4 |
187 |
Carle Eureka Hospital |
0331890520 |
PROCAINAMIDE-PRONESTYL |
80192 |
0300 |
175 |
175 |
52.5 |
159.25 |
122.49999999999999 |
52.5 |
159.25 |
126 |
148.75 |
Carle Eureka Hospital |
0331890523 |
PROGESTERONE RECEPTOR STAIN |
88361 |
0300 |
860 |
860 |
258 |
782.6 |
602 |
258 |
782.6 |
619.19999999999993 |
731 |
Carle Eureka Hospital |
0331890527 |
PROTEIN C ACTIVITY |
85303 |
0300 |
200 |
200 |
60 |
182 |
140 |
60 |
182 |
144 |
170 |
Carle Eureka Hospital |
0331890528 |
PROTEIN S ANTIGEN |
85306 |
0300 |
195 |
195 |
58.5 |
177.45000000000002 |
136.5 |
58.5 |
177.45000000000002 |
140.4 |
165.75 |
Carle Eureka Hospital |
0331890540 |
RBC FOLATE |
82747 |
0301 |
165 |
165 |
49.5 |
150.15 |
115.49999999999999 |
49.5 |
150.15 |
118.8 |
140.25 |
Carle Eureka Hospital |
0331890552 |
AUTO WBC (NATKIL) |
85048 |
0301 |
67 |
67 |
20.099999999999998 |
60.97 |
46.9 |
20.099999999999998 |
60.97 |
48.239999999999995 |
56.949999999999996 |
Carle Eureka Hospital |
0331890553 |
BLD CT, AUTO DIFF (NATKIL) |
85004 |
0301 |
67 |
67 |
20.099999999999998 |
60.97 |
46.9 |
20.099999999999998 |
60.97 |
48.239999999999995 |
56.949999999999996 |
Carle Eureka Hospital |
0331890554 |
NK CELLS, TOTAT CT (NATKIL) |
86357 |
0301 |
175 |
175 |
52.5 |
159.25 |
122.49999999999999 |
52.5 |
159.25 |
126 |
148.75 |
Carle Eureka Hospital |
0331890555 |
RENIN PLASMA |
84244 |
0300 |
205 |
205 |
61.5 |
186.55 |
143.5 |
61.5 |
186.55 |
147.6 |
174.25 |
Carle Eureka Hospital |
0331890559 |
HSV,TYPE 1 (TORCH) |
86695 |
0300 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
0331890560 |
HSV, TYPE 2 (TORCH) |
86696 |
0300 |
180 |
180 |
54 |
163.80000000000001 |
125.99999999999999 |
54 |
163.80000000000001 |
129.6 |
153 |
Carle Eureka Hospital |
0331890562 |
CONCENTRATION (CYCLOISO) |
87015 |
0300 |
63 |
63 |
18.899999999999999 |
57.330000000000005 |
44.099999999999994 |
18.899999999999999 |
57.330000000000005 |
45.36 |
53.55 |
Carle Eureka Hospital |
0331890563 |
SPECIAL STAIN (CYCLOISO) |
87207 |
0300 |
56 |
56 |
16.8 |
50.96 |
39.199999999999996 |
16.8 |
50.96 |
40.32 |
47.6 |
Carle Eureka Hospital |
0331890564 |
CYTOMEGALOVIRUS (TORCH) |
86644 |
0300 |
135 |
135 |
40.5 |
122.85000000000001 |
94.5 |
40.5 |
122.85000000000001 |
97.2 |
114.75 |
Carle Eureka Hospital |
0331890565 |
TOXOPLASMA,IGG (TORCH) |
86777 |
0300 |
135 |
135 |
40.5 |
122.85000000000001 |
94.5 |
40.5 |
122.85000000000001 |
97.2 |
114.75 |
Carle Eureka Hospital |
0331890568 |
RUBELLA ANTIBODY-IGG |
86762 |
0300 |
135 |
135 |
40.5 |
122.85000000000001 |
94.5 |
40.5 |
122.85000000000001 |
97.2 |
114.75 |
Carle Eureka Hospital |
0331890574 |
SEROTONIN |
84260 |
0300 |
220 |
220 |
66 |
200.20000000000002 |
154 |
66 |
200.20000000000002 |
158.4 |
187 |
Carle Eureka Hospital |
0331890575 |
ANTIGLIADIN ELISA IgG SPECIFIC |
83516 |
0300 |
130 |
130 |
39 |
118.3 |
91 |
39 |
118.3 |
93.6 |
110.5 |
Carle Eureka Hospital |
0331890576 |
ANTIGLIADIN ELISA IgA SPECIFIC |
83516 |
0300 |
130 |
130 |
39 |
118.3 |
91 |
39 |
118.3 |
93.6 |
110.5 |
Carle Eureka Hospital |
0331890577 |
SICKLE CELL SCREEN |
85660 |
0300 |
100 |
100 |
30 |
91 |
70 |
30 |
91 |
72 |
85 |
Carle Eureka Hospital |
0331890578 |
ANTI ENDOMYSIAL IgA AB IFA |
88346 |
0300 |
370 |
370 |
111 |
336.7 |
259 |
111 |
336.7 |
266.39999999999998 |
314.5 |
Carle Eureka Hospital |
0331890579 |
TOTAL SERUM IgA NEPHELOMETRY |
82784 |
0300 |
87 |
87 |
26.099999999999998 |
79.17 |
60.9 |
26.099999999999998 |
79.17 |
62.64 |
73.95 |
Carle Eureka Hospital |
0331890580 |
HU-tTG IGA TO PROMETHUS |
83520 |
0300 |
255 |
255 |
76.5 |
232.05 |
178.5 |
76.5 |
232.05 |
183.6 |
216.75 |
Carle Eureka Hospital |
0331890581 |
ANTI HU tTG ELISA RECOMBINT Ag |
83516 |
0300 |
130 |
130 |
39 |
118.3 |
91 |
39 |
118.3 |
93.6 |
110.5 |
Carle Eureka Hospital |
0331890607 |
T3 BY RIA |
84480 |
0300 |
105 |
105 |
31.5 |
95.55 |
73.5 |
31.5 |
95.55 |
75.599999999999994 |
89.25 |
Carle Eureka Hospital |
0331890608 |
T3 UPTAKE |
84479 |
0300 |
74 |
74 |
22.2 |
67.34 |
51.8 |
22.2 |
67.34 |
53.28 |
62.9 |
Carle Eureka Hospital |
0331890611 |
TESTOSTERONE FREE (TESTF) |
84402 |
0301 |
290 |
290 |
87 |
263.90000000000003 |
203 |
87 |
263.90000000000003 |
208.79999999999998 |
246.5 |
Carle Eureka Hospital |
0331890612 |
TESTOSTERONE TOTAL |
84403 |
0300 |
295 |
295 |
88.5 |
268.45 |
206.5 |
88.5 |
268.45 |
212.4 |
250.75 |
Carle Eureka Hospital |
0331890614 |
THEOPHYLLINE |
80198 |
0300 |
135 |
135 |
40.5 |
122.85000000000001 |
94.5 |
40.5 |
122.85000000000001 |
97.2 |
114.75 |
Carle Eureka Hospital |
0331890615 |
THROMBIN TIME |
85670 |
0305 |
235 |
235 |
70.5 |
213.85 |
164.5 |
70.5 |
213.85 |
169.2 |
199.75 |
Carle Eureka Hospital |
0331890616 |
THYROGLOBULIN ABS |
86800 |
0300 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
0331890618 |
THYROXINE-BINDING GLOBULIN |
84442 |
0301 |
165 |
165 |
49.5 |
150.15 |
115.49999999999999 |
49.5 |
150.15 |
118.8 |
140.25 |
Carle Eureka Hospital |
0331890631 |
TRANSFERRIN |
84466 |
0300 |
125 |
125 |
37.5 |
113.75 |
87.5 |
37.5 |
113.75 |
90 |
106.25 |
Carle Eureka Hospital |
0331890651 |
UREA NITROGEN-24HR URINE |
84540 |
0300 |
135 |
135 |
40.5 |
122.85000000000001 |
94.5 |
40.5 |
122.85000000000001 |
97.2 |
114.75 |
Carle Eureka Hospital |
0331890653 |
URIC ACID- 24HR URINE |
84560 |
0300 |
160 |
160 |
48 |
145.6 |
112 |
48 |
145.6 |
115.19999999999999 |
136 |
Carle Eureka Hospital |
0331890661 |
URINE FOR EOSINOPHILS |
85999 |
0307 |
71 |
71 |
21.3 |
64.61 |
49.699999999999996 |
21.3 |
64.61 |
51.12 |
60.35 |
Carle Eureka Hospital |
0331890675 |
VARICELLA ZOSTER IGG AB |
86787 |
0300 |
155 |
155 |
46.5 |
141.05000000000001 |
108.5 |
46.5 |
141.05000000000001 |
111.6 |
131.75 |
Carle Eureka Hospital |
0331890681 |
VIRAL CULTURE |
87252 |
0300 |
265 |
265 |
79.5 |
241.15 |
185.5 |
79.5 |
241.15 |
190.79999999999998 |
225.25 |
Carle Eureka Hospital |
0331890682 |
VISCOSITY SERUM |
85810 |
0300 |
160 |
160 |
48 |
145.6 |
112 |
48 |
145.6 |
115.19999999999999 |
136 |
Carle Eureka Hospital |
0331890684 |
VMA 24HR URINE |
84585 |
0300 |
215 |
215 |
64.5 |
195.65 |
150.5 |
64.5 |
195.65 |
154.79999999999998 |
182.75 |
Carle Eureka Hospital |
0331890690 |
HIV WESTERN BLOT ASSAY |
86689 |
0300 |
240 |
240 |
72 |
218.4 |
168 |
72 |
218.4 |
172.79999999999998 |
204 |
Carle Eureka Hospital |
0331890694 |
ZINC |
84630 |
0300 |
130 |
130 |
39 |
118.3 |
91 |
39 |
118.3 |
93.6 |
110.5 |
Carle Eureka Hospital |
0331890697 |
ACL B TYPE NATRIURETIC PEPTIDE |
83880 |
0301 |
265 |
265 |
79.5 |
241.15 |
185.5 |
79.5 |
241.15 |
190.79999999999998 |
225.25 |
Carle Eureka Hospital |
0331890705 |
GAMMAHYDROXYBUTRIC ACID BLD |
80307 |
0300 |
285 |
285 |
85.5 |
259.35000000000002 |
199.5 |
85.5 |
259.35000000000002 |
205.2 |
242.25 |
Carle Eureka Hospital |
0331890707 |
BENZODIAZEPINES CONF CG/MS URI |
80346 |
0300 |
205 |
205 |
61.5 |
186.55 |
143.5 |
61.5 |
186.55 |
147.6 |
174.25 |
Carle Eureka Hospital |
0331890709 |
OPIATES CONF GC/MS UR |
80361 |
0300 |
190 |
190 |
57 |
172.9 |
133 |
57 |
172.9 |
136.79999999999998 |
161.5 |
Carle Eureka Hospital |
0331890710 |
PHENCYCLIDINE CONF GC/MS UR |
83992 |
0300 |
505 |
505 |
151.5 |
459.55 |
353.5 |
151.5 |
459.55 |
363.59999999999997 |
429.25 |
Carle Eureka Hospital |
0331890711 |
THC-CANNABINOIDS-QUANT URINE |
80349 |
0300 |
260 |
260 |
78 |
236.6 |
182 |
78 |
236.6 |
187.2 |
221 |
Carle Eureka Hospital |
0331890712 |
LORAZEPAM |
80346 |
0300 |
205 |
205 |
61.5 |
186.55 |
143.5 |
61.5 |
186.55 |
147.6 |
174.25 |
Carle Eureka Hospital |
0331890713 |
TOPIRAMATE |
80201 |
0300 |
145 |
145 |
43.5 |
131.95000000000002 |
101.5 |
43.5 |
131.95000000000002 |
104.39999999999999 |
123.25 |
Carle Eureka Hospital |
0331890715 |
LAMOTRIGINE |
80175 |
0300 |
170 |
170 |
51 |
154.70000000000002 |
118.99999999999999 |
51 |
154.70000000000002 |
122.39999999999999 |
144.5 |
Carle Eureka Hospital |
0331890716 |
METHYLPHENIDATE-RITALIN |
80360 |
0300 |
170 |
170 |
51 |
154.70000000000002 |
118.99999999999999 |
51 |
154.70000000000002 |
122.39999999999999 |
144.5 |
Carle Eureka Hospital |
0331890718 |
MICROALBUMIN 24 HR UR |
82043 |
0301 |
100 |
100 |
30 |
91 |
70 |
30 |
91 |
72 |
85 |
Carle Eureka Hospital |
0331890719 |
AMPHETAMINES CONF CG/MS URINE |
80324 |
0300 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
0331890720 |
LIPOPROTEIN A |
83695 |
0301 |
125 |
125 |
37.5 |
113.75 |
87.5 |
37.5 |
113.75 |
90 |
106.25 |
Carle Eureka Hospital |
0331890721 |
APOLIPOPROTEIN A-1 |
82172 |
0301 |
165 |
165 |
49.5 |
150.15 |
115.49999999999999 |
49.5 |
150.15 |
118.8 |
140.25 |
Carle Eureka Hospital |
0331890722 |
STONE ANALYSIS OTHER |
82365 |
0301 |
130 |
130 |
39 |
118.3 |
91 |
39 |
118.3 |
93.6 |
110.5 |
Carle Eureka Hospital |
0331890724 |
CATECHOLAMINES FRAC PLASMA |
82384 |
0301 |
290 |
290 |
87 |
263.90000000000003 |
203 |
87 |
263.90000000000003 |
208.79999999999998 |
246.5 |
Carle Eureka Hospital |
0331890725 |
OXCARBAZEPINE S/P-TRILEPTAL |
80183 |
0301 |
175 |
175 |
52.5 |
159.25 |
122.49999999999999 |
52.5 |
159.25 |
126 |
148.75 |
Carle Eureka Hospital |
0331890727 |
COCAINE MET CONF GC/MS URINE |
80353 |
0300 |
325 |
325 |
97.5 |
295.75 |
227.49999999999997 |
97.5 |
295.75 |
234 |
276.25 |
Carle Eureka Hospital |
0331890728 |
N-TELOPEPTIDE RANDOM URINE |
82523 |
0301 |
195 |
195 |
58.5 |
177.45000000000002 |
136.5 |
58.5 |
177.45000000000002 |
140.4 |
165.75 |
Carle Eureka Hospital |
0331890729 |
COPPER PLASMA |
82525 |
0301 |
115 |
115 |
34.5 |
104.65 |
80.5 |
34.5 |
104.65 |
82.8 |
97.75 |
Carle Eureka Hospital |
0331890730 |
COPPER 24HR URINE |
82525 |
0301 |
115 |
115 |
34.5 |
104.65 |
80.5 |
34.5 |
104.65 |
82.8 |
97.75 |
Carle Eureka Hospital |
0331890731 |
GAMMAHYDROXYBUTRIC ACID UR |
80307 |
0301 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
0331890732 |
ETHYLENE GLYCOL |
82693 |
0301 |
140 |
140 |
42 |
127.4 |
98 |
42 |
127.4 |
100.8 |
119 |
Carle Eureka Hospital |
0331890733 |
LIPIDS STOOL |
82710 |
0301 |
180 |
180 |
54 |
163.80000000000001 |
125.99999999999999 |
54 |
163.80000000000001 |
129.6 |
153 |
Carle Eureka Hospital |
0331890734 |
HEMOGLOBIN PLASMA |
83051 |
0301 |
175 |
175 |
52.5 |
159.25 |
122.49999999999999 |
52.5 |
159.25 |
126 |
148.75 |
Carle Eureka Hospital |
0331890736 |
GBM-GLOMERULAR BASEMENT MEM- |
83520 |
0301 |
180 |
180 |
54 |
163.80000000000001 |
125.99999999999999 |
54 |
163.80000000000001 |
129.6 |
153 |
Carle Eureka Hospital |
0331890737 |
TISSUE TRANSGLUTAMINASE AB IGA |
83516 |
0301 |
130 |
130 |
39 |
118.3 |
91 |
39 |
118.3 |
93.6 |
110.5 |
Carle Eureka Hospital |
0331890738 |
TRYPTASE |
83520 |
0301 |
175 |
175 |
52.5 |
159.25 |
122.49999999999999 |
52.5 |
159.25 |
126 |
148.75 |
Carle Eureka Hospital |
0331890739 |
RIBOSOMAL PORTEIN AB |
83516 |
0301 |
205 |
205 |
61.5 |
186.55 |
143.5 |
61.5 |
186.55 |
147.6 |
174.25 |
Carle Eureka Hospital |
0331890740 |
LS RATIO |
83661 |
0301 |
230 |
230 |
69 |
209.3 |
161 |
69 |
209.3 |
165.6 |
195.5 |
Carle Eureka Hospital |
0331890743 |
METHYLMALONIC ACID |
83921 |
0301 |
165 |
165 |
49.5 |
150.15 |
115.49999999999999 |
49.5 |
150.15 |
118.8 |
140.25 |
Carle Eureka Hospital |
0331890744 |
PH STOOL-RANDOM SAMPLE |
83986 |
0301 |
110 |
110 |
33 |
100.10000000000001 |
77 |
33 |
100.10000000000001 |
79.2 |
93.5 |
Carle Eureka Hospital |
0331890745 |
ALK PHOSPHATASE BONE SECIFIC |
84075 |
0301 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
0331890746 |
PORPHOBILINOGEN 24HR URINE |
84110 |
0301 |
155 |
155 |
46.5 |
141.05000000000001 |
108.5 |
46.5 |
141.05000000000001 |
111.6 |
131.75 |
Carle Eureka Hospital |
0331890748 |
SEX HORMONE BINDING GLOBULIN |
84270 |
0301 |
250 |
250 |
75 |
227.5 |
175 |
75 |
227.5 |
180 |
212.5 |
Carle Eureka Hospital |
0331890749 |
VITAMIN E |
84446 |
0301 |
165 |
165 |
49.5 |
150.15 |
115.49999999999999 |
49.5 |
150.15 |
118.8 |
140.25 |
Carle Eureka Hospital |
0331890750 |
T3 FREE |
84481 |
0301 |
155 |
155 |
46.5 |
141.05000000000001 |
108.5 |
46.5 |
141.05000000000001 |
111.6 |
131.75 |
Carle Eureka Hospital |
0331890751 |
C-PEPTIDE |
84681 |
0301 |
195 |
195 |
58.5 |
177.45000000000002 |
136.5 |
58.5 |
177.45000000000002 |
140.4 |
165.75 |
Carle Eureka Hospital |
0331890753 |
POTASSIUM STOOL-24HR COLLECT |
84999 |
0301 |
115 |
115 |
34.5 |
104.65 |
80.5 |
34.5 |
104.65 |
82.8 |
97.75 |
Carle Eureka Hospital |
0331890754 |
SODIUM STOOL-24HR COLLECT |
84302 |
0301 |
115 |
115 |
34.5 |
104.65 |
80.5 |
34.5 |
104.65 |
82.8 |
97.75 |
Carle Eureka Hospital |
0331890755 |
FACTOR V ACTIVITY |
85220 |
0305 |
165 |
165 |
49.5 |
150.15 |
115.49999999999999 |
49.5 |
150.15 |
118.8 |
140.25 |
Carle Eureka Hospital |
0331890756 |
FACTOR VIII ACTIVITY |
85240 |
0305 |
305 |
305 |
91.5 |
277.55 |
213.5 |
91.5 |
277.55 |
219.6 |
259.25 |
Carle Eureka Hospital |
0331890757 |
RISTOCETIN CO-FACTOR/VWF |
85245 |
0305 |
220 |
220 |
66 |
200.20000000000002 |
154 |
66 |
200.20000000000002 |
158.4 |
187 |
Carle Eureka Hospital |
0331890758 |
VON WILLEBRAND AG |
85246 |
0305 |
235 |
235 |
70.5 |
213.85 |
164.5 |
70.5 |
213.85 |
169.2 |
199.75 |
Carle Eureka Hospital |
0331890759 |
VWF AG MULTIMERIC |
85247 |
0305 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
0331890760 |
FACTOR IX ACTIVITY |
85250 |
0305 |
195 |
195 |
58.5 |
177.45000000000002 |
136.5 |
58.5 |
177.45000000000002 |
140.4 |
165.75 |
Carle Eureka Hospital |
0331890761 |
FACTOR X ACTIVITY |
85260 |
0305 |
285 |
285 |
85.5 |
259.35000000000002 |
199.5 |
85.5 |
259.35000000000002 |
205.2 |
242.25 |
Carle Eureka Hospital |
0331890762 |
FACTOR XI ACTIVITY |
85270 |
0305 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
0331890763 |
FACTOR XII ACTIVITY |
85280 |
0305 |
385 |
385 |
115.5 |
350.35 |
269.5 |
115.5 |
350.35 |
277.2 |
327.25 |
Carle Eureka Hospital |
0331890764 |
PLATELET AB HEPARIN INDUCED |
86022 |
0302 |
275 |
275 |
82.5 |
250.25 |
192.5 |
82.5 |
250.25 |
198 |
233.75 |
Carle Eureka Hospital |
0331890765 |
ANTI NUCLEAR ANTIBODY TITER |
86039 |
0302 |
230 |
230 |
69 |
209.3 |
161 |
69 |
209.3 |
165.6 |
195.5 |
Carle Eureka Hospital |
0331890766 |
DNASE-B ANTIBODY |
86215 |
0302 |
125 |
125 |
37.5 |
113.75 |
87.5 |
37.5 |
113.75 |
90 |
106.25 |
Carle Eureka Hospital |
0331890768 |
SCL-70 AB |
86235 |
0302 |
205 |
205 |
61.5 |
186.55 |
143.5 |
61.5 |
186.55 |
147.6 |
174.25 |
Carle Eureka Hospital |
0331890769 |
RETICULIN AB IGA |
86255 |
0302 |
220 |
220 |
66 |
200.20000000000002 |
154 |
66 |
200.20000000000002 |
158.4 |
187 |
Carle Eureka Hospital |
0331890770 |
MITOCHONDRIAL AB TITER |
86256 |
0302 |
125 |
125 |
37.5 |
113.75 |
87.5 |
37.5 |
113.75 |
90 |
106.25 |
Carle Eureka Hospital |
0331890771 |
SMOOTH MUSCLE AB TITER |
86256 |
0302 |
115 |
115 |
34.5 |
104.65 |
80.5 |
34.5 |
104.65 |
82.8 |
97.75 |
Carle Eureka Hospital |
0331890772 |
RETICULIN AB IGA TITER |
86256 |
0302 |
115 |
115 |
34.5 |
104.65 |
80.5 |
34.5 |
104.65 |
82.8 |
97.75 |
Carle Eureka Hospital |
0331890775 |
COCCIDOIDES AB CF |
86635 |
0302 |
160 |
160 |
48 |
145.6 |
112 |
48 |
145.6 |
115.19999999999999 |
136 |
Carle Eureka Hospital |
0331890776 |
CMV-CYTOMEGALOVIRUS AB IGG |
86644 |
0302 |
135 |
135 |
40.5 |
122.85000000000001 |
94.5 |
40.5 |
122.85000000000001 |
97.2 |
114.75 |
Carle Eureka Hospital |
0331890777 |
SACCAROMYCES CEREVISIAE IGG |
86671 |
0302 |
410 |
410 |
123 |
373.1 |
287 |
123 |
373.1 |
295.2 |
348.5 |
Carle Eureka Hospital |
0331890778 |
SACCAROMYCES CEREVISIAE IGA |
86671 |
0302 |
410 |
410 |
123 |
373.1 |
287 |
123 |
373.1 |
295.2 |
348.5 |
Carle Eureka Hospital |
0331890779 |
ANTI-HIV2 WESTERN BLOT |
86689 |
0302 |
345 |
345 |
103.5 |
313.95 |
241.49999999999997 |
103.5 |
313.95 |
248.39999999999998 |
293.25 |
Carle Eureka Hospital |
0331890780 |
ANTI-HTLV-I/II WESTERN BLOT |
86689 |
0302 |
300 |
300 |
90 |
273 |
210 |
90 |
273 |
216 |
255 |
Carle Eureka Hospital |
0331890781 |
HSV 2 IGG TYPE SPECIFIC AB |
86696 |
0302 |
220 |
220 |
66 |
200.20000000000002 |
154 |
66 |
200.20000000000002 |
158.4 |
187 |
Carle Eureka Hospital |
0331890784 |
MUMPS AB IGG |
86735 |
0302 |
120 |
120 |
36 |
109.2 |
84 |
36 |
109.2 |
86.399999999999991 |
102 |
Carle Eureka Hospital |
0331890785 |
RUBEOLA AB IGG |
86765 |
0302 |
120 |
120 |
36 |
109.2 |
84 |
36 |
109.2 |
86.399999999999991 |
102 |
Carle Eureka Hospital |
0331890786 |
HTLV-I/II AB |
86790 |
0302 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
0331890787 |
BORDETELLA PERTUSSIS ID |
87077 |
0306 |
71 |
71 |
21.3 |
64.61 |
49.699999999999996 |
21.3 |
64.61 |
51.12 |
60.35 |
Carle Eureka Hospital |
0331890788 |
HERPES VIRUS TYPING |
87140 |
0306 |
145 |
145 |
43.5 |
131.95000000000002 |
101.5 |
43.5 |
131.95000000000002 |
104.39999999999999 |
123.25 |
Carle Eureka Hospital |
0331890789 |
H PYLORI AG QUAL-STOOL |
87338 |
0306 |
155 |
155 |
46.5 |
141.05000000000001 |
108.5 |
46.5 |
141.05000000000001 |
111.6 |
131.75 |
Carle Eureka Hospital |
0331890790 |
HEP BE AG |
87350 |
0306 |
125 |
125 |
37.5 |
113.75 |
87.5 |
37.5 |
113.75 |
90 |
106.25 |
Carle Eureka Hospital |
0331890791 |
HISTOPLASMOSIS AG RANDOM URINE |
87385 |
0306 |
175 |
175 |
52.5 |
159.25 |
122.49999999999999 |
52.5 |
159.25 |
126 |
148.75 |
Carle Eureka Hospital |
0331890802 |
ALTERNARIA ALTERNATA (M6) IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
0331890803 |
ASPERGILLUS FUMIGATUS (M3) IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
0331890804 |
BERMUDA GRASS (G2) IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
0331890805 |
CAT EPITHELIUM/DANDER (E1)IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
0331890807 |
CALDOSPORIUM HERBARUM (M2) IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
0331890808 |
COCKROACH (I6) IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
0331890809 |
COMMON RAGWEED(SHORT)(W1) IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
0331890811 |
ELM (T8)IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
0331890814 |
JOHNSON GRASS (G10) IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
0331890815 |
JUNEGRASS (G8) IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
0331890817 |
D FARINAE (D2) IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
0331890818 |
D PTERONYSSINUS (D1) IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
0331890819 |
MUCOR RACEMOSUS (M4) IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
0331890820 |
WHITE MULBERRY (T70) IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
0331890822 |
OAK (T7) IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
0331890823 |
PENICILLIUM NOTATUM (M1) IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
0331890824 |
ROUGH PIGWEED (W14) IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
0331890825 |
RUSSIAN THISTLE (W11) IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
0331890828 |
SYCAMORE (T11) IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
0331890830 |
YEAST (F45) IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
0331890831 |
BARLEY (F6) IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
0331890832 |
BEEF(F7) IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
0331890833 |
MAIZE/CORN (F8) IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
0331890834 |
EGG WHITE(F1) IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
0331890835 |
MILK (F2) IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
0331890836 |
PEANUT (F13) IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
0331890837 |
PORK (F26) IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
0331890838 |
SOYBEAN (F14) IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
0331890839 |
WHEAT (F4) IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
0331890841 |
CRAB(F23)IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
0331890842 |
OAT (F7) IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
0331890843 |
RYE (F5) IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
0331890844 |
SHRIMP (F24) IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
0331890845 |
RAST EGG WHITE IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
0331890846 |
RAST MILK IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
0331890847 |
RAST PEANUT IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
0331890848 |
RAST SOYBEAN IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
0331890849 |
RAST WHEAT IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
0331890850 |
RAST BARLEY IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
0331890851 |
CHOCOLATE(F93)IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
0331890852 |
ALLERGEN MISCELLANEOUS |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
0331890866 |
ENZ ACT RED BLD CELLS (TPMTEA) |
82657 |
0301 |
250 |
250 |
75 |
227.5 |
175 |
75 |
227.5 |
180 |
212.5 |
Carle Eureka Hospital |
0331890867 |
HGH PRSH CHOGR 6M THIO (TPMTEA |
82542 |
0301 |
245 |
245 |
73.5 |
222.95000000000002 |
171.5 |
73.5 |
222.95000000000002 |
176.4 |
208.25 |
Carle Eureka Hospital |
0331890869 |
HGH PSH LQID CHRGR 6 THIO (6MP |
82542 |
0301 |
245 |
245 |
73.5 |
222.95000000000002 |
171.5 |
73.5 |
222.95000000000002 |
176.4 |
208.25 |
Carle Eureka Hospital |
0331890870 |
HGH PRSH CHOGR 6M MCPTP (6MP) |
82542 |
0301 |
245 |
245 |
73.5 |
222.95000000000002 |
171.5 |
73.5 |
222.95000000000002 |
176.4 |
208.25 |
Carle Eureka Hospital |
0331890871 |
HCV RNA GENOTYPE |
87902 |
0301 |
1085 |
1085 |
325.5 |
987.35 |
759.5 |
325.5 |
987.35 |
781.19999999999993 |
922.25 |
Carle Eureka Hospital |
0331890880 |
BORRELIA BURG COMFIM TEST |
86617 |
0302 |
355 |
355 |
106.5 |
323.05 |
248.49999999999997 |
106.5 |
323.05 |
255.6 |
301.75 |
Carle Eureka Hospital |
0331890881 |
BORRELIA BURGORDERI |
86617 |
0302 |
265 |
265 |
79.5 |
241.15 |
185.5 |
79.5 |
241.15 |
190.79999999999998 |
225.25 |
Carle Eureka Hospital |
0331890889 |
COXSACKIE B1 (MYOCARD) |
86658 |
0302 |
105 |
105 |
31.5 |
95.55 |
73.5 |
31.5 |
95.55 |
75.599999999999994 |
89.25 |
Carle Eureka Hospital |
0331890890 |
COXSACKIE B2 (MYOCARD) |
86658 |
0302 |
105 |
105 |
31.5 |
95.55 |
73.5 |
31.5 |
95.55 |
75.599999999999994 |
89.25 |
Carle Eureka Hospital |
0331890891 |
COXSACKIE B3 (MYOCARD) |
86658 |
0302 |
105 |
105 |
31.5 |
95.55 |
73.5 |
31.5 |
95.55 |
75.599999999999994 |
89.25 |
Carle Eureka Hospital |
0331890892 |
COXSACKIE B4 (MYOCARD) |
86658 |
0302 |
105 |
105 |
31.5 |
95.55 |
73.5 |
31.5 |
95.55 |
75.599999999999994 |
89.25 |
Carle Eureka Hospital |
0331890893 |
COXSACKIE B5 (MYOCARD) |
86658 |
0302 |
105 |
105 |
31.5 |
95.55 |
73.5 |
31.5 |
95.55 |
75.599999999999994 |
89.25 |
Carle Eureka Hospital |
0331890894 |
INFLUENZA AB TYPE A (MYOCARD) |
86710 |
0302 |
140 |
140 |
42 |
127.4 |
98 |
42 |
127.4 |
100.8 |
119 |
Carle Eureka Hospital |
0331890895 |
INFLUENZA AB TYPE B (MYOCARD) |
86710 |
0302 |
140 |
140 |
42 |
127.4 |
98 |
42 |
127.4 |
100.8 |
119 |
Carle Eureka Hospital |
0331890903 |
PTT (PTTMIX) |
85730 |
0305 |
100 |
100 |
30 |
91 |
70 |
30 |
91 |
72 |
85 |
Carle Eureka Hospital |
0331890904 |
SUBSTIT, PLAS, FRACT, (PTTMIX) |
85732 |
0305 |
190 |
190 |
57 |
172.9 |
133 |
57 |
172.9 |
136.79999999999998 |
161.5 |
Carle Eureka Hospital |
0331890906 |
NEPH ANALY NO/EW SPEC (LTCHNS) |
83883 |
0301 |
130 |
130 |
39 |
118.3 |
91 |
39 |
118.3 |
93.6 |
110.5 |
Carle Eureka Hospital |
0331890907 |
NEPH ANALY NO/EW SPEC (LTCHNS) |
83883 |
0301 |
130 |
130 |
39 |
118.3 |
91 |
39 |
118.3 |
93.6 |
110.5 |
Carle Eureka Hospital |
0331890909 |
NEPH ANAL NO/EW SPEC (LTCHNRU) |
83883 |
0301 |
231 |
231 |
69.3 |
210.21 |
161.69999999999999 |
69.3 |
210.21 |
166.32 |
196.35 |
Carle Eureka Hospital |
0331890910 |
NEPH ANAL NO/EW SPEC (LTCHNRU) |
83883 |
0301 |
231 |
231 |
69.3 |
210.21 |
161.69999999999999 |
69.3 |
210.21 |
166.32 |
196.35 |
Carle Eureka Hospital |
0331890912 |
GAMMAGL IGA IGR IGM EA (MSPROF |
82784 |
0301 |
105 |
105 |
31.5 |
95.55 |
73.5 |
31.5 |
95.55 |
75.599999999999994 |
89.25 |
Carle Eureka Hospital |
0331890913 |
MYELIN BASIC PROT, CSF (MSPROF |
83873 |
0301 |
98 |
98 |
29.4 |
89.18 |
68.599999999999994 |
29.4 |
89.18 |
70.56 |
83.3 |
Carle Eureka Hospital |
0331890915 |
THN LYR ANLTE NOT EW SPEC (PG) |
83516 |
0301 |
145 |
145 |
43.5 |
131.95000000000002 |
101.5 |
43.5 |
131.95000000000002 |
104.39999999999999 |
123.25 |
Carle Eureka Hospital |
0331890916 |
LS |
83661 |
0301 |
230 |
230 |
69 |
209.3 |
161 |
69 |
209.3 |
165.6 |
195.5 |
Carle Eureka Hospital |
0331890918 |
CHRMSME ANAL ADD KARYOTYPES EA |
88280 |
0300 |
280 |
280 |
84 |
254.8 |
196 |
84 |
254.8 |
201.6 |
238 |
Carle Eureka Hospital |
0331890919 |
AMNIOTC FLD/CRNIC VILLUS CELLS |
88235 |
0300 |
515 |
515 |
154.5 |
468.65000000000003 |
360.5 |
154.5 |
468.65000000000003 |
370.8 |
437.75 |
Carle Eureka Hospital |
0331890920 |
CHRMSOME A CT 15 CL 1KA W BAND |
88267 |
0300 |
1865 |
1865 |
559.5 |
1697.15 |
1305.5 |
559.5 |
1697.15 |
1342.8 |
1585.25 |
Carle Eureka Hospital |
0331890923 |
CT 15-20 CELLS 2 KAROTYPES |
88262 |
0300 |
1410 |
1410 |
423 |
1283.1000000000001 |
986.99999999999989 |
423 |
1283.1000000000001 |
1015.1999999999999 |
1198.5 |
Carle Eureka Hospital |
0331890924 |
TIS CULT F NEOPLAS DISO BM/BLD |
88237 |
0300 |
1185 |
1185 |
355.5 |
1078.3500000000001 |
829.5 |
355.5 |
1078.3500000000001 |
853.19999999999993 |
1007.25 |
Carle Eureka Hospital |
0331890927 |
ALBUMIN |
82040 |
0301 |
96 |
96 |
28.799999999999997 |
87.36 |
67.199999999999989 |
28.799999999999997 |
87.36 |
69.12 |
81.599999999999994 |
Carle Eureka Hospital |
0331890929 |
GLIADIN AB IGA |
83516 |
0301 |
130 |
130 |
39 |
118.3 |
91 |
39 |
118.3 |
93.6 |
110.5 |
Carle Eureka Hospital |
0331890930 |
GLIADIN AB IGG |
83516 |
0301 |
130 |
130 |
39 |
118.3 |
91 |
39 |
118.3 |
93.6 |
110.5 |
Carle Eureka Hospital |
0331890932 |
LEAD URINE |
83655 |
0301 |
115 |
115 |
34.5 |
104.65 |
80.5 |
34.5 |
104.65 |
82.8 |
97.75 |
Carle Eureka Hospital |
0331890933 |
MERCURY URINE |
83825 |
0301 |
155 |
155 |
46.5 |
141.05000000000001 |
108.5 |
46.5 |
141.05000000000001 |
111.6 |
131.75 |
Carle Eureka Hospital |
0331890934 |
ARSENIC URINE |
82175 |
0301 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
0331890935 |
CADMIUM |
82300 |
0301 |
265 |
265 |
79.5 |
241.15 |
185.5 |
79.5 |
241.15 |
190.79999999999998 |
225.25 |
Carle Eureka Hospital |
0331890949 |
SSA |
86235 |
0302 |
205 |
205 |
61.5 |
186.55 |
143.5 |
61.5 |
186.55 |
147.6 |
174.25 |
Carle Eureka Hospital |
0331890950 |
SSB |
86235 |
0302 |
205 |
205 |
61.5 |
186.55 |
143.5 |
61.5 |
186.55 |
147.6 |
174.25 |
Carle Eureka Hospital |
0331890968 |
COXSACKIE A AB TYPE 2 |
86658 |
0302 |
105 |
105 |
31.5 |
95.55 |
73.5 |
31.5 |
95.55 |
75.599999999999994 |
89.25 |
Carle Eureka Hospital |
0331890969 |
COXSACKIE A AB TYPE 4 |
86658 |
0302 |
105 |
105 |
31.5 |
95.55 |
73.5 |
31.5 |
95.55 |
75.599999999999994 |
89.25 |
Carle Eureka Hospital |
0331890970 |
COXSACKIE A AB TYPE 7 |
86658 |
0302 |
105 |
105 |
31.5 |
95.55 |
73.5 |
31.5 |
95.55 |
75.599999999999994 |
89.25 |
Carle Eureka Hospital |
0331890971 |
COXSACKIE A AB TYPE 9 |
86658 |
0302 |
105 |
105 |
31.5 |
95.55 |
73.5 |
31.5 |
95.55 |
75.599999999999994 |
89.25 |
Carle Eureka Hospital |
0331890972 |
COXSACKIE A AB TYPE 10 |
86658 |
0302 |
105 |
105 |
31.5 |
95.55 |
73.5 |
31.5 |
95.55 |
75.599999999999994 |
89.25 |
Carle Eureka Hospital |
0331890973 |
COXSACKIE A AB TYPE 16 |
86658 |
0302 |
105 |
105 |
31.5 |
95.55 |
73.5 |
31.5 |
95.55 |
75.599999999999994 |
89.25 |
Carle Eureka Hospital |
0331890975 |
E CHAFFEENSIS AB IGG |
86666 |
0302 |
175 |
175 |
52.5 |
159.25 |
122.49999999999999 |
52.5 |
159.25 |
126 |
148.75 |
Carle Eureka Hospital |
0331890976 |
E CHAFFEENSIS AB IGM |
86666 |
0302 |
175 |
175 |
52.5 |
159.25 |
122.49999999999999 |
52.5 |
159.25 |
126 |
148.75 |
Carle Eureka Hospital |
0331890978 |
OTHER SOURCE |
82570 |
0301 |
8.25 |
8.25 |
2.4750000000000001 |
7.5075000000000003 |
5.7749999999999995 |
2.4750000000000001 |
7.5075000000000003 |
5.9399999999999995 |
7.0125000000000002 |
Carle Eureka Hospital |
0331890979 |
ORGANIC ACID SINGLE QUANTITATI |
83921 |
0301 |
420 |
420 |
126 |
382.2 |
294 |
126 |
382.2 |
302.39999999999998 |
357 |
Carle Eureka Hospital |
0331890981 |
ATOMIC ABSORPTION SPECTROSCOPY |
82190 |
0301 |
500 |
500 |
150 |
455 |
350 |
150 |
455 |
360 |
425 |
Carle Eureka Hospital |
0331890983 |
FLUNITRAZEPAM CONF BLD |
80346 |
0300 |
410 |
410 |
123 |
373.1 |
287 |
123 |
373.1 |
295.2 |
348.5 |
Carle Eureka Hospital |
0331890984 |
FLUNITRAZEPAM CONF UR |
80346 |
0300 |
385 |
385 |
115.5 |
350.35 |
269.5 |
115.5 |
350.35 |
277.2 |
327.25 |
Carle Eureka Hospital |
0331890986 |
TISSUE CULTURE INOC, OBS, PRP |
87252 |
0306 |
220 |
220 |
66 |
200.20000000000002 |
154 |
66 |
200.20000000000002 |
158.4 |
187 |
Carle Eureka Hospital |
0331890987 |
SHELL VIAL ID W/IMMFLOURESCEN |
87254 |
0306 |
205 |
205 |
61.5 |
186.55 |
143.5 |
61.5 |
186.55 |
147.6 |
174.25 |
Carle Eureka Hospital |
0331890988 |
HISTONE AB |
83516 |
0301 |
185 |
185 |
55.5 |
168.35 |
129.5 |
55.5 |
168.35 |
133.19999999999999 |
157.25 |
Carle Eureka Hospital |
0331890989 |
NICOTINE RANDOM URINE |
80323 |
0301 |
185 |
185 |
55.5 |
168.35 |
129.5 |
55.5 |
168.35 |
133.19999999999999 |
157.25 |
Carle Eureka Hospital |
0331890992 |
CHLAMYDIA-REFLEX FOR GCCHLAM |
87490 |
0306 |
185 |
185 |
55.5 |
168.35 |
129.5 |
55.5 |
168.35 |
133.19999999999999 |
157.25 |
Carle Eureka Hospital |
0331890993 |
GC-REFLEX FOR GCCHLAM |
87590 |
0306 |
210 |
210 |
63 |
191.1 |
147 |
63 |
191.1 |
151.19999999999999 |
178.5 |
Carle Eureka Hospital |
0331890994 |
REFLEX WESTERRN BLOT FOR HIV-1 |
86689 |
0302 |
240 |
240 |
72 |
218.4 |
168 |
72 |
218.4 |
172.79999999999998 |
204 |
Carle Eureka Hospital |
0331890998 |
ATOMIC ABORPTION SPECTROSCOPY |
82190 |
0301 |
500 |
500 |
150 |
455 |
350 |
150 |
455 |
360 |
425 |
Carle Eureka Hospital |
0331891002 |
HISTONE AB |
83516 |
0301 |
110 |
110 |
33 |
100.10000000000001 |
77 |
33 |
100.10000000000001 |
79.2 |
93.5 |
Carle Eureka Hospital |
0331891004 |
OLIGOCLONAL IMMUNE (MSPROF) |
83916 |
0301 |
230 |
230 |
69 |
209.3 |
161 |
69 |
209.3 |
165.6 |
195.5 |
Carle Eureka Hospital |
0331891022 |
DNA PLOIDY BY FLOW CYTOMETRY |
88182 |
0310 |
390 |
390 |
117 |
354.90000000000003 |
273 |
117 |
354.90000000000003 |
280.8 |
331.5 |
Carle Eureka Hospital |
0331891023 |
HER2/NEU STAIN |
88361 |
0310 |
860 |
860 |
258 |
782.6 |
602 |
258 |
782.6 |
619.19999999999993 |
731 |
Carle Eureka Hospital |
0331891057 |
ALPHAFETOPROTEIN MATERNAL-TSM |
82105 |
0300 |
190 |
190 |
57 |
172.9 |
133 |
57 |
172.9 |
136.79999999999998 |
161.5 |
Carle Eureka Hospital |
0331891058 |
ESTRIOL - TSM |
82677 |
0300 |
105 |
105 |
31.5 |
95.55 |
73.5 |
31.5 |
95.55 |
75.599999999999994 |
89.25 |
Carle Eureka Hospital |
0331891059 |
BHCG-QUANTITATIVE - TSM |
84702 |
0300 |
175 |
175 |
52.5 |
159.25 |
122.49999999999999 |
52.5 |
159.25 |
126 |
148.75 |
Carle Eureka Hospital |
0331891062 |
RUBEOLA IGG CSF |
86765 |
0302 |
140 |
140 |
42 |
127.4 |
98 |
42 |
127.4 |
100.8 |
119 |
Carle Eureka Hospital |
0331891063 |
RUBEOLA IGM CSF |
86765 |
0302 |
140 |
140 |
42 |
127.4 |
98 |
42 |
127.4 |
100.8 |
119 |
Carle Eureka Hospital |
0331891064 |
RUBEOLA IGG SERUM |
86765 |
0302 |
140 |
140 |
42 |
127.4 |
98 |
42 |
127.4 |
100.8 |
119 |
Carle Eureka Hospital |
0331891065 |
RUBEOLA IGM SERUM |
86765 |
0302 |
140 |
140 |
42 |
127.4 |
98 |
42 |
127.4 |
100.8 |
119 |
Carle Eureka Hospital |
0331891069 |
ANTI-HUMAN NEUTROPHIL ELIS IGG |
83520 |
0301 |
255 |
255 |
76.5 |
232.05 |
178.5 |
76.5 |
232.05 |
183.6 |
216.75 |
Carle Eureka Hospital |
0331891070 |
ANTI-OMPC ELISA IGA |
83520 |
0301 |
255 |
255 |
76.5 |
232.05 |
178.5 |
76.5 |
232.05 |
183.6 |
216.75 |
Carle Eureka Hospital |
0331891071 |
ANIT-HUMAN NEUTROPHIL IMM IGA |
83520 |
0301 |
255 |
255 |
76.5 |
232.05 |
178.5 |
76.5 |
232.05 |
183.6 |
216.75 |
Carle Eureka Hospital |
0331891072 |
ANTI-HUMAN NEUTROPHIL IGG DNAS |
83520 |
0301 |
255 |
255 |
76.5 |
232.05 |
178.5 |
76.5 |
232.05 |
183.6 |
216.75 |
Carle Eureka Hospital |
0331891081 |
WESTER BLOT (HU) |
84182 |
0301 |
420 |
420 |
126 |
382.2 |
294 |
126 |
382.2 |
302.39999999999998 |
357 |
Carle Eureka Hospital |
0331891082 |
WESTERN BLOT (CV2) |
84182 |
0301 |
420 |
420 |
126 |
382.2 |
294 |
126 |
382.2 |
302.39999999999998 |
357 |
Carle Eureka Hospital |
0331891083 |
WESTERN BLOT (YO) |
84182 |
0301 |
420 |
420 |
126 |
382.2 |
294 |
126 |
382.2 |
302.39999999999998 |
357 |
Carle Eureka Hospital |
0331891084 |
WESTERN BLOT (RI) |
84182 |
0301 |
420 |
420 |
126 |
382.2 |
294 |
126 |
382.2 |
302.39999999999998 |
357 |
Carle Eureka Hospital |
0331891085 |
WESTERN BLOT(CAR) |
84182 |
0301 |
420 |
420 |
126 |
382.2 |
294 |
126 |
382.2 |
302.39999999999998 |
357 |
Carle Eureka Hospital |
0331891087 |
IMMUNOASSAY (MA) |
83520 |
0301 |
255 |
255 |
76.5 |
232.05 |
178.5 |
76.5 |
232.05 |
183.6 |
216.75 |
Carle Eureka Hospital |
0331891088 |
IMMUNOASSAY (TA) |
83520 |
0301 |
255 |
255 |
76.5 |
232.05 |
178.5 |
76.5 |
232.05 |
183.6 |
216.75 |
Carle Eureka Hospital |
0331891094 |
VIRAL NEUTRALIZING TEST |
86382 |
0302 |
825 |
825 |
247.5 |
750.75 |
577.5 |
247.5 |
750.75 |
594 |
701.25 |
Carle Eureka Hospital |
0331891095 |
NTD TEST |
86384 |
0302 |
825 |
825 |
247.5 |
750.75 |
577.5 |
247.5 |
750.75 |
594 |
701.25 |
Carle Eureka Hospital |
0331891096 |
TISSUE CULTRUE INTERFERON |
87253 |
0306 |
680 |
680 |
204 |
618.80000000000007 |
475.99999999999994 |
204 |
618.80000000000007 |
489.59999999999997 |
578 |
Carle Eureka Hospital |
0331891098 |
ANTI-GMI |
83520 |
0301 |
255 |
255 |
76.5 |
232.05 |
178.5 |
76.5 |
232.05 |
183.6 |
216.75 |
Carle Eureka Hospital |
0331891099 |
ANTI-ASIALO GM |
83520 |
0301 |
255 |
255 |
76.5 |
232.05 |
178.5 |
76.5 |
232.05 |
183.6 |
216.75 |
Carle Eureka Hospital |
0331891100 |
ANTI-GDLB AB |
83520 |
0301 |
255 |
255 |
76.5 |
232.05 |
178.5 |
76.5 |
232.05 |
183.6 |
216.75 |
Carle Eureka Hospital |
0331891101 |
PAP THIN PREP W/FLEX HPV |
88142 |
0311 |
190 |
190 |
57 |
172.9 |
133 |
57 |
172.9 |
136.79999999999998 |
161.5 |
Carle Eureka Hospital |
0331891102 |
REFLEX HPV HIGH RISK ONLY |
87624 |
0306 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
0331891103 |
FK506-TACROLIMUS |
80197 |
0300 |
205 |
205 |
61.5 |
186.55 |
143.5 |
61.5 |
186.55 |
147.6 |
174.25 |
Carle Eureka Hospital |
0331891107 |
HPV DNA INT/HIGH RISK |
87624 |
0306 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
0331891112 |
CHLAMYDIA CULTURE |
87140 |
0306 |
63 |
63 |
18.899999999999999 |
57.330000000000005 |
44.099999999999994 |
18.899999999999999 |
57.330000000000005 |
45.36 |
53.55 |
Carle Eureka Hospital |
0331891113 |
MERCURY 24 HR URINE |
83825 |
0301 |
190 |
190 |
57 |
172.9 |
133 |
57 |
172.9 |
136.79999999999998 |
161.5 |
Carle Eureka Hospital |
0331891114 |
ECHINOCCUS AB IgG |
86682 |
0302 |
260 |
260 |
78 |
236.6 |
182 |
78 |
236.6 |
187.2 |
221 |
Carle Eureka Hospital |
0331891115 |
RFLX ECHINOCOCCUS WESTERN BLOT |
86682 |
0302 |
395 |
395 |
118.5 |
359.45 |
276.5 |
118.5 |
359.45 |
284.39999999999998 |
335.75 |
Carle Eureka Hospital |
0331891117 |
C TRACHOMATIS AB IGM |
86632 |
0302 |
130 |
130 |
39 |
118.3 |
91 |
39 |
118.3 |
93.6 |
110.5 |
Carle Eureka Hospital |
0331891118 |
C TRACHOMATIS AB IGG |
86631 |
0302 |
125 |
125 |
37.5 |
113.75 |
87.5 |
37.5 |
113.75 |
90 |
106.25 |
Carle Eureka Hospital |
0331891119 |
C TRACHOMATIS AB IGA |
86631 |
0302 |
125 |
125 |
37.5 |
113.75 |
87.5 |
37.5 |
113.75 |
90 |
106.25 |
Carle Eureka Hospital |
0331891120 |
KEPPRA - LEVETIRACETAM |
80177 |
0301 |
175 |
175 |
52.5 |
159.25 |
122.49999999999999 |
52.5 |
159.25 |
126 |
148.75 |
Carle Eureka Hospital |
0331891121 |
HU ANTIBODY/W RFLX |
86255 |
0302 |
145 |
145 |
43.5 |
131.95000000000002 |
101.5 |
43.5 |
131.95000000000002 |
104.39999999999999 |
123.25 |
Carle Eureka Hospital |
0331891122 |
REFLEX HU AB TITER |
86256 |
0302 |
115 |
115 |
34.5 |
104.65 |
80.5 |
34.5 |
104.65 |
82.8 |
97.75 |
Carle Eureka Hospital |
0331891123 |
REFLEX HU AB WESTERN BLOT |
84181 |
0301 |
370 |
370 |
111 |
336.7 |
259 |
111 |
336.7 |
266.39999999999998 |
314.5 |
Carle Eureka Hospital |
0331891125 |
YO-PURKINJE CELLS TITER/REFLX |
86256 |
0302 |
115 |
115 |
34.5 |
104.65 |
80.5 |
34.5 |
104.65 |
82.8 |
97.75 |
Carle Eureka Hospital |
0331891128 |
RMSF IGM (FEB) |
86757 |
0302 |
120 |
120 |
36 |
109.2 |
84 |
36 |
109.2 |
86.399999999999991 |
102 |
Carle Eureka Hospital |
0331891130 |
TYPHUS FEVER IGM (FEB) |
86757 |
0302 |
95 |
95 |
28.5 |
86.45 |
66.5 |
28.5 |
86.45 |
68.399999999999991 |
80.75 |
Carle Eureka Hospital |
0331891131 |
REFLEX TYPHUS AB TITIER IGG |
86757 |
0302 |
145 |
145 |
43.5 |
131.95000000000002 |
101.5 |
43.5 |
131.95000000000002 |
104.39999999999999 |
123.25 |
Carle Eureka Hospital |
0331891132 |
REFLEX TYPHUS AB TITER IGM |
86757 |
0302 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
0331891133 |
REFLEX RICKETTSIA AB TITER IGG |
86757 |
0302 |
230 |
230 |
69 |
209.3 |
161 |
69 |
209.3 |
165.6 |
195.5 |
Carle Eureka Hospital |
0331891134 |
REFLEX RICKETTSIA AB TITER IGM |
86757 |
0302 |
230 |
230 |
69 |
209.3 |
161 |
69 |
209.3 |
165.6 |
195.5 |
Carle Eureka Hospital |
0331891136 |
PARVOVIRUS B19 AB IGG |
86747 |
0302 |
145 |
145 |
43.5 |
131.95000000000002 |
101.5 |
43.5 |
131.95000000000002 |
104.39999999999999 |
123.25 |
Carle Eureka Hospital |
0331891137 |
PARVOVIRUS B19 AB IGM |
86747 |
0302 |
145 |
145 |
43.5 |
131.95000000000002 |
101.5 |
43.5 |
131.95000000000002 |
104.39999999999999 |
123.25 |
Carle Eureka Hospital |
0331891140 |
PERRENIAL RYE GRASS (G5) IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
0331891141 |
TIMOTHY GRASS (G6) IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
0331891143 |
MAPLE (BOX ELDER) (T1) IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
0331891144 |
COTTONWOOD (T14) IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
0331891147 |
RAST GOOSE FEATHERS |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
0331891150 |
HEPATITIS B CORE AB TOTAL |
86704 |
0302 |
130 |
130 |
39 |
118.3 |
91 |
39 |
118.3 |
93.6 |
110.5 |
Carle Eureka Hospital |
0331891152 |
ALPHA 1 ANTITRYPSIN PHENOTYPIN |
82104 |
0301 |
240 |
240 |
72 |
218.4 |
168 |
72 |
218.4 |
172.79999999999998 |
204 |
Carle Eureka Hospital |
0331891153 |
HEPATITIS A AB TOTAL |
86708 |
0302 |
115 |
115 |
34.5 |
104.65 |
80.5 |
34.5 |
104.65 |
82.8 |
97.75 |
Carle Eureka Hospital |
0331891154 |
REFLEX HEPATITIS A AB IGM |
86709 |
0302 |
140 |
140 |
42 |
127.4 |
98 |
42 |
127.4 |
100.8 |
119 |
Carle Eureka Hospital |
0331891155 |
PTH RELATED PROTEIN |
83519 |
0301 |
250 |
250 |
75 |
227.5 |
175 |
75 |
227.5 |
180 |
212.5 |
Carle Eureka Hospital |
0331891157 |
FREE DILANTIN |
80186 |
0300 |
155 |
155 |
46.5 |
141.05000000000001 |
108.5 |
46.5 |
141.05000000000001 |
111.6 |
131.75 |
Carle Eureka Hospital |
0331891158 |
IGA SUBCLASS 1 |
82787 |
0301 |
140 |
140 |
42 |
127.4 |
98 |
42 |
127.4 |
100.8 |
119 |
Carle Eureka Hospital |
0331891159 |
IGA SUBCLASS 2 |
82787 |
0301 |
140 |
140 |
42 |
127.4 |
98 |
42 |
127.4 |
100.8 |
119 |
Carle Eureka Hospital |
0331891160 |
IGA TOTAL |
82784 |
0301 |
105 |
105 |
31.5 |
95.55 |
73.5 |
31.5 |
95.55 |
75.599999999999994 |
89.25 |
Carle Eureka Hospital |
0331891161 |
G-6-PD RBC |
82955 |
0301 |
105 |
105 |
31.5 |
95.55 |
73.5 |
31.5 |
95.55 |
75.599999999999994 |
89.25 |
Carle Eureka Hospital |
0331891163 |
B CELLS TOTAL COUNT |
86355 |
0302 |
195 |
195 |
58.5 |
177.45000000000002 |
136.5 |
58.5 |
177.45000000000002 |
140.4 |
165.75 |
Carle Eureka Hospital |
0331891164 |
T CELLS TOTAL CT |
86359 |
0302 |
435 |
435 |
130.5 |
395.85 |
304.5 |
130.5 |
395.85 |
313.2 |
369.75 |
Carle Eureka Hospital |
0331891165 |
CD4/CD8 CT |
86360 |
0302 |
440 |
440 |
132 |
400.40000000000003 |
308 |
132 |
400.40000000000003 |
316.8 |
374 |
Carle Eureka Hospital |
0331891166 |
CD4/CD8 CT |
86360 |
0301 |
225 |
225 |
67.5 |
204.75 |
157.5 |
67.5 |
204.75 |
162 |
191.25 |
Carle Eureka Hospital |
0331891168 |
HOMOCYSTEINE NUTR/CONGENITAL |
83090 |
0301 |
195 |
195 |
58.5 |
177.45000000000002 |
136.5 |
58.5 |
177.45000000000002 |
140.4 |
165.75 |
Carle Eureka Hospital |
0331891170 |
METHOTREXATE |
80299 |
0301 |
145 |
145 |
43.5 |
131.95000000000002 |
101.5 |
43.5 |
131.95000000000002 |
104.39999999999999 |
123.25 |
Carle Eureka Hospital |
0331891171 |
VITAMIN D 1 25 DIHYDROXY |
82652 |
0301 |
440 |
440 |
132 |
400.40000000000003 |
308 |
132 |
400.40000000000003 |
316.8 |
374 |
Carle Eureka Hospital |
0331891172 |
VITAMIN D 25 HYDORXY |
82306 |
0301 |
340 |
340 |
102 |
309.40000000000003 |
237.99999999999997 |
102 |
309.40000000000003 |
244.79999999999998 |
289 |
Carle Eureka Hospital |
0331891173 |
VITAMIN A |
84590 |
0301 |
140 |
140 |
42 |
127.4 |
98 |
42 |
127.4 |
100.8 |
119 |
Carle Eureka Hospital |
0331891174 |
FRUCTOSAMINE |
82985 |
0301 |
175 |
175 |
52.5 |
159.25 |
122.49999999999999 |
52.5 |
159.25 |
126 |
148.75 |
Carle Eureka Hospital |
0331891175 |
REDUCING SUBSTANCE STOOL |
84376 |
0301 |
110 |
110 |
33 |
100.10000000000001 |
77 |
33 |
100.10000000000001 |
79.2 |
93.5 |
Carle Eureka Hospital |
0331891176 |
ARSENIC BLOOD |
82175 |
0301 |
200 |
200 |
60 |
182 |
140 |
60 |
182 |
144 |
170 |
Carle Eureka Hospital |
0331891191 |
LYME DISEASE CSF RATIO |
86618 |
0302 |
195 |
195 |
58.5 |
177.45000000000002 |
136.5 |
58.5 |
177.45000000000002 |
140.4 |
165.75 |
Carle Eureka Hospital |
0331891195 |
CRYPTOCOCCAL AG TITER |
86406 |
0302 |
310 |
310 |
93 |
282.10000000000002 |
217 |
93 |
282.10000000000002 |
223.2 |
263.5 |
Carle Eureka Hospital |
0331891198 |
HSV IGM TITER |
86694 |
0302 |
235 |
235 |
70.5 |
213.85 |
164.5 |
70.5 |
213.85 |
169.2 |
199.75 |
Carle Eureka Hospital |
0331891199 |
MOLECULAR CYTOGENETICS,DNA PRO |
88271 |
0311 |
165 |
165 |
49.5 |
150.15 |
115.49999999999999 |
49.5 |
150.15 |
118.8 |
140.25 |
Carle Eureka Hospital |
0331891200 |
CHROMOSOMAL IN SITU HYBRID,10- |
88273 |
0311 |
335 |
335 |
100.5 |
304.85000000000002 |
234.49999999999997 |
100.5 |
304.85000000000002 |
241.2 |
284.75 |
Carle Eureka Hospital |
0331891206 |
WEST NILE VIRUS IGG |
86789 |
0302 |
235 |
235 |
70.5 |
213.85 |
164.5 |
70.5 |
213.85 |
169.2 |
199.75 |
Carle Eureka Hospital |
0331891207 |
WEST NILE VIRUS IGM |
86788 |
0302 |
235 |
235 |
70.5 |
213.85 |
164.5 |
70.5 |
213.85 |
169.2 |
199.75 |
Carle Eureka Hospital |
0331891209 |
TOXOPLASMA 1GM |
86778 |
0302 |
165 |
165 |
49.5 |
150.15 |
115.49999999999999 |
49.5 |
150.15 |
118.8 |
140.25 |
Carle Eureka Hospital |
0331891211 |
IMMUNO FIXATION SERUM |
86334 |
0302 |
210 |
210 |
63 |
191.1 |
147 |
63 |
191.1 |
151.19999999999999 |
178.5 |
Carle Eureka Hospital |
0331891212 |
EBV EARYL ANTIGEN |
86663 |
0302 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
0331891213 |
CAROTENE |
82380 |
0301 |
265 |
265 |
79.5 |
241.15 |
185.5 |
79.5 |
241.15 |
190.79999999999998 |
225.25 |
Carle Eureka Hospital |
0331891214 |
METANEPHRINES PLASMA |
83835 |
0301 |
325 |
325 |
97.5 |
295.75 |
227.49999999999997 |
97.5 |
295.75 |
234 |
276.25 |
Carle Eureka Hospital |
0331891215 |
VITAMIN B1 |
84425 |
0301 |
200 |
200 |
60 |
182 |
140 |
60 |
182 |
144 |
170 |
Carle Eureka Hospital |
0331891216 |
ZONISAMIDE |
80203 |
0301 |
200 |
200 |
60 |
182 |
140 |
60 |
182 |
144 |
170 |
Carle Eureka Hospital |
0331891217 |
APOLIPOPROTEIN B |
82172 |
0301 |
145 |
145 |
43.5 |
131.95000000000002 |
101.5 |
43.5 |
131.95000000000002 |
104.39999999999999 |
123.25 |
Carle Eureka Hospital |
0331891218 |
ANDROSTENEDIONE |
82157 |
0301 |
275 |
275 |
82.5 |
250.25 |
192.5 |
82.5 |
250.25 |
198 |
233.75 |
Carle Eureka Hospital |
0331891219 |
AFP AMNIOTIC FLD |
82106 |
0301 |
255 |
255 |
76.5 |
232.05 |
178.5 |
76.5 |
232.05 |
183.6 |
216.75 |
Carle Eureka Hospital |
0331891220 |
HERPES TYPE 1 |
86695 |
0302 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
0331891221 |
CHOLINESTERASE - RBC |
82482 |
0301 |
96 |
96 |
28.799999999999997 |
87.36 |
67.199999999999989 |
28.799999999999997 |
87.36 |
69.12 |
81.599999999999994 |
Carle Eureka Hospital |
0331891223 |
IMMUNOSTAIN ADDITIONAL |
88341 |
0300 |
480 |
480 |
144 |
436.8 |
336 |
144 |
436.8 |
345.59999999999997 |
408 |
Carle Eureka Hospital |
0331891224 |
FISH EACH PROBE COMPUT |
88367 |
0300 |
865 |
865 |
259.5 |
787.15 |
605.5 |
259.5 |
787.15 |
622.79999999999995 |
735.25 |
Carle Eureka Hospital |
0331891225 |
INSITU HYBRIDIZATION CEP17 |
88367 |
0300 |
865 |
865 |
259.5 |
787.15 |
605.5 |
259.5 |
787.15 |
622.79999999999995 |
735.25 |
Carle Eureka Hospital |
0331891229 |
THYROGLOBULIN LEVEL |
84432 |
0300 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
0331891230 |
STRIATED MUSCLE AB SCREEN |
86255 |
0302 |
175 |
175 |
52.5 |
159.25 |
122.49999999999999 |
52.5 |
159.25 |
126 |
148.75 |
Carle Eureka Hospital |
0331891231 |
STRIATED MUSCLE AB TITER CHG |
86256 |
0302 |
115 |
115 |
34.5 |
104.65 |
80.5 |
34.5 |
104.65 |
82.8 |
97.75 |
Carle Eureka Hospital |
0331891233 |
WEST NILE VIRUS AB IGG TITER C |
86789 |
0302 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
0331891234 |
WEST NILE VIRUS AB IGN TITER C |
86788 |
0302 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
0331891235 |
WEST NILE AB IGM TITER CHG |
86788 |
0302 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
0331891236 |
WEST NILE AB IGG TITER CHG |
86789 |
0302 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
0331891240 |
CK TOTAL |
82550 |
0301 |
115 |
115 |
34.5 |
104.65 |
80.5 |
34.5 |
104.65 |
82.8 |
97.75 |
Carle Eureka Hospital |
0331891241 |
CK ISOENZYMES (MB,MM,BB) |
82552 |
0301 |
140 |
140 |
42 |
127.4 |
98 |
42 |
127.4 |
100.8 |
119 |
Carle Eureka Hospital |
0331891243 |
CHROMOGRANIN A |
86316 |
0302 |
195 |
195 |
58.5 |
177.45000000000002 |
136.5 |
58.5 |
177.45000000000002 |
140.4 |
165.75 |
Carle Eureka Hospital |
0331891244 |
LYSOZYME |
85549 |
0302 |
195 |
195 |
58.5 |
177.45000000000002 |
136.5 |
58.5 |
177.45000000000002 |
140.4 |
165.75 |
Carle Eureka Hospital |
0331891245 |
VITAMIN B6 |
84207 |
0301 |
265 |
265 |
79.5 |
241.15 |
185.5 |
79.5 |
241.15 |
190.79999999999998 |
225.25 |
Carle Eureka Hospital |
0331891247 |
TETANUS ANTITOXOID AB |
86317 |
0302 |
190 |
190 |
57 |
172.9 |
133 |
57 |
172.9 |
136.79999999999998 |
161.5 |
Carle Eureka Hospital |
0331891248 |
DIPTHERIA ANTIOXOID AB |
86317 |
0302 |
190 |
190 |
57 |
172.9 |
133 |
57 |
172.9 |
136.79999999999998 |
161.5 |
Carle Eureka Hospital |
0331891250 |
CHARGE TYPHUS AB TITER IGG |
86757 |
0302 |
230 |
230 |
69 |
209.3 |
161 |
69 |
209.3 |
165.6 |
195.5 |
Carle Eureka Hospital |
0331891251 |
CHARGE TYPHUS AB TITER IGM |
86757 |
0302 |
230 |
230 |
69 |
209.3 |
161 |
69 |
209.3 |
165.6 |
195.5 |
Carle Eureka Hospital |
0331891252 |
TISSUE CULTURE - LYMPHOCYTES |
88230 |
0310 |
1335 |
1335 |
400.5 |
1214.8500000000001 |
934.49999999999989 |
400.5 |
1214.8500000000001 |
961.19999999999993 |
1134.75 |
Carle Eureka Hospital |
0331891253 |
CHROMOSOME ANALYSIS 20-25 CEL |
88264 |
0310 |
1170 |
1170 |
351 |
1064.7 |
819 |
351 |
1064.7 |
842.4 |
994.5 |
Carle Eureka Hospital |
0331891254 |
TISSUE CULTURE |
88233 |
0310 |
1530 |
1530 |
459 |
1392.3 |
1071 |
459 |
1392.3 |
1101.5999999999999 |
1300.5 |
Carle Eureka Hospital |
0331891271 |
TOTAL PROTEIN URINE (PE24U) |
84156 |
0301 |
83 |
83 |
24.9 |
75.53 |
58.099999999999994 |
24.9 |
75.53 |
59.76 |
70.55 |
Carle Eureka Hospital |
0331891272 |
PROT ELECTROPH FRAC/QU (PE24U) |
84166 |
0301 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
0331891273 |
TOTAL PROTEIN OTHER (CSFELP) |
84157 |
0301 |
165 |
165 |
49.5 |
150.15 |
115.49999999999999 |
49.5 |
150.15 |
118.8 |
140.25 |
Carle Eureka Hospital |
0331891276 |
NSNA IGG, DNASE SLIDE |
88346 |
0310 |
140 |
140 |
42 |
127.4 |
98 |
42 |
127.4 |
100.8 |
119 |
Carle Eureka Hospital |
0331891277 |
NSNA IGG |
88346 |
0310 |
240 |
240 |
72 |
218.4 |
168 |
72 |
218.4 |
172.79999999999998 |
204 |
Carle Eureka Hospital |
0331891279 |
STREPTOZYME TITER |
86406 |
0302 |
115 |
115 |
34.5 |
104.65 |
80.5 |
34.5 |
104.65 |
82.8 |
97.75 |
Carle Eureka Hospital |
0331891281 |
ASPERGILLUS FUMIGATUS (FUNGAB) |
86606 |
0302 |
96 |
96 |
28.799999999999997 |
87.36 |
67.199999999999989 |
28.799999999999997 |
87.36 |
69.12 |
81.599999999999994 |
Carle Eureka Hospital |
0331891282 |
ASPERGILLUS NIGER (FUNGAB) |
86606 |
0302 |
96 |
96 |
28.799999999999997 |
87.36 |
67.199999999999989 |
28.799999999999997 |
87.36 |
69.12 |
81.599999999999994 |
Carle Eureka Hospital |
0331891283 |
ASPERGILLUS FLAVUS (FUNGAB) |
86606 |
0302 |
96 |
96 |
28.799999999999997 |
87.36 |
67.199999999999989 |
28.799999999999997 |
87.36 |
69.12 |
81.599999999999994 |
Carle Eureka Hospital |
0331891284 |
ANTICARDIOLIPIN AB, IGM |
86147 |
0302 |
185 |
185 |
55.5 |
168.35 |
129.5 |
55.5 |
168.35 |
133.19999999999999 |
157.25 |
Carle Eureka Hospital |
0331891285 |
ANTICARDIOLIPIN AB, IGG |
86147 |
0302 |
185 |
185 |
55.5 |
168.35 |
129.5 |
55.5 |
168.35 |
133.19999999999999 |
157.25 |
Carle Eureka Hospital |
0331891286 |
ANTICARDIOLIPIN AB, IGA |
86147 |
0302 |
185 |
185 |
55.5 |
168.35 |
129.5 |
55.5 |
168.35 |
133.19999999999999 |
157.25 |
Carle Eureka Hospital |
0331891297 |
TESTOSTOSTERONE FREE |
84402 |
0301 |
100 |
100 |
30 |
91 |
70 |
30 |
91 |
72 |
85 |
Carle Eureka Hospital |
0331891298 |
INHIBIN A |
86336 |
0302 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
0331891305 |
RAST LATEX IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
0331891306 |
PSA, TOTAL |
84153 |
0301 |
175 |
175 |
52.5 |
159.25 |
122.49999999999999 |
52.5 |
159.25 |
126 |
148.75 |
Carle Eureka Hospital |
0331891307 |
PSA, FREE |
84154 |
0301 |
175 |
175 |
52.5 |
159.25 |
122.49999999999999 |
52.5 |
159.25 |
126 |
148.75 |
Carle Eureka Hospital |
0331891309 |
CARDIOLIPIN AB-IGA |
86147 |
0302 |
185 |
185 |
55.5 |
168.35 |
129.5 |
55.5 |
168.35 |
133.19999999999999 |
157.25 |
Carle Eureka Hospital |
0331891312 |
HSV IGM W/REFLEX TITER |
86694 |
0302 |
200 |
200 |
60 |
182 |
140 |
60 |
182 |
144 |
170 |
Carle Eureka Hospital |
0331891316 |
CORTISOL SPECIMEN 1 (ACTHST) |
82533 |
0301 |
155 |
155 |
46.5 |
141.05000000000001 |
108.5 |
46.5 |
141.05000000000001 |
111.6 |
131.75 |
Carle Eureka Hospital |
0331891317 |
CORTISOL SPECIMEN 2 (ACTHST) |
82533 |
0301 |
155 |
155 |
46.5 |
141.05000000000001 |
108.5 |
46.5 |
141.05000000000001 |
111.6 |
131.75 |
Carle Eureka Hospital |
0331891318 |
CORTISOL SPECIMEN 3 (ACTHST) |
82533 |
0301 |
155 |
155 |
46.5 |
141.05000000000001 |
108.5 |
46.5 |
141.05000000000001 |
111.6 |
131.75 |
Carle Eureka Hospital |
0331891319 |
ALKALI PHOSPH ISOENZYM (APISO) |
84080 |
0301 |
140 |
140 |
42 |
127.4 |
98 |
42 |
127.4 |
100.8 |
119 |
Carle Eureka Hospital |
0331891320 |
ALKALINE PHOSPHATASE (APISO) |
84075 |
0301 |
105 |
105 |
31.5 |
95.55 |
73.5 |
31.5 |
95.55 |
75.599999999999994 |
89.25 |
Carle Eureka Hospital |
0331891321 |
PROTEINASE-3 ANTIBODY (ANCA) |
86021 |
0302 |
130 |
130 |
39 |
118.3 |
91 |
39 |
118.3 |
93.6 |
110.5 |
Carle Eureka Hospital |
0331891322 |
MYELOPEROXIDASE ANTIB (ANCA) |
86021 |
0302 |
130 |
130 |
39 |
118.3 |
91 |
39 |
118.3 |
93.6 |
110.5 |
Carle Eureka Hospital |
0331891323 |
ANTI-MICROSOMAL ANTIBDY (ATHY) |
86376 |
0300 |
135 |
135 |
40.5 |
122.85000000000001 |
94.5 |
40.5 |
122.85000000000001 |
97.2 |
114.75 |
Carle Eureka Hospital |
0331891324 |
THYROGLOBULIN ABS (ATHY) |
86800 |
0300 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
0331891346 |
PROT,ELECTROPH FRA/QUA (SPE) |
84165 |
0301 |
110 |
110 |
33 |
100.10000000000001 |
77 |
33 |
100.10000000000001 |
79.2 |
93.5 |
Carle Eureka Hospital |
0331891347 |
CREATININE,URINE (PE24U) |
82570 |
0301 |
74 |
74 |
22.2 |
67.34 |
51.8 |
22.2 |
67.34 |
53.28 |
62.9 |
Carle Eureka Hospital |
0331891348 |
EBV CAPSID IGM (EBV) |
86665 |
0302 |
140 |
140 |
42 |
127.4 |
98 |
42 |
127.4 |
100.8 |
119 |
Carle Eureka Hospital |
0331891349 |
EBV CAPSID IGG (EBV) |
86665 |
0302 |
140 |
140 |
42 |
127.4 |
98 |
42 |
127.4 |
100.8 |
119 |
Carle Eureka Hospital |
0331891350 |
EBV NUCLEAR AG (EBV) |
86664 |
0302 |
175 |
175 |
52.5 |
159.25 |
122.49999999999999 |
52.5 |
159.25 |
126 |
148.75 |
Carle Eureka Hospital |
0331891351 |
BLASTOMYCES ANTIBODY (FUNGAB) |
86612 |
0302 |
120 |
120 |
36 |
109.2 |
84 |
36 |
109.2 |
86.399999999999991 |
102 |
Carle Eureka Hospital |
0331891352 |
HISTOPLASMA ANTI (FUNGAB) |
86698 |
0302 |
115 |
115 |
34.5 |
104.65 |
80.5 |
34.5 |
104.65 |
82.8 |
97.75 |
Carle Eureka Hospital |
0331891356 |
HGB FRACT/QUA CHROMA (HGBE) |
83021 |
0301 |
170 |
170 |
51 |
154.70000000000002 |
118.99999999999999 |
51 |
154.70000000000002 |
122.39999999999999 |
144.5 |
Carle Eureka Hospital |
0331891357 |
HERPES SIMP TYPE 1 IGG (HSV12) |
86695 |
0302 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
0331891358 |
HERPES SIMP TYPE 2 IGG (HSV12) |
86696 |
0302 |
165 |
165 |
49.5 |
150.15 |
115.49999999999999 |
49.5 |
150.15 |
118.8 |
140.25 |
Carle Eureka Hospital |
0331891359 |
HERP SIMP NON-SPEC IGM (HSV12) |
86694 |
0302 |
165 |
165 |
49.5 |
150.15 |
115.49999999999999 |
49.5 |
150.15 |
118.8 |
140.25 |
Carle Eureka Hospital |
0331891362 |
IGG SUBCLASS 1 (IGGS) |
82787 |
0301 |
75 |
75 |
22.5 |
68.25 |
52.5 |
22.5 |
68.25 |
54 |
63.75 |
Carle Eureka Hospital |
0331891363 |
IGG SUBCLASS 2 (IGGS) |
82787 |
0301 |
75 |
75 |
22.5 |
68.25 |
52.5 |
22.5 |
68.25 |
54 |
63.75 |
Carle Eureka Hospital |
0331891364 |
IGG SUBCLASS 3 (IGGS) |
82787 |
0301 |
75 |
75 |
22.5 |
68.25 |
52.5 |
22.5 |
68.25 |
54 |
63.75 |
Carle Eureka Hospital |
0331891365 |
IGG SUBCLASS 4 (IGGS) |
82787 |
0301 |
75 |
75 |
22.5 |
68.25 |
52.5 |
22.5 |
68.25 |
54 |
63.75 |
Carle Eureka Hospital |
0331891366 |
TOTAL IGG (IGGS) |
82784 |
0301 |
105 |
105 |
31.5 |
95.55 |
73.5 |
31.5 |
95.55 |
75.599999999999994 |
89.25 |
Carle Eureka Hospital |
0331891367 |
LD ISOENZYMES SEP QUA (LDI) |
83625 |
0301 |
120 |
120 |
36 |
109.2 |
84 |
36 |
109.2 |
86.399999999999991 |
102 |
Carle Eureka Hospital |
0331891368 |
LDH (LDI) |
83615 |
0301 |
105 |
105 |
31.5 |
95.55 |
73.5 |
31.5 |
95.55 |
75.599999999999994 |
89.25 |
Carle Eureka Hospital |
0331891369 |
PTT (LUP) |
85730 |
0305 |
100 |
100 |
30 |
91 |
70 |
30 |
91 |
72 |
85 |
Carle Eureka Hospital |
0331891370 |
AMIKACIN PEAK |
80150 |
0300 |
410 |
410 |
123 |
373.1 |
287 |
123 |
373.1 |
295.2 |
348.5 |
Carle Eureka Hospital |
0331891372 |
PLATELET NEUTRALIZ-PHO (LUP) |
85597 |
0305 |
105 |
105 |
31.5 |
95.55 |
73.5 |
31.5 |
95.55 |
75.599999999999994 |
89.25 |
Carle Eureka Hospital |
0331891384 |
MYCOPLASMA PNEUM IGG AB (MYCO) |
86738 |
0302 |
125 |
125 |
37.5 |
113.75 |
87.5 |
37.5 |
113.75 |
90 |
106.25 |
Carle Eureka Hospital |
0331891385 |
MYCOPLASMA PNEUM IGM AB (MYCO) |
86738 |
0302 |
125 |
125 |
37.5 |
113.75 |
87.5 |
37.5 |
113.75 |
90 |
106.25 |
Carle Eureka Hospital |
0331891386 |
TRICHROME STAIN (OP) |
87209 |
0310 |
235 |
235 |
70.5 |
213.85 |
164.5 |
70.5 |
213.85 |
169.2 |
199.75 |
Carle Eureka Hospital |
0331891387 |
OVA&PARA DIR SMR CONC&ID (OP) |
87177 |
0306 |
90 |
90 |
27 |
81.900000000000006 |
62.999999999999993 |
27 |
81.900000000000006 |
64.8 |
76.5 |
Carle Eureka Hospital |
0331891388 |
PARATHORMONE (PTH) |
83970 |
0301 |
305 |
305 |
91.5 |
277.55 |
213.5 |
91.5 |
277.55 |
219.6 |
259.25 |
Carle Eureka Hospital |
0331891391 |
TESTOSTERONE TOTAL (TESTF) |
84403 |
0301 |
295 |
295 |
88.5 |
268.45 |
206.5 |
88.5 |
268.45 |
212.4 |
250.75 |
Carle Eureka Hospital |
0331891392 |
TOXOPLASMA IGG AB (TOXO) |
86777 |
0302 |
165 |
165 |
49.5 |
150.15 |
115.49999999999999 |
49.5 |
150.15 |
118.8 |
140.25 |
Carle Eureka Hospital |
0331891393 |
TOXOPLASMA IGM AB (TOXO) |
86778 |
0302 |
165 |
165 |
49.5 |
150.15 |
115.49999999999999 |
49.5 |
150.15 |
118.8 |
140.25 |
Carle Eureka Hospital |
0331891394 |
SM AB (ENA) |
86235 |
0302 |
205 |
205 |
61.5 |
186.55 |
143.5 |
61.5 |
186.55 |
147.6 |
174.25 |
Carle Eureka Hospital |
0331891395 |
SM/RNP AB (ENA) |
86235 |
0302 |
205 |
205 |
61.5 |
186.55 |
143.5 |
61.5 |
186.55 |
147.6 |
174.25 |
Carle Eureka Hospital |
0331891406 |
GAMMABLOBULIN IGG,CSF (MSRPOF) |
82784 |
0301 |
105 |
105 |
31.5 |
95.55 |
73.5 |
31.5 |
95.55 |
75.599999999999994 |
89.25 |
Carle Eureka Hospital |
0331891407 |
ALBUMIN,SERUM (MSPROF) |
82040 |
0301 |
71 |
71 |
21.3 |
64.61 |
49.699999999999996 |
21.3 |
64.61 |
51.12 |
60.35 |
Carle Eureka Hospital |
0331891408 |
ALBUMIN,CSF (MSPROF) |
82042 |
0301 |
59 |
59 |
17.7 |
53.690000000000005 |
41.3 |
17.7 |
53.690000000000005 |
42.48 |
50.15 |
Carle Eureka Hospital |
0331891415 |
FLO CYT,CELL SUR 1ST MARKER |
88184 |
0311 |
120 |
120 |
36 |
109.2 |
84 |
36 |
109.2 |
86.399999999999991 |
102 |
Carle Eureka Hospital |
0331891416 |
FLO CYT,CELL SUR ADD MARKER |
88185 |
0311 |
61 |
61 |
18.3 |
55.510000000000005 |
42.699999999999996 |
18.3 |
55.510000000000005 |
43.92 |
51.85 |
Carle Eureka Hospital |
0331891417 |
FLO CYT,CELL SUR ADD MARKER |
88185 |
0311 |
61 |
61 |
18.3 |
55.510000000000005 |
42.699999999999996 |
18.3 |
55.510000000000005 |
43.92 |
51.85 |
Carle Eureka Hospital |
0331891418 |
FLO CYT,CELL SUR ADD MARKER |
88185 |
0311 |
61 |
61 |
18.3 |
55.510000000000005 |
42.699999999999996 |
18.3 |
55.510000000000005 |
43.92 |
51.85 |
Carle Eureka Hospital |
0331891419 |
FLO CYT,CELL SUR ADD MARKER |
88185 |
0311 |
61 |
61 |
18.3 |
55.510000000000005 |
42.699999999999996 |
18.3 |
55.510000000000005 |
43.92 |
51.85 |
Carle Eureka Hospital |
0331891420 |
FLO CYT,CELL SUR ADD MARKER |
88185 |
0311 |
61 |
61 |
18.3 |
55.510000000000005 |
42.699999999999996 |
18.3 |
55.510000000000005 |
43.92 |
51.85 |
Carle Eureka Hospital |
0331891421 |
FLO CYT,CELL SUR ADD MARKER |
88185 |
0311 |
61 |
61 |
18.3 |
55.510000000000005 |
42.699999999999996 |
18.3 |
55.510000000000005 |
43.92 |
51.85 |
Carle Eureka Hospital |
0331891422 |
FLO CYT,CELL SUR ADD MARKER |
88185 |
0311 |
61 |
61 |
18.3 |
55.510000000000005 |
42.699999999999996 |
18.3 |
55.510000000000005 |
43.92 |
51.85 |
Carle Eureka Hospital |
0331891423 |
FLO CYT,CELL SUR ADD MARKER |
88185 |
0311 |
61 |
61 |
18.3 |
55.510000000000005 |
42.699999999999996 |
18.3 |
55.510000000000005 |
43.92 |
51.85 |
Carle Eureka Hospital |
0331891424 |
FLO CYT,CELL SUR ADD MARKER |
88185 |
0311 |
61 |
61 |
18.3 |
55.510000000000005 |
42.699999999999996 |
18.3 |
55.510000000000005 |
43.92 |
51.85 |
Carle Eureka Hospital |
0331891425 |
FLO CYT,CELL SUR ADD MARKER |
88185 |
0311 |
61 |
61 |
18.3 |
55.510000000000005 |
42.699999999999996 |
18.3 |
55.510000000000005 |
43.92 |
51.85 |
Carle Eureka Hospital |
0331891426 |
FLO CYT,CELL SUR ADD MARKER |
88185 |
0311 |
61 |
61 |
18.3 |
55.510000000000005 |
42.699999999999996 |
18.3 |
55.510000000000005 |
43.92 |
51.85 |
Carle Eureka Hospital |
0331891427 |
FLO CYT,CELL SUR ADD MARKER |
88185 |
0311 |
61 |
61 |
18.3 |
55.510000000000005 |
42.699999999999996 |
18.3 |
55.510000000000005 |
43.92 |
51.85 |
Carle Eureka Hospital |
0331891428 |
FLO CYT,CELL SUR ADD MARKER |
88185 |
0311 |
61 |
61 |
18.3 |
55.510000000000005 |
42.699999999999996 |
18.3 |
55.510000000000005 |
43.92 |
51.85 |
Carle Eureka Hospital |
0331891429 |
FLO CYT,CELL SUR ADD MARKER |
88185 |
0311 |
61 |
61 |
18.3 |
55.510000000000005 |
42.699999999999996 |
18.3 |
55.510000000000005 |
43.92 |
51.85 |
Carle Eureka Hospital |
0331891430 |
FLO CYT,CELL SUR ADD MARKER |
88185 |
0311 |
61 |
61 |
18.3 |
55.510000000000005 |
42.699999999999996 |
18.3 |
55.510000000000005 |
43.92 |
51.85 |
Carle Eureka Hospital |
0331891431 |
FLO CYT,CELL SUR ADD MARKER |
88185 |
0311 |
61 |
61 |
18.3 |
55.510000000000005 |
42.699999999999996 |
18.3 |
55.510000000000005 |
43.92 |
51.85 |
Carle Eureka Hospital |
0331891432 |
FLO CYT,CELL SUR ADD MARKER |
88185 |
0311 |
61 |
61 |
18.3 |
55.510000000000005 |
42.699999999999996 |
18.3 |
55.510000000000005 |
43.92 |
51.85 |
Carle Eureka Hospital |
0331891433 |
FLO CYT,CELL SUR ADD MARKER |
88185 |
0311 |
61 |
61 |
18.3 |
55.510000000000005 |
42.699999999999996 |
18.3 |
55.510000000000005 |
43.92 |
51.85 |
Carle Eureka Hospital |
0331891434 |
FLO CYT,CELL SUR ADD MARKER |
88185 |
0311 |
61 |
61 |
18.3 |
55.510000000000005 |
42.699999999999996 |
18.3 |
55.510000000000005 |
43.92 |
51.85 |
Carle Eureka Hospital |
0331891435 |
FLO CYT,CELL SUR ADD MARKER |
88185 |
0311 |
61 |
61 |
18.3 |
55.510000000000005 |
42.699999999999996 |
18.3 |
55.510000000000005 |
43.92 |
51.85 |
Carle Eureka Hospital |
0331891436 |
FLO CYTO INTERP 16 => MARKERS |
88189 |
0311 |
210 |
210 |
63 |
191.1 |
147 |
63 |
191.1 |
151.19999999999999 |
178.5 |
Carle Eureka Hospital |
0331891448 |
HSV IGM |
86694 |
0302 |
165 |
165 |
49.5 |
150.15 |
115.49999999999999 |
49.5 |
150.15 |
118.8 |
140.25 |
Carle Eureka Hospital |
0331891461 |
LEAD |
83655 |
0301 |
140 |
140 |
42 |
127.4 |
98 |
42 |
127.4 |
100.8 |
119 |
Carle Eureka Hospital |
0331891462 |
MERCURY |
83825 |
0301 |
185 |
185 |
55.5 |
168.35 |
129.5 |
55.5 |
168.35 |
133.19999999999999 |
157.25 |
Carle Eureka Hospital |
0331891463 |
ARSENIC |
82175 |
0301 |
220 |
220 |
66 |
200.20000000000002 |
154 |
66 |
200.20000000000002 |
158.4 |
187 |
Carle Eureka Hospital |
0331891470 |
DILUTED RUSSELL VIP VEN (LUP) |
85613 |
0305 |
90 |
90 |
27 |
81.900000000000006 |
62.999999999999993 |
27 |
81.900000000000006 |
64.8 |
76.5 |
Carle Eureka Hospital |
0331891471 |
TYPHUS FEVER IGG (FEB) |
86757 |
0302 |
95 |
95 |
28.5 |
86.45 |
66.5 |
28.5 |
86.45 |
68.399999999999991 |
80.75 |
Carle Eureka Hospital |
0331891472 |
LATEX (K82) IGE |
86003 |
0300 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
0331891473 |
WORMWOOD (W5) IGE |
86003 |
0300 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
0331891474 |
CODFISH(F3) IGE |
86003 |
0300 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
0331891475 |
MOUNTAIN CEDAR (T6) IGE |
86003 |
0300 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
0331891476 |
ORCHARD GRASS (G3) IGE |
86003 |
0300 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
0331891477 |
TOMATO (F25) IGE |
86003 |
0300 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
0331891478 |
WALNUT (F256) IGE |
86003 |
0300 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
0331891479 |
CHICKEN MEAT (F83) IGE |
86003 |
0300 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
0331891487 |
ELECTROPHORESIS,CSF (CSFELP) |
84166 |
0301 |
165 |
165 |
49.5 |
150.15 |
115.49999999999999 |
49.5 |
150.15 |
118.8 |
140.25 |
Carle Eureka Hospital |
0331891488 |
MUMPS IGM |
86735 |
0300 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
0331891489 |
RAPAMYCIN LEVEL |
80195 |
0300 |
190 |
190 |
57 |
172.9 |
133 |
57 |
172.9 |
136.79999999999998 |
161.5 |
Carle Eureka Hospital |
0331891494 |
ENDOMYSIAL ANTIBODY |
86255 |
0300 |
145 |
145 |
43.5 |
131.95000000000002 |
101.5 |
43.5 |
131.95000000000002 |
104.39999999999999 |
123.25 |
Carle Eureka Hospital |
0331891497 |
PLATELET NEUTRALIZ-PTT (LUP) |
85597 |
0305 |
105 |
105 |
31.5 |
95.55 |
73.5 |
31.5 |
95.55 |
75.599999999999994 |
89.25 |
Carle Eureka Hospital |
0331891498 |
PLAT FUNCT COLLAGEN ADP |
85576 |
0305 |
245 |
245 |
73.5 |
222.95000000000002 |
171.5 |
73.5 |
222.95000000000002 |
176.4 |
208.25 |
Carle Eureka Hospital |
0331891499 |
PLAT FUNCT COLLAGEN EPINEPHRIN |
85576 |
0305 |
245 |
245 |
73.5 |
222.95000000000002 |
171.5 |
73.5 |
222.95000000000002 |
176.4 |
208.25 |
Carle Eureka Hospital |
0331891501 |
FLO CYT,CELL SUR ADD MARKER |
88185 |
0311 |
61 |
61 |
18.3 |
55.510000000000005 |
42.699999999999996 |
18.3 |
55.510000000000005 |
43.92 |
51.85 |
Carle Eureka Hospital |
0331891503 |
NSNA IFA PERINUCLEAR |
88346 |
0301 |
140 |
140 |
42 |
127.4 |
98 |
42 |
127.4 |
100.8 |
119 |
Carle Eureka Hospital |
0331891504 |
ANTI CBIR 1 |
83520 |
0301 |
255 |
255 |
76.5 |
232.05 |
178.5 |
76.5 |
232.05 |
183.6 |
216.75 |
Carle Eureka Hospital |
0331891507 |
HERPES SIMPLEX TYPE 1 IGG |
86695 |
0300 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
0331891508 |
HERPES SIMPLEX TYPE 2 IGG |
86696 |
0300 |
165 |
165 |
49.5 |
150.15 |
115.49999999999999 |
49.5 |
150.15 |
118.8 |
140.25 |
Carle Eureka Hospital |
0331891509 |
PROTEIN URINE |
81003 |
0300 |
39 |
39 |
11.7 |
35.49 |
27.299999999999997 |
11.7 |
35.49 |
28.08 |
33.15 |
Carle Eureka Hospital |
0331891530 |
CHLAMYDIA DNA, SDA |
87491 |
0300 |
165 |
165 |
49.5 |
150.15 |
115.49999999999999 |
49.5 |
150.15 |
118.8 |
140.25 |
Carle Eureka Hospital |
0331891531 |
GC DNA, SDA |
87591 |
0300 |
165 |
165 |
49.5 |
150.15 |
115.49999999999999 |
49.5 |
150.15 |
118.8 |
140.25 |
Carle Eureka Hospital |
0331891558 |
CHRO ANAL AMFLD 6-12COL 1 KARO |
88269 |
0300 |
515 |
515 |
154.5 |
468.65000000000003 |
360.5 |
154.5 |
468.65000000000003 |
370.8 |
437.75 |
Carle Eureka Hospital |
0331891561 |
RHEUMATOID FACTOR QUANT |
86431 |
0300 |
86 |
86 |
25.8 |
78.260000000000005 |
60.199999999999996 |
25.8 |
78.260000000000005 |
61.919999999999995 |
73.099999999999994 |
Carle Eureka Hospital |
0331891564 |
CKMB |
82553 |
0300 |
140 |
140 |
42 |
127.4 |
98 |
42 |
127.4 |
100.8 |
119 |
Carle Eureka Hospital |
0331891569 |
TOTAL SERUM IGA TO PROMETHEUS |
82784 |
0300 |
110 |
110 |
33 |
100.10000000000001 |
77 |
33 |
100.10000000000001 |
79.2 |
93.5 |
Carle Eureka Hospital |
0331891571 |
TISSUE TRANSGLUTAMINASE AS IgA |
83516 |
0300 |
130 |
130 |
39 |
118.3 |
91 |
39 |
118.3 |
93.6 |
110.5 |
Carle Eureka Hospital |
0331891572 |
IgA |
82784 |
0300 |
105 |
105 |
31.5 |
95.55 |
73.5 |
31.5 |
95.55 |
75.599999999999994 |
89.25 |
Carle Eureka Hospital |
0331891573 |
GLIADIN AB IgA |
83516 |
0300 |
130 |
130 |
39 |
118.3 |
91 |
39 |
118.3 |
93.6 |
110.5 |
Carle Eureka Hospital |
0331891582 |
HEXAGONAL PHASE CONFIRM |
85597 |
0300 |
170 |
170 |
51 |
154.70000000000002 |
118.99999999999999 |
51 |
154.70000000000002 |
122.39999999999999 |
144.5 |
Carle Eureka Hospital |
0331891583 |
DRVVT CONFIRM |
85597 |
0300 |
145 |
145 |
43.5 |
131.95000000000002 |
101.5 |
43.5 |
131.95000000000002 |
104.39999999999999 |
123.25 |
Carle Eureka Hospital |
0331891584 |
DRVVT 1:1 DILUTION |
85613 |
0300 |
90 |
90 |
27 |
81.900000000000006 |
62.999999999999993 |
27 |
81.900000000000006 |
64.8 |
76.5 |
Carle Eureka Hospital |
0331891591 |
INTRINSIC FACTOR BLOCKING AB |
86340 |
0300 |
175 |
175 |
52.5 |
159.25 |
122.49999999999999 |
52.5 |
159.25 |
126 |
148.75 |
Carle Eureka Hospital |
0331891592 |
ARGININE VASOPRESSIN (ADH) |
84588 |
0300 |
265 |
265 |
79.5 |
241.15 |
185.5 |
79.5 |
241.15 |
190.79999999999998 |
225.25 |
Carle Eureka Hospital |
0331891593 |
IGF BINDING PROTEIN 3 |
82397 |
0300 |
215 |
215 |
64.5 |
195.65 |
150.5 |
64.5 |
195.65 |
154.79999999999998 |
182.75 |
Carle Eureka Hospital |
0331891595 |
STACHYBOTRYS IGG |
86001 |
0300 |
110 |
110 |
33 |
100.10000000000001 |
77 |
33 |
100.10000000000001 |
79.2 |
93.5 |
Carle Eureka Hospital |
0331891596 |
STACHYBOTRYS IGE |
86003 |
0300 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
0331891598 |
QUANTIFERON (R) TB GOLD |
86480 |
0300 |
535 |
535 |
160.5 |
486.85 |
374.5 |
160.5 |
486.85 |
385.2 |
454.75 |
Carle Eureka Hospital |
0331891599 |
ALMOND (F20) IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
0331891600 |
CLAM (F207) IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
0331891601 |
CASHEW NUT (202) IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
0331891602 |
CANDIDA ALBICANS (M5) IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
0331891603 |
COCONUT (F36) IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
0331891604 |
DOG DANDER (E5) IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
0331891605 |
EGG MIX (F245) IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
0331891606 |
EGG YOLK (F75) IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
0331891607 |
GLUTEN (F75) IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
0331891608 |
LOBSTER (F80) IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
0331891609 |
PECAN NUT (F201) IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
0331891610 |
PECAN/HICKORY TREE (T22) IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
0331891611 |
ROUGH MARSH ELDER (W16) IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
0331891612 |
SCALLOP (F338) IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
0331891613 |
TUNA (F40) IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
0331891614 |
WALNUT TREE (T10) IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
0331891615 |
WHITE ASH (F15) IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
0331891616 |
SESAME SEED (F10) IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
0331891628 |
COCCIDIOIDES Ab ID |
86635 |
0300 |
110 |
110 |
33 |
100.10000000000001 |
77 |
33 |
100.10000000000001 |
79.2 |
93.5 |
Carle Eureka Hospital |
0331891629 |
COCCIDIOIDES Ab CF |
86635 |
0300 |
110 |
110 |
33 |
100.10000000000001 |
77 |
33 |
100.10000000000001 |
79.2 |
93.5 |
Carle Eureka Hospital |
0331891631 |
PROTEIN FRACTIONATION (PERU) |
84166 |
0300 |
165 |
165 |
49.5 |
150.15 |
115.49999999999999 |
49.5 |
150.15 |
118.8 |
140.25 |
Carle Eureka Hospital |
0331891634 |
THYROID STIMULATING IMMUNOGLOB |
84445 |
0300 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
0331891635 |
SPE WITH TRACINGS |
84165 |
0300 |
110 |
110 |
33 |
100.10000000000001 |
77 |
33 |
100.10000000000001 |
79.2 |
93.5 |
Carle Eureka Hospital |
0331891636 |
BK VIRUS DNA |
87799 |
0300 |
400 |
400 |
120 |
364 |
280 |
120 |
364 |
288 |
340 |
Carle Eureka Hospital |
0331891642 |
CCP AB IGG |
86200 |
0300 |
120 |
120 |
36 |
109.2 |
84 |
36 |
109.2 |
86.399999999999991 |
102 |
Carle Eureka Hospital |
0331891643 |
MYCOPHENOLIC ACID |
80180 |
0300 |
235 |
235 |
70.5 |
213.85 |
164.5 |
70.5 |
213.85 |
169.2 |
199.75 |
Carle Eureka Hospital |
0331891657 |
CELLSURFACE FIRST MARKER |
88184 |
0310 |
120 |
120 |
36 |
109.2 |
84 |
36 |
109.2 |
86.399999999999991 |
102 |
Carle Eureka Hospital |
0331891658 |
CELL SURFACE EACH ADD MARKER |
88185 |
0310 |
61 |
61 |
18.3 |
55.510000000000005 |
42.699999999999996 |
18.3 |
55.510000000000005 |
43.92 |
51.85 |
Carle Eureka Hospital |
0331891659 |
CREATININE URINE (HMSRU) |
82570 |
0300 |
57 |
57 |
17.099999999999998 |
51.870000000000005 |
39.9 |
17.099999999999998 |
51.870000000000005 |
41.04 |
48.449999999999996 |
Carle Eureka Hospital |
0331891662 |
THYROGLOBULIN AB RIA |
86800 |
0300 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
0331891663 |
TOTAL THYROGLOBULIN RIA |
84432 |
0300 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
0331891697 |
HLA II TYPING 1 LOC HR |
81382 |
0301 |
455 |
455 |
136.5 |
414.05 |
318.5 |
136.5 |
414.05 |
327.59999999999997 |
386.75 |
Carle Eureka Hospital |
0331891698 |
TPMT GENETICS PROMETH |
81355 |
0301 |
860 |
860 |
258 |
782.6 |
602 |
258 |
782.6 |
619.19999999999993 |
731 |
Carle Eureka Hospital |
0331891700 |
PROTHROMBIN GENE ANALYSIS |
81240 |
0301 |
565 |
565 |
169.5 |
514.15 |
395.5 |
169.5 |
514.15 |
406.8 |
480.25 |
Carle Eureka Hospital |
0331891701 |
FACTOR V LEIDEN |
81241 |
0301 |
700 |
700 |
210 |
637 |
489.99999999999994 |
210 |
637 |
504 |
595 |
Carle Eureka Hospital |
0331891702 |
CYSTIC FIBROSIS CARRIER SCREEN |
81220 |
0301 |
1915 |
1915 |
574.5 |
1742.65 |
1340.5 |
574.5 |
1742.65 |
1378.8 |
1627.75 |
Carle Eureka Hospital |
0331891713 |
DRUG SCREEN COMPREHENSIVE |
80307 |
0300 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
0331891714 |
DRUG SCN DRUG CLASS A DRGCOM |
80307 |
0300 |
35 |
35 |
10.5 |
31.85 |
24.5 |
10.5 |
31.85 |
25.2 |
29.75 |
Carle Eureka Hospital |
0331891715 |
DRUG SCN ANTIDEPRS TRIC DRGCOM |
80337 |
0300 |
18 |
18 |
5.3999999999999995 |
16.38 |
12.6 |
5.3999999999999995 |
16.38 |
12.959999999999999 |
15.299999999999999 |
Carle Eureka Hospital |
0331891716 |
DRUG SCN AMPHETAMINE DRGCOM |
80326 |
0300 |
18 |
18 |
5.3999999999999995 |
16.38 |
12.6 |
5.3999999999999995 |
16.38 |
12.959999999999999 |
15.299999999999999 |
Carle Eureka Hospital |
0331891717 |
DRUG SCN ANAGESIC DRGCOM |
80329 |
0300 |
18 |
18 |
5.3999999999999995 |
16.38 |
12.6 |
5.3999999999999995 |
16.38 |
12.959999999999999 |
15.299999999999999 |
Carle Eureka Hospital |
0331891718 |
DRUG SCN ANTIDEPRS NOS DRGCOM |
80338 |
0300 |
18 |
18 |
5.3999999999999995 |
16.38 |
12.6 |
5.3999999999999995 |
16.38 |
12.959999999999999 |
15.299999999999999 |
Carle Eureka Hospital |
0331891719 |
DRUG SCN BARBITUATES DRGCOM |
80345 |
0300 |
18 |
18 |
5.3999999999999995 |
16.38 |
12.6 |
5.3999999999999995 |
16.38 |
12.959999999999999 |
15.299999999999999 |
Carle Eureka Hospital |
0331891720 |
DRUG SCN ANTIEPILEPTIC DRGCOM |
80339 |
0300 |
18 |
18 |
5.3999999999999995 |
16.38 |
12.6 |
5.3999999999999995 |
16.38 |
12.959999999999999 |
15.299999999999999 |
Carle Eureka Hospital |
0331891721 |
DRUG SCN MUSCLE RELAX DRGCOM |
80370 |
0300 |
18 |
18 |
5.3999999999999995 |
16.38 |
12.6 |
5.3999999999999995 |
16.38 |
12.959999999999999 |
15.299999999999999 |
Carle Eureka Hospital |
0331891722 |
DRUG SCN OPIATES DRGCOM |
80363 |
0300 |
18 |
18 |
5.3999999999999995 |
16.38 |
12.6 |
5.3999999999999995 |
16.38 |
12.959999999999999 |
15.299999999999999 |
Carle Eureka Hospital |
0331891723 |
DRUG SCN SEDATIVE DRGCOM |
80368 |
0300 |
18 |
18 |
5.3999999999999995 |
16.38 |
12.6 |
5.3999999999999995 |
16.38 |
12.959999999999999 |
15.299999999999999 |
Carle Eureka Hospital |
0331891724 |
DRUG SCN ANTIDEPRS SERO DRGCOM |
80332 |
0300 |
18 |
18 |
5.3999999999999995 |
16.38 |
12.6 |
5.3999999999999995 |
16.38 |
12.959999999999999 |
15.299999999999999 |
Carle Eureka Hospital |
0331891725 |
DRUG SCN ANTIPYCHOTIC DRGCOM |
80342 |
0300 |
18 |
18 |
5.3999999999999995 |
16.38 |
12.6 |
5.3999999999999995 |
16.38 |
12.959999999999999 |
15.299999999999999 |
Carle Eureka Hospital |
0331891726 |
DRUG SCN METHADONE DRGCOM |
80358 |
0300 |
18 |
18 |
5.3999999999999995 |
16.38 |
12.6 |
5.3999999999999995 |
16.38 |
12.959999999999999 |
15.299999999999999 |
Carle Eureka Hospital |
0331891727 |
DRUG SCN ALKALOIDS DRGCOM |
80323 |
0300 |
18 |
18 |
5.3999999999999995 |
16.38 |
12.6 |
5.3999999999999995 |
16.38 |
12.959999999999999 |
15.299999999999999 |
Carle Eureka Hospital |
0331891728 |
DRUG SCN OXYCODONE DRGCOM |
80365 |
0300 |
18 |
18 |
5.3999999999999995 |
16.38 |
12.6 |
5.3999999999999995 |
16.38 |
12.959999999999999 |
15.299999999999999 |
Carle Eureka Hospital |
0331891729 |
DRUG SCN PHENOCYCLIDINE DRGCOM |
83992 |
0300 |
35 |
35 |
10.5 |
31.85 |
24.5 |
10.5 |
31.85 |
25.2 |
29.75 |
Carle Eureka Hospital |
0331891730 |
DRUG SCN ALCOHOL DRGCOM |
80320 |
0300 |
18 |
18 |
5.3999999999999995 |
16.38 |
12.6 |
5.3999999999999995 |
16.38 |
12.959999999999999 |
15.299999999999999 |
Carle Eureka Hospital |
0331891731 |
DRUG SCN NOS DRGCOM |
80377 |
0300 |
86 |
86 |
25.8 |
78.260000000000005 |
60.199999999999996 |
25.8 |
78.260000000000005 |
61.919999999999995 |
73.099999999999994 |
Carle Eureka Hospital |
0331891737 |
TIS CULT NEOPL BM/BLD GPCHRM |
88237 |
0311 |
410 |
410 |
123 |
373.1 |
287 |
123 |
373.1 |
295.2 |
348.5 |
Carle Eureka Hospital |
0331891738 |
CT 15-20 CELLS 2KRTYPS GPCHRM |
88262 |
0311 |
410 |
410 |
123 |
373.1 |
287 |
123 |
373.1 |
295.2 |
348.5 |
Carle Eureka Hospital |
0331891741 |
ACL KAPPA NEPH (KAPLAM) |
83883 |
0301 |
130 |
130 |
39 |
118.3 |
91 |
39 |
118.3 |
93.6 |
110.5 |
Carle Eureka Hospital |
0331891742 |
ACL LAMBDA NEPH (KAPLAM) |
83883 |
0301 |
130 |
130 |
39 |
118.3 |
91 |
39 |
118.3 |
93.6 |
110.5 |
Carle Eureka Hospital |
0331891744 |
ACL MECONIUM DRUG PANEL |
80307 |
0300 |
545 |
545 |
163.5 |
495.95 |
381.5 |
163.5 |
495.95 |
392.4 |
463.25 |
Carle Eureka Hospital |
0331891747 |
ACL BLASTOMYCES ANTIGEN |
87449 |
0300 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
0331891748 |
ACL CALPROTECTIN FECAL |
83993 |
0300 |
415 |
415 |
124.5 |
377.65000000000003 |
290.5 |
124.5 |
377.65000000000003 |
298.8 |
352.75 |
Carle Eureka Hospital |
0331891749 |
ACL INHIBIN B |
83520 |
0300 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
0331891750 |
ACL MUMP VIRUS RNA QUALITATIVE |
87798 |
0300 |
875 |
875 |
262.5 |
796.25 |
612.5 |
262.5 |
796.25 |
630 |
743.75 |
Carle Eureka Hospital |
0331891751 |
A PHOSPHATIDYLSERINE IGGIGMIGA |
86148 |
0300 |
165 |
165 |
49.5 |
150.15 |
115.49999999999999 |
49.5 |
150.15 |
118.8 |
140.25 |
Carle Eureka Hospital |
0331891752 |
ACL VOLT GATE CALCIUM CHAN IGG |
83519 |
0300 |
310 |
310 |
93 |
282.10000000000002 |
217 |
93 |
282.10000000000002 |
223.2 |
263.5 |
Carle Eureka Hospital |
0331891755 |
ACL BETA2 GLYCOPROTEIN |
86146 |
0300 |
120 |
120 |
36 |
109.2 |
84 |
36 |
109.2 |
86.399999999999991 |
102 |
Carle Eureka Hospital |
0331891756 |
ACL BILE ACIDS FRAC TOT |
83789 |
0300 |
505 |
505 |
151.5 |
459.55 |
353.5 |
151.5 |
459.55 |
363.59999999999997 |
429.25 |
Carle Eureka Hospital |
0331891757 |
ACL CMV QUANTITATIVE |
87497 |
0300 |
310 |
310 |
93 |
282.10000000000002 |
217 |
93 |
282.10000000000002 |
223.2 |
263.5 |
Carle Eureka Hospital |
0331891758 |
ACL MAGNESIUM RBC |
83735 |
0300 |
140 |
140 |
42 |
127.4 |
98 |
42 |
127.4 |
100.8 |
119 |
Carle Eureka Hospital |
0331891759 |
ACL ALBUMIN FLUID |
82042 |
0301 |
59 |
59 |
17.7 |
53.690000000000005 |
41.3 |
17.7 |
53.690000000000005 |
42.48 |
50.15 |
Carle Eureka Hospital |
0331891761 |
ACL TOTAL PROTEIN FLUID |
84157 |
0301 |
50 |
50 |
15 |
45.5 |
35 |
15 |
45.5 |
36 |
42.5 |
Carle Eureka Hospital |
0331891762 |
ACL AMYLASE FLUID |
82150 |
0301 |
65 |
65 |
19.5 |
59.15 |
45.5 |
19.5 |
59.15 |
46.8 |
55.25 |
Carle Eureka Hospital |
0331891764 |
ACL TRYGLYCERIDES FLUID |
84478 |
0301 |
56 |
56 |
16.8 |
50.96 |
39.199999999999996 |
16.8 |
50.96 |
40.32 |
47.6 |
Carle Eureka Hospital |
0331891765 |
ACL CHOLESTEROL FLUID |
84311 |
0301 |
74 |
74 |
22.2 |
67.34 |
51.8 |
22.2 |
67.34 |
53.28 |
62.9 |
Carle Eureka Hospital |
0331891766 |
ACL GLUCOSE BODY FLUID |
82945 |
0301 |
45 |
45 |
13.5 |
40.950000000000003 |
31.499999999999996 |
13.5 |
40.950000000000003 |
32.4 |
38.25 |
Carle Eureka Hospital |
0331891768 |
ACL LDH BODY FLUID |
83615 |
0301 |
69 |
69 |
20.7 |
62.79 |
48.3 |
20.7 |
62.79 |
49.68 |
58.65 |
Carle Eureka Hospital |
0331891769 |
ACL ANTI MULLER HORMONE |
83520 |
0301 |
255 |
255 |
76.5 |
232.05 |
178.5 |
76.5 |
232.05 |
183.6 |
216.75 |
Carle Eureka Hospital |
0331891770 |
ACL RABIES ANTIBODY |
86382 |
0301 |
180 |
180 |
54 |
163.80000000000001 |
125.99999999999999 |
54 |
163.80000000000001 |
129.6 |
153 |
Carle Eureka Hospital |
0331891779 |
ACL CGPEDH |
87798 |
0306 |
170 |
170 |
51 |
154.70000000000002 |
118.99999999999999 |
51 |
154.70000000000002 |
122.39999999999999 |
144.5 |
Carle Eureka Hospital |
0331891780 |
ACL CGPCRY |
87798 |
0306 |
170 |
170 |
51 |
154.70000000000002 |
118.99999999999999 |
51 |
154.70000000000002 |
122.39999999999999 |
144.5 |
Carle Eureka Hospital |
0331891782 |
ACL CGLIGGP |
83516 |
0302 |
130 |
130 |
39 |
118.3 |
91 |
39 |
118.3 |
93.6 |
110.5 |
Carle Eureka Hospital |
0331891783 |
ACL STRIATED MUSCLE AB TITER |
86256 |
0302 |
115 |
115 |
34.5 |
104.65 |
80.5 |
34.5 |
104.65 |
82.8 |
97.75 |
Carle Eureka Hospital |
0331891784 |
ACL TESTOSTERONE TOTAL F/CH |
84403 |
0301 |
125 |
125 |
37.5 |
113.75 |
87.5 |
37.5 |
113.75 |
90 |
106.25 |
Carle Eureka Hospital |
0331891785 |
ACL TESTOSTERONE FREE F/CH |
84402 |
0301 |
240 |
240 |
72 |
218.4 |
168 |
72 |
218.4 |
172.79999999999998 |
204 |
Carle Eureka Hospital |
0331891786 |
ACL TESTOS FR MALES ED |
84402 |
0301 |
290 |
290 |
87 |
263.90000000000003 |
203 |
87 |
263.90000000000003 |
208.79999999999998 |
246.5 |
Carle Eureka Hospital |
0331891787 |
ACL CTTABGP |
83516 |
0302 |
130 |
130 |
39 |
118.3 |
91 |
39 |
118.3 |
93.6 |
110.5 |
Carle Eureka Hospital |
0331891788 |
ACL H PYLORI BREATH TEST |
83013 |
0301 |
350 |
350 |
105 |
318.5 |
244.99999999999997 |
105 |
318.5 |
252 |
297.5 |
Carle Eureka Hospital |
0331891789 |
ACL HIV-1 RNA CONFIRM |
87535 |
0306 |
255 |
255 |
76.5 |
232.05 |
178.5 |
76.5 |
232.05 |
183.6 |
216.75 |
Carle Eureka Hospital |
0331891790 |
ACL HIV AG/AB COMBO SCREEN |
87389 |
0306 |
115 |
115 |
34.5 |
104.65 |
80.5 |
34.5 |
104.65 |
82.8 |
97.75 |
Carle Eureka Hospital |
0331891791 |
INTERLEUKIN-6 |
83520 |
0300 |
344 |
344 |
103.2 |
313.04000000000002 |
240.79999999999998 |
103.2 |
313.04000000000002 |
247.67999999999998 |
292.39999999999998 |
Carle Eureka Hospital |
0331891793 |
ACL HIV1 AB RAPID TEST HIVRAP |
86701 |
0302 |
91 |
91 |
27.3 |
82.81 |
63.699999999999996 |
27.3 |
82.81 |
65.52 |
77.349999999999994 |
Carle Eureka Hospital |
0331891794 |
ACL HIV2 AB RAPID TEST HIVRAP |
86702 |
0302 |
95 |
95 |
28.5 |
86.45 |
66.5 |
28.5 |
86.45 |
68.399999999999991 |
80.75 |
Carle Eureka Hospital |
0331891798 |
ACL PD-L1 KEYTRUDA |
88360 |
0310 |
800 |
800 |
240 |
728 |
560 |
240 |
728 |
576 |
680 |
Carle Eureka Hospital |
0331891799 |
ACL ROS 1 FISH |
88374 |
0312 |
380 |
380 |
114 |
345.8 |
266 |
114 |
345.8 |
273.59999999999997 |
323 |
Carle Eureka Hospital |
0331891800 |
ACL ALK BY IHC |
88342 |
0310 |
379 |
379 |
113.7 |
344.89 |
265.3 |
113.7 |
344.89 |
272.88 |
322.14999999999998 |
Carle Eureka Hospital |
0331891801 |
ACL LYME DISEASE DNA (CSF/SYN) |
87801 |
0306 |
235 |
235 |
70.5 |
213.85 |
164.5 |
70.5 |
213.85 |
169.2 |
199.75 |
Carle Eureka Hospital |
0331891802 |
ACL EGFR |
81235 |
0310 |
798 |
798 |
239.39999999999998 |
726.18000000000006 |
558.59999999999991 |
239.39999999999998 |
726.18000000000006 |
574.55999999999995 |
678.3 |
Carle Eureka Hospital |
0331891805 |
STRATIFY JCV AB AND INDEX W RF |
86711 |
0300 |
59 |
59 |
17.7 |
53.690000000000005 |
41.3 |
17.7 |
53.690000000000005 |
42.48 |
50.15 |
Carle Eureka Hospital |
0331891806 |
INSULIN LIKE GROWTH FACTOR 1 |
84305 |
0301 |
58 |
58 |
17.399999999999999 |
52.78 |
40.599999999999994 |
17.399999999999999 |
52.78 |
41.76 |
49.3 |
Carle Eureka Hospital |
0331891808 |
OPIATES CONFIRMATION QUANT |
80361 |
0301 |
235 |
235 |
70.5 |
213.85 |
164.5 |
70.5 |
213.85 |
169.2 |
199.75 |
Carle Eureka Hospital |
0331891813 |
ACETYLCHOLINE BINDNG AB QUEST |
83519 |
0301 |
177 |
177 |
53.1 |
161.07 |
123.89999999999999 |
53.1 |
161.07 |
127.44 |
150.44999999999999 |
Carle Eureka Hospital |
0331891814 |
ACETYLCHOLINE BLOCK AB QUEST |
83519 |
0301 |
177 |
177 |
53.1 |
161.07 |
123.89999999999999 |
53.1 |
161.07 |
127.44 |
150.44999999999999 |
Carle Eureka Hospital |
0331891815 |
ACETYLCHOLINE MODULAT AB QUEST |
83519 |
0301 |
208 |
208 |
62.4 |
189.28 |
145.6 |
62.4 |
189.28 |
149.76 |
176.79999999999998 |
Carle Eureka Hospital |
0331891820 |
CC PATH CONSULT |
88321 |
0300 |
400 |
400 |
120 |
364 |
280 |
120 |
364 |
288 |
340 |
Carle Eureka Hospital |
0331891821 |
CC PATH CONSULT SLIDE PREP |
88323 |
0300 |
460 |
460 |
138 |
418.6 |
322 |
138 |
418.6 |
331.2 |
391 |
Carle Eureka Hospital |
0331891823 |
INSULIN LIKE GROWTH FACTOR 1 |
84305 |
0302 |
70 |
70 |
21 |
63.7 |
49 |
21 |
63.7 |
50.4 |
59.5 |
Carle Eureka Hospital |
0331891824 |
HAZELNUT IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
0331891825 |
SALMON IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
0331891826 |
MOUSE URINE PROTEINS IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
0331891828 |
INFLIXIMAB ADAIBD |
83520 |
0301 |
425 |
425 |
127.5 |
386.75 |
297.5 |
127.5 |
386.75 |
306 |
361.25 |
Carle Eureka Hospital |
0331891829 |
INFLIXIMAB LEVEL IBD |
80230 |
0301 |
425 |
425 |
127.5 |
386.75 |
297.5 |
127.5 |
386.75 |
306 |
361.25 |
Carle Eureka Hospital |
0331891832 |
RBC MAGNESIUM |
83735 |
0301 |
140 |
140 |
42 |
127.4 |
98 |
42 |
127.4 |
100.8 |
119 |
Carle Eureka Hospital |
0331891833 |
CARDIOLIPIN IGM |
86147 |
0301 |
185 |
185 |
55.5 |
168.35 |
129.5 |
55.5 |
168.35 |
133.19999999999999 |
157.25 |
Carle Eureka Hospital |
0331891834 |
CARDIOLIPIN IGG |
86147 |
0301 |
185 |
185 |
55.5 |
168.35 |
129.5 |
55.5 |
168.35 |
133.19999999999999 |
157.25 |
Carle Eureka Hospital |
0331891835 |
BILE ACIDS FRACTIONATED/TOTAL |
82542 |
0301 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
0331891836 |
INHIBIN B |
83520 |
0301 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
0331891837 |
SJOGRENS AB SS-A |
86235 |
0301 |
205 |
205 |
61.5 |
186.55 |
143.5 |
61.5 |
186.55 |
147.6 |
174.25 |
Carle Eureka Hospital |
0331891838 |
SJOGRENS AB SS-B |
86235 |
0301 |
205 |
205 |
61.5 |
186.55 |
143.5 |
61.5 |
186.55 |
147.6 |
174.25 |
Carle Eureka Hospital |
0331891840 |
KAPPA FREE LIGHT CHAINS |
83520 |
0301 |
160 |
160 |
48 |
145.6 |
112 |
48 |
145.6 |
115.19999999999999 |
136 |
Carle Eureka Hospital |
0331891841 |
LAMBDA FREE LIGHT CHAINS |
83520 |
0301 |
160 |
160 |
48 |
145.6 |
112 |
48 |
145.6 |
115.19999999999999 |
136 |
Carle Eureka Hospital |
0331891848 |
VARICELLA ZOSTER DNA,QUAL PCR |
87798 |
0300 |
448 |
448 |
134.4 |
407.68 |
313.59999999999997 |
134.4 |
407.68 |
322.56 |
380.8 |
Carle Eureka Hospital |
0331891850 |
PROLACTIN TOTAL |
84146 |
0300 |
105 |
105 |
31.5 |
95.55 |
73.5 |
31.5 |
95.55 |
75.599999999999994 |
89.25 |
Carle Eureka Hospital |
0331891851 |
PROLACTIN MONOMERIC |
84146 |
0300 |
105 |
105 |
31.5 |
95.55 |
73.5 |
31.5 |
95.55 |
75.599999999999994 |
89.25 |
Carle Eureka Hospital |
0331891852 |
THYROID CANCER MONITOR |
86800 |
0300 |
256 |
256 |
76.8 |
232.96 |
179.2 |
76.8 |
232.96 |
184.32 |
217.6 |
Carle Eureka Hospital |
0331891857 |
TRICHOMONIS VAGINALIS MALE |
87661 |
0300 |
224 |
224 |
67.2 |
203.84 |
156.79999999999998 |
67.2 |
203.84 |
161.28 |
190.4 |
Carle Eureka Hospital |
0331891859 |
PROLACTIN UNDILUTED |
84146 |
0300 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
0331891860 |
PROLACTIN DILUTED |
84146 |
0300 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
0331891861 |
ALBUMIN PERITONEAL FLUID |
82042 |
0300 |
44 |
44 |
13.2 |
40.04 |
30.799999999999997 |
13.2 |
40.04 |
31.68 |
37.4 |
Carle Eureka Hospital |
0331891862 |
LD PERITONEAL FLUID |
83615 |
0300 |
28 |
28 |
8.4 |
25.48 |
19.599999999999998 |
8.4 |
25.48 |
20.16 |
23.8 |
Carle Eureka Hospital |
0331891863 |
TOTAL PROTEIN PERITONEAL FLUID |
84157 |
0300 |
37 |
37 |
11.1 |
33.67 |
25.9 |
11.1 |
33.67 |
26.64 |
31.45 |
Carle Eureka Hospital |
0331891865 |
GASTROINTESTINAL PATH PANEL |
87506 |
0300 |
800 |
800 |
240 |
728 |
560 |
240 |
728 |
576 |
680 |
Carle Eureka Hospital |
0331891866 |
GLUTAMIC ACID DECARBOXYLASE 65 |
86341 |
0300 |
148 |
148 |
44.4 |
134.68 |
103.6 |
44.4 |
134.68 |
106.56 |
125.8 |
Carle Eureka Hospital |
0331891868 |
RESP INFECTIOUS AGENTS 12-24 |
87633 |
0300 |
1368 |
1368 |
410.4 |
1244.8800000000001 |
957.59999999999991 |
410.4 |
1244.8800000000001 |
984.95999999999992 |
1162.8 |
Carle Eureka Hospital |
0331891869 |
CHLAMYDOPHILA PNEUMONIAE |
87486 |
0300 |
100 |
100 |
30 |
91 |
70 |
30 |
91 |
72 |
85 |
Carle Eureka Hospital |
0331891870 |
MYCOPLASMA PNEUMONIA |
87581 |
0300 |
100 |
100 |
30 |
91 |
70 |
30 |
91 |
72 |
85 |
Carle Eureka Hospital |
0331891871 |
BENZODIAZEPINES CONF URINE |
80346 |
0300 |
170 |
170 |
51 |
154.70000000000002 |
118.99999999999999 |
51 |
154.70000000000002 |
122.39999999999999 |
144.5 |
Carle Eureka Hospital |
0331891872 |
BUPRENORPHINE CONF URINE |
80348 |
0300 |
170 |
170 |
51 |
154.70000000000002 |
118.99999999999999 |
51 |
154.70000000000002 |
122.39999999999999 |
144.5 |
Carle Eureka Hospital |
0331891873 |
FENTANYL CONF URINE |
80354 |
0300 |
170 |
170 |
51 |
154.70000000000002 |
118.99999999999999 |
51 |
154.70000000000002 |
122.39999999999999 |
144.5 |
Carle Eureka Hospital |
0331891874 |
ALCOHOL METABOLITES URINE |
80321 |
0300 |
170 |
170 |
51 |
154.70000000000002 |
118.99999999999999 |
51 |
154.70000000000002 |
122.39999999999999 |
144.5 |
Carle Eureka Hospital |
0331891875 |
METHADONE CONF URINE |
80358 |
0300 |
170 |
170 |
51 |
154.70000000000002 |
118.99999999999999 |
51 |
154.70000000000002 |
122.39999999999999 |
144.5 |
Carle Eureka Hospital |
0331891876 |
TRAMADOL CONF URINE |
80373 |
0300 |
170 |
170 |
51 |
154.70000000000002 |
118.99999999999999 |
51 |
154.70000000000002 |
122.39999999999999 |
144.5 |
Carle Eureka Hospital |
0331891877 |
ISLET CELL AB SCREEN |
86341 |
0300 |
97 |
97 |
29.099999999999998 |
88.27 |
67.899999999999991 |
29.099999999999998 |
88.27 |
69.84 |
82.45 |
Carle Eureka Hospital |
0331891878 |
ISLET CELL AB TITER |
86341 |
0300 |
168 |
168 |
50.4 |
152.88 |
117.6 |
50.4 |
152.88 |
120.96 |
142.79999999999998 |
Carle Eureka Hospital |
0331894826 |
BRAF GENPATH |
81210 |
0310 |
500 |
500 |
150 |
455 |
350 |
150 |
455 |
360 |
425 |
Carle Eureka Hospital |
0331894831 |
MENING ENCEPH PANEL |
87483 |
0306 |
585 |
585 |
175.5 |
532.35 |
409.5 |
175.5 |
532.35 |
421.2 |
497.25 |
Carle Eureka Hospital |
0331894835 |
COVID 19 CDC DIAG PANEL |
87635 |
0300 |
108 |
108 |
32.4 |
98.28 |
75.599999999999994 |
32.4 |
98.28 |
77.759999999999991 |
91.8 |
Carle Eureka Hospital |
0331894836 |
COVID 19 NON CDC |
87635 |
0300 |
153 |
153 |
45.9 |
139.23000000000002 |
107.1 |
45.9 |
139.23000000000002 |
110.16 |
130.04999999999998 |
Carle Eureka Hospital |
0331894839 |
SARS COV 2 IGG ANTIBODY |
86769 |
0302 |
73 |
73 |
21.9 |
66.430000000000007 |
51.099999999999994 |
21.9 |
66.430000000000007 |
52.559999999999995 |
62.05 |
Carle Eureka Hospital |
0331894840 |
CHYMOTRYPSIN |
84311 |
0301 |
204 |
204 |
61.199999999999996 |
185.64000000000001 |
142.79999999999998 |
61.199999999999996 |
185.64000000000001 |
146.88 |
173.4 |
Carle Eureka Hospital |
0331894841 |
LACOSAMIDE |
80299 |
0301 |
190 |
190 |
57 |
172.9 |
133 |
57 |
172.9 |
136.79999999999998 |
161.5 |
Carle Eureka Hospital |
0331894842 |
CALPROTECTIN |
83993 |
0301 |
280 |
280 |
84 |
254.8 |
196 |
84 |
254.8 |
201.6 |
238 |
Carle Eureka Hospital |
0331894843 |
PANCREATIC ELASTASE 1 |
82656 |
0301 |
280 |
280 |
84 |
254.8 |
196 |
84 |
254.8 |
201.6 |
238 |
Carle Eureka Hospital |
0331894844 |
RPR |
86592 |
0302 |
59 |
59 |
17.7 |
53.690000000000005 |
41.3 |
17.7 |
53.690000000000005 |
42.48 |
50.15 |
Carle Eureka Hospital |
0331894846 |
H PYLORI UREA BREATH TEST |
83013 |
0301 |
100 |
100 |
30 |
91 |
70 |
30 |
91 |
72 |
85 |
Carle Eureka Hospital |
0331894847 |
QUANTIFERON TB GOLD PLUS |
86480 |
0302 |
105 |
105 |
31.5 |
95.55 |
73.5 |
31.5 |
95.55 |
75.599999999999994 |
89.25 |
Carle Eureka Hospital |
0331894848 |
ANTI-MULLERIAN HORMONE |
82397 |
0301 |
204 |
204 |
61.199999999999996 |
185.64000000000001 |
142.79999999999998 |
61.199999999999996 |
185.64000000000001 |
146.88 |
173.4 |
Carle Eureka Hospital |
0331894849 |
ANTI CENTROMERE B ANTIBODY |
82397 |
0302 |
110 |
110 |
33 |
100.10000000000001 |
77 |
33 |
100.10000000000001 |
79.2 |
93.5 |
Carle Eureka Hospital |
0331897162 |
ACL AMYLASE FLUID |
82150 |
0301 |
130 |
130 |
39 |
118.3 |
91 |
39 |
118.3 |
93.6 |
110.5 |
Carle Eureka Hospital |
0331990002 |
ABO |
86900 |
0302 |
93 |
93 |
27.9 |
84.63000000000001 |
65.099999999999994 |
27.9 |
84.63000000000001 |
66.959999999999994 |
79.05 |
Carle Eureka Hospital |
0331990020 |
ALIQUOT RED CELLS |
86985 |
0300 |
235 |
235 |
70.5 |
213.85 |
164.5 |
70.5 |
213.85 |
169.2 |
199.75 |
Carle Eureka Hospital |
0331990047 |
ANTIBODY I.D. |
86870 |
0300 |
515 |
515 |
154.5 |
468.65000000000003 |
360.5 |
154.5 |
468.65000000000003 |
370.8 |
437.75 |
Carle Eureka Hospital |
0331990048 |
ANTIBODY ID PANEL #2 |
86870 |
0300 |
515 |
515 |
154.5 |
468.65000000000003 |
360.5 |
154.5 |
468.65000000000003 |
370.8 |
437.75 |
Carle Eureka Hospital |
0331990049 |
ANTIBODY IDENTIFICATION |
86870 |
0300 |
515 |
515 |
154.5 |
468.65000000000003 |
360.5 |
154.5 |
468.65000000000003 |
370.8 |
437.75 |
Carle Eureka Hospital |
0331990050 |
ANTIBODY SCREEN |
86850 |
0302 |
195 |
195 |
58.5 |
177.45000000000002 |
136.5 |
58.5 |
177.45000000000002 |
140.4 |
165.75 |
Carle Eureka Hospital |
0331990056 |
ANTIGEN EA TESTED DONR/REAGENT |
86902 |
0300 |
175 |
175 |
52.5 |
159.25 |
122.49999999999999 |
52.5 |
159.25 |
126 |
148.75 |
Carle Eureka Hospital |
0331990057 |
ANTIGEN TYPING P |
86905 |
0300 |
140 |
140 |
42 |
127.4 |
98 |
42 |
127.4 |
100.8 |
119 |
Carle Eureka Hospital |
0331990097 |
BLOOD COMP EACH UNIT I.S. |
86920 |
0300 |
385 |
385 |
115.5 |
350.35 |
269.5 |
115.5 |
350.35 |
277.2 |
327.25 |
Carle Eureka Hospital |
0331990146 |
COLD ADSORPTION |
86975 |
0300 |
210 |
210 |
63 |
191.1 |
147 |
63 |
191.1 |
151.19999999999999 |
178.5 |
Carle Eureka Hospital |
0331990149 |
COMP EACH UNIT ANTIGLOBULIN |
86922 |
0300 |
325 |
325 |
97.5 |
295.75 |
227.49999999999997 |
97.5 |
295.75 |
234 |
276.25 |
Carle Eureka Hospital |
0331990159 |
COOMBS DIRECT |
86880 |
0300 |
115 |
115 |
34.5 |
104.65 |
80.5 |
34.5 |
104.65 |
82.8 |
97.75 |
Carle Eureka Hospital |
0331990173 |
CROSSMATCH PLATLETS |
86904 |
0300 |
435 |
435 |
130.5 |
395.85 |
304.5 |
130.5 |
395.85 |
313.2 |
369.75 |
Carle Eureka Hospital |
0331990179 |
CRYOPRECIPITATE |
P9012 |
0390 |
690 |
690 |
207 |
627.9 |
482.99999999999994 |
207 |
627.9 |
496.79999999999995 |
586.5 |
Carle Eureka Hospital |
0331990252 |
DEGLYC RED CELLS |
P9039 |
0390 |
1225 |
1225 |
367.5 |
1114.75 |
857.5 |
367.5 |
1114.75 |
882 |
1041.25 |
Carle Eureka Hospital |
0331990271 |
ELUTION |
86860 |
0300 |
280 |
280 |
84 |
254.8 |
196 |
84 |
254.8 |
201.6 |
238 |
Carle Eureka Hospital |
0331990292 |
FETAL CELL SCREEN |
85461 |
0300 |
115 |
115 |
34.5 |
104.65 |
80.5 |
34.5 |
104.65 |
82.8 |
97.75 |
Carle Eureka Hospital |
0331990374 |
HLA TYPE/MATCH PLTS |
86812 |
0300 |
240 |
240 |
72 |
218.4 |
168 |
72 |
218.4 |
172.79999999999998 |
204 |
Carle Eureka Hospital |
0331990400 |
KLEIHAUER BETKE MODIFIED |
85460 |
0300 |
165 |
165 |
49.5 |
150.15 |
115.49999999999999 |
49.5 |
150.15 |
118.8 |
140.25 |
Carle Eureka Hospital |
0331990494 |
PLASMA FRESH FROZEN |
P9017 |
0390 |
235 |
235 |
70.5 |
213.85 |
164.5 |
70.5 |
213.85 |
169.2 |
199.75 |
Carle Eureka Hospital |
0331990495 |
PLASMA FZ WITHIN 24 HRS |
P9059 |
0390 |
215 |
215 |
64.5 |
195.65 |
150.5 |
64.5 |
195.65 |
154.79999999999998 |
182.75 |
Carle Eureka Hospital |
0331990498 |
PLATELET ANTIBODY SCREEN |
86023 |
0302 |
710 |
710 |
213 |
646.1 |
496.99999999999994 |
213 |
646.1 |
511.2 |
603.5 |
Carle Eureka Hospital |
0331990500 |
PLATELETPHERESIS IRR LKRD |
P9037 |
0390 |
1865 |
1865 |
559.5 |
1697.15 |
1305.5 |
559.5 |
1697.15 |
1342.8 |
1585.25 |
Carle Eureka Hospital |
0331990501 |
PLATELETPHERESIS LEUKOREDUCED |
P9035 |
0390 |
1440 |
1440 |
432 |
1310.4000000000001 |
1007.9999999999999 |
432 |
1310.4000000000001 |
1036.8 |
1224 |
Carle Eureka Hospital |
0331990504 |
POOLING OF BLOOD PRODUCT |
86965 |
0300 |
230 |
230 |
69 |
209.3 |
161 |
69 |
209.3 |
165.6 |
195.5 |
Carle Eureka Hospital |
0331990545 |
RED BLOOD CELLS ARC PROCESS |
P9021 |
0390 |
550 |
550 |
165 |
500.5 |
385 |
165 |
500.5 |
396 |
467.5 |
Carle Eureka Hospital |
0331990546 |
RED BLOOD CELLS AUTOLOGOUS |
P9021 |
0390 |
550 |
550 |
165 |
500.5 |
385 |
165 |
500.5 |
396 |
467.5 |
Carle Eureka Hospital |
0331990548 |
RED CELLS DEGLYC AUTOLOGOUS |
P9039 |
0390 |
1225 |
1225 |
367.5 |
1114.75 |
857.5 |
367.5 |
1114.75 |
882 |
1041.25 |
Carle Eureka Hospital |
0331990549 |
RED CELLS IRP LKRD |
P9040 |
0390 |
765 |
765 |
229.5 |
696.15 |
535.5 |
229.5 |
696.15 |
550.79999999999995 |
650.25 |
Carle Eureka Hospital |
0331990550 |
RED CELLS LEUKOREDUCED |
P9016 |
0390 |
535 |
535 |
160.5 |
486.85 |
374.5 |
160.5 |
486.85 |
385.2 |
454.75 |
Carle Eureka Hospital |
0331990551 |
RED CELLS WASHED |
P9022 |
0390 |
1100 |
1100 |
330 |
1001 |
770 |
330 |
1001 |
792 |
935 |
Carle Eureka Hospital |
0331990559 |
RH |
86901 |
0302 |
93 |
93 |
27.9 |
84.63000000000001 |
65.099999999999994 |
27.9 |
84.63000000000001 |
66.959999999999994 |
79.05 |
Carle Eureka Hospital |
0331990564 |
RHO D IMMUNE GLOBULIN 1 DOSE |
90384 |
0636 |
215 |
215 |
64.5 |
195.65 |
150.5 |
64.5 |
195.65 |
154.79999999999998 |
182.75 |
Carle Eureka Hospital |
0331990674 |
PLTPHERESIS IRR LP HLA MATCHD |
P9052 |
0390 |
2360 |
2360 |
708 |
2147.6 |
1652 |
708 |
2147.6 |
1699.2 |
2006 |
Carle Eureka Hospital |
0331990675 |
WHOLE BLOOD AUTOLOGOUS |
P9010 |
0390 |
535 |
535 |
160.5 |
486.85 |
374.5 |
160.5 |
486.85 |
385.2 |
454.75 |
Carle Eureka Hospital |
0331990685 |
WARM AUTOANTIBODY REMOVAL |
86975 |
0300 |
210 |
210 |
63 |
191.1 |
147 |
63 |
191.1 |
151.19999999999999 |
178.5 |
Carle Eureka Hospital |
0331991258 |
INDIRECT TITER |
86886 |
0300 |
205 |
205 |
61.5 |
186.55 |
143.5 |
61.5 |
186.55 |
147.6 |
174.25 |
Carle Eureka Hospital |
0331991259 |
DIFFERENTIAL ADSORP OF SERUM |
86978 |
0300 |
195 |
195 |
58.5 |
177.45000000000002 |
136.5 |
58.5 |
177.45000000000002 |
140.4 |
165.75 |
Carle Eureka Hospital |
0331991260 |
INCUBATION OF SERUM |
86977 |
0300 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
0331991261 |
DILUTION OF SERUM |
86976 |
0300 |
105 |
105 |
31.5 |
95.55 |
73.5 |
31.5 |
95.55 |
75.599999999999994 |
89.25 |
Carle Eureka Hospital |
0331991262 |
INCUBATION OF SERUM W DRUGS EA |
86975 |
0300 |
220 |
220 |
66 |
200.20000000000002 |
154 |
66 |
200.20000000000002 |
158.4 |
187 |
Carle Eureka Hospital |
0331991263 |
RETICULOCYTE SEPARATION |
86972 |
0300 |
370 |
370 |
111 |
336.7 |
259 |
111 |
336.7 |
266.39999999999998 |
314.5 |
Carle Eureka Hospital |
0331991264 |
PRETREAT WITH ENZYME |
86971 |
0300 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
0331991265 |
PRETREAT OF RBC WITH CHEM |
86970 |
0300 |
145 |
145 |
43.5 |
131.95000000000002 |
101.5 |
43.5 |
131.95000000000002 |
104.39999999999999 |
123.25 |
Carle Eureka Hospital |
0331991266 |
HEMOGLOBIN S |
85660 |
0300 |
195 |
195 |
58.5 |
177.45000000000002 |
136.5 |
58.5 |
177.45000000000002 |
140.4 |
165.75 |
Carle Eureka Hospital |
0331991267 |
UNCONFIRMED ANTIGEN NEG |
86999 |
0300 |
175 |
175 |
52.5 |
159.25 |
122.49999999999999 |
52.5 |
159.25 |
126 |
148.75 |
Carle Eureka Hospital |
0331991268 |
PHENOTYPE OTHER THAN ABO/D |
86905 |
0300 |
200 |
200 |
60 |
182 |
140 |
60 |
182 |
144 |
170 |
Carle Eureka Hospital |
0331991269 |
RH PHENOTYPE COMPLETE |
86906 |
0300 |
185 |
185 |
55.5 |
168.35 |
129.5 |
55.5 |
168.35 |
133.19999999999999 |
157.25 |
Carle Eureka Hospital |
0331991270 |
HEMOLYSINS AGGLUTININS AUTO |
86940 |
0300 |
125 |
125 |
37.5 |
113.75 |
87.5 |
37.5 |
113.75 |
90 |
106.25 |
Carle Eureka Hospital |
0331991274 |
IRRADIATED WASHED RED CELLS |
P9057 |
0390 |
715 |
715 |
214.5 |
650.65 |
500.49999999999994 |
214.5 |
650.65 |
514.79999999999995 |
607.75 |
Carle Eureka Hospital |
0331991303 |
AUTOLOGOUS SURCHARGE PER UNIT |
86890 |
0300 |
245 |
245 |
73.5 |
222.95000000000002 |
171.5 |
73.5 |
222.95000000000002 |
176.4 |
208.25 |
Carle Eureka Hospital |
0331991310 |
SCREEN DONR USING PT SPECIMEN |
86904 |
0300 |
195 |
195 |
58.5 |
177.45000000000002 |
136.5 |
58.5 |
177.45000000000002 |
140.4 |
165.75 |
Carle Eureka Hospital |
0331991532 |
CRYOPRECIPITATE 5 PACK |
P9012 |
0390 |
690 |
690 |
207 |
627.9 |
482.99999999999994 |
207 |
627.9 |
496.79999999999995 |
586.5 |
Carle Eureka Hospital |
0331991644 |
ANTIGEN SCREEN BY ARC EA UNIT |
86902 |
0300 |
400 |
400 |
120 |
364 |
280 |
120 |
364 |
288 |
340 |
Carle Eureka Hospital |
0331991652 |
Ab ID EACH SELECTED REAGANT |
86885 |
0300 |
200 |
200 |
60 |
182 |
140 |
60 |
182 |
144 |
170 |
Carle Eureka Hospital |
0332090702 |
COMPLETE BLOOD COUNT CAT |
0305 |
11 |
11 |
3.3 |
10.01 |
7.6999999999999993 |
3.3 |
10.01 |
7.92 |
9.35 |
Carle Eureka Hospital |
0332090703 |
COMPLETE BLOOD COUNT DOG |
0305 |
9.5 |
9.5 |
2.85 |
8.6449999999999996 |
6.6499999999999995 |
2.85 |
8.6449999999999996 |
6.84 |
8.0749999999999993 |
Carle Eureka Hospital |
0332090704 |
COMPLETE BLOOD COUNT VET OTHER |
0305 |
11 |
11 |
3.3 |
10.01 |
7.6999999999999993 |
3.3 |
10.01 |
7.92 |
9.35 |
Carle Eureka Hospital |
0331891804 |
IGF BINDING PROTEIN 1 QUEST |
83519 |
0301 |
100 |
100 |
30 |
91 |
70 |
30 |
91 |
72 |
85 |
Carle Eureka Hospital |
0331894845 |
RPR TITER |
86593 |
0302 |
52 |
52 |
15.6 |
47.32 |
36.4 |
15.6 |
47.32 |
37.44 |
44.199999999999996 |
Carle Eureka Hospital |
1302300005 |
ROOM MED SURG W TELEMETRY ENU |
0214 |
1360 |
1360 |
408 |
1237.6000000000001 |
951.99999999999989 |
408 |
1237.6000000000001 |
979.19999999999993 |
1156 |
Carle Eureka Hospital |
1302300012 |
ROOM MED SURG ENU |
0120 |
850 |
850 |
255 |
773.5 |
595 |
255 |
773.5 |
612 |
722.5 |
Carle Eureka Hospital |
1302300019 |
ROOM SWING CUSTODIAL ENU |
0120 |
220 |
220 |
66 |
200.20000000000002 |
154 |
66 |
200.20000000000002 |
158.4 |
187 |
Carle Eureka Hospital |
1302300020 |
ROOM SWING SKILL ENU |
0120 |
235 |
235 |
70.5 |
213.85 |
164.5 |
70.5 |
213.85 |
169.2 |
199.75 |
Carle Eureka Hospital |
1302300043 |
ROOM HOSPICE BED ENU |
0656 |
765 |
765 |
229.5 |
696.15 |
535.5 |
229.5 |
696.15 |
550.79999999999995 |
650.25 |
Carle Eureka Hospital |
1302300052 |
ROOM RESPITE CARE BED ENU |
0655 |
765 |
765 |
229.5 |
696.15 |
535.5 |
229.5 |
696.15 |
550.79999999999995 |
650.25 |
Carle Eureka Hospital |
1302310079 |
CATH INDWELL BLADDER SIMPLE |
51702 |
0361 |
210 |
210 |
63 |
191.1 |
147 |
63 |
191.1 |
151.19999999999999 |
178.5 |
Carle Eureka Hospital |
1302310109 |
CODE BLUE |
0480 |
1035 |
1035 |
310.5 |
941.85 |
724.5 |
310.5 |
941.85 |
745.19999999999993 |
879.75 |
Carle Eureka Hospital |
1302310304 |
OBSERVATION PER HR |
G0378 |
0762 |
40 |
40 |
12 |
36.4 |
28 |
12 |
36.4 |
28.799999999999997 |
34 |
Carle Eureka Hospital |
1302310305 |
OBSERVATION PER HR TELEMETRY |
G0378 |
0762 |
64 |
64 |
19.2 |
58.24 |
44.8 |
19.2 |
58.24 |
46.08 |
54.4 |
Carle Eureka Hospital |
1302310557 |
OBSERVATION DIRECT ADM |
G0379 |
0762 |
130 |
130 |
39 |
118.3 |
91 |
39 |
118.3 |
93.6 |
110.5 |
Carle Eureka Hospital |
1302320288 |
SYSTEM CHEST TUBE |
0272 |
312 |
312 |
93.6 |
283.92 |
218.39999999999998 |
93.6 |
283.92 |
224.64 |
265.2 |
Carle Eureka Hospital |
1302320935 |
SUPPLIES PICC LINE |
0272 |
230 |
230 |
69 |
209.3 |
161 |
69 |
209.3 |
165.6 |
195.5 |
Carle Eureka Hospital |
1302322214 |
WOUND VAC FOAM |
0272 |
110 |
110 |
33 |
100.10000000000001 |
77 |
33 |
100.10000000000001 |
79.2 |
93.5 |
Carle Eureka Hospital |
1302322259 |
BOOT WAFFLE |
0272 |
108 |
108 |
32.4 |
98.28 |
75.599999999999994 |
32.4 |
98.28 |
77.759999999999991 |
91.8 |
Carle Eureka Hospital |
1302322407 |
KIT PREVALON TURNING POSITION |
0272 |
550 |
550 |
165 |
500.5 |
385 |
165 |
500.5 |
396 |
467.5 |
Carle Eureka Hospital |
1302350451 |
IV INF THERAPEUTIC EA ADD HR |
96366 |
0260 |
210 |
210 |
63 |
191.1 |
147 |
63 |
191.1 |
151.19999999999999 |
178.5 |
Carle Eureka Hospital |
1302350453 |
IV INF THERAPEUTIC UP TO 1HR |
96365 |
0260 |
635 |
635 |
190.5 |
577.85 |
444.5 |
190.5 |
577.85 |
457.2 |
539.75 |
Carle Eureka Hospital |
1302350457 |
GASTRIC INTUBATION/LAVAGE |
43753 |
0761 |
930 |
930 |
279 |
846.30000000000007 |
651 |
279 |
846.30000000000007 |
669.6 |
790.5 |
Carle Eureka Hospital |
1302350480 |
INSERT VENOUS CENTRAL LINE |
0360 |
1660 |
1660 |
498 |
1510.6000000000001 |
1162 |
498 |
1510.6000000000001 |
1195.2 |
1411 |
Carle Eureka Hospital |
1302350484 |
INJECTION SUB-Q/IM |
96372 |
0260 |
125 |
125 |
37.5 |
113.75 |
87.5 |
37.5 |
113.75 |
90 |
106.25 |
Carle Eureka Hospital |
1302350490 |
IV PUSH INITIAL DRUG |
96374 |
0260 |
234 |
234 |
70.2 |
212.94 |
163.79999999999998 |
70.2 |
212.94 |
168.48 |
198.9 |
Carle Eureka Hospital |
1302350603 |
IV PUSH EA SEQUENTIAL DRUG |
96376 |
0260 |
153 |
153 |
45.9 |
139.23000000000002 |
107.1 |
45.9 |
139.23000000000002 |
110.16 |
130.04999999999998 |
Carle Eureka Hospital |
1302350885 |
ADMIN IMMUNIZATION |
90471 |
0771 |
120 |
120 |
36 |
109.2 |
84 |
36 |
109.2 |
86.399999999999991 |
102 |
Carle Eureka Hospital |
1302350895 |
EXCISION NAIL & MATRIX |
11750 |
0761 |
880 |
880 |
264 |
800.80000000000007 |
616 |
264 |
800.80000000000007 |
633.6 |
748 |
Carle Eureka Hospital |
1302360067 |
ADMIN PNEUMOCOCCAL VACCINE |
G0009 |
0771 |
94 |
94 |
28.2 |
85.54 |
65.8 |
28.2 |
85.54 |
67.679999999999993 |
79.899999999999991 |
Carle Eureka Hospital |
1302360068 |
ADMIN INFLUENZA VIRUS VACINE |
G0008 |
0771 |
94 |
94 |
28.2 |
85.54 |
65.8 |
28.2 |
85.54 |
67.679999999999993 |
79.899999999999991 |
Carle Eureka Hospital |
1302360263 |
ADMIN TB SKIN TEST |
86580 |
0300 |
77 |
77 |
23.099999999999998 |
70.070000000000007 |
53.9 |
23.099999999999998 |
70.070000000000007 |
55.44 |
65.45 |
Carle Eureka Hospital |
1302360269 |
US PV RESIDUAL URINE |
51798 |
0361 |
230 |
230 |
69 |
209.3 |
161 |
69 |
209.3 |
165.6 |
195.5 |
Carle Eureka Hospital |
1302360274 |
IV PUSH EA ADD DRUG |
96375 |
0260 |
168 |
168 |
50.4 |
152.88 |
117.6 |
50.4 |
152.88 |
120.96 |
142.79999999999998 |
Carle Eureka Hospital |
1302360275 |
IV INF CONCURRENT THERAPEUTIC |
96368 |
0260 |
345 |
345 |
103.5 |
313.95 |
241.49999999999997 |
103.5 |
313.95 |
248.39999999999998 |
293.25 |
Carle Eureka Hospital |
1302360276 |
IV INF SEQUENTIAL THER UP TO 1 |
96367 |
0260 |
210 |
210 |
63 |
191.1 |
147 |
63 |
191.1 |
151.19999999999999 |
178.5 |
Carle Eureka Hospital |
1302360293 |
INSERT STRAIGHT CATH THERAPEUT |
51701 |
0361 |
195 |
195 |
58.5 |
177.45000000000002 |
136.5 |
58.5 |
177.45000000000002 |
140.4 |
165.75 |
Carle Eureka Hospital |
1302360373 |
IV INF HYDRATION EA ADD HR |
96361 |
0260 |
170 |
170 |
51 |
154.70000000000002 |
118.99999999999999 |
51 |
154.70000000000002 |
122.39999999999999 |
144.5 |
Carle Eureka Hospital |
1302360374 |
IV INF HYDRATION UP TO 1HR |
96360 |
0260 |
585 |
585 |
175.5 |
532.35 |
409.5 |
175.5 |
532.35 |
421.2 |
497.25 |
Carle Eureka Hospital |
1302360696 |
BLOOD TRANSFUSION DAILY |
36430 |
0391 |
1020 |
1020 |
306 |
928.2 |
714 |
306 |
928.2 |
734.4 |
867 |
Carle Eureka Hospital |
1302360801 |
CATH FOR URINE SPECIMEN |
P9612 |
0300 |
21 |
21 |
6.3 |
19.11 |
14.7 |
6.3 |
19.11 |
15.12 |
17.849999999999998 |
Carle Eureka Hospital |
1302360804 |
NURSING E/M ESTAB LVL 1 |
99211 |
0761 |
100 |
100 |
30 |
91 |
70 |
30 |
91 |
72 |
85 |
Carle Eureka Hospital |
1314010056 |
BIPAP SETUP/SUPPLIES |
0410 |
204 |
204 |
61.199999999999996 |
185.64000000000001 |
142.79999999999998 |
61.199999999999996 |
185.64000000000001 |
146.88 |
173.4 |
Carle Eureka Hospital |
1314010541 |
PULMONARY STRESS TEST |
94618 |
0460 |
400 |
400 |
120 |
364 |
280 |
120 |
364 |
288 |
340 |
Carle Eureka Hospital |
1314020026 |
AMBUBAG |
0271 |
42 |
42 |
12.6 |
38.22 |
29.4 |
12.6 |
38.22 |
30.24 |
35.699999999999996 |
Carle Eureka Hospital |
1314020103 |
STRAP BIPAP CHIN |
0271 |
29 |
29 |
8.6999999999999993 |
26.39 |
20.299999999999997 |
8.6999999999999993 |
26.39 |
20.88 |
24.65 |
Carle Eureka Hospital |
1314020104 |
CIRCUIT BIPAP |
0271 |
39 |
39 |
11.7 |
35.49 |
27.299999999999997 |
11.7 |
35.49 |
28.08 |
33.15 |
Carle Eureka Hospital |
1314020105 |
STRAP BIPAP HEAD |
0271 |
27 |
27 |
8.1 |
24.57 |
18.899999999999999 |
8.1 |
24.57 |
19.439999999999998 |
22.95 |
Carle Eureka Hospital |
1314020106 |
MASK BIPAP |
0272 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
1314020293 |
CIRCUIT IPPB |
0271 |
10 |
10 |
3 |
9.1 |
7 |
3 |
9.1 |
7.1999999999999993 |
8.5 |
Carle Eureka Hospital |
1314020629 |
SETUP/SUPPLIES HHN |
0272 |
24 |
24 |
7.1999999999999993 |
21.84 |
16.799999999999997 |
7.1999999999999993 |
21.84 |
17.28 |
20.399999999999999 |
Carle Eureka Hospital |
1314020679 |
KIT ASTHMA |
0271 |
121 |
121 |
36.299999999999997 |
110.11 |
84.699999999999989 |
36.299999999999997 |
110.11 |
87.11999999999999 |
102.85 |
Carle Eureka Hospital |
1314020747 |
SPACER MDI |
0272 |
48 |
48 |
14.399999999999999 |
43.68 |
33.599999999999994 |
14.399999999999999 |
43.68 |
34.56 |
40.799999999999997 |
Carle Eureka Hospital |
1314020866 |
OXYGEN DAILY CHARGE |
0272 |
194 |
194 |
58.199999999999996 |
176.54 |
135.79999999999998 |
58.199999999999996 |
176.54 |
139.68 |
164.9 |
Carle Eureka Hospital |
1314020920 |
DEVICE PEAK FLOW |
0272 |
47 |
47 |
14.1 |
42.77 |
32.9 |
14.1 |
42.77 |
33.839999999999996 |
39.949999999999996 |
Carle Eureka Hospital |
1314021291 |
FLUTTER VALVE SUPPLY |
0272 |
92 |
92 |
27.599999999999998 |
83.72 |
64.399999999999991 |
27.599999999999998 |
83.72 |
66.239999999999995 |
78.2 |
Carle Eureka Hospital |
1314022288 |
HHF WWO OXYGEN DAILY |
0271 |
194 |
194 |
58.199999999999996 |
176.54 |
135.79999999999998 |
58.199999999999996 |
176.54 |
139.68 |
164.9 |
Carle Eureka Hospital |
1314050232 |
SPIROMETERY PULMONARY FUNCTION |
94010 |
0460 |
190 |
190 |
57 |
172.9 |
133 |
57 |
172.9 |
136.79999999999998 |
161.5 |
Carle Eureka Hospital |
1314050320 |
PULSE OXIMETRY PRE/POST EXER |
94761 |
0460 |
74 |
74 |
22.2 |
67.34 |
51.8 |
22.2 |
67.34 |
53.28 |
62.9 |
Carle Eureka Hospital |
1314050321 |
PULSE OXIMETRY OVERNIGHT |
94762 |
0460 |
470 |
470 |
141 |
427.7 |
329 |
141 |
427.7 |
338.4 |
399.5 |
Carle Eureka Hospital |
1314050323 |
PULSE OXIMETRY ASSESSMENT |
94760 |
0460 |
48 |
48 |
14.399999999999999 |
43.68 |
33.599999999999994 |
14.399999999999999 |
43.68 |
34.56 |
40.799999999999997 |
Carle Eureka Hospital |
1314050325 |
PULSE OXIMETER DAILY CHARGE |
94762 |
0460 |
470 |
470 |
141 |
427.7 |
329 |
141 |
427.7 |
338.4 |
399.5 |
Carle Eureka Hospital |
1314050354 |
CHEST PT MANUAL EA ADD |
94668 |
0410 |
103 |
103 |
30.9 |
93.73 |
72.099999999999994 |
30.9 |
93.73 |
74.16 |
87.55 |
Carle Eureka Hospital |
1314050355 |
CHEST PT MANUAL INITIAL |
94667 |
0410 |
103 |
103 |
30.9 |
93.73 |
72.099999999999994 |
30.9 |
93.73 |
74.16 |
87.55 |
Carle Eureka Hospital |
1314050359 |
PH ANALYSIS PLEURAL FLUID |
83986 |
0301 |
80 |
80 |
24 |
72.8 |
56 |
24 |
72.8 |
57.599999999999994 |
68 |
Carle Eureka Hospital |
1314050360 |
PH ANALYSIS ARTERIAL BLOOD |
82800 |
0300 |
100 |
100 |
30 |
91 |
70 |
30 |
91 |
72 |
85 |
Carle Eureka Hospital |
1314050361 |
PFT PROVOCHOLINE CHALLENGE |
94070 |
0460 |
855 |
855 |
256.5 |
778.05000000000007 |
598.5 |
256.5 |
778.05000000000007 |
615.6 |
726.75 |
Carle Eureka Hospital |
1314050362 |
PFT PRE-POST BRONCHODILATOR |
94060 |
0460 |
550 |
550 |
165 |
500.5 |
385 |
165 |
500.5 |
396 |
467.5 |
Carle Eureka Hospital |
1314050383 |
PEAK FLOW MEASUREMENT |
94150 |
0460 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
1314050401 |
NEBULIZER TX PENTAMIDINE |
94642 |
0410 |
385 |
385 |
115.5 |
350.35 |
269.5 |
115.5 |
350.35 |
277.2 |
327.25 |
Carle Eureka Hospital |
1314050456 |
IONIZED CALCIUM |
82330 |
0301 |
130 |
130 |
39 |
118.3 |
91 |
39 |
118.3 |
93.6 |
110.5 |
Carle Eureka Hospital |
1314050522 |
INCENTIVE SPIROMETER W INSTRUC |
0271 |
130 |
130 |
39 |
118.3 |
91 |
39 |
118.3 |
93.6 |
110.5 |
Carle Eureka Hospital |
1314050561 |
GLUCOSE |
82947 |
0301 |
75 |
75 |
22.5 |
68.25 |
52.5 |
22.5 |
68.25 |
54 |
63.75 |
Carle Eureka Hospital |
1314050605 |
ELECTROLYTE PANEL |
80051 |
0301 |
115 |
115 |
34.5 |
104.65 |
80.5 |
34.5 |
104.65 |
82.8 |
97.75 |
Carle Eureka Hospital |
1314050633 |
EEG AWAKE/ASLEEP/PHOTIC/HV |
95819 |
0740 |
1430 |
1430 |
429 |
1301.3 |
1000.9999999999999 |
429 |
1301.3 |
1029.5999999999999 |
1215.5 |
Carle Eureka Hospital |
1314050677 |
COOXIMETRY |
82810 |
0301 |
93 |
93 |
27.9 |
84.63000000000001 |
65.099999999999994 |
27.9 |
84.63000000000001 |
66.959999999999994 |
79.05 |
Carle Eureka Hospital |
1314050802 |
BIPAP DAILY CHARGE |
94660 |
0410 |
365 |
365 |
109.5 |
332.15000000000003 |
255.49999999999997 |
109.5 |
332.15000000000003 |
262.8 |
310.25 |
Carle Eureka Hospital |
1314050816 |
ARTERIAL PUNCTURE W BLOOD DRW |
36600 |
0920 |
44 |
44 |
13.2 |
40.04 |
30.799999999999997 |
13.2 |
40.04 |
31.68 |
37.4 |
Carle Eureka Hospital |
1314050878 |
BLOOD GAS ANALYSIS |
82803 |
0301 |
235 |
235 |
70.5 |
213.85 |
164.5 |
70.5 |
213.85 |
169.2 |
199.75 |
Carle Eureka Hospital |
1314050889 |
ACT-ACTIVATED CLOTTING TIME |
85347 |
0301 |
81 |
81 |
24.3 |
73.710000000000008 |
56.699999999999996 |
24.3 |
73.710000000000008 |
58.32 |
68.849999999999994 |
Carle Eureka Hospital |
1314060010 |
HOME RESP THERAPY DEMO |
94664 |
0410 |
145 |
145 |
43.5 |
131.95000000000002 |
101.5 |
43.5 |
131.95000000000002 |
104.39999999999999 |
123.25 |
Carle Eureka Hospital |
1314060021 |
EEG EXTENDED MONITOR > 1 HR |
95813 |
0740 |
1400 |
1400 |
420 |
1274 |
979.99999999999989 |
420 |
1274 |
1008 |
1190 |
Carle Eureka Hospital |
1314060022 |
EEG EXTENDED MONITOR 41-60M |
95812 |
0740 |
1255 |
1255 |
376.5 |
1142.05 |
878.5 |
376.5 |
1142.05 |
903.6 |
1066.75 |
Carle Eureka Hospital |
1314060273 |
VENT CHARGE FIRST DAY |
94002 |
0410 |
1700 |
1700 |
510 |
1547 |
1190 |
510 |
1547 |
1224 |
1445 |
Carle Eureka Hospital |
1314060296 |
BEDSIDE SPIRO PRE&POST BRONCHO |
94060 |
0460 |
550 |
550 |
165 |
500.5 |
385 |
165 |
500.5 |
396 |
467.5 |
Carle Eureka Hospital |
1314060297 |
BEDSIDE SPIROMETRY |
94010 |
0460 |
190 |
190 |
57 |
172.9 |
133 |
57 |
172.9 |
136.79999999999998 |
161.5 |
Carle Eureka Hospital |
1314060853 |
PLETHYS LUNG VOL/AIRWAY RESIST |
94726 |
0460 |
710 |
710 |
213 |
646.1 |
496.99999999999994 |
213 |
646.1 |
511.2 |
603.5 |
Carle Eureka Hospital |
1314060854 |
DIFFUSING CAPACITY |
94729 |
0460 |
260 |
260 |
78 |
236.6 |
182 |
78 |
236.6 |
187.2 |
221 |
Carle Eureka Hospital |
1314061146 |
SLEEP STUDY W CPAP SERVICE |
95811 |
0740 |
4670 |
4670 |
1401 |
4249.7 |
3269 |
1401 |
4249.7 |
3362.4 |
3969.5 |
Carle Eureka Hospital |
1314061147 |
SLEEP STUDY WO CPAP SERVICE |
95810 |
0740 |
4670 |
4670 |
1401 |
4249.7 |
3269 |
1401 |
4249.7 |
3362.4 |
3969.5 |
Carle Eureka Hospital |
1314061167 |
SLEEP STUDY HOME UNATTENDED |
G0399 |
0740 |
475 |
475 |
142.5 |
432.25 |
332.5 |
142.5 |
432.25 |
342 |
403.75 |
Carle Eureka Hospital |
1314061272 |
CHEST PT VEST INITIAL OR SUB |
94669 |
0410 |
103 |
103 |
30.9 |
93.73 |
72.099999999999994 |
30.9 |
93.73 |
74.16 |
87.55 |
Carle Eureka Hospital |
1314061273 |
RESP TX INITIAL OR SUB |
94640 |
0410 |
120 |
120 |
36 |
109.2 |
84 |
36 |
109.2 |
86.399999999999991 |
102 |
Carle Eureka Hospital |
1314090155 |
INSERT ART LINE |
36620 |
0361 |
1585 |
1585 |
475.5 |
1442.3500000000001 |
1109.5 |
475.5 |
1442.3500000000001 |
1141.2 |
1347.25 |
Carle Eureka Hospital |
1314202201 |
CARDIAC RHB PH2 EXERCISE/EA |
93798 |
0943 |
215 |
215 |
64.5 |
195.65 |
150.5 |
64.5 |
195.65 |
154.79999999999998 |
182.75 |
Carle Eureka Hospital |
1314210488 |
HOLTER SCANNING UP TO 24 HR |
93226 |
0731 |
475 |
475 |
142.5 |
432.25 |
332.5 |
142.5 |
432.25 |
342 |
403.75 |
Carle Eureka Hospital |
1314220891 |
6 MINUTE WALK TEST |
94618 |
0460 |
145 |
145 |
43.5 |
131.95000000000002 |
101.5 |
43.5 |
131.95000000000002 |
104.39999999999999 |
123.25 |
Carle Eureka Hospital |
1314250310 |
AMB CARDIAC TELE UP TO 30 DAYS |
93270 |
0730 |
155 |
155 |
46.5 |
141.05000000000001 |
108.5 |
46.5 |
141.05000000000001 |
111.6 |
131.75 |
Carle Eureka Hospital |
1314250326 |
PULMONARY REHAB PH 2/ SESSION |
97150 |
0410 |
93 |
93 |
27.9 |
84.63000000000001 |
65.099999999999994 |
27.9 |
84.63000000000001 |
66.959999999999994 |
79.05 |
Carle Eureka Hospital |
1314250328 |
PULM REHAB PH 3/EACH |
94799 |
0410 |
5 |
5 |
1.5 |
4.55 |
3.5 |
1.5 |
4.55 |
3.5999999999999996 |
4.25 |
Carle Eureka Hospital |
1314250610 |
EKG STRESS |
93017 |
0482 |
765 |
765 |
229.5 |
696.15 |
535.5 |
229.5 |
696.15 |
550.79999999999995 |
650.25 |
Carle Eureka Hospital |
1314250622 |
ECHO 2D M MODE LIMITED |
93308 |
0480 |
745 |
745 |
223.5 |
677.95 |
521.5 |
223.5 |
677.95 |
536.4 |
633.25 |
Carle Eureka Hospital |
1314250627 |
ECHO STRESS |
93350 |
0480 |
1485 |
1485 |
445.5 |
1351.3500000000001 |
1039.5 |
445.5 |
1351.3500000000001 |
1069.2 |
1262.25 |
Carle Eureka Hospital |
1314250628 |
ECHO PEDS CONG ANOM LIMITED |
93304 |
0480 |
1075 |
1075 |
322.5 |
978.25 |
752.5 |
322.5 |
978.25 |
774 |
913.75 |
Carle Eureka Hospital |
1314250629 |
ECHO PED CONG ANOM COMP |
93303 |
0480 |
935 |
935 |
280.5 |
850.85 |
654.5 |
280.5 |
850.85 |
673.19999999999993 |
794.75 |
Carle Eureka Hospital |
1314250630 |
ECHO DOPPLER PW CW LIMITED |
93321 |
0480 |
175 |
175 |
52.5 |
159.25 |
122.49999999999999 |
52.5 |
159.25 |
126 |
148.75 |
Carle Eureka Hospital |
1314250631 |
ECHO DOPPLER PW CW COMPLETE |
93320 |
0480 |
385 |
385 |
115.5 |
350.35 |
269.5 |
115.5 |
350.35 |
277.2 |
327.25 |
Carle Eureka Hospital |
1314250632 |
ECHO DOPPLER COLOR VEL MAPPING |
93325 |
0480 |
355 |
355 |
106.5 |
323.05 |
248.49999999999997 |
106.5 |
323.05 |
255.6 |
301.75 |
Carle Eureka Hospital |
1314250667 |
HOLTER SCANNING 48 HR |
93226 |
0731 |
440 |
440 |
132 |
400.40000000000003 |
308 |
132 |
400.40000000000003 |
316.8 |
374 |
Carle Eureka Hospital |
1314250668 |
HOLTER RECORD/HOOKUP 48 HR |
93225 |
0731 |
360 |
360 |
108 |
327.60000000000002 |
251.99999999999997 |
108 |
327.60000000000002 |
259.2 |
306 |
Carle Eureka Hospital |
1314250779 |
CARDIAC REHAB PH 3/ EACH |
93797 |
0943 |
5 |
5 |
1.5 |
4.55 |
3.5 |
1.5 |
4.55 |
3.5999999999999996 |
4.25 |
Carle Eureka Hospital |
1314250923 |
ECHO 2D M MODE COMPLETE |
93306 |
0480 |
1485 |
1485 |
445.5 |
1351.3500000000001 |
1039.5 |
445.5 |
1351.3500000000001 |
1069.2 |
1262.25 |
Carle Eureka Hospital |
1314250928 |
HOLTER RECD/HOOK UPTO 24H |
93225 |
0731 |
480 |
480 |
144 |
436.8 |
336 |
144 |
436.8 |
345.59999999999997 |
408 |
Carle Eureka Hospital |
1314250932 |
EKG |
93005 |
0730 |
195 |
195 |
58.5 |
177.45000000000002 |
136.5 |
58.5 |
177.45000000000002 |
140.4 |
165.75 |
Carle Eureka Hospital |
1314250989 |
ECHO CONTRAST 1.5 ML |
Q9957 |
0636 |
312 |
312 |
93.6 |
283.92 |
218.39999999999998 |
93.6 |
283.92 |
224.64 |
265.2 |
Carle Eureka Hospital |
1314260245 |
EKG PEDS |
93005 |
0730 |
195 |
195 |
58.5 |
177.45000000000002 |
136.5 |
58.5 |
177.45000000000002 |
140.4 |
165.75 |
Carle Eureka Hospital |
1314260388 |
STRESS ECHO C CON/ECHO PORTN |
C8928 |
0483 |
2170 |
2170 |
651 |
1974.7 |
1519 |
651 |
1974.7 |
1562.3999999999999 |
1844.5 |
Carle Eureka Hospital |
1314260673 |
CARD REHAB P2 NONMONITOR EXER |
93797 |
0943 |
115 |
115 |
34.5 |
104.65 |
80.5 |
34.5 |
104.65 |
82.8 |
97.75 |
Carle Eureka Hospital |
1314261189 |
ECHO 2D MMODE COMPLETE W CON |
C8929 |
0480 |
2170 |
2170 |
651 |
1974.7 |
1519 |
651 |
1974.7 |
1562.3999999999999 |
1844.5 |
Carle Eureka Hospital |
1314261190 |
ECHO 2D M MODE LIMITED W CON |
C8924 |
0480 |
1150 |
1150 |
345 |
1046.5 |
805 |
345 |
1046.5 |
828 |
977.5 |
Carle Eureka Hospital |
1314261324 |
ECHO STRESS W EKG WO CONTRAST |
93351 |
0483 |
2250 |
2250 |
675 |
2047.5 |
1575 |
675 |
2047.5 |
1620 |
1912.5 |
Carle Eureka Hospital |
1314261325 |
ECHO STRESS W EKG W CONTRAST |
93351 |
0483 |
2935 |
2935 |
880.5 |
2670.85 |
2054.5 |
880.5 |
2670.85 |
2113.1999999999998 |
2494.75 |
Carle Eureka Hospital |
1314261326 |
ECHO STRESS WEKG WO CON WPHARM |
93351 |
0483 |
2250 |
2250 |
675 |
2047.5 |
1575 |
675 |
2047.5 |
1620 |
1912.5 |
Carle Eureka Hospital |
1314261327 |
ECHO STRESS W EKG W CON WPHARM |
93351 |
0483 |
2935 |
2935 |
880.5 |
2670.85 |
2054.5 |
880.5 |
2670.85 |
2113.1999999999998 |
2494.75 |
Carle Eureka Hospital |
1314261360 |
MYOCARDIAL STRAIN IMAGING |
93356 |
0480 |
400 |
400 |
120 |
364 |
280 |
120 |
364 |
288 |
340 |
Carle Eureka Hospital |
1321002341 |
CANNULA WO TROCAR 5 X 100 MM |
0272 |
14 |
14 |
4.2 |
12.74 |
9.7999999999999989 |
4.2 |
12.74 |
10.08 |
11.9 |
Carle Eureka Hospital |
1321010000 |
INSERTION ARROW CATH |
0360 |
440 |
440 |
132 |
400.40000000000003 |
308 |
132 |
400.40000000000003 |
316.8 |
374 |
Carle Eureka Hospital |
1321010003 |
3000CC LR NACL OR H20 IRRIGANT |
0258 |
22 |
22 |
6.6 |
20.02 |
15.399999999999999 |
6.6 |
20.02 |
15.84 |
18.7 |
Carle Eureka Hospital |
1321010049 |
AVITINE |
0637 |
404 |
404 |
121.19999999999999 |
367.64 |
282.79999999999995 |
121.19999999999999 |
367.64 |
290.88 |
343.4 |
Carle Eureka Hospital |
1321010065 |
BROVIAC INSERTION |
0360 |
680 |
680 |
204 |
618.80000000000007 |
475.99999999999994 |
204 |
618.80000000000007 |
489.59999999999997 |
578 |
Carle Eureka Hospital |
1321010072 |
CATARACT SURGERY PKG |
0360 |
3480 |
3480 |
1044 |
3166.8 |
2436 |
1044 |
3166.8 |
2505.6 |
2958 |
Carle Eureka Hospital |
1321010073 |
CATH INSERT LEONARD/HICKMAN |
0360 |
815 |
815 |
244.5 |
741.65 |
570.5 |
244.5 |
741.65 |
586.79999999999995 |
692.75 |
Carle Eureka Hospital |
1321010086 |
CLASS I |
0360 |
625 |
625 |
187.5 |
568.75 |
437.5 |
187.5 |
568.75 |
450 |
531.25 |
Carle Eureka Hospital |
1321010089 |
CLASS II |
0360 |
2180 |
2180 |
654 |
1983.8 |
1526 |
654 |
1983.8 |
1569.6 |
1853 |
Carle Eureka Hospital |
1321010093 |
CLASS III |
0360 |
2750 |
2750 |
825 |
2502.5 |
1924.9999999999998 |
825 |
2502.5 |
1980 |
2337.5 |
Carle Eureka Hospital |
1321010096 |
CLASS IV |
0360 |
4195 |
4195 |
1258.5 |
3817.4500000000003 |
2936.5 |
1258.5 |
3817.4500000000003 |
3020.4 |
3565.75 |
Carle Eureka Hospital |
1321010099 |
CLASS V |
0360 |
5905 |
5905 |
1771.5 |
5373.55 |
4133.5 |
1771.5 |
5373.55 |
4251.5999999999995 |
5019.25 |
Carle Eureka Hospital |
1321010102 |
CLASS VI |
0360 |
7345 |
7345 |
2203.5 |
6683.95 |
5141.5 |
2203.5 |
6683.95 |
5288.4 |
6243.25 |
Carle Eureka Hospital |
1321010109 |
CODE BLUE OR |
92950 |
0480 |
1430 |
1430 |
429 |
1301.3 |
1000.9999999999999 |
429 |
1301.3 |
1029.5999999999999 |
1215.5 |
Carle Eureka Hospital |
1321010210 |
GLYCINE 1.5% 3000 CC |
0258 |
47 |
47 |
14.1 |
42.77 |
32.9 |
14.1 |
42.77 |
33.839999999999996 |
39.949999999999996 |
Carle Eureka Hospital |
1321010223 |
INDIGO LASEROPTIC SYSTEM |
0272 |
5572 |
5572 |
1671.6 |
5070.5200000000004 |
3900.3999999999996 |
1671.6 |
5070.5200000000004 |
4011.8399999999997 |
4736.2 |
Carle Eureka Hospital |
1321010263 |
LITHOTRIPSY PROBE |
0272 |
554 |
554 |
166.2 |
504.14000000000004 |
387.79999999999995 |
166.2 |
504.14000000000004 |
398.88 |
470.9 |
Carle Eureka Hospital |
1321010276 |
MISC OPERATING RM I |
0360 |
24 |
24 |
7.1999999999999993 |
21.84 |
16.799999999999997 |
7.1999999999999993 |
21.84 |
17.28 |
20.399999999999999 |
Carle Eureka Hospital |
1321010277 |
MISC OPERATING RM II |
0360 |
170 |
170 |
51 |
154.70000000000002 |
118.99999999999999 |
51 |
154.70000000000002 |
122.39999999999999 |
144.5 |
Carle Eureka Hospital |
1321010278 |
MISC OPERATING RM III |
0360 |
340 |
340 |
102 |
309.40000000000003 |
237.99999999999997 |
102 |
309.40000000000003 |
244.79999999999998 |
289 |
Carle Eureka Hospital |
1321010289 |
MYRINGOTOMY W TUBE |
0360 |
630 |
630 |
189 |
573.30000000000007 |
441 |
189 |
573.30000000000007 |
453.59999999999997 |
535.5 |
Carle Eureka Hospital |
1321010432 |
SOL. SOD CHLOR.IRRIG. 1000 CC |
0258 |
58 |
58 |
17.399999999999999 |
52.78 |
40.599999999999994 |
17.399999999999999 |
52.78 |
41.76 |
49.3 |
Carle Eureka Hospital |
1321010433 |
SOL. WATER IRRIG 1000 CC |
0258 |
58 |
58 |
17.399999999999999 |
52.78 |
40.599999999999994 |
17.399999999999999 |
52.78 |
41.76 |
49.3 |
Carle Eureka Hospital |
1321010464 |
TTS DILATATION |
0360 |
450 |
450 |
135 |
409.5 |
315 |
135 |
409.5 |
324 |
382.5 |
Carle Eureka Hospital |
1321010477 |
VITRECTOMY |
0360 |
850 |
850 |
255 |
773.5 |
595 |
255 |
773.5 |
612 |
722.5 |
Carle Eureka Hospital |
1321010485 |
XYLOCAINE JELLY 2% |
0637 |
53 |
53 |
15.899999999999999 |
48.230000000000004 |
37.099999999999994 |
15.899999999999999 |
48.230000000000004 |
38.159999999999997 |
45.05 |
Carle Eureka Hospital |
1321020027 |
ANCHORS VESICA SUTURE |
0272 |
649 |
649 |
194.7 |
590.59 |
454.29999999999995 |
194.7 |
590.59 |
467.28 |
551.65 |
Carle Eureka Hospital |
1321020032 |
ANCHOR CLIP ANGLED 82-8591 |
0272 |
124 |
124 |
37.199999999999996 |
112.84 |
86.8 |
37.199999999999996 |
112.84 |
89.28 |
105.39999999999999 |
Carle Eureka Hospital |
1321020046 |
SUPPLIES ARTHROSCOPY |
0272 |
1334 |
1334 |
400.2 |
1213.94 |
933.8 |
400.2 |
1213.94 |
960.48 |
1133.8999999999999 |
Carle Eureka Hospital |
1321020052 |
AUTOSUTURE TA-90 LONG |
0272 |
237 |
237 |
71.099999999999994 |
215.67000000000002 |
165.89999999999998 |
71.099999999999994 |
215.67000000000002 |
170.64 |
201.45 |
Carle Eureka Hospital |
1321020053 |
AUTOSUTURE CEEA 25/28/31 |
0272 |
1248 |
1248 |
374.4 |
1135.68 |
873.59999999999991 |
374.4 |
1135.68 |
898.56 |
1060.8 |
Carle Eureka Hospital |
1321020054 |
AUTOSUTURE ROTIC. 55-3.5/4.8/ |
0272 |
1321 |
1321 |
396.3 |
1202.1100000000001 |
924.69999999999993 |
396.3 |
1202.1100000000001 |
951.12 |
1122.8499999999999 |
Carle Eureka Hospital |
1321020056 |
AUTOSUTURE TA90 3.5/4.8 |
0272 |
493 |
493 |
147.9 |
448.63 |
345.09999999999997 |
147.9 |
448.63 |
354.96 |
419.05 |
Carle Eureka Hospital |
1321020070 |
BAG UA DRAINAGE 2000CC |
0272 |
38 |
38 |
11.4 |
34.58 |
26.599999999999998 |
11.4 |
34.58 |
27.36 |
32.299999999999997 |
Carle Eureka Hospital |
1321020071 |
BAG UA DRAINAGE 4000 CC |
0272 |
42 |
42 |
12.6 |
38.22 |
29.4 |
12.6 |
38.22 |
30.24 |
35.699999999999996 |
Carle Eureka Hospital |
1321020072 |
BAG UA LEG |
0271 |
13 |
13 |
3.9 |
11.83 |
9.1 |
3.9 |
11.83 |
9.36 |
11.049999999999999 |
Carle Eureka Hospital |
1321020077 |
BALLOON DILATION CATHETER |
0272 |
533 |
533 |
159.9 |
485.03000000000003 |
373.09999999999997 |
159.9 |
485.03000000000003 |
383.76 |
453.05 |
Carle Eureka Hospital |
1321020079 |
BALLOON INSERT DATASCOPE 34/40 |
0272 |
2537 |
2537 |
761.1 |
2308.67 |
1775.8999999999999 |
761.1 |
2308.67 |
1826.6399999999999 |
2156.4499999999998 |
Carle Eureka Hospital |
1321020080 |
BALLOON UROMAX |
0272 |
847 |
847 |
254.1 |
770.77 |
592.9 |
254.1 |
770.77 |
609.84 |
719.94999999999993 |
Carle Eureka Hospital |
1321020090 |
BLANKET BEAR HUGGER |
0272 |
121 |
121 |
36.299999999999997 |
110.11 |
84.699999999999989 |
36.299999999999997 |
110.11 |
87.11999999999999 |
102.85 |
Carle Eureka Hospital |
1321020095 |
BAG BILE |
0271 |
35 |
35 |
10.5 |
31.85 |
24.5 |
10.5 |
31.85 |
25.2 |
29.75 |
Carle Eureka Hospital |
1321020102 |
FORCEPS BIOPSY DISP |
0272 |
81 |
81 |
24.3 |
73.710000000000008 |
56.699999999999996 |
24.3 |
73.710000000000008 |
58.32 |
68.849999999999994 |
Carle Eureka Hospital |
1321020107 |
CAUTERY BIPOLAR CORD |
0272 |
20 |
20 |
6 |
18.2 |
14 |
6 |
18.2 |
14.399999999999999 |
17 |
Carle Eureka Hospital |
1321020115 |
BLADE SAW ALL |
0272 |
209 |
209 |
62.699999999999996 |
190.19 |
146.29999999999998 |
62.699999999999996 |
190.19 |
150.47999999999999 |
177.65 |
Carle Eureka Hospital |
1321020135 |
BONE PLUGS ORTHO |
0278 |
310 |
310 |
93 |
282.10000000000002 |
217 |
93 |
282.10000000000002 |
223.2 |
263.5 |
Carle Eureka Hospital |
1321020142 |
SUPPLIES BOWEL |
0272 |
321 |
321 |
96.3 |
292.11 |
224.7 |
96.3 |
292.11 |
231.12 |
272.84999999999997 |
Carle Eureka Hospital |
1321020144 |
SUPPLIES BREAST BIOPSY |
0272 |
123 |
123 |
36.9 |
111.93 |
86.1 |
36.9 |
111.93 |
88.56 |
104.55 |
Carle Eureka Hospital |
1321020179 |
CAST LONG LEG |
0271 |
123 |
123 |
36.9 |
111.93 |
86.1 |
36.9 |
111.93 |
88.56 |
104.55 |
Carle Eureka Hospital |
1321020184 |
CAST SHORT ARM |
0271 |
40 |
40 |
12 |
36.4 |
28 |
12 |
36.4 |
28.799999999999997 |
34 |
Carle Eureka Hospital |
1321020185 |
CAST SHORT LEG |
0271 |
68 |
68 |
20.399999999999999 |
61.88 |
47.599999999999994 |
20.399999999999999 |
61.88 |
48.96 |
57.8 |
Carle Eureka Hospital |
1321020187 |
CAST SYNTHETIC LONG ARM |
0271 |
272 |
272 |
81.599999999999994 |
247.52 |
190.39999999999998 |
81.599999999999994 |
247.52 |
195.84 |
231.2 |
Carle Eureka Hospital |
1321020188 |
CAST SYNTHETIC LONG LEG |
0271 |
588 |
588 |
176.4 |
535.08000000000004 |
411.59999999999997 |
176.4 |
535.08000000000004 |
423.35999999999996 |
499.8 |
Carle Eureka Hospital |
1321020189 |
CAST SYNTHETIC SHORT ARM |
0271 |
172 |
172 |
51.6 |
156.52000000000001 |
120.39999999999999 |
51.6 |
156.52000000000001 |
123.83999999999999 |
146.19999999999999 |
Carle Eureka Hospital |
1321020190 |
CAST SYNTHETIC SHORT LEG |
0271 |
295 |
295 |
88.5 |
268.45 |
206.5 |
88.5 |
268.45 |
212.4 |
250.75 |
Carle Eureka Hospital |
1321020204 |
CATH FOLEY 24 30 CC 3 WAY |
0272 |
64 |
64 |
19.2 |
58.24 |
44.8 |
19.2 |
58.24 |
46.08 |
54.4 |
Carle Eureka Hospital |
1321020205 |
CATH FOLEY ALL SIZES |
0272 |
59 |
59 |
17.7 |
53.690000000000005 |
41.3 |
17.7 |
53.690000000000005 |
42.48 |
50.15 |
Carle Eureka Hospital |
1321020207 |
CATH GROSHONG MRI DUAL IMPLANT |
C1751 |
0278 |
2233 |
2233 |
669.9 |
2032.03 |
1563.1 |
669.9 |
2032.03 |
1607.76 |
1898.05 |
Carle Eureka Hospital |
1321020208 |
CATH GROSHONG MULTI LUMEN KIT0 |
0272 |
1193 |
1193 |
357.9 |
1085.6300000000001 |
835.09999999999991 |
357.9 |
1085.6300000000001 |
858.95999999999992 |
1014.05 |
Carle Eureka Hospital |
1321020234 |
CATH SECURE |
0272 |
10 |
10 |
3 |
9.1 |
7 |
3 |
9.1 |
7.1999999999999993 |
8.5 |
Carle Eureka Hospital |
1321020236 |
CATH STAMEY |
0272 |
122 |
122 |
36.6 |
111.02000000000001 |
85.399999999999991 |
36.6 |
111.02000000000001 |
87.84 |
103.7 |
Carle Eureka Hospital |
1321020246 |
CATH URETERAL |
0272 |
191 |
191 |
57.3 |
173.81 |
133.69999999999999 |
57.3 |
173.81 |
137.51999999999998 |
162.35 |
Carle Eureka Hospital |
1321020249 |
CATHETER ALL PURPOSE 16FR |
0272 |
10 |
10 |
3 |
9.1 |
7 |
3 |
9.1 |
7.1999999999999993 |
8.5 |
Carle Eureka Hospital |
1321020266 |
CAUTERY EXTENDER |
0272 |
26 |
26 |
7.8 |
23.66 |
18.2 |
7.8 |
23.66 |
18.72 |
22.099999999999998 |
Carle Eureka Hospital |
1321020268 |
CAUTERY SUCTION |
0272 |
35 |
35 |
10.5 |
31.85 |
24.5 |
10.5 |
31.85 |
25.2 |
29.75 |
Carle Eureka Hospital |
1321020270 |
SUPPLIES CBI IRRIGATION |
0272 |
35 |
35 |
10.5 |
31.85 |
24.5 |
10.5 |
31.85 |
25.2 |
29.75 |
Carle Eureka Hospital |
1321020273 |
CARTRIDGE CEMENT GUN |
0272 |
177 |
177 |
53.1 |
161.07 |
123.89999999999999 |
53.1 |
161.07 |
127.44 |
150.44999999999999 |
Carle Eureka Hospital |
1321020289 |
CHOLANGIOCATH ALL SIZES |
0272 |
31 |
31 |
9.2999999999999989 |
28.21 |
21.7 |
9.2999999999999989 |
28.21 |
22.32 |
26.349999999999998 |
Carle Eureka Hospital |
1321020290 |
SUPPLIES CHOLECYSTECTOMY |
0272 |
454 |
454 |
136.19999999999999 |
413.14 |
317.79999999999995 |
136.19999999999999 |
413.14 |
326.88 |
385.9 |
Carle Eureka Hospital |
1321020296 |
CLASS VII |
0360 |
14625 |
14625 |
4387.5 |
13308.75 |
10237.5 |
4387.5 |
13308.75 |
10530 |
12431.25 |
Carle Eureka Hospital |
1321020305 |
CLIPS LARGE/ORANGE |
0272 |
77 |
77 |
23.099999999999998 |
70.070000000000007 |
53.9 |
23.099999999999998 |
70.070000000000007 |
55.44 |
65.45 |
Carle Eureka Hospital |
1321020306 |
CLIPS MEDIUM/LARGE |
0272 |
40 |
40 |
12 |
36.4 |
28 |
12 |
36.4 |
28.799999999999997 |
34 |
Carle Eureka Hospital |
1321020308 |
CLIPS SMALL/YELLOW |
0272 |
45 |
45 |
13.5 |
40.950000000000003 |
31.499999999999996 |
13.5 |
40.950000000000003 |
32.4 |
38.25 |
Carle Eureka Hospital |
1321020344 |
CUFF TOURNIQUET |
0272 |
63 |
63 |
18.899999999999999 |
57.330000000000005 |
44.099999999999994 |
18.899999999999999 |
57.330000000000005 |
45.36 |
53.55 |
Carle Eureka Hospital |
1321020354 |
DERMATONE WITH BLADE |
0272 |
158 |
158 |
47.4 |
143.78 |
110.6 |
47.4 |
143.78 |
113.75999999999999 |
134.29999999999998 |
Carle Eureka Hospital |
1321020376 |
STRAP DOVER CATH |
0272 |
11 |
11 |
3.3 |
10.01 |
7.6999999999999993 |
3.3 |
10.01 |
7.92 |
9.35 |
Carle Eureka Hospital |
1321020381 |
DRAIN JACKSON PRATT W RESERVOI |
0272 |
105 |
105 |
31.5 |
95.55 |
73.5 |
31.5 |
95.55 |
75.599999999999994 |
89.25 |
Carle Eureka Hospital |
1321020383 |
DRAIN JACKSON-PRATT |
0272 |
62 |
62 |
18.599999999999998 |
56.42 |
43.4 |
18.599999999999998 |
56.42 |
44.64 |
52.699999999999996 |
Carle Eureka Hospital |
1321020384 |
DRAIN T 5 INCH ALL SIZES |
0272 |
28 |
28 |
8.4 |
25.48 |
19.599999999999998 |
8.4 |
25.48 |
20.16 |
23.8 |
Carle Eureka Hospital |
1321020391 |
DRESSING GELFOAM SPONGE SZ LRG |
0272 |
90 |
90 |
27 |
81.900000000000006 |
62.999999999999993 |
27 |
81.900000000000006 |
64.8 |
76.5 |
Carle Eureka Hospital |
1321020399 |
DRESSING SURGICEL |
0272 |
124 |
124 |
37.199999999999996 |
112.84 |
86.8 |
37.199999999999996 |
112.84 |
89.28 |
105.39999999999999 |
Carle Eureka Hospital |
1321020404 |
DRILL BIT |
0272 |
45 |
45 |
13.5 |
40.950000000000003 |
31.499999999999996 |
13.5 |
40.950000000000003 |
32.4 |
38.25 |
Carle Eureka Hospital |
1321020412 |
TUBE EAR ALL SIZES |
0272 |
86 |
86 |
25.8 |
78.260000000000005 |
60.199999999999996 |
25.8 |
78.260000000000005 |
61.919999999999995 |
73.099999999999994 |
Carle Eureka Hospital |
1321020448 |
ENDO KITTNER |
0272 |
34 |
34 |
10.199999999999999 |
30.94 |
23.799999999999997 |
10.199999999999999 |
30.94 |
24.48 |
28.9 |
Carle Eureka Hospital |
1321020450 |
SUTURE DEVICE ENDO |
0272 |
459 |
459 |
137.69999999999999 |
417.69 |
321.29999999999995 |
137.69999999999999 |
417.69 |
330.47999999999996 |
390.15 |
Carle Eureka Hospital |
1321020451 |
SUTURE RELOAD ENDO |
0272 |
72 |
72 |
21.599999999999998 |
65.52 |
50.4 |
21.599999999999998 |
65.52 |
51.839999999999996 |
61.199999999999996 |
Carle Eureka Hospital |
1321020452 |
POUCH ENDOCATCH SPECIMEN |
0272 |
480 |
480 |
144 |
436.8 |
336 |
144 |
436.8 |
345.59999999999997 |
408 |
Carle Eureka Hospital |
1321020453 |
ELECTRODE HOOK ENDO |
0272 |
178 |
178 |
53.4 |
161.98000000000002 |
124.6 |
53.4 |
161.98000000000002 |
128.16 |
151.29999999999998 |
Carle Eureka Hospital |
1321020454 |
IRRIGATOR STRYKER ENDO-FLO |
0272 |
231 |
231 |
69.3 |
210.21 |
161.69999999999999 |
69.3 |
210.21 |
166.32 |
196.35 |
Carle Eureka Hospital |
1321020455 |
ENDOLOOP EACH |
0272 |
64 |
64 |
19.2 |
58.24 |
44.8 |
19.2 |
58.24 |
46.08 |
54.4 |
Carle Eureka Hospital |
1321020456 |
ENDOPATH EZ45G |
0272 |
864 |
864 |
259.2 |
786.24 |
604.79999999999995 |
259.2 |
786.24 |
622.07999999999993 |
734.4 |
Carle Eureka Hospital |
1321020457 |
ENDOPATH ZR45B/ZR45G (RELOAD) |
0272 |
350 |
350 |
105 |
318.5 |
244.99999999999997 |
105 |
318.5 |
252 |
297.5 |
Carle Eureka Hospital |
1321020485 |
ESMARK |
0272 |
49 |
49 |
14.7 |
44.59 |
34.299999999999997 |
14.7 |
44.59 |
35.28 |
41.65 |
Carle Eureka Hospital |
1321020488 |
LIGACLIPS ETHICON |
0272 |
190 |
190 |
57 |
172.9 |
133 |
57 |
172.9 |
136.79999999999998 |
161.5 |
Carle Eureka Hospital |
1321020492 |
FIXTURES EXTERNAL |
0278 |
2400 |
2400 |
720 |
2184 |
1680 |
720 |
2184 |
1728 |
2040 |
Carle Eureka Hospital |
1321020533 |
STAPLER GIA 35V |
0272 |
833 |
833 |
249.89999999999998 |
758.03 |
583.09999999999991 |
249.89999999999998 |
758.03 |
599.76 |
708.05 |
Carle Eureka Hospital |
1321020535 |
AUTOSUTURE GIA-60 RELOADER |
0272 |
281 |
281 |
84.3 |
255.71 |
196.7 |
84.3 |
255.71 |
202.32 |
238.85 |
Carle Eureka Hospital |
1321020536 |
AUTOSUTURE GIA-60 STAPLER |
0272 |
448 |
448 |
134.4 |
407.68 |
313.59999999999997 |
134.4 |
407.68 |
322.56 |
380.8 |
Carle Eureka Hospital |
1321020537 |
AUTOSUTURE GIA-80 RELOADER |
0272 |
358 |
358 |
107.39999999999999 |
325.78000000000003 |
250.6 |
107.39999999999999 |
325.78000000000003 |
257.76 |
304.3 |
Carle Eureka Hospital |
1321020538 |
GIA-80 STAPLERAUTOSUTURE |
0272 |
594 |
594 |
178.2 |
540.54 |
415.79999999999995 |
178.2 |
540.54 |
427.68 |
504.9 |
Carle Eureka Hospital |
1321020541 |
PATCH GORTEX SOFT TISSUE |
0278 |
1884 |
1884 |
565.19999999999993 |
1714.44 |
1318.8 |
565.19999999999993 |
1714.44 |
1356.48 |
1601.3999999999999 |
Carle Eureka Hospital |
1321020565 |
SUPPLIES GRAM |
0272 |
890 |
890 |
267 |
809.9 |
623 |
267 |
809.9 |
640.79999999999995 |
756.5 |
Carle Eureka Hospital |
1321020568 |
CATH GROSHONG MULTI LUMEN KIT7 |
C1751 |
0272 |
1018 |
1018 |
305.39999999999998 |
926.38 |
712.59999999999991 |
305.39999999999998 |
926.38 |
732.95999999999992 |
865.3 |
Carle Eureka Hospital |
1321020577 |
GUIDEWIRE GLIDEWIRES |
0272 |
154 |
154 |
46.199999999999996 |
140.14000000000001 |
107.8 |
46.199999999999996 |
140.14000000000001 |
110.88 |
130.9 |
Carle Eureka Hospital |
1321020581 |
GUIDEWIRE J&J CORDIS 503SERIES |
0272 |
251 |
251 |
75.3 |
228.41 |
175.7 |
75.3 |
228.41 |
180.72 |
213.35 |
Carle Eureka Hospital |
1321020588 |
GUIDEWIRE URO |
0272 |
77 |
77 |
23.099999999999998 |
70.070000000000007 |
53.9 |
23.099999999999998 |
70.070000000000007 |
55.44 |
65.45 |
Carle Eureka Hospital |
1321020625 |
SUPPLIES HEMI ARTHROPLASTY |
0272 |
743 |
743 |
222.9 |
676.13 |
520.1 |
222.9 |
676.13 |
534.96 |
631.54999999999995 |
Carle Eureka Hospital |
1321020626 |
HEMICLIPS MEDIUM |
0278 |
90 |
90 |
27 |
81.900000000000006 |
62.999999999999993 |
27 |
81.900000000000006 |
64.8 |
76.5 |
Carle Eureka Hospital |
1321020636 |
SUPPLIES HIP PINNING |
0272 |
445 |
445 |
133.5 |
404.95 |
311.5 |
133.5 |
404.95 |
320.39999999999998 |
378.25 |
Carle Eureka Hospital |
1321020637 |
FORCEPS DISP HOT BIOPSY |
0272 |
124 |
124 |
37.199999999999996 |
112.84 |
86.8 |
37.199999999999996 |
112.84 |
89.28 |
105.39999999999999 |
Carle Eureka Hospital |
1321020641 |
IMMOBILIZER KNEE |
0271 |
217 |
217 |
65.099999999999994 |
197.47 |
151.89999999999998 |
65.099999999999994 |
197.47 |
156.23999999999998 |
184.45 |
Carle Eureka Hospital |
1321020644 |
IMPLANT DEVICE TVT J&J510041 |
0278 |
2578 |
2578 |
773.4 |
2345.98 |
1804.6 |
773.4 |
2345.98 |
1856.1599999999999 |
2191.2999999999997 |
Carle Eureka Hospital |
1321020646 |
IMPLANTS TOE |
0278 |
528 |
528 |
158.4 |
480.48 |
369.59999999999997 |
158.4 |
480.48 |
380.15999999999997 |
448.8 |
Carle Eureka Hospital |
1321020661 |
LENS INTRAOCCULAR |
V2630 |
0276 |
3454 |
3454 |
1036.2 |
3143.1400000000003 |
2417.7999999999997 |
1036.2 |
3143.1400000000003 |
2486.88 |
2935.9 |
Carle Eureka Hospital |
1321020669 |
JEJUNOSTOMY |
0272 |
545 |
545 |
163.5 |
495.95 |
381.5 |
163.5 |
495.95 |
392.4 |
463.25 |
Carle Eureka Hospital |
1321020687 |
KIT CVP INSERT |
0272 |
177 |
177 |
53.1 |
161.07 |
123.89999999999999 |
53.1 |
161.07 |
127.44 |
150.44999999999999 |
Carle Eureka Hospital |
1321020690 |
KIT ENDO HERNIA |
0272 |
1864 |
1864 |
559.19999999999993 |
1696.24 |
1304.8 |
559.19999999999993 |
1696.24 |
1342.08 |
1584.3999999999999 |
Carle Eureka Hospital |
1321020694 |
KIT GROSHONG CATH SINGLE LUMEN |
C1751 |
0278 |
939 |
939 |
281.7 |
854.49 |
657.3 |
281.7 |
854.49 |
676.07999999999993 |
798.15 |
Carle Eureka Hospital |
1321020716 |
SUPPLIES LAP CHOLEYCYSTECTOMY |
0272 |
1243 |
1243 |
372.9 |
1131.1300000000001 |
870.09999999999991 |
372.9 |
1131.1300000000001 |
894.95999999999992 |
1056.55 |
Carle Eureka Hospital |
1321020728 |
LIGATOR HEMORRHOID BANDITO |
0272 |
132 |
132 |
39.6 |
120.12 |
92.399999999999991 |
39.6 |
120.12 |
95.039999999999992 |
112.2 |
Carle Eureka Hospital |
1321020731 |
SUPPLIES LIVER BIOPSY |
0272 |
123 |
123 |
36.9 |
111.93 |
86.1 |
36.9 |
111.93 |
88.56 |
104.55 |
Carle Eureka Hospital |
1321020738 |
PACK LOWER EXTREMITY |
0272 |
89 |
89 |
26.7 |
80.990000000000009 |
62.3 |
26.7 |
80.990000000000009 |
64.08 |
75.649999999999991 |
Carle Eureka Hospital |
1321020742 |
MESH MARLEY |
0278 |
265 |
265 |
79.5 |
241.15 |
185.5 |
79.5 |
241.15 |
190.79999999999998 |
225.25 |
Carle Eureka Hospital |
1321020744 |
MASTECTOMY SUPPLIES |
0272 |
555 |
555 |
166.5 |
505.05 |
388.5 |
166.5 |
505.05 |
399.59999999999997 |
471.75 |
Carle Eureka Hospital |
1321020750 |
CAUTERY TIP MEGADYNE |
0272 |
14 |
14 |
4.2 |
12.74 |
9.7999999999999989 |
4.2 |
12.74 |
10.08 |
11.9 |
Carle Eureka Hospital |
1321020752 |
MESH COMPOSITE 8X10 BARD |
0278 |
4411 |
4411 |
1323.3 |
4014.01 |
3087.7 |
1323.3 |
4014.01 |
3175.92 |
3749.35 |
Carle Eureka Hospital |
1321020759 |
MESH PROLENE 12X12 |
0278 |
417 |
417 |
125.1 |
379.47 |
291.89999999999998 |
125.1 |
379.47 |
300.24 |
354.45 |
Carle Eureka Hospital |
1321020760 |
MESH PROLENE 3X5 |
C1781 |
0278 |
154 |
154 |
46.199999999999996 |
140.14000000000001 |
107.8 |
46.199999999999996 |
140.14000000000001 |
110.88 |
130.9 |
Carle Eureka Hospital |
1321020761 |
MESH PROLENE 6X6 |
C1781 |
0278 |
387 |
387 |
116.1 |
352.17 |
270.89999999999998 |
116.1 |
352.17 |
278.64 |
328.95 |
Carle Eureka Hospital |
1321020762 |
MESH PROLENE HSM/L/XL |
C1781 |
0278 |
417 |
417 |
125.1 |
379.47 |
291.89999999999998 |
125.1 |
379.47 |
300.24 |
354.45 |
Carle Eureka Hospital |
1321020776 |
MITEK GII SNAP PAK ANCHOR |
0272 |
477 |
477 |
143.1 |
434.07 |
333.9 |
143.1 |
434.07 |
343.44 |
405.45 |
Carle Eureka Hospital |
1321020777 |
MITEK SUPER ANCHOR ORTHO |
0278 |
588 |
588 |
176.4 |
535.08000000000004 |
411.59999999999997 |
176.4 |
535.08000000000004 |
423.35999999999996 |
499.8 |
Carle Eureka Hospital |
1321020778 |
MITEX ANCHOR MINI |
0272 |
549 |
549 |
164.7 |
499.59000000000003 |
384.29999999999995 |
164.7 |
499.59000000000003 |
395.28 |
466.65 |
Carle Eureka Hospital |
1321020779 |
MIXED KIT I |
0272 |
70 |
70 |
21 |
63.7 |
49 |
21 |
63.7 |
50.4 |
59.5 |
Carle Eureka Hospital |
1321020780 |
MIXED KIT II |
0272 |
152 |
152 |
45.6 |
138.32 |
106.39999999999999 |
45.6 |
138.32 |
109.44 |
129.19999999999999 |
Carle Eureka Hospital |
1321020781 |
MIXER CEMENT SUPERBOWL ZIMMER |
0272 |
139 |
139 |
41.699999999999996 |
126.49000000000001 |
97.3 |
41.699999999999996 |
126.49000000000001 |
100.08 |
118.14999999999999 |
Carle Eureka Hospital |
1321020802 |
NEEDLE TRUCUT BIOPSY |
0272 |
58 |
58 |
17.399999999999999 |
52.78 |
40.599999999999994 |
17.399999999999999 |
52.78 |
41.76 |
49.3 |
Carle Eureka Hospital |
1321020839 |
SHOES ORTHO ALL SIZES |
0272 |
54 |
54 |
16.2 |
49.14 |
37.799999999999997 |
16.2 |
49.14 |
38.879999999999995 |
45.9 |
Carle Eureka Hospital |
1321020909 |
PACK T & A CUSTOM |
0272 |
250 |
250 |
75 |
227.5 |
175 |
75 |
227.5 |
180 |
212.5 |
Carle Eureka Hospital |
1321020925 |
DRAIN PENROSE ALL SIZES |
0272 |
10 |
10 |
3 |
9.1 |
7 |
3 |
9.1 |
7.1999999999999993 |
8.5 |
Carle Eureka Hospital |
1321020941 |
PIN STEINMEN |
0278 |
28 |
28 |
8.4 |
25.48 |
19.599999999999998 |
8.4 |
25.48 |
20.16 |
23.8 |
Carle Eureka Hospital |
1321020994 |
POLYP SNARE DISP |
0272 |
43 |
43 |
12.9 |
39.130000000000003 |
30.099999999999998 |
12.9 |
39.130000000000003 |
30.959999999999997 |
36.549999999999997 |
Carle Eureka Hospital |
1321020997 |
PREMIUM PLUS CEEA ATUOSUTURE |
0272 |
760 |
760 |
228 |
691.6 |
532 |
228 |
691.6 |
547.19999999999993 |
646 |
Carle Eureka Hospital |
1321021010 |
PROSTATIC BIOPSY NEEDLE |
0272 |
175 |
175 |
52.5 |
159.25 |
122.49999999999999 |
52.5 |
159.25 |
126 |
148.75 |
Carle Eureka Hospital |
1321021028 |
RELOAD CUTTER LINEAR GIA 55MM |
0272 |
235 |
235 |
70.5 |
213.85 |
164.5 |
70.5 |
213.85 |
169.2 |
199.75 |
Carle Eureka Hospital |
1321021029 |
RELOAD CUTTER LINEAR GIA 75MM |
0272 |
348 |
348 |
104.39999999999999 |
316.68 |
243.6 |
104.39999999999999 |
316.68 |
250.56 |
295.8 |
Carle Eureka Hospital |
1321021043 |
ROTICULATOR ATUOSUTURE |
0272 |
654 |
654 |
196.2 |
595.14 |
457.79999999999995 |
196.2 |
595.14 |
470.88 |
555.9 |
Carle Eureka Hospital |
1321021044 |
TUBE SALEM SUMP |
0272 |
17 |
17 |
5.0999999999999996 |
15.47 |
11.899999999999999 |
5.0999999999999996 |
15.47 |
12.24 |
14.45 |
Carle Eureka Hospital |
1321021046 |
SLEEVE SCD |
0271 |
129 |
129 |
38.699999999999996 |
117.39 |
90.3 |
38.699999999999996 |
117.39 |
92.88 |
109.64999999999999 |
Carle Eureka Hospital |
1321021181 |
SUCTION/IRRIGATION SIMPULSE |
0272 |
134 |
134 |
40.199999999999996 |
121.94 |
93.8 |
40.199999999999996 |
121.94 |
96.47999999999999 |
113.89999999999999 |
Carle Eureka Hospital |
1321021184 |
SLEEVE SEQUENTIAL DEVICE |
0272 |
152 |
152 |
45.6 |
138.32 |
106.39999999999999 |
45.6 |
138.32 |
109.44 |
129.19999999999999 |
Carle Eureka Hospital |
1321021254 |
STENT URETERAL |
0278 |
426 |
426 |
127.8 |
387.66 |
298.2 |
127.8 |
387.66 |
306.71999999999997 |
362.09999999999997 |
Carle Eureka Hospital |
1321021262 |
STOCKINETTE 6 IN (6 FT) |
0271 |
21 |
21 |
6.3 |
19.11 |
14.7 |
6.3 |
19.11 |
15.12 |
17.849999999999998 |
Carle Eureka Hospital |
1321021272 |
STONE BASKET W/WO FILIFORM |
0272 |
247 |
247 |
74.099999999999994 |
224.77 |
172.89999999999998 |
74.099999999999994 |
224.77 |
177.84 |
209.95 |
Carle Eureka Hospital |
1321021273 |
STONE BASKETS ALL SIZES |
0278 |
543 |
543 |
162.9 |
494.13 |
380.09999999999997 |
162.9 |
494.13 |
390.96 |
461.55 |
Carle Eureka Hospital |
1321021274 |
STONE DISLODGER BARD LOOP |
0278 |
291 |
291 |
87.3 |
264.81 |
203.7 |
87.3 |
264.81 |
209.51999999999998 |
247.35 |
Carle Eureka Hospital |
1321021280 |
SUCTION CANISTER |
0271 |
11 |
11 |
3.3 |
10.01 |
7.6999999999999993 |
3.3 |
10.01 |
7.92 |
9.35 |
Carle Eureka Hospital |
1321021285 |
SUPPLIES HYSTERECTOMY |
0272 |
743 |
743 |
222.9 |
676.13 |
520.1 |
222.9 |
676.13 |
534.96 |
631.54999999999995 |
Carle Eureka Hospital |
1321021288 |
SUPPLIES TOTAL HIP |
0272 |
434 |
434 |
130.19999999999999 |
394.94 |
303.79999999999995 |
130.19999999999999 |
394.94 |
312.47999999999996 |
368.9 |
Carle Eureka Hospital |
1321021289 |
SUPPLIES TOTAL KNEE |
0272 |
2002 |
2002 |
600.6 |
1821.8200000000002 |
1401.3999999999999 |
600.6 |
1821.8200000000002 |
1441.44 |
1701.7 |
Carle Eureka Hospital |
1321021293 |
SUPPORT SCROTAL |
0271 |
29 |
29 |
8.6999999999999993 |
26.39 |
20.299999999999997 |
8.6999999999999993 |
26.39 |
20.88 |
24.65 |
Carle Eureka Hospital |
1321021296 |
SURGICAL STAPLER TA-90 |
0272 |
540 |
540 |
162 |
491.40000000000003 |
378 |
162 |
491.40000000000003 |
388.8 |
459 |
Carle Eureka Hospital |
1321021298 |
SURGICEL |
0278 |
54 |
54 |
16.2 |
49.14 |
37.799999999999997 |
16.2 |
49.14 |
38.879999999999995 |
45.9 |
Carle Eureka Hospital |
1321021305 |
SUTURE |
0272 |
21 |
21 |
6.3 |
19.11 |
14.7 |
6.3 |
19.11 |
15.12 |
17.849999999999998 |
Carle Eureka Hospital |
1321021309 |
SUTURE ENDOLOOP |
0272 |
77 |
77 |
23.099999999999998 |
70.070000000000007 |
53.9 |
23.099999999999998 |
70.070000000000007 |
55.44 |
65.45 |
Carle Eureka Hospital |
1321021310 |
SUTURE ETHIBOND 0 XLH |
0272 |
21 |
21 |
6.3 |
19.11 |
14.7 |
6.3 |
19.11 |
15.12 |
17.849999999999998 |
Carle Eureka Hospital |
1321021311 |
SUTURE ETHIBOND 2/0, SH-1 |
0272 |
518 |
518 |
155.4 |
471.38 |
362.59999999999997 |
155.4 |
471.38 |
372.96 |
440.3 |
Carle Eureka Hospital |
1321021312 |
SUTURE ETHIBOND 2/0, SH-2 |
0272 |
250 |
250 |
75 |
227.5 |
175 |
75 |
227.5 |
180 |
212.5 |
Carle Eureka Hospital |
1321021313 |
SUTURE ETHIBOND 4/0, SH-1 |
0272 |
15 |
15 |
4.5 |
13.65 |
10.5 |
4.5 |
13.65 |
10.799999999999999 |
12.75 |
Carle Eureka Hospital |
1321021314 |
SUTURE ETHIBOND 5/0, RB-1 |
0272 |
15 |
15 |
4.5 |
13.65 |
10.5 |
4.5 |
13.65 |
10.799999999999999 |
12.75 |
Carle Eureka Hospital |
1321021315 |
SUTURE ETHIBOND O |
0272 |
9 |
9 |
2.6999999999999997 |
8.19 |
6.3 |
2.6999999999999997 |
8.19 |
6.4799999999999995 |
7.6499999999999995 |
Carle Eureka Hospital |
1321021316 |
SUTURE ETHIBOND SJ |
0272 |
14 |
14 |
4.2 |
12.74 |
9.7999999999999989 |
4.2 |
12.74 |
10.08 |
11.9 |
Carle Eureka Hospital |
1321021317 |
SUTURE ETHIBOND TIE #0 |
0272 |
5 |
5 |
1.5 |
4.55 |
3.5 |
1.5 |
4.55 |
3.5999999999999996 |
4.25 |
Carle Eureka Hospital |
1321021318 |
SUTURE ETHIBOND 2/0 |
0272 |
51 |
51 |
15.299999999999999 |
46.410000000000004 |
35.699999999999996 |
15.299999999999999 |
46.410000000000004 |
36.72 |
43.35 |
Carle Eureka Hospital |
1321021319 |
SUTURE ETHILON 2/0 - FS |
0272 |
8 |
8 |
2.4 |
7.28 |
5.6 |
2.4 |
7.28 |
5.76 |
6.8 |
Carle Eureka Hospital |
1321021320 |
SUTURE EYE 8-0 9-0 10-0 |
0272 |
106 |
106 |
31.799999999999997 |
96.460000000000008 |
74.199999999999989 |
31.799999999999997 |
96.460000000000008 |
76.319999999999993 |
90.1 |
Carle Eureka Hospital |
1321021321 |
SUTURE GORTEX |
0272 |
106 |
106 |
31.799999999999997 |
96.460000000000008 |
74.199999999999989 |
31.799999999999997 |
96.460000000000008 |
76.319999999999993 |
90.1 |
Carle Eureka Hospital |
1321021322 |
SUTURE MERSILENE |
0272 |
142 |
142 |
42.6 |
129.22 |
99.399999999999991 |
42.6 |
129.22 |
102.24 |
120.7 |
Carle Eureka Hospital |
1321021323 |
SUTURE MICROSURGICAL/PLASTIC |
0272 |
89 |
89 |
26.7 |
80.990000000000009 |
62.3 |
26.7 |
80.990000000000009 |
64.08 |
75.649999999999991 |
Carle Eureka Hospital |
1321021324 |
SUTURE MONO 3/0 PS-2 |
0272 |
15 |
15 |
4.5 |
13.65 |
10.5 |
4.5 |
13.65 |
10.799999999999999 |
12.75 |
Carle Eureka Hospital |
1321021325 |
SUTURE MULTIPLE E-PAC |
0272 |
287 |
287 |
86.1 |
261.17 |
200.89999999999998 |
86.1 |
261.17 |
206.64 |
243.95 |
Carle Eureka Hospital |
1321021326 |
SUTURE NEEDLE/TIE/REEL |
0272 |
18 |
18 |
5.3999999999999995 |
16.38 |
12.6 |
5.3999999999999995 |
16.38 |
12.959999999999999 |
15.299999999999999 |
Carle Eureka Hospital |
1321021327 |
SUTURE NURLON OS-8 |
0272 |
49 |
49 |
14.7 |
44.59 |
34.299999999999997 |
14.7 |
44.59 |
35.28 |
41.65 |
Carle Eureka Hospital |
1321021328 |
SUTURE PRO MULTI 5/0 C-1 |
0272 |
84 |
84 |
25.2 |
76.44 |
58.8 |
25.2 |
76.44 |
60.48 |
71.399999999999991 |
Carle Eureka Hospital |
1321021329 |
SUTURE PRO MULTI 7/0 BV175-6 |
0272 |
164 |
164 |
49.199999999999996 |
149.24 |
114.8 |
49.199999999999996 |
149.24 |
118.08 |
139.4 |
Carle Eureka Hospital |
1321021330 |
SUTURE PRO MULTI 7/0 CC |
0272 |
151 |
151 |
45.3 |
137.41 |
105.69999999999999 |
45.3 |
137.41 |
108.72 |
128.35 |
Carle Eureka Hospital |
1321021331 |
SUTURE PRO MULTI 8/0 BV175-6 |
0272 |
165 |
165 |
49.5 |
150.15 |
115.49999999999999 |
49.5 |
150.15 |
118.8 |
140.25 |
Carle Eureka Hospital |
1321021333 |
SUTURE PROLENE #1 TP-1 |
0272 |
13 |
13 |
3.9 |
11.83 |
9.1 |
3.9 |
11.83 |
9.36 |
11.049999999999999 |
Carle Eureka Hospital |
1321021334 |
SUTURE PROLENE 2/0 MH |
0272 |
15 |
15 |
4.5 |
13.65 |
10.5 |
4.5 |
13.65 |
10.799999999999999 |
12.75 |
Carle Eureka Hospital |
1321021335 |
SUTURE PROLENE 2/0 SH |
0272 |
15 |
15 |
4.5 |
13.65 |
10.5 |
4.5 |
13.65 |
10.799999999999999 |
12.75 |
Carle Eureka Hospital |
1321021336 |
SUTURE PROLENE 3/0 SH8522 |
0272 |
15 |
15 |
4.5 |
13.65 |
10.5 |
4.5 |
13.65 |
10.799999999999999 |
12.75 |
Carle Eureka Hospital |
1321021337 |
SUTURE PROLENE 3/0 SH8534 |
0272 |
15 |
15 |
4.5 |
13.65 |
10.5 |
4.5 |
13.65 |
10.799999999999999 |
12.75 |
Carle Eureka Hospital |
1321021338 |
SUTURE PROLENE 4/0 BB |
0272 |
18 |
18 |
5.3999999999999995 |
16.38 |
12.6 |
5.3999999999999995 |
16.38 |
12.959999999999999 |
15.299999999999999 |
Carle Eureka Hospital |
1321021339 |
SUTURE PROLENE 4/0 RB-1 |
0272 |
35 |
35 |
10.5 |
31.85 |
24.5 |
10.5 |
31.85 |
25.2 |
29.75 |
Carle Eureka Hospital |
1321021340 |
SUTURE PROLENE 4/0 SH |
0272 |
15 |
15 |
4.5 |
13.65 |
10.5 |
4.5 |
13.65 |
10.799999999999999 |
12.75 |
Carle Eureka Hospital |
1321021341 |
SUTURE PROLENE 5/0 C-1 |
0272 |
25 |
25 |
7.5 |
22.75 |
17.5 |
7.5 |
22.75 |
18 |
21.25 |
Carle Eureka Hospital |
1321021342 |
SUTURE PROLENE 5/0 RB-1 |
0272 |
8 |
8 |
2.4 |
7.28 |
5.6 |
2.4 |
7.28 |
5.76 |
6.8 |
Carle Eureka Hospital |
1321021343 |
SUTURE PROLENE 6/0 C-1 |
0272 |
21 |
21 |
6.3 |
19.11 |
14.7 |
6.3 |
19.11 |
15.12 |
17.849999999999998 |
Carle Eureka Hospital |
1321021344 |
SUTURE PROLENE 6/0 CC |
0272 |
40 |
40 |
12 |
36.4 |
28 |
12 |
36.4 |
28.799999999999997 |
34 |
Carle Eureka Hospital |
1321021345 |
SUTURE PROLENE 7/0 CC |
0272 |
40 |
40 |
12 |
36.4 |
28 |
12 |
36.4 |
28.799999999999997 |
34 |
Carle Eureka Hospital |
1321021347 |
SUTURE PURSESTRING |
0272 |
233 |
233 |
69.899999999999991 |
212.03 |
163.1 |
69.899999999999991 |
212.03 |
167.76 |
198.04999999999998 |
Carle Eureka Hospital |
1321021349 |
SUTURE SILK #2 TIE |
0272 |
7 |
7 |
2.1 |
6.37 |
4.8999999999999995 |
2.1 |
6.37 |
5.04 |
5.95 |
Carle Eureka Hospital |
1321021350 |
SUTURE STEEL #5 |
0272 |
28 |
28 |
8.4 |
25.48 |
19.599999999999998 |
8.4 |
25.48 |
20.16 |
23.8 |
Carle Eureka Hospital |
1321021351 |
SUTURE STEEL #6 |
0272 |
58 |
58 |
17.399999999999999 |
52.78 |
40.599999999999994 |
17.399999999999999 |
52.78 |
41.76 |
49.3 |
Carle Eureka Hospital |
1321021352 |
SUTURE VASCULAR & DOUBLE-ARME |
0272 |
89 |
89 |
26.7 |
80.990000000000009 |
62.3 |
26.7 |
80.990000000000009 |
64.08 |
75.649999999999991 |
Carle Eureka Hospital |
1321021353 |
SUTURE VICRYL #1 CT-1 |
0272 |
8 |
8 |
2.4 |
7.28 |
5.6 |
2.4 |
7.28 |
5.76 |
6.8 |
Carle Eureka Hospital |
1321021354 |
SUTURE VICRYL 3/0 CT-1 |
0272 |
8 |
8 |
2.4 |
7.28 |
5.6 |
2.4 |
7.28 |
5.76 |
6.8 |
Carle Eureka Hospital |
1321021355 |
SUTURE VICRYL 3/0 PS-2 |
0272 |
14 |
14 |
4.2 |
12.74 |
9.7999999999999989 |
4.2 |
12.74 |
10.08 |
11.9 |
Carle Eureka Hospital |
1321021356 |
SUTURE VICRYL 4/0 PS-2 |
0272 |
14 |
14 |
4.2 |
12.74 |
9.7999999999999989 |
4.2 |
12.74 |
10.08 |
11.9 |
Carle Eureka Hospital |
1321021357 |
SUTURE VICRYL CT-1 |
0272 |
8 |
8 |
2.4 |
7.28 |
5.6 |
2.4 |
7.28 |
5.76 |
6.8 |
Carle Eureka Hospital |
1321021358 |
SUTURE/STAPLE REMOVAL SUPPLIE |
0272 |
11 |
11 |
3.3 |
10.01 |
7.6999999999999993 |
3.3 |
10.01 |
7.92 |
9.35 |
Carle Eureka Hospital |
1321021367 |
TAPE TENSION VAGINAL |
0272 |
1425 |
1425 |
427.5 |
1296.75 |
997.49999999999989 |
427.5 |
1296.75 |
1026 |
1211.25 |
Carle Eureka Hospital |
1321021374 |
TIP SUCTION KAM VAC |
0271 |
64 |
64 |
19.2 |
58.24 |
44.8 |
19.2 |
58.24 |
46.08 |
54.4 |
Carle Eureka Hospital |
1321021384 |
TRAY CATH W FOLEY & BAG |
0272 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
1321021388 |
TRAY ENDOCHOLE ETHICON ENDO |
0272 |
1310 |
1310 |
393 |
1192.1000000000001 |
916.99999999999989 |
393 |
1192.1000000000001 |
943.19999999999993 |
1113.5 |
Carle Eureka Hospital |
1321021402 |
TRAY THORACENTESIS |
0272 |
187 |
187 |
56.1 |
170.17000000000002 |
130.9 |
56.1 |
170.17000000000002 |
134.63999999999999 |
158.94999999999999 |
Carle Eureka Hospital |
1321021408 |
TUBE CRAWFORD |
0272 |
194 |
194 |
58.199999999999996 |
176.54 |
135.79999999999998 |
58.199999999999996 |
176.54 |
139.68 |
164.9 |
Carle Eureka Hospital |
1321021428 |
TUBING RECIRCUIT SMOKE EVAC |
0272 |
281 |
281 |
84.3 |
255.71 |
196.7 |
84.3 |
255.71 |
202.32 |
238.85 |
Carle Eureka Hospital |
1321021430 |
TUBING SET FOR ARTHROSCOPY PUM |
0272 |
325 |
325 |
97.5 |
295.75 |
227.49999999999997 |
97.5 |
295.75 |
234 |
276.25 |
Carle Eureka Hospital |
1321021434 |
SUPPLIES TUR |
0272 |
1408 |
1408 |
422.4 |
1281.28 |
985.59999999999991 |
422.4 |
1281.28 |
1013.76 |
1196.8 |
Carle Eureka Hospital |
1321021505 |
CUTTER ENDO ARTICULAR ATW |
0272 |
946 |
946 |
283.8 |
860.86 |
662.19999999999993 |
283.8 |
860.86 |
681.12 |
804.1 |
Carle Eureka Hospital |
1321021506 |
RELOAD CUTTER ARTICULAR |
0272 |
341 |
341 |
102.3 |
310.31 |
238.7 |
102.3 |
310.31 |
245.51999999999998 |
289.84999999999997 |
Carle Eureka Hospital |
1321021513 |
BLADE ARTHROSCOPY |
0272 |
262 |
262 |
78.599999999999994 |
238.42000000000002 |
183.39999999999998 |
78.599999999999994 |
238.42000000000002 |
188.64 |
222.7 |
Carle Eureka Hospital |
1321021517 |
TOURNIQUET CUFF ALL SZS |
0272 |
75 |
75 |
22.5 |
68.25 |
52.5 |
22.5 |
68.25 |
54 |
63.75 |
Carle Eureka Hospital |
1321021526 |
TROCAR 5MM SHORT/LONG |
0272 |
152 |
152 |
45.6 |
138.32 |
106.39999999999999 |
45.6 |
138.32 |
109.44 |
129.19999999999999 |
Carle Eureka Hospital |
1321021527 |
TROCAR 10/11/12 |
0272 |
219 |
219 |
65.7 |
199.29000000000002 |
153.29999999999998 |
65.7 |
199.29000000000002 |
157.68 |
186.15 |
Carle Eureka Hospital |
1321021582 |
SEPRAFILM |
0272 |
407 |
407 |
122.1 |
370.37 |
284.89999999999998 |
122.1 |
370.37 |
293.03999999999996 |
345.95 |
Carle Eureka Hospital |
1321021636 |
POLAR ICE KNEE KIT |
0272 |
354 |
354 |
106.2 |
322.14 |
247.79999999999998 |
106.2 |
322.14 |
254.88 |
300.89999999999998 |
Carle Eureka Hospital |
1321021640 |
STAPLER RELOAD ENDO HERNIA |
0272 |
205 |
205 |
61.5 |
186.55 |
143.5 |
61.5 |
186.55 |
147.6 |
174.25 |
Carle Eureka Hospital |
1321021650 |
MESH KUGEL COMP 7X9 |
C1781 |
0278 |
3654 |
3654 |
1096.2 |
3325.1400000000003 |
2557.7999999999997 |
1096.2 |
3325.1400000000003 |
2630.88 |
3105.9 |
Carle Eureka Hospital |
1321021651 |
MESH KUGEL OVAL MED |
C1781 |
0278 |
2129 |
2129 |
638.69999999999993 |
1937.39 |
1490.3 |
638.69999999999993 |
1937.39 |
1532.8799999999999 |
1809.6499999999999 |
Carle Eureka Hospital |
1321021652 |
MESH KUGEL OVAL LARGE |
C1781 |
0278 |
2701 |
2701 |
810.3 |
2457.9100000000003 |
1890.6999999999998 |
810.3 |
2457.9100000000003 |
1944.72 |
2295.85 |
Carle Eureka Hospital |
1321021653 |
MESH PATCH VENTRALEX MED |
C1781 |
0278 |
1247 |
1247 |
374.09999999999997 |
1134.77 |
872.9 |
374.09999999999997 |
1134.77 |
897.83999999999992 |
1059.95 |
Carle Eureka Hospital |
1321021654 |
MESH KUGEL SMALL CIRCLE |
C1781 |
0278 |
1184 |
1184 |
355.2 |
1077.44 |
828.8 |
355.2 |
1077.44 |
852.48 |
1006.4 |
Carle Eureka Hospital |
1321021655 |
MESH KUGEL XLARGE |
C1781 |
0278 |
4331 |
4331 |
1299.3 |
3941.21 |
3031.7 |
1299.3 |
3941.21 |
3118.3199999999997 |
3681.35 |
Carle Eureka Hospital |
1321021673 |
SUTURE 8 PACK GENERAL |
0272 |
169 |
169 |
50.699999999999996 |
153.79 |
118.3 |
50.699999999999996 |
153.79 |
121.67999999999999 |
143.65 |
Carle Eureka Hospital |
1321021742 |
TRICAR 11MM |
0272 |
89 |
89 |
26.7 |
80.990000000000009 |
62.3 |
26.7 |
80.990000000000009 |
64.08 |
75.649999999999991 |
Carle Eureka Hospital |
1321021743 |
TROCAR 5MM LONG |
0272 |
70 |
70 |
21 |
63.7 |
49 |
21 |
63.7 |
50.4 |
59.5 |
Carle Eureka Hospital |
1321021744 |
TROCAR 12MM |
0272 |
88 |
88 |
26.4 |
80.08 |
61.599999999999994 |
26.4 |
80.08 |
63.36 |
74.8 |
Carle Eureka Hospital |
1321021745 |
TROCAR 5MM SHORT |
0272 |
43 |
43 |
12.9 |
39.130000000000003 |
30.099999999999998 |
12.9 |
39.130000000000003 |
30.959999999999997 |
36.549999999999997 |
Carle Eureka Hospital |
1321021746 |
CANNULA THREADED |
0272 |
49 |
49 |
14.7 |
44.59 |
34.299999999999997 |
14.7 |
44.59 |
35.28 |
41.65 |
Carle Eureka Hospital |
1321021747 |
CANNULA TROCAR - NO STPCK |
0272 |
21 |
21 |
6.3 |
19.11 |
14.7 |
6.3 |
19.11 |
15.12 |
17.849999999999998 |
Carle Eureka Hospital |
1321021748 |
SLING FIXATION SYSTEM W/OBT |
C1763 |
0278 |
2425 |
2425 |
727.5 |
2206.75 |
1697.5 |
727.5 |
2206.75 |
1746 |
2061.25 |
Carle Eureka Hospital |
1321021751 |
CEMENT W/ANTIBIOTIC |
0272 |
1141 |
1141 |
342.3 |
1038.31 |
798.69999999999993 |
342.3 |
1038.31 |
821.52 |
969.85 |
Carle Eureka Hospital |
1321021756 |
EYE LENS MULTI-FOCAL |
0276 |
2425 |
2425 |
727.5 |
2206.75 |
1697.5 |
727.5 |
2206.75 |
1746 |
2061.25 |
Carle Eureka Hospital |
1321021767 |
DISPOSABLE HASSON TROCAR (12MM |
0272 |
76 |
76 |
22.8 |
69.16 |
53.199999999999996 |
22.8 |
69.16 |
54.72 |
64.599999999999994 |
Carle Eureka Hospital |
1321021768 |
PNEUMO NEEDLE |
0272 |
39 |
39 |
11.7 |
35.49 |
27.299999999999997 |
11.7 |
35.49 |
28.08 |
33.15 |
Carle Eureka Hospital |
1321021769 |
BALLOON BULB |
0272 |
386 |
386 |
115.8 |
351.26 |
270.2 |
115.8 |
351.26 |
277.92 |
328.09999999999997 |
Carle Eureka Hospital |
1321021770 |
OVAL DISTENTION BALLOON |
0272 |
458 |
458 |
137.4 |
416.78000000000003 |
320.59999999999997 |
137.4 |
416.78000000000003 |
329.76 |
389.3 |
Carle Eureka Hospital |
1321021907 |
LASER FIBER |
0272 |
2022 |
2022 |
606.6 |
1840.02 |
1415.3999999999999 |
606.6 |
1840.02 |
1455.84 |
1718.7 |
Carle Eureka Hospital |
1321022015 |
BARD FLEXI TIP DISP SCLERO NDL |
0272 |
51 |
51 |
15.299999999999999 |
46.410000000000004 |
35.699999999999996 |
15.299999999999999 |
46.410000000000004 |
36.72 |
43.35 |
Carle Eureka Hospital |
1321022103 |
TROCAR 5MM DISP W CANNULA |
0272 |
59 |
59 |
17.7 |
53.690000000000005 |
41.3 |
17.7 |
53.690000000000005 |
42.48 |
50.15 |
Carle Eureka Hospital |
1321022104 |
TUBINGSET IRRIG LAP DAVOL XSTR |
0272 |
56 |
56 |
16.8 |
50.96 |
39.199999999999996 |
16.8 |
50.96 |
40.32 |
47.6 |
Carle Eureka Hospital |
1321022105 |
TUBING SET INSUFFLATION 10 FT |
0272 |
13 |
13 |
3.9 |
11.83 |
9.1 |
3.9 |
11.83 |
9.36 |
11.049999999999999 |
Carle Eureka Hospital |
1321022106 |
BALLOON OVAL PREPERITON DISTEN |
0272 |
644 |
644 |
193.2 |
586.04 |
450.79999999999995 |
193.2 |
586.04 |
463.68 |
547.4 |
Carle Eureka Hospital |
1321022107 |
TROCAR STRUC BAL W INFL BULB |
0272 |
355 |
355 |
106.5 |
323.05 |
248.49999999999997 |
106.5 |
323.05 |
255.6 |
301.75 |
Carle Eureka Hospital |
1321022108 |
BALLON OVAL PREPERI DISTEN W B |
0272 |
562 |
562 |
168.6 |
511.42 |
393.4 |
168.6 |
511.42 |
404.64 |
477.7 |
Carle Eureka Hospital |
1321022157 |
COLD THERAPY COMPRESSION WRAP |
0272 |
82 |
82 |
24.599999999999998 |
74.62 |
57.4 |
24.599999999999998 |
74.62 |
59.04 |
69.7 |
Carle Eureka Hospital |
1321022233 |
CLIP RESOLUTION 235 CM |
0278 |
761 |
761 |
228.29999999999998 |
692.51 |
532.69999999999993 |
228.29999999999998 |
692.51 |
547.91999999999996 |
646.85 |
Carle Eureka Hospital |
1321022234 |
PROLAPSE AND HEMORRHOID SET |
0272 |
903 |
903 |
270.89999999999998 |
821.73 |
632.09999999999991 |
270.89999999999998 |
821.73 |
650.16 |
767.55 |
Carle Eureka Hospital |
1321022235 |
FORCEPT HOT BIOPSY RADIAL JAW |
0272 |
166 |
166 |
49.8 |
151.06 |
116.19999999999999 |
49.8 |
151.06 |
119.52 |
141.1 |
Carle Eureka Hospital |
1321022255 |
STRYKEFLOWII WTIP SUC/IRRI |
0272 |
108 |
108 |
32.4 |
98.28 |
75.599999999999994 |
32.4 |
98.28 |
77.759999999999991 |
91.8 |
Carle Eureka Hospital |
1321022256 |
CLOSESURE SYSTEM 90414 |
0272 |
236 |
236 |
70.8 |
214.76000000000002 |
165.2 |
70.8 |
214.76000000000002 |
169.92 |
200.6 |
Carle Eureka Hospital |
1321022257 |
ENDOPATH BABCOCK W RATCHET 5MM |
0272 |
255 |
255 |
76.5 |
232.05 |
178.5 |
76.5 |
232.05 |
183.6 |
216.75 |
Carle Eureka Hospital |
1321022277 |
DEVICE LAPSNC GAS CONDITIONING |
0272 |
170 |
170 |
51 |
154.70000000000002 |
118.99999999999999 |
51 |
154.70000000000002 |
122.39999999999999 |
144.5 |
Carle Eureka Hospital |
1321022703 |
ENDOCLIP II AUTO SUT APP 10MM |
0272 |
142 |
142 |
42.6 |
129.22 |
99.399999999999991 |
42.6 |
129.22 |
102.24 |
120.7 |
Carle Eureka Hospital |
1321022704 |
ENDOCLIP III AUTO SUT APP 5MM |
0272 |
294 |
294 |
88.2 |
267.54000000000002 |
205.79999999999998 |
88.2 |
267.54000000000002 |
211.67999999999998 |
249.9 |
Carle Eureka Hospital |
1321040609 |
PHASE I RECOVERY FIRST 30 MIN |
0710 |
385 |
385 |
115.5 |
350.35 |
269.5 |
115.5 |
350.35 |
277.2 |
327.25 |
Carle Eureka Hospital |
1321040610 |
PHASE I RECOVERY EA ADD 30 MIN |
0710 |
195 |
195 |
58.5 |
177.45000000000002 |
136.5 |
58.5 |
177.45000000000002 |
140.4 |
165.75 |
Carle Eureka Hospital |
1321050497 |
INJECT PERIPHERAL NERVE BLOCK |
64450 |
0361 |
1680 |
1680 |
504 |
1528.8 |
1176 |
504 |
1528.8 |
1209.5999999999999 |
1428 |
Carle Eureka Hospital |
1321050675 |
ANOSCOPY BASIC |
0360 |
130 |
130 |
39 |
118.3 |
91 |
39 |
118.3 |
93.6 |
110.5 |
Carle Eureka Hospital |
1321050676 |
ANOSCOPY COMPLEX |
0360 |
1215 |
1215 |
364.5 |
1105.6500000000001 |
850.5 |
364.5 |
1105.6500000000001 |
874.8 |
1032.75 |
Carle Eureka Hospital |
1321050677 |
PROCTO SIGMOID BASIC |
0360 |
1020 |
1020 |
306 |
928.2 |
714 |
306 |
928.2 |
734.4 |
867 |
Carle Eureka Hospital |
1321050678 |
PROCTO SIGMOID COMPLEX |
0360 |
1225 |
1225 |
367.5 |
1114.75 |
857.5 |
367.5 |
1114.75 |
882 |
1041.25 |
Carle Eureka Hospital |
1321050679 |
GASTROSCOPY EGD BASIC |
0360 |
1480 |
1480 |
444 |
1346.8 |
1036 |
444 |
1346.8 |
1065.5999999999999 |
1258 |
Carle Eureka Hospital |
1321050680 |
GASTROSCOPY EGD COMPLEX |
0360 |
1775 |
1775 |
532.5 |
1615.25 |
1242.5 |
532.5 |
1615.25 |
1278 |
1508.75 |
Carle Eureka Hospital |
1321050681 |
COLONOSCOPY BASIC |
0360 |
1665 |
1665 |
499.5 |
1515.15 |
1165.5 |
499.5 |
1515.15 |
1198.8 |
1415.25 |
Carle Eureka Hospital |
1321050682 |
COLONOSCOPY COMPLEX |
0360 |
1995 |
1995 |
598.5 |
1815.45 |
1396.5 |
598.5 |
1815.45 |
1436.3999999999999 |
1695.75 |
Carle Eureka Hospital |
1321050683 |
BRONCHOSCOPY BASIC |
0360 |
1975 |
1975 |
592.5 |
1797.25 |
1382.5 |
592.5 |
1797.25 |
1422 |
1678.75 |
Carle Eureka Hospital |
1321050684 |
BRONCHOSCOPY COMPLEX |
0360 |
2365 |
2365 |
709.5 |
2152.15 |
1655.5 |
709.5 |
2152.15 |
1702.8 |
2010.25 |
Carle Eureka Hospital |
1321050689 |
SMALL BOWEL ENDOSCOPY BASIC |
0360 |
1705 |
1705 |
511.5 |
1551.55 |
1193.5 |
511.5 |
1551.55 |
1227.5999999999999 |
1449.25 |
Carle Eureka Hospital |
1321050690 |
SMALL BOWEL ENDOSCOPY COMPLEX |
0360 |
2065 |
2065 |
619.5 |
1879.15 |
1445.5 |
619.5 |
1879.15 |
1486.8 |
1755.25 |
Carle Eureka Hospital |
1321050761 |
CHEMO IV PUSH INITIAL DRUG |
96409 |
0335 |
805 |
805 |
241.5 |
732.55000000000007 |
563.5 |
241.5 |
732.55000000000007 |
579.6 |
684.25 |
Carle Eureka Hospital |
1321050813 |
ARTHROCENTESIS MAJ JNT WO IMAG |
20610 |
0361 |
760 |
760 |
228 |
691.6 |
532 |
228 |
691.6 |
547.19999999999993 |
646 |
Carle Eureka Hospital |
1321050904 |
INJECT TRIGGER PT THREE OR MOR |
20553 |
0361 |
760 |
760 |
228 |
691.6 |
532 |
228 |
691.6 |
547.19999999999993 |
646 |
Carle Eureka Hospital |
1321050907 |
INJECT TRIGGER PT 1-2 MUSCLE |
20552 |
0361 |
760 |
760 |
228 |
691.6 |
532 |
228 |
691.6 |
547.19999999999993 |
646 |
Carle Eureka Hospital |
1321060355 |
BLD DRAW FROM CENTRAL LINE |
36591 |
0300 |
230 |
230 |
69 |
209.3 |
161 |
69 |
209.3 |
165.6 |
195.5 |
Carle Eureka Hospital |
1321060399 |
SI JNT ARTHRO INJ W IMAGE |
27096 |
0361 |
1680 |
1680 |
504 |
1528.8 |
1176 |
504 |
1528.8 |
1209.5999999999999 |
1428 |
Carle Eureka Hospital |
1321060413 |
TRANSF INJ L/S EA ADD LVL W GU |
64484 |
0361 |
1040 |
1040 |
312 |
946.4 |
728 |
312 |
946.4 |
748.8 |
884 |
Carle Eureka Hospital |
1321060416 |
TRANSF INJ L/S SING LVL W GUI |
64483 |
0361 |
2080 |
2080 |
624 |
1892.8 |
1456 |
624 |
1892.8 |
1497.6 |
1768 |
Carle Eureka Hospital |
1321060419 |
FACET INJ L/S 3RD+EA AD LVL W |
64495 |
0361 |
1040 |
1040 |
312 |
946.4 |
728 |
312 |
946.4 |
748.8 |
884 |
Carle Eureka Hospital |
1321060422 |
FACET INJ L/S SINGLE LVL W IMA |
64493 |
0361 |
2080 |
2080 |
624 |
1892.8 |
1456 |
624 |
1892.8 |
1497.6 |
1768 |
Carle Eureka Hospital |
1321060425 |
FACET INJ C/T SINGLE LVL W IMA |
64490 |
0361 |
2080 |
2080 |
624 |
1892.8 |
1456 |
624 |
1892.8 |
1497.6 |
1768 |
Carle Eureka Hospital |
1321060428 |
FACET INJ C/T 3RD&E AD LVL W I |
64492 |
0361 |
1040 |
1040 |
312 |
946.4 |
728 |
312 |
946.4 |
748.8 |
884 |
Carle Eureka Hospital |
1321060432 |
EPID C/T INJ EA LVL W IMAGE |
62321 |
0361 |
1680 |
1680 |
504 |
1528.8 |
1176 |
504 |
1528.8 |
1209.5999999999999 |
1428 |
Carle Eureka Hospital |
1321060436 |
EPID INJ L/S/C EA LVL W IMAGE |
62323 |
0361 |
1680 |
1680 |
504 |
1528.8 |
1176 |
504 |
1528.8 |
1209.5999999999999 |
1428 |
Carle Eureka Hospital |
1321060439 |
ILIONGUINAL HYPOGASTRIC NB |
64425 |
0361 |
1680 |
1680 |
504 |
1528.8 |
1176 |
504 |
1528.8 |
1209.5999999999999 |
1428 |
Carle Eureka Hospital |
1321060659 |
FACET INJ C/T 2ND LEVEL W IMAG |
64491 |
0361 |
1040 |
1040 |
312 |
946.4 |
728 |
312 |
946.4 |
748.8 |
884 |
Carle Eureka Hospital |
1321060661 |
FACET INJ L/S 2ND LEVEL W IMAG |
64494 |
0361 |
1040 |
1040 |
312 |
946.4 |
728 |
312 |
946.4 |
748.8 |
884 |
Carle Eureka Hospital |
1321060674 |
ARTHROCENTESIS SMALL JOINT/BUR |
20600 |
0361 |
760 |
760 |
228 |
691.6 |
532 |
228 |
691.6 |
547.19999999999993 |
646 |
Carle Eureka Hospital |
1321060676 |
ARTHROCENT INTERMED JOINT/BURS |
20605 |
0361 |
760 |
760 |
228 |
691.6 |
532 |
228 |
691.6 |
547.19999999999993 |
646 |
Carle Eureka Hospital |
1321060683 |
INTERCOSTAL NERVE BLOCK SINGLE |
64420 |
0361 |
1680 |
1680 |
504 |
1528.8 |
1176 |
504 |
1528.8 |
1209.5999999999999 |
1428 |
Carle Eureka Hospital |
1321060685 |
INTERCOST NERV BLCK MULTIPLE |
64421 |
0361 |
2080 |
2080 |
624 |
1892.8 |
1456 |
624 |
1892.8 |
1497.6 |
1768 |
Carle Eureka Hospital |
1321060696 |
BLOOD TRANSFUSION DAILY |
36430 |
0391 |
1020 |
1020 |
306 |
928.2 |
714 |
306 |
928.2 |
734.4 |
867 |
Carle Eureka Hospital |
1321060900 |
FACET INJ C/T SNGL LVL BIL W I |
6449050 |
0361 |
3120 |
3120 |
936 |
2839.2000000000003 |
2184 |
936 |
2839.2000000000003 |
2246.4 |
2652 |
Carle Eureka Hospital |
1321060902 |
FACET INJ C/T 2ND LVL BIL W IM |
6449150 |
0361 |
1560 |
1560 |
468 |
1419.6000000000001 |
1092 |
468 |
1419.6000000000001 |
1123.2 |
1326 |
Carle Eureka Hospital |
1321060904 |
FACET INJ C/T 3+ LVL BIL W IMA |
6449250 |
0361 |
1560 |
1560 |
468 |
1419.6000000000001 |
1092 |
468 |
1419.6000000000001 |
1123.2 |
1326 |
Carle Eureka Hospital |
1321060906 |
FACET INJ L/S SNGL LVL BIL W I |
6449350 |
0361 |
3120 |
3120 |
936 |
2839.2000000000003 |
2184 |
936 |
2839.2000000000003 |
2246.4 |
2652 |
Carle Eureka Hospital |
1321060908 |
FACET INJ L/S 2ND LVL BIL W IM |
6449450 |
0361 |
1560 |
1560 |
468 |
1419.6000000000001 |
1092 |
468 |
1419.6000000000001 |
1123.2 |
1326 |
Carle Eureka Hospital |
1321060910 |
FACET INJ L/S 3+ LVL BIL W IMA |
6449550 |
0361 |
1560 |
1560 |
468 |
1419.6000000000001 |
1092 |
468 |
1419.6000000000001 |
1123.2 |
1326 |
Carle Eureka Hospital |
1321061251 |
PARAVERT FACET JNT CR/THR W IM |
64633 |
0361 |
3323 |
3323 |
996.9 |
3023.9300000000003 |
2326.1 |
996.9 |
3023.9300000000003 |
2392.56 |
2824.5499999999997 |
Carle Eureka Hospital |
1321061252 |
PARAVER FACT JNT CR/TH EA AD W |
64634 |
0361 |
831 |
831 |
249.29999999999998 |
756.21 |
581.69999999999993 |
249.29999999999998 |
756.21 |
598.31999999999994 |
706.35 |
Carle Eureka Hospital |
1321061253 |
PARAVERT FACET JNT LM/SAC W IM |
64635 |
0361 |
3323 |
3323 |
996.9 |
3023.9300000000003 |
2326.1 |
996.9 |
3023.9300000000003 |
2392.56 |
2824.5499999999997 |
Carle Eureka Hospital |
1321061254 |
PARAVER FACT JNT LM/SC EA AD W |
64636 |
0361 |
831 |
831 |
249.29999999999998 |
756.21 |
581.69999999999993 |
249.29999999999998 |
756.21 |
598.31999999999994 |
706.35 |
Carle Eureka Hospital |
1321061259 |
EPID C/T INJ EA LVL WO IMAGE |
62320 |
0361 |
1680 |
1680 |
504 |
1528.8 |
1176 |
504 |
1528.8 |
1209.5999999999999 |
1428 |
Carle Eureka Hospital |
1321061260 |
EPID INJ L/S/C EA LVL WO IMAG |
62322 |
0361 |
1680 |
1680 |
504 |
1528.8 |
1176 |
504 |
1528.8 |
1209.5999999999999 |
1428 |
Carle Eureka Hospital |
1321061261 |
SI JNT ARTHRO INJ W IMAGE BIL |
2709650 |
0361 |
2520 |
2520 |
756 |
2293.2000000000003 |
1764 |
756 |
2293.2000000000003 |
1814.3999999999999 |
2142 |
Carle Eureka Hospital |
1321061262 |
PARAFACET LM/SC JNT W IM BIL |
6463550 |
0361 |
4985 |
4985 |
1495.5 |
4536.3500000000004 |
3489.5 |
1495.5 |
4536.3500000000004 |
3589.2 |
4237.25 |
Carle Eureka Hospital |
1321061267 |
CHEMODENERV MUSC FACIAL BIL |
64615 |
0361 |
726 |
726 |
217.79999999999998 |
660.66 |
508.2 |
217.79999999999998 |
660.66 |
522.72 |
617.1 |
Carle Eureka Hospital |
1321061268 |
CHEMODENERV MUSC NECK UNI |
64616 |
0361 |
726 |
726 |
217.79999999999998 |
660.66 |
508.2 |
217.79999999999998 |
660.66 |
522.72 |
617.1 |
Carle Eureka Hospital |
1321061275 |
NEUROLYTC BLOCK PERIP NRVE UNI |
64640 |
0361 |
2080 |
2080 |
624 |
1892.8 |
1456 |
624 |
1892.8 |
1497.6 |
1768 |
Carle Eureka Hospital |
1321061276 |
NEUROLYTC BLOCK PERIP NRVE BIL |
6464050 |
0361 |
3120 |
3120 |
936 |
2839.2000000000003 |
2184 |
936 |
2839.2000000000003 |
2246.4 |
2652 |
Carle Eureka Hospital |
1321061297 |
LYSIS EPIDURAL ADHESIONS |
62264 |
0361 |
2778 |
2778 |
833.4 |
2527.98 |
1944.6 |
833.4 |
2527.98 |
2000.1599999999999 |
2361.2999999999997 |
Carle Eureka Hospital |
1321061312 |
PARAFACET CR/THR JNT W IM BIL |
6463350 |
0361 |
4986 |
4986 |
1495.8 |
4537.26 |
3490.2 |
1495.8 |
4537.26 |
3589.92 |
4238.0999999999995 |
Carle Eureka Hospital |
1321061321 |
TRANSF INJ L/S BIL W GUIDE |
6448350 |
0361 |
3120 |
3120 |
936 |
2839.2000000000003 |
2184 |
936 |
2839.2000000000003 |
2246.4 |
2652 |
Carle Eureka Hospital |
1321061332 |
NERVE BLK GREATER OCCIPITAL |
64405 |
0361 |
762 |
762 |
228.6 |
693.42000000000007 |
533.4 |
228.6 |
693.42000000000007 |
548.64 |
647.69999999999993 |
Carle Eureka Hospital |
1321061333 |
NERVE BLK GREATER OCCIPITAL BI |
6440550 |
0361 |
1143 |
1143 |
342.9 |
1040.1300000000001 |
800.09999999999991 |
342.9 |
1040.1300000000001 |
822.95999999999992 |
971.55 |
Carle Eureka Hospital |
1321410232 |
INSETION FOLEY CATHETER |
51702 |
0361 |
185 |
185 |
55.5 |
168.35 |
129.5 |
55.5 |
168.35 |
133.19999999999999 |
157.25 |
Carle Eureka Hospital |
1321420935 |
SUPPLIES PICC LINE |
C1751 |
0272 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
1321440611 |
RECOVERY PHASE II FIRST 30 MIN |
0710 |
210 |
210 |
63 |
191.1 |
147 |
63 |
191.1 |
151.19999999999999 |
178.5 |
Carle Eureka Hospital |
1321440614 |
RECOVERY PHASE II EA ADD 3OMIN |
0710 |
190 |
190 |
57 |
172.9 |
133 |
57 |
172.9 |
136.79999999999998 |
161.5 |
Carle Eureka Hospital |
1321450171 |
US GUIDE VASCULAR ACCESS |
76937 |
0402 |
345 |
345 |
103.5 |
313.95 |
241.49999999999997 |
103.5 |
313.95 |
248.39999999999998 |
293.25 |
Carle Eureka Hospital |
1321450356 |
PHLEBOTOMY THERAPEUTIC PER UNI |
99195 |
0940 |
180 |
180 |
54 |
163.80000000000001 |
125.99999999999999 |
54 |
163.80000000000001 |
129.6 |
153 |
Carle Eureka Hospital |
1321450452 |
IV INF THERAPEUTIC EA ADD HR |
96366 |
0260 |
210 |
210 |
63 |
191.1 |
147 |
63 |
191.1 |
151.19999999999999 |
178.5 |
Carle Eureka Hospital |
1321450453 |
IV INF THERAPEUTIC UP TO 1HR |
96365 |
0260 |
635 |
635 |
190.5 |
577.85 |
444.5 |
190.5 |
577.85 |
457.2 |
539.75 |
Carle Eureka Hospital |
1321450484 |
INJECTION SUB-Q/IM |
96372 |
0260 |
125 |
125 |
37.5 |
113.75 |
87.5 |
37.5 |
113.75 |
90 |
106.25 |
Carle Eureka Hospital |
1321450490 |
IV PUSH INITIAL DRUG |
96374 |
0260 |
234 |
234 |
70.2 |
212.94 |
163.79999999999998 |
70.2 |
212.94 |
168.48 |
198.9 |
Carle Eureka Hospital |
1321450603 |
IV PUSH EA SEQUENTIAL DRUG |
96376 |
0260 |
153 |
153 |
45.9 |
139.23000000000002 |
107.1 |
45.9 |
139.23000000000002 |
110.16 |
130.04999999999998 |
Carle Eureka Hospital |
1321450695 |
CODE BLUE |
92950 |
0480 |
1430 |
1430 |
429 |
1301.3 |
1000.9999999999999 |
429 |
1301.3 |
1029.5999999999999 |
1215.5 |
Carle Eureka Hospital |
1321450761 |
CHEMO IV PUSH INITIAL DRUG |
96409 |
0335 |
805 |
805 |
241.5 |
732.55000000000007 |
563.5 |
241.5 |
732.55000000000007 |
579.6 |
684.25 |
Carle Eureka Hospital |
1321450764 |
CHEMO ADMIN SUBQ/IM NON HORMON |
96401 |
0331 |
335 |
335 |
100.5 |
304.85000000000002 |
234.49999999999997 |
100.5 |
304.85000000000002 |
241.2 |
284.75 |
Carle Eureka Hospital |
1321450885 |
ADMININSTRATION IMMUNIZATION |
90471 |
0761 |
120 |
120 |
36 |
109.2 |
84 |
36 |
109.2 |
86.399999999999991 |
102 |
Carle Eureka Hospital |
1321460005 |
CHEMO ADMIN IV INFUSION 1 HR |
96413 |
0335 |
925 |
925 |
277.5 |
841.75 |
647.5 |
277.5 |
841.75 |
666 |
786.25 |
Carle Eureka Hospital |
1321460008 |
CHEMO ADMIN IV INF EA ADD HR |
96415 |
0335 |
334 |
334 |
100.2 |
303.94 |
233.79999999999998 |
100.2 |
303.94 |
240.48 |
283.89999999999998 |
Carle Eureka Hospital |
1321460217 |
PROCEDURE CANCLED PRIO TO ANES |
0360 |
135 |
135 |
40.5 |
122.85000000000001 |
94.5 |
40.5 |
122.85000000000001 |
97.2 |
114.75 |
Carle Eureka Hospital |
1321460263 |
ADMIN TB SKIN TEST |
86580 |
0300 |
44 |
44 |
13.2 |
40.04 |
30.799999999999997 |
13.2 |
40.04 |
31.68 |
37.4 |
Carle Eureka Hospital |
1321460269 |
US PV RESIDUAL URINE |
51798 |
0361 |
230 |
230 |
69 |
209.3 |
161 |
69 |
209.3 |
165.6 |
195.5 |
Carle Eureka Hospital |
1321460274 |
IV PUSH EA ADD DRUG |
96375 |
0260 |
168 |
168 |
50.4 |
152.88 |
117.6 |
50.4 |
152.88 |
120.96 |
142.79999999999998 |
Carle Eureka Hospital |
1321460275 |
IV INF CONCURRENT THERAPEUTIC |
96368 |
0260 |
345 |
345 |
103.5 |
313.95 |
241.49999999999997 |
103.5 |
313.95 |
248.39999999999998 |
293.25 |
Carle Eureka Hospital |
1321460276 |
IV INF SEQUENTIAL THER UP TO 1 |
96367 |
0260 |
210 |
210 |
63 |
191.1 |
147 |
63 |
191.1 |
151.19999999999999 |
178.5 |
Carle Eureka Hospital |
1321460293 |
INSERT STRAIGHT CATH THERAPEUT |
51701 |
0361 |
195 |
195 |
58.5 |
177.45000000000002 |
136.5 |
58.5 |
177.45000000000002 |
140.4 |
165.75 |
Carle Eureka Hospital |
1321460357 |
BLD DRAW W COMPLETELY IMPL VAD |
36591 |
0361 |
230 |
230 |
69 |
209.3 |
161 |
69 |
209.3 |
165.6 |
195.5 |
Carle Eureka Hospital |
1321460371 |
CHEMO IV PUSH EA ADD DRUG |
96411 |
0335 |
345 |
345 |
103.5 |
313.95 |
241.49999999999997 |
103.5 |
313.95 |
248.39999999999998 |
293.25 |
Carle Eureka Hospital |
1321460372 |
CHEMO ADMIN IV INF SEQ 1 HR |
96417 |
0335 |
335 |
335 |
100.5 |
304.85000000000002 |
234.49999999999997 |
100.5 |
304.85000000000002 |
241.2 |
284.75 |
Carle Eureka Hospital |
1321460373 |
IV INF HYDRATION EA ADD HR |
96361 |
0260 |
170 |
170 |
51 |
154.70000000000002 |
118.99999999999999 |
51 |
154.70000000000002 |
122.39999999999999 |
144.5 |
Carle Eureka Hospital |
1321460374 |
IV INF HYDRATION UP TO 1HR |
96360 |
0260 |
585 |
585 |
175.5 |
532.35 |
409.5 |
175.5 |
532.35 |
421.2 |
497.25 |
Carle Eureka Hospital |
1321460542 |
BLOOD DRAW FROM PERIPH VAD PIC |
36592 |
0361 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
1321460696 |
BLOOD TRANSFUSION DAILY |
36430 |
0391 |
1020 |
1020 |
306 |
928.2 |
714 |
306 |
928.2 |
734.4 |
867 |
Carle Eureka Hospital |
1321460804 |
NURSING E/M ESTAB LVL 1 |
99211 |
0761 |
100 |
100 |
30 |
91 |
70 |
30 |
91 |
72 |
85 |
Carle Eureka Hospital |
1321460805 |
NURSING E/M ESTAB LVL 2 |
99212 |
0761 |
115 |
115 |
34.5 |
104.65 |
80.5 |
34.5 |
104.65 |
82.8 |
97.75 |
Carle Eureka Hospital |
1321460806 |
NURSING E/M ESTAB LVL 3 |
99213 |
0761 |
145 |
145 |
43.5 |
131.95000000000002 |
101.5 |
43.5 |
131.95000000000002 |
104.39999999999999 |
123.25 |
Carle Eureka Hospital |
1321460807 |
NURSING E/M ESTAB LVL 4 |
99214 |
0761 |
190 |
190 |
57 |
172.9 |
133 |
57 |
172.9 |
136.79999999999998 |
161.5 |
Carle Eureka Hospital |
1321460808 |
NURSING E/M ESTAB LVL 5 |
99215 |
0761 |
204 |
204 |
61.199999999999996 |
185.64000000000001 |
142.79999999999998 |
61.199999999999996 |
185.64000000000001 |
146.88 |
173.4 |
Carle Eureka Hospital |
1321460809 |
NURSING E/M NEW LVL 1 |
99201 |
0761 |
115 |
115 |
34.5 |
104.65 |
80.5 |
34.5 |
104.65 |
82.8 |
97.75 |
Carle Eureka Hospital |
1321460810 |
NURSING E/M NEW LVL 2 |
99202 |
0761 |
145 |
145 |
43.5 |
131.95000000000002 |
101.5 |
43.5 |
131.95000000000002 |
104.39999999999999 |
123.25 |
Carle Eureka Hospital |
1321460811 |
NURSING E/M NEW LVL 3 |
99203 |
0761 |
190 |
190 |
57 |
172.9 |
133 |
57 |
172.9 |
136.79999999999998 |
161.5 |
Carle Eureka Hospital |
1321460812 |
NURSING E/M NEW LVL 4 |
99204 |
0761 |
204 |
204 |
61.199999999999996 |
185.64000000000001 |
142.79999999999998 |
61.199999999999996 |
185.64000000000001 |
146.88 |
173.4 |
Carle Eureka Hospital |
1321460813 |
NURSING E/M NEW LVL 5 |
99205 |
0761 |
300 |
300 |
90 |
273 |
210 |
90 |
273 |
216 |
255 |
Carle Eureka Hospital |
1321460928 |
THORACENTESIS ASP W IMAGING |
32555 |
0361 |
1499 |
1499 |
449.7 |
1364.0900000000001 |
1049.3 |
449.7 |
1364.0900000000001 |
1079.28 |
1274.1499999999999 |
Carle Eureka Hospital |
1321461208 |
PORT FLUSH |
96523 |
0260 |
190 |
190 |
57 |
172.9 |
133 |
57 |
172.9 |
136.79999999999998 |
161.5 |
Carle Eureka Hospital |
1321490112 |
DECLOT PERM CATH W THROMBO |
36593 |
0361 |
650 |
650 |
195 |
591.5 |
454.99999999999994 |
195 |
591.5 |
468 |
552.5 |
Carle Eureka Hospital |
1322050484 |
INJECTION SUB-Q/IM |
96372 |
0260 |
125 |
125 |
37.5 |
113.75 |
87.5 |
37.5 |
113.75 |
90 |
106.25 |
Carle Eureka Hospital |
1322050904 |
INJECT TRIGGER PT THREE OR MOR |
20553 |
0510 |
760 |
760 |
228 |
691.6 |
532 |
228 |
691.6 |
547.19999999999993 |
646 |
Carle Eureka Hospital |
1322050907 |
INJECT TRIGGER PT 1-2 MUSCLE |
20552 |
0510 |
760 |
760 |
228 |
691.6 |
532 |
228 |
691.6 |
547.19999999999993 |
646 |
Carle Eureka Hospital |
1322061062 |
PAIN VISIT EST MINIMAL 5 |
99211 |
0510 |
100 |
100 |
30 |
91 |
70 |
30 |
91 |
72 |
85 |
Carle Eureka Hospital |
1322061063 |
PAIN VISIT EST STRTFWD 10 |
99212 |
0510 |
115 |
115 |
34.5 |
104.65 |
80.5 |
34.5 |
104.65 |
82.8 |
97.75 |
Carle Eureka Hospital |
1322061064 |
PAIN VISIT EST LOW COMP |
99213 |
0510 |
145 |
145 |
43.5 |
131.95000000000002 |
101.5 |
43.5 |
131.95000000000002 |
104.39999999999999 |
123.25 |
Carle Eureka Hospital |
1322061065 |
PAIN VISIT EST MOD COMP |
99214 |
0510 |
190 |
190 |
57 |
172.9 |
133 |
57 |
172.9 |
136.79999999999998 |
161.5 |
Carle Eureka Hospital |
1322061066 |
PAIN VISIT EST HIGH COMP |
99215 |
0510 |
204 |
204 |
61.199999999999996 |
185.64000000000001 |
142.79999999999998 |
61.199999999999996 |
185.64000000000001 |
146.88 |
173.4 |
Carle Eureka Hospital |
1322061067 |
PAIN VISIT NEW STRTFWD 10 |
99201 |
0510 |
115 |
115 |
34.5 |
104.65 |
80.5 |
34.5 |
104.65 |
82.8 |
97.75 |
Carle Eureka Hospital |
1322061068 |
PAIN VISIT NEW STRTFWD 20 |
99202 |
0510 |
145 |
145 |
43.5 |
131.95000000000002 |
101.5 |
43.5 |
131.95000000000002 |
104.39999999999999 |
123.25 |
Carle Eureka Hospital |
1322061069 |
PAIN VISIT NEW LOW COMP |
99203 |
0510 |
190 |
190 |
57 |
172.9 |
133 |
57 |
172.9 |
136.79999999999998 |
161.5 |
Carle Eureka Hospital |
1322061070 |
PAIN VISIT NEW MOD COMP |
99204 |
0510 |
204 |
204 |
61.199999999999996 |
185.64000000000001 |
142.79999999999998 |
61.199999999999996 |
185.64000000000001 |
146.88 |
173.4 |
Carle Eureka Hospital |
1322061071 |
PAIN VISIT NEW HIGH COMP |
99205 |
0510 |
300 |
300 |
90 |
273 |
210 |
90 |
273 |
216 |
255 |
Carle Eureka Hospital |
1322061367 |
VIRTUAL ORIGINATE SITE FAC FEE |
Q3014 |
0780 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
1323002377 |
CL TX SHLDR DISLOC/FX GT W MAN |
23665 |
0450 |
1560 |
1560 |
468 |
1419.6000000000001 |
1092 |
468 |
1419.6000000000001 |
1123.2 |
1326 |
Carle Eureka Hospital |
1323010304 |
OBSERVATION PER HR |
G0378 |
0762 |
40 |
40 |
12 |
36.4 |
28 |
12 |
36.4 |
28.799999999999997 |
34 |
Carle Eureka Hospital |
1323010305 |
OBSERVATION TELE PER HR ETS |
G0378 |
0762 |
64 |
64 |
19.2 |
58.24 |
44.8 |
19.2 |
58.24 |
46.08 |
54.4 |
Carle Eureka Hospital |
1323020288 |
SYSTEM CHEST TUBE |
0272 |
365 |
365 |
109.5 |
332.15000000000003 |
255.49999999999997 |
109.5 |
332.15000000000003 |
262.8 |
310.25 |
Carle Eureka Hospital |
1323021359 |
SUTURES |
0272 |
27 |
27 |
8.1 |
24.57 |
18.899999999999999 |
8.1 |
24.57 |
19.439999999999998 |
22.95 |
Carle Eureka Hospital |
1323040620 |
MOD SEDATION 1 ST 15 MIN |
99152 |
0370 |
345 |
345 |
103.5 |
313.95 |
241.49999999999997 |
103.5 |
313.95 |
248.39999999999998 |
293.25 |
Carle Eureka Hospital |
1323040621 |
MOD SEDATION EA ADD 15 MIN |
99153 |
0370 |
110 |
110 |
33 |
100.10000000000001 |
77 |
33 |
100.10000000000001 |
79.2 |
93.5 |
Carle Eureka Hospital |
1323050150 |
ED SERVICE LEVEL V |
99285 |
0450 |
1400 |
1400 |
420 |
1274 |
979.99999999999989 |
420 |
1274 |
1008 |
1190 |
Carle Eureka Hospital |
1323050153 |
ED SERVICE LEVEL IV |
99284 |
0450 |
900 |
900 |
270 |
819 |
630 |
270 |
819 |
648 |
765 |
Carle Eureka Hospital |
1323050155 |
ED SERVICE LEVEL III |
99283 |
0450 |
600 |
600 |
180 |
546 |
420 |
180 |
546 |
432 |
510 |
Carle Eureka Hospital |
1323050157 |
ED SERVICE LEVEL II |
99282 |
0450 |
350 |
350 |
105 |
318.5 |
244.99999999999997 |
105 |
318.5 |
252 |
297.5 |
Carle Eureka Hospital |
1323050158 |
ED SERVICE LEVEL I |
99281 |
0450 |
225 |
225 |
67.5 |
204.75 |
157.5 |
67.5 |
204.75 |
162 |
191.25 |
Carle Eureka Hospital |
1323050179 |
CHEST TUBE THORACOSTOMY |
32551 |
0450 |
1235 |
1235 |
370.5 |
1123.8500000000001 |
864.5 |
370.5 |
1123.8500000000001 |
889.19999999999993 |
1049.75 |
Carle Eureka Hospital |
1323050209 |
STRAPPING SHOULDER APPLICATION |
29240 |
0450 |
170 |
170 |
51 |
154.70000000000002 |
118.99999999999999 |
51 |
154.70000000000002 |
122.39999999999999 |
144.5 |
Carle Eureka Hospital |
1323050213 |
STRAPPING HAND/FINGER |
29280 |
0450 |
155 |
155 |
46.5 |
141.05000000000001 |
108.5 |
46.5 |
141.05000000000001 |
111.6 |
131.75 |
Carle Eureka Hospital |
1323050214 |
STRAPPING ELBOW/WRIST |
29260 |
0450 |
160 |
160 |
48 |
145.6 |
112 |
48 |
145.6 |
115.19999999999999 |
136 |
Carle Eureka Hospital |
1323050215 |
STRAPPING ANKLE/FOOT |
29540 |
0450 |
290 |
290 |
87 |
263.90000000000003 |
203 |
87 |
263.90000000000003 |
208.79999999999998 |
246.5 |
Carle Eureka Hospital |
1323050216 |
STRAPPING KNEE |
29530 |
0450 |
185 |
185 |
55.5 |
168.35 |
129.5 |
55.5 |
168.35 |
133.19999999999999 |
157.25 |
Carle Eureka Hospital |
1323050254 |
REPAIR WOUND SUPERFICIAL SIMPL |
12020 |
0450 |
1630 |
1630 |
489 |
1483.3 |
1141 |
489 |
1483.3 |
1173.5999999999999 |
1385.5 |
Carle Eureka Hospital |
1323050258 |
REPAIR SMP SCLP/TRNK/7.6-12.5 |
12004 |
0450 |
675 |
675 |
202.5 |
614.25 |
472.49999999999994 |
202.5 |
614.25 |
486 |
573.75 |
Carle Eureka Hospital |
1323050259 |
REPAIR SMP SCLP/TRNK 20.1-30 |
12006 |
0450 |
1170 |
1170 |
351 |
1064.7 |
819 |
351 |
1064.7 |
842.4 |
994.5 |
Carle Eureka Hospital |
1323050260 |
REPAIR SMP SCLP/TRNK/E 2.6-7.5 |
12002 |
0450 |
545 |
545 |
163.5 |
495.95 |
381.5 |
163.5 |
495.95 |
392.4 |
463.25 |
Carle Eureka Hospital |
1323050261 |
REPAIR SMP SCLP/TRNK 12.6-20 |
12005 |
0450 |
850 |
850 |
255 |
773.5 |
595 |
255 |
773.5 |
612 |
722.5 |
Carle Eureka Hospital |
1323050262 |
REPAIR SMP SCLP/TRNK/EXT <2.5C |
12001 |
0450 |
500 |
500 |
150 |
455 |
350 |
150 |
455 |
360 |
425 |
Carle Eureka Hospital |
1323050266 |
REP CMPLX SCLP/ARM/LEG 1.1-2.5 |
13120 |
0450 |
1245 |
1245 |
373.5 |
1132.95 |
871.5 |
373.5 |
1132.95 |
896.4 |
1058.25 |
Carle Eureka Hospital |
1323050269 |
REPAIR NAIL BED |
11760 |
0450 |
885 |
885 |
265.5 |
805.35 |
619.5 |
265.5 |
805.35 |
637.19999999999993 |
752.25 |
Carle Eureka Hospital |
1323050270 |
REPAIR MOUTH COMPLEX> 2.5CM |
40831 |
0450 |
1345 |
1345 |
403.5 |
1223.95 |
941.49999999999989 |
403.5 |
1223.95 |
968.4 |
1143.25 |
Carle Eureka Hospital |
1323050271 |
REPAIR LIP FULL THCK VERM ONLY |
40650 |
0450 |
1770 |
1770 |
531 |
1610.7 |
1239 |
531 |
1610.7 |
1274.3999999999999 |
1504.5 |
Carle Eureka Hospital |
1323050273 |
REP CMPLX SCLP/ARM/LEG EA AD 5 |
13122 |
0450 |
790 |
790 |
237 |
718.9 |
553 |
237 |
718.9 |
568.79999999999995 |
671.5 |
Carle Eureka Hospital |
1323050276 |
REPAIR SMP FACE 7.6 to12.5CM |
12015 |
0450 |
875 |
875 |
262.5 |
796.25 |
612.5 |
262.5 |
796.25 |
630 |
743.75 |
Carle Eureka Hospital |
1323050277 |
REPAIR SMP FACE 5.1-7.5CM |
12014 |
0450 |
800 |
800 |
240 |
728 |
560 |
240 |
728 |
576 |
680 |
Carle Eureka Hospital |
1323050279 |
REPAIR SMP FACE 2.6-5.0CM |
12013 |
0450 |
675 |
675 |
202.5 |
614.25 |
472.49999999999994 |
202.5 |
614.25 |
486 |
573.75 |
Carle Eureka Hospital |
1323050281 |
REPAIR SMP FACE <2.5CM |
12011 |
0450 |
515 |
515 |
154.5 |
468.65000000000003 |
360.5 |
154.5 |
468.65000000000003 |
370.8 |
437.75 |
Carle Eureka Hospital |
1323050282 |
REP CMPLX EYE/NS/ER/LP 1.1-2.5 |
13151 |
0450 |
1515 |
1515 |
454.5 |
1378.65 |
1060.5 |
454.5 |
1378.65 |
1090.8 |
1287.75 |
Carle Eureka Hospital |
1323050284 |
REP CMPLX EYE/NS/ER/LP 2.6-7.5 |
13152 |
0450 |
1555 |
1555 |
466.5 |
1415.05 |
1088.5 |
466.5 |
1415.05 |
1119.5999999999999 |
1321.75 |
Carle Eureka Hospital |
1323050287 |
REP CMPLX SCLP/ARM/LEG 2.6-7.5 |
13121 |
0450 |
1315 |
1315 |
394.5 |
1196.6500000000001 |
920.49999999999989 |
394.5 |
1196.6500000000001 |
946.8 |
1117.75 |
Carle Eureka Hospital |
1323050290 |
REPAIR WOUND ANT TONGUE <2.5CM |
41250 |
0450 |
765 |
765 |
229.5 |
696.15 |
535.5 |
229.5 |
696.15 |
550.79999999999995 |
650.25 |
Carle Eureka Hospital |
1323050293 |
AVULSION NAIL PLATE 1ST SIMPLE |
11730 |
0450 |
310 |
310 |
93 |
282.10000000000002 |
217 |
93 |
282.10000000000002 |
223.2 |
263.5 |
Carle Eureka Hospital |
1323050294 |
REMOVAL FB MUSCLE SIMPLE |
20520 |
0450 |
1530 |
1530 |
459 |
1392.3 |
1071 |
459 |
1392.3 |
1101.5999999999999 |
1300.5 |
Carle Eureka Hospital |
1323050296 |
REMOVAL FB NASAL |
30300 |
0450 |
360 |
360 |
108 |
327.60000000000002 |
251.99999999999997 |
108 |
327.60000000000002 |
259.2 |
306 |
Carle Eureka Hospital |
1323050297 |
REMOVAL FB FOOT SUBCUTANEOUS |
28190 |
0450 |
1620 |
1620 |
486 |
1474.2 |
1134 |
486 |
1474.2 |
1166.3999999999999 |
1377 |
Carle Eureka Hospital |
1323050299 |
REMOVAL FB EYE CORNEA WO SLIT |
65220 |
0450 |
530 |
530 |
159 |
482.3 |
371 |
159 |
482.3 |
381.59999999999997 |
450.5 |
Carle Eureka Hospital |
1323050300 |
REMOVAL FB EYE CONJUNTC SUPERF |
65205 |
0450 |
440 |
440 |
132 |
400.40000000000003 |
308 |
132 |
400.40000000000003 |
316.8 |
374 |
Carle Eureka Hospital |
1323050301 |
REMOVAL FB EYE CONJUNCT EMBEDD |
65210 |
0450 |
714 |
714 |
214.2 |
649.74 |
499.79999999999995 |
214.2 |
649.74 |
514.07999999999993 |
606.9 |
Carle Eureka Hospital |
1323050302 |
REMOVAL FB EYE CORN W SLIT LAM |
65222 |
0450 |
400 |
400 |
120 |
364 |
280 |
120 |
364 |
288 |
340 |
Carle Eureka Hospital |
1323050304 |
REMOVAL BOOT/BODY CAST |
29700 |
0450 |
305 |
305 |
91.5 |
277.55 |
213.5 |
91.5 |
277.55 |
219.6 |
259.25 |
Carle Eureka Hospital |
1323050305 |
REMOV IMPACT CERUMEN INSTR UNI |
69210 |
0450 |
195 |
195 |
58.5 |
177.45000000000002 |
136.5 |
58.5 |
177.45000000000002 |
140.4 |
165.75 |
Carle Eureka Hospital |
1323050306 |
REMOVAL FB EAR |
69200 |
0450 |
360 |
360 |
108 |
327.60000000000002 |
251.99999999999997 |
108 |
327.60000000000002 |
259.2 |
306 |
Carle Eureka Hospital |
1323050318 |
LUMBAR PUNCTURE DIAGNOSTIC |
62270 |
0450 |
1035 |
1035 |
310.5 |
941.85 |
724.5 |
310.5 |
941.85 |
745.19999999999993 |
879.75 |
Carle Eureka Hospital |
1323050431 |
REP LAYER FACE 5.1-7.5CM |
12053 |
0450 |
826 |
826 |
247.79999999999998 |
751.66000000000008 |
578.19999999999993 |
247.79999999999998 |
751.66000000000008 |
594.72 |
702.1 |
Carle Eureka Hospital |
1323050433 |
REP LAYER FACE 2.6-5.0CM |
12052 |
0450 |
1215 |
1215 |
364.5 |
1105.6500000000001 |
850.5 |
364.5 |
1105.6500000000001 |
874.8 |
1032.75 |
Carle Eureka Hospital |
1323050434 |
REP LAYER FACE 0-2.5CM |
12051 |
0450 |
550 |
550 |
165 |
500.5 |
385 |
165 |
500.5 |
396 |
467.5 |
Carle Eureka Hospital |
1323050438 |
REP LAYER NCK/HND/FT 2.6-7.5CM |
12042 |
0450 |
1155 |
1155 |
346.5 |
1051.05 |
808.5 |
346.5 |
1051.05 |
831.6 |
981.75 |
Carle Eureka Hospital |
1323050439 |
REP LAYER NCK/HND/FT 0-2.5CM |
12041 |
0450 |
980 |
980 |
294 |
891.80000000000007 |
686 |
294 |
891.80000000000007 |
705.6 |
833 |
Carle Eureka Hospital |
1323050441 |
REP LAYER SCLP/TRNK/7.6-12.5 |
12034 |
0450 |
1290 |
1290 |
387 |
1173.9000000000001 |
902.99999999999989 |
387 |
1173.9000000000001 |
928.8 |
1096.5 |
Carle Eureka Hospital |
1323050443 |
REP LAYER SCLP/TRNK/ 2.6-7.5 |
12032 |
0450 |
1155 |
1155 |
346.5 |
1051.05 |
808.5 |
346.5 |
1051.05 |
831.6 |
981.75 |
Carle Eureka Hospital |
1323050444 |
REP LAYER SCLP/TRNK/EXT <2.5CM |
12031 |
0450 |
1110 |
1110 |
333 |
1010.1 |
777 |
333 |
1010.1 |
799.19999999999993 |
943.5 |
Carle Eureka Hospital |
1323050445 |
REP LAYER SCLP/TRNK/ 12.6-20 |
12035 |
0450 |
1170 |
1170 |
351 |
1064.7 |
819 |
351 |
1064.7 |
842.4 |
994.5 |
Carle Eureka Hospital |
1323050451 |
IV INF THERAPEUTIC EA ADD HR |
96366 |
0260 |
210 |
210 |
63 |
191.1 |
147 |
63 |
191.1 |
151.19999999999999 |
178.5 |
Carle Eureka Hospital |
1323050453 |
IV INF THERAPEUTIC UP TO 1HR |
96365 |
0260 |
635 |
635 |
190.5 |
577.85 |
444.5 |
190.5 |
577.85 |
457.2 |
539.75 |
Carle Eureka Hospital |
1323050454 |
IRRIGATION BLADDER |
51700 |
0450 |
780 |
780 |
234 |
709.80000000000007 |
546 |
234 |
709.80000000000007 |
561.6 |
663 |
Carle Eureka Hospital |
1323050457 |
GASTRIC INTUBATION/LAVAGE |
43753 |
0450 |
930 |
930 |
279 |
846.30000000000007 |
651 |
279 |
846.30000000000007 |
669.6 |
790.5 |
Carle Eureka Hospital |
1323050458 |
INTUBATION |
31500 |
0450 |
787 |
787 |
236.1 |
716.17000000000007 |
550.9 |
236.1 |
716.17000000000007 |
566.64 |
668.94999999999993 |
Carle Eureka Hospital |
1323050481 |
TRANSVENOUS TEMP PACEMAKER SNG |
33210 |
0450 |
6875 |
6875 |
2062.5 |
6256.25 |
4812.5 |
2062.5 |
6256.25 |
4950 |
5843.75 |
Carle Eureka Hospital |
1323050484 |
INJECTION SUB-Q/IM |
96372 |
0260 |
125 |
125 |
37.5 |
113.75 |
87.5 |
37.5 |
113.75 |
90 |
106.25 |
Carle Eureka Hospital |
1323050490 |
IV PUSH INITIAL DRUG |
96374 |
0260 |
234 |
234 |
70.2 |
212.94 |
163.79999999999998 |
70.2 |
212.94 |
168.48 |
198.9 |
Carle Eureka Hospital |
1323050497 |
INJECTION PERIPHERAL NERVE BLO |
64450 |
0450 |
1680 |
1680 |
504 |
1528.8 |
1176 |
504 |
1528.8 |
1209.5999999999999 |
1428 |
Carle Eureka Hospital |
1323050528 |
REMOVAL FB SUBCUT TISSUE SIMPL |
10120 |
0450 |
690 |
690 |
207 |
627.9 |
482.99999999999994 |
207 |
627.9 |
496.79999999999995 |
586.5 |
Carle Eureka Hospital |
1323050530 |
INCISION THROMBOSED HEMORRHOID |
46083 |
0450 |
950 |
950 |
285 |
864.5 |
665 |
285 |
864.5 |
684 |
807.5 |
Carle Eureka Hospital |
1323050531 |
I&D HEMATOMA/SEROMA/FLUID |
10140 |
0450 |
3160 |
3160 |
948 |
2875.6 |
2212 |
948 |
2875.6 |
2275.1999999999998 |
2686 |
Carle Eureka Hospital |
1323050532 |
I&D DENTOALVEOLAR STRUCTURES |
41800 |
0450 |
438 |
438 |
131.4 |
398.58000000000004 |
306.59999999999997 |
131.4 |
398.58000000000004 |
315.36 |
372.3 |
Carle Eureka Hospital |
1323050533 |
I&D PERINEAL/VULVA ABSCESS |
56405 |
0450 |
1055 |
1055 |
316.5 |
960.05000000000007 |
738.5 |
316.5 |
960.05000000000007 |
759.6 |
896.75 |
Carle Eureka Hospital |
1323050534 |
I&D ABSCESS SIMPLE |
10060 |
0450 |
675 |
675 |
202.5 |
614.25 |
472.49999999999994 |
202.5 |
614.25 |
486 |
573.75 |
Carle Eureka Hospital |
1323050535 |
I&D PILONIDAL CYST SIMPLE |
10080 |
0450 |
730 |
730 |
219 |
664.30000000000007 |
510.99999999999994 |
219 |
664.30000000000007 |
525.6 |
620.5 |
Carle Eureka Hospital |
1323050536 |
I&D PERIANAL ABSCESS |
46050 |
0450 |
2300 |
2300 |
690 |
2093 |
1610 |
690 |
2093 |
1656 |
1955 |
Carle Eureka Hospital |
1323050537 |
I&D PERIRECT OR ISCHIAL ABSCES |
46040 |
0450 |
3860 |
3860 |
1158 |
3512.6 |
2702 |
1158 |
3512.6 |
2779.2 |
3281 |
Carle Eureka Hospital |
1323050538 |
I&D ABSCESS FINGER SIMPLE |
26010 |
0450 |
610 |
610 |
183 |
555.1 |
427 |
183 |
555.1 |
439.2 |
518.5 |
Carle Eureka Hospital |
1323050539 |
I&D ABSCESS COMPLICATED |
10061 |
0450 |
1020 |
1020 |
306 |
928.2 |
714 |
306 |
928.2 |
734.4 |
867 |
Carle Eureka Hospital |
1323050582 |
EVACUATION SUBUNGUAL HEMATOMA |
11740 |
0450 |
195 |
195 |
58.5 |
177.45000000000002 |
136.5 |
58.5 |
177.45000000000002 |
140.4 |
165.75 |
Carle Eureka Hospital |
1323050603 |
IV PUSH EA SEQUENTIAL DRUG |
96376 |
0260 |
153 |
153 |
45.9 |
139.23000000000002 |
107.1 |
45.9 |
139.23000000000002 |
110.16 |
130.04999999999998 |
Carle Eureka Hospital |
1323050618 |
BURN CARE 1ST DEGREE |
16000 |
0450 |
370 |
370 |
111 |
336.7 |
259 |
111 |
336.7 |
266.39999999999998 |
314.5 |
Carle Eureka Hospital |
1323050628 |
CLSD TX RADIAL HEAD/NCK FX W M |
24655 |
0450 |
1710 |
1710 |
513 |
1556.1000000000001 |
1197 |
513 |
1556.1000000000001 |
1231.2 |
1453.5 |
Carle Eureka Hospital |
1323050634 |
BURN CARE SMALL |
16020 |
0450 |
510 |
510 |
153 |
464.1 |
357 |
153 |
464.1 |
367.2 |
433.5 |
Carle Eureka Hospital |
1323050635 |
BURN CARE MEDIUM |
16025 |
0450 |
620 |
620 |
186 |
564.20000000000005 |
434 |
186 |
564.20000000000005 |
446.4 |
527 |
Carle Eureka Hospital |
1323050636 |
BURN CARE LARGE |
16030 |
0450 |
790 |
790 |
237 |
718.9 |
553 |
237 |
718.9 |
568.79999999999995 |
671.5 |
Carle Eureka Hospital |
1323050638 |
I&D EXTERNAL EAR ABS/HEM/ SMP |
69000 |
0450 |
1190 |
1190 |
357 |
1082.9000000000001 |
833 |
357 |
1082.9000000000001 |
856.8 |
1011.5 |
Carle Eureka Hospital |
1323050662 |
DEBRIDE SKIN & SUBQ 1ST 20CM2 |
11042 |
0450 |
965 |
965 |
289.5 |
878.15 |
675.5 |
289.5 |
878.15 |
694.8 |
820.25 |
Carle Eureka Hospital |
1323050667 |
DEBRIDEMENT EXT ECZEMATOUS TO |
11000 |
0450 |
460 |
460 |
138 |
418.6 |
322 |
138 |
418.6 |
331.2 |
391 |
Carle Eureka Hospital |
1323050674 |
ED LEVEL VI CRIT CARE ADD 30 M |
99292 |
0450 |
1200 |
1200 |
360 |
1092 |
840 |
360 |
1092 |
864 |
1020 |
Carle Eureka Hospital |
1323050675 |
ED LEVEL VI CRIT CARE 30-74 |
99291 |
0450 |
1710 |
1710 |
513 |
1556.1000000000001 |
1197 |
513 |
1556.1000000000001 |
1231.2 |
1453.5 |
Carle Eureka Hospital |
1323050678 |
CONTL NASAL HEMORRHAGE ANTER |
30901 |
0450 |
360 |
360 |
108 |
327.60000000000002 |
251.99999999999997 |
108 |
327.60000000000002 |
259.2 |
306 |
Carle Eureka Hospital |
1323050679 |
CONTL NASAL HEMORRH POSTERIOR |
30905 |
0450 |
400 |
400 |
120 |
364 |
280 |
120 |
364 |
288 |
340 |
Carle Eureka Hospital |
1323050695 |
CODE BLUE |
92950 |
0450 |
1430 |
1430 |
429 |
1301.3 |
1000.9999999999999 |
429 |
1301.3 |
1029.5999999999999 |
1215.5 |
Carle Eureka Hospital |
1323050699 |
CLSD TX ANKLE TRIMALLEO W MANI |
27818 |
0450 |
2180 |
2180 |
654 |
1983.8 |
1526 |
654 |
1983.8 |
1569.6 |
1853 |
Carle Eureka Hospital |
1323050705 |
DISLOCATION SHOULDER W ANES |
23655 |
0450 |
3955 |
3955 |
1186.5 |
3599.05 |
2768.5 |
1186.5 |
3599.05 |
2847.6 |
3361.75 |
Carle Eureka Hospital |
1323050706 |
DISLOCATION SHOULDER |
23650 |
0450 |
720 |
720 |
216 |
655.20000000000005 |
503.99999999999994 |
216 |
655.20000000000005 |
518.4 |
612 |
Carle Eureka Hospital |
1323050710 |
CLSD TX RAD & ULNA SHAFT W MAN |
25565 |
0450 |
1770 |
1770 |
531 |
1610.7 |
1239 |
531 |
1610.7 |
1274.3999999999999 |
1504.5 |
Carle Eureka Hospital |
1323050714 |
CLSD TX DIST RAD/ULNA (COLLES) |
25600 |
0450 |
800 |
800 |
240 |
728 |
560 |
240 |
728 |
576 |
680 |
Carle Eureka Hospital |
1323050715 |
CLSD DIST RAD SHAFT W MANIP |
25605 |
0450 |
1505 |
1505 |
451.5 |
1369.55 |
1053.5 |
451.5 |
1369.55 |
1083.5999999999999 |
1279.25 |
Carle Eureka Hospital |
1323050718 |
CLSD TX PHAL SHAFT FX W MANIP |
26725 |
0450 |
880 |
880 |
264 |
800.80000000000007 |
616 |
264 |
800.80000000000007 |
633.6 |
748 |
Carle Eureka Hospital |
1323050721 |
DISLOCATION RADIAL HEAD W MANI |
24640 |
0450 |
685 |
685 |
205.5 |
623.35 |
479.49999999999994 |
205.5 |
623.35 |
493.2 |
582.25 |
Carle Eureka Hospital |
1323050722 |
DISLOCATION MTP JOINT |
28630 |
0450 |
580 |
580 |
174 |
527.80000000000007 |
406 |
174 |
527.80000000000007 |
417.59999999999997 |
493 |
Carle Eureka Hospital |
1323050724 |
DISLOCATION MCP SINGLE W MANIP |
26700 |
0450 |
720 |
720 |
216 |
655.20000000000005 |
503.99999999999994 |
216 |
655.20000000000005 |
518.4 |
612 |
Carle Eureka Hospital |
1323050726 |
CLSD TX METACARPAL FX W MANIP |
26605 |
0450 |
1020 |
1020 |
306 |
928.2 |
714 |
306 |
928.2 |
734.4 |
867 |
Carle Eureka Hospital |
1323050731 |
DISLOCATION FINGER/THUMB |
26770 |
0450 |
510 |
510 |
153 |
464.1 |
357 |
153 |
464.1 |
367.2 |
433.5 |
Carle Eureka Hospital |
1323050737 |
CLSD TX GREAT TOE FX WO MANIP |
28490 |
0450 |
460 |
460 |
138 |
418.6 |
322 |
138 |
418.6 |
331.2 |
391 |
Carle Eureka Hospital |
1323050739 |
CLSD TX OTHER TOES W MANIP |
28515 |
0450 |
640 |
640 |
192 |
582.4 |
448 |
192 |
582.4 |
460.79999999999995 |
544 |
Carle Eureka Hospital |
1323050740 |
DISLOCATION ELBOW |
24600 |
0450 |
880 |
880 |
264 |
800.80000000000007 |
616 |
264 |
800.80000000000007 |
633.6 |
748 |
Carle Eureka Hospital |
1323050741 |
CLSD TX DISTAL FIB FX W MANIP |
27788 |
0450 |
1710 |
1710 |
513 |
1556.1000000000001 |
1197 |
513 |
1556.1000000000001 |
1231.2 |
1453.5 |
Carle Eureka Hospital |
1323050748 |
DISLOCATION CMC THUMB W MANIP |
26641 |
0450 |
725 |
725 |
217.5 |
659.75 |
507.49999999999994 |
217.5 |
659.75 |
522 |
616.25 |
Carle Eureka Hospital |
1323050752 |
CLSD TX ANKLE BIMALLEO FX W MA |
27810 |
0450 |
3615 |
3615 |
1084.5 |
3289.65 |
2530.5 |
1084.5 |
3289.65 |
2602.7999999999997 |
3072.75 |
Carle Eureka Hospital |
1323050755 |
DISLOCATION TMJ |
21480 |
0450 |
650 |
650 |
195 |
591.5 |
454.99999999999994 |
195 |
591.5 |
468 |
552.5 |
Carle Eureka Hospital |
1323050771 |
CATH INDWELL BLADDER SIMPLE |
51702 |
0450 |
210 |
210 |
63 |
191.1 |
147 |
63 |
191.1 |
151.19999999999999 |
178.5 |
Carle Eureka Hospital |
1323050772 |
CATH INDWELL COMPLICATED |
51703 |
0450 |
460 |
460 |
138 |
418.6 |
322 |
138 |
418.6 |
331.2 |
391 |
Carle Eureka Hospital |
1323050777 |
CARDIOVERSION EXTERNAL |
92960 |
0450 |
1735 |
1735 |
520.5 |
1578.8500000000001 |
1214.5 |
520.5 |
1578.8500000000001 |
1249.2 |
1474.75 |
Carle Eureka Hospital |
1323050810 |
PUNCTURE ASPIRATION |
10160 |
0450 |
580 |
580 |
174 |
527.80000000000007 |
406 |
174 |
527.80000000000007 |
417.59999999999997 |
493 |
Carle Eureka Hospital |
1323050813 |
ARTHROCENT MAJ JNT WO IMAGE |
20610 |
0450 |
760 |
760 |
228 |
691.6 |
532 |
228 |
691.6 |
547.19999999999993 |
646 |
Carle Eureka Hospital |
1323050814 |
ARTHROCENT INTMED JNT WO IMAGE |
20605 |
0450 |
760 |
760 |
228 |
691.6 |
532 |
228 |
691.6 |
547.19999999999993 |
646 |
Carle Eureka Hospital |
1323050827 |
APPL SPLINT SHORT LEG |
29515 |
0450 |
495 |
495 |
148.5 |
450.45 |
346.5 |
148.5 |
450.45 |
356.4 |
420.75 |
Carle Eureka Hospital |
1323050828 |
APPL SPLINT SHORT ARM |
29125 |
0450 |
430 |
430 |
129 |
391.3 |
301 |
129 |
391.3 |
309.59999999999997 |
365.5 |
Carle Eureka Hospital |
1323050829 |
APPL SPLINT LONG LEG |
29505 |
0450 |
495 |
495 |
148.5 |
450.45 |
346.5 |
148.5 |
450.45 |
356.4 |
420.75 |
Carle Eureka Hospital |
1323050830 |
APPL SPLINT LONG ARM |
29105 |
0450 |
550 |
550 |
165 |
500.5 |
385 |
165 |
500.5 |
396 |
467.5 |
Carle Eureka Hospital |
1323050832 |
APPL SPLINT FINGER STATIC |
29130 |
0450 |
180 |
180 |
54 |
163.80000000000001 |
125.99999999999999 |
54 |
163.80000000000001 |
129.6 |
153 |
Carle Eureka Hospital |
1323050835 |
APPL CAST PATELLAR TENDON BEAR |
29435 |
0450 |
405 |
405 |
121.5 |
368.55 |
283.5 |
121.5 |
368.55 |
291.59999999999997 |
344.25 |
Carle Eureka Hospital |
1323050840 |
APPL CAST HAND FOREARM |
29085 |
0450 |
420 |
420 |
126 |
382.2 |
294 |
126 |
382.2 |
302.39999999999998 |
357 |
Carle Eureka Hospital |
1323050844 |
ANOSCOPY |
46600 |
0450 |
235 |
235 |
70.5 |
213.85 |
164.5 |
70.5 |
213.85 |
169.2 |
199.75 |
Carle Eureka Hospital |
1323050885 |
ADMIN IMMUNIZATION |
90471 |
0771 |
120 |
120 |
36 |
109.2 |
84 |
36 |
109.2 |
86.399999999999991 |
102 |
Carle Eureka Hospital |
1323050895 |
EXCISION NAIL & MATRIX |
11750 |
0450 |
880 |
880 |
264 |
800.80000000000007 |
616 |
264 |
800.80000000000007 |
633.6 |
748 |
Carle Eureka Hospital |
1323050907 |
INJECTION TRIGGER PT 1-2 MUSCL |
20552 |
0450 |
760 |
760 |
228 |
691.6 |
532 |
228 |
691.6 |
547.19999999999993 |
646 |
Carle Eureka Hospital |
1323050919 |
ADMIN IMMUNIZATION EA ADD VACC |
90472 |
0771 |
64 |
64 |
19.2 |
58.24 |
44.8 |
19.2 |
58.24 |
46.08 |
54.4 |
Carle Eureka Hospital |
1323050940 |
DISLOCATION INTERPHAL JOINT |
28660 |
0450 |
800 |
800 |
240 |
728 |
560 |
240 |
728 |
576 |
680 |
Carle Eureka Hospital |
1323050949 |
EXCISION SKIN OF NAIL FOLD |
11765 |
0450 |
870 |
870 |
261 |
791.7 |
609 |
261 |
791.7 |
626.4 |
739.5 |
Carle Eureka Hospital |
1323050972 |
I&D BARTHOLIN GLAND ABSCESS |
56420 |
0450 |
550 |
550 |
165 |
500.5 |
385 |
165 |
500.5 |
396 |
467.5 |
Carle Eureka Hospital |
1323050979 |
DRAINAGE MOUTH ABSCESS SIMPLE |
40800 |
0450 |
340 |
340 |
102 |
309.40000000000003 |
237.99999999999997 |
102 |
309.40000000000003 |
244.79999999999998 |
289 |
Carle Eureka Hospital |
1323050990 |
STRAPPING TOES |
29550 |
0450 |
180 |
180 |
54 |
163.80000000000001 |
125.99999999999999 |
54 |
163.80000000000001 |
129.6 |
153 |
Carle Eureka Hospital |
1323060023 |
CONTL NASAL HEMORRH ANTER COMP |
30903 |
0450 |
440 |
440 |
132 |
400.40000000000003 |
308 |
132 |
400.40000000000003 |
316.8 |
374 |
Carle Eureka Hospital |
1323060029 |
REPAIR LIP FULL THCK 1/2 VERT |
40652 |
0450 |
1530 |
1530 |
459 |
1392.3 |
1071 |
459 |
1392.3 |
1101.5999999999999 |
1300.5 |
Carle Eureka Hospital |
1323060032 |
CRITICAL CARE NRSG 30-74 MOD |
9929125 |
0450 |
1650 |
1650 |
495 |
1501.5 |
1155 |
495 |
1501.5 |
1188 |
1402.5 |
Carle Eureka Hospital |
1323060043 |
CHANGE CYSTOSTOMY TUBE SIMPLE |
51705 |
0450 |
780 |
780 |
234 |
709.80000000000007 |
546 |
234 |
709.80000000000007 |
561.6 |
663 |
Carle Eureka Hospital |
1323060059 |
CLSD TX DIST PHALANGEAL W MANI |
26755 |
0450 |
720 |
720 |
216 |
655.20000000000005 |
503.99999999999994 |
216 |
655.20000000000005 |
518.4 |
612 |
Carle Eureka Hospital |
1323060085 |
HYPER KERATOTIC SING LESION PA |
11055 |
0450 |
300 |
300 |
90 |
273 |
210 |
90 |
273 |
216 |
255 |
Carle Eureka Hospital |
1323060247 |
EXC BENGN LESION .5CM OR LESS |
11420 |
0450 |
1860 |
1860 |
558 |
1692.6000000000001 |
1302 |
558 |
1692.6000000000001 |
1339.2 |
1581 |
Carle Eureka Hospital |
1323060269 |
US PV RESIDUAL URINE |
51798 |
0450 |
230 |
230 |
69 |
209.3 |
161 |
69 |
209.3 |
165.6 |
195.5 |
Carle Eureka Hospital |
1323060274 |
IV PUSH EA ADD DRUG |
96375 |
0260 |
168 |
168 |
50.4 |
152.88 |
117.6 |
50.4 |
152.88 |
120.96 |
142.79999999999998 |
Carle Eureka Hospital |
1323060275 |
IV INF CONCURRENT THERAPEUTIC |
96368 |
0260 |
345 |
345 |
103.5 |
313.95 |
241.49999999999997 |
103.5 |
313.95 |
248.39999999999998 |
293.25 |
Carle Eureka Hospital |
1323060276 |
IV INF SEQUENTIAL THER UP TO 1 |
96367 |
0260 |
210 |
210 |
63 |
191.1 |
147 |
63 |
191.1 |
151.19999999999999 |
178.5 |
Carle Eureka Hospital |
1323060293 |
INSERT STRAIGHT CATH THERAPEUT |
51701 |
0450 |
195 |
195 |
58.5 |
177.45000000000002 |
136.5 |
58.5 |
177.45000000000002 |
140.4 |
165.75 |
Carle Eureka Hospital |
1323060373 |
IV INF HYDRATION EA ADD HR |
96361 |
0260 |
170 |
170 |
51 |
154.70000000000002 |
118.99999999999999 |
51 |
154.70000000000002 |
122.39999999999999 |
144.5 |
Carle Eureka Hospital |
1323060374 |
IV INF HYDRATION UP TO 1HR |
96360 |
0260 |
585 |
585 |
175.5 |
532.35 |
409.5 |
175.5 |
532.35 |
421.2 |
497.25 |
Carle Eureka Hospital |
1323060375 |
CONT NASAL HEM SIMPLE BIL |
3090150 |
0450 |
450 |
450 |
135 |
409.5 |
315 |
135 |
409.5 |
324 |
382.5 |
Carle Eureka Hospital |
1323060696 |
ADMINISTRATION BLOOD |
36430 |
0391 |
1020 |
1020 |
306 |
928.2 |
714 |
306 |
928.2 |
734.4 |
867 |
Carle Eureka Hospital |
1323060777 |
NERVE BLOCK TRIGEMINAL |
64400 |
0450 |
735 |
735 |
220.5 |
668.85 |
514.5 |
220.5 |
668.85 |
529.19999999999993 |
624.75 |
Carle Eureka Hospital |
1323060801 |
CATH FOR URINE SPECIMEN |
P9612 |
0300 |
21 |
21 |
6.3 |
19.11 |
14.7 |
6.3 |
19.11 |
15.12 |
17.849999999999998 |
Carle Eureka Hospital |
1323060803 |
I&D PILONIDAL CYST COMPLEX |
10081 |
0450 |
1373 |
1373 |
411.9 |
1249.43 |
961.09999999999991 |
411.9 |
1249.43 |
988.56 |
1167.05 |
Carle Eureka Hospital |
1323060862 |
VENIPUNCTURE FOR LEGAL REVIEW |
36415 |
0300 |
21 |
21 |
6.3 |
19.11 |
14.7 |
6.3 |
19.11 |
15.12 |
17.849999999999998 |
Carle Eureka Hospital |
1323060927 |
THORACENTESIS ASP WO IMAGING |
32554 |
0450 |
1795 |
1795 |
538.5 |
1633.45 |
1256.5 |
538.5 |
1633.45 |
1292.3999999999999 |
1525.75 |
Carle Eureka Hospital |
1323061045 |
PLEURAL DRAIN INDWELL WO IMAGE |
32556 |
0450 |
1550 |
1550 |
465 |
1410.5 |
1085 |
465 |
1410.5 |
1116 |
1317.5 |
Carle Eureka Hospital |
1323061080 |
INJ TENDON SHEATH OR LIGAMENT |
20550 |
0450 |
705 |
705 |
211.5 |
641.55000000000007 |
493.49999999999994 |
211.5 |
641.55000000000007 |
507.59999999999997 |
599.25 |
Carle Eureka Hospital |
1323061081 |
REM FB UP ARM ELBOW SQ |
24200 |
0450 |
1140 |
1140 |
342 |
1037.4000000000001 |
798 |
342 |
1037.4000000000001 |
820.8 |
969 |
Carle Eureka Hospital |
1323061114 |
REMOVE IMPACT CERUMEN INSTR BI |
6921050 |
0450 |
195 |
195 |
58.5 |
177.45000000000002 |
136.5 |
58.5 |
177.45000000000002 |
140.4 |
165.75 |
Carle Eureka Hospital |
1323061118 |
APPL SPLINT SHORT ARM BIL |
2912550 |
0450 |
645 |
645 |
193.5 |
586.95000000000005 |
451.49999999999994 |
193.5 |
586.95000000000005 |
464.4 |
548.25 |
Carle Eureka Hospital |
1323061162 |
CHEMICAL CAUTERY TISSUE |
17250 |
0450 |
430 |
430 |
129 |
391.3 |
301 |
129 |
391.3 |
309.59999999999997 |
365.5 |
Carle Eureka Hospital |
1323061165 |
CANALITH REPOSITIONING PROC |
95992 |
0450 |
120 |
120 |
36 |
109.2 |
84 |
36 |
109.2 |
86.399999999999991 |
102 |
Carle Eureka Hospital |
1323061166 |
EXC THROMBOSED HEMORRHOID EXT |
46320 |
0450 |
3510 |
3510 |
1053 |
3194.1 |
2457 |
1053 |
3194.1 |
2527.1999999999998 |
2983.5 |
Carle Eureka Hospital |
1323061168 |
INC AND DRG BURSA FOOT |
28001 |
0450 |
2865 |
2865 |
859.5 |
2607.15 |
2005.4999999999998 |
859.5 |
2607.15 |
2062.7999999999997 |
2435.25 |
Carle Eureka Hospital |
1323061181 |
REMOV IMPACT CERUMEN IRRIG UNI |
69209 |
0450 |
180 |
180 |
54 |
163.80000000000001 |
125.99999999999999 |
54 |
163.80000000000001 |
129.6 |
153 |
Carle Eureka Hospital |
1323061182 |
REMOV IMPACT CERUMEN IRRIG BIL |
6920950 |
0450 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
1323061196 |
APPL SPLINT LONG ARM BIL |
2910550 |
0450 |
550 |
550 |
165 |
500.5 |
385 |
165 |
500.5 |
396 |
467.5 |
Carle Eureka Hospital |
1323061211 |
REMOVAL FB EAR BILATERAL |
6920050 |
0450 |
360 |
360 |
108 |
327.60000000000002 |
251.99999999999997 |
108 |
327.60000000000002 |
259.2 |
306 |
Carle Eureka Hospital |
1323061212 |
APPL SPLINT LONG LEG BIL |
2950550 |
0450 |
495 |
495 |
148.5 |
450.45 |
346.5 |
148.5 |
450.45 |
356.4 |
420.75 |
Carle Eureka Hospital |
1323061227 |
DEEP SEDATION OUTSIDE OF OR |
0372 |
235 |
235 |
70.5 |
213.85 |
164.5 |
70.5 |
213.85 |
169.2 |
199.75 |
Carle Eureka Hospital |
1323061269 |
REPAIR FINGER TENDON EACH |
26418 |
0450 |
3820 |
3820 |
1146 |
3476.2000000000003 |
2674 |
1146 |
3476.2000000000003 |
2750.4 |
3247 |
Carle Eureka Hospital |
1323061310 |
CHANGE GTUBE WO IMAGE |
43762 |
0450 |
500 |
500 |
150 |
455 |
350 |
150 |
455 |
360 |
425 |
Carle Eureka Hospital |
1323090023 |
AVULSION NAIL PLATE EA ADD |
11732 |
0450 |
165 |
165 |
49.5 |
150.15 |
115.49999999999999 |
49.5 |
150.15 |
118.8 |
140.25 |
Carle Eureka Hospital |
1323090028 |
DEBRID OPEN WOUND <20SQCM |
97597 |
0450 |
383 |
383 |
114.89999999999999 |
348.53000000000003 |
268.09999999999997 |
114.89999999999999 |
348.53000000000003 |
275.76 |
325.55 |
Carle Eureka Hospital |
1323090038 |
INTRAOSSEOUS INFUSION |
36680 |
0450 |
550 |
550 |
165 |
500.5 |
385 |
165 |
500.5 |
396 |
467.5 |
Carle Eureka Hospital |
1323090144 |
EXCISION BENIGN LESION 1.1-2.0 |
11402 |
0450 |
1010 |
1010 |
303 |
919.1 |
707 |
303 |
919.1 |
727.19999999999993 |
858.5 |
Carle Eureka Hospital |
1323090148 |
TRIMMING NAILS |
11719 |
0450 |
215 |
215 |
64.5 |
195.65 |
150.5 |
64.5 |
195.65 |
154.79999999999998 |
182.75 |
Carle Eureka Hospital |
1323550530 |
INCISION THROMBOSED HEMORRHOID |
46083 |
0516 |
600 |
600 |
180 |
546 |
420 |
180 |
546 |
432 |
510 |
Carle Eureka Hospital |
1323510111 |
EUREKA COLLEGE SPORTS SERVICE |
99395 |
0510 |
65 |
65 |
19.5 |
59.15 |
45.5 |
19.5 |
59.15 |
46.8 |
55.25 |
Carle Eureka Hospital |
1323510175 |
EUREKA COLLEGE BASIC SERVICE |
99211 |
0510 |
40 |
40 |
12 |
36.4 |
28 |
12 |
36.4 |
28.799999999999997 |
34 |
Carle Eureka Hospital |
1323510260 |
LIMITED SPORTS/CHEER PHYSICAL |
0510 |
36 |
36 |
10.799999999999999 |
32.76 |
25.2 |
10.799999999999999 |
32.76 |
25.919999999999998 |
30.599999999999998 |
Carle Eureka Hospital |
1323550173 |
URINE DIPSTICK |
81002 |
0300 |
37 |
37 |
11.1 |
33.67 |
25.9 |
11.1 |
33.67 |
26.64 |
31.45 |
Carle Eureka Hospital |
1323550206 |
STREP A SCREEN |
87081 |
0300 |
97 |
97 |
29.099999999999998 |
88.27 |
67.899999999999991 |
29.099999999999998 |
88.27 |
69.84 |
82.45 |
Carle Eureka Hospital |
1323550209 |
STRAPPING SHOULDER APPLICATION |
29240 |
0516 |
170 |
170 |
51 |
154.70000000000002 |
118.99999999999999 |
51 |
154.70000000000002 |
122.39999999999999 |
144.5 |
Carle Eureka Hospital |
1323550213 |
STRAPPING HAND/FINGER |
29280 |
0516 |
155 |
155 |
46.5 |
141.05000000000001 |
108.5 |
46.5 |
141.05000000000001 |
111.6 |
131.75 |
Carle Eureka Hospital |
1323550214 |
STRAPPING ELBOW/WRIST |
29260 |
0516 |
160 |
160 |
48 |
145.6 |
112 |
48 |
145.6 |
115.19999999999999 |
136 |
Carle Eureka Hospital |
1323550215 |
STRAPPING ANKLE/FOOT |
29540 |
0516 |
290 |
290 |
87 |
263.90000000000003 |
203 |
87 |
263.90000000000003 |
208.79999999999998 |
246.5 |
Carle Eureka Hospital |
1323550216 |
STRAPPING KNEE |
29530 |
0516 |
185 |
185 |
55.5 |
168.35 |
129.5 |
55.5 |
168.35 |
133.19999999999999 |
157.25 |
Carle Eureka Hospital |
1323550254 |
REPAIR WOUND SUPERFICIAL SIMPL |
12020 |
0516 |
1630 |
1630 |
489 |
1483.3 |
1141 |
489 |
1483.3 |
1173.5999999999999 |
1385.5 |
Carle Eureka Hospital |
1323550258 |
REPAIR SMP SCLP/TRNK/7.6-12.5 |
12004 |
0516 |
675 |
675 |
202.5 |
614.25 |
472.49999999999994 |
202.5 |
614.25 |
486 |
573.75 |
Carle Eureka Hospital |
1323550260 |
REPAIR SMP SCLP/TRNK/E 2.6-7.5 |
12002 |
0516 |
545 |
545 |
163.5 |
495.95 |
381.5 |
163.5 |
495.95 |
392.4 |
463.25 |
Carle Eureka Hospital |
1323550269 |
REPAIR NAIL BED |
11760 |
0516 |
885 |
885 |
265.5 |
805.35 |
619.5 |
265.5 |
805.35 |
637.19999999999993 |
752.25 |
Carle Eureka Hospital |
1323550279 |
REPAIR SMP FACE 2.6-5.0CM |
12013 |
0510 |
675 |
675 |
202.5 |
614.25 |
472.49999999999994 |
202.5 |
614.25 |
486 |
573.75 |
Carle Eureka Hospital |
1323550281 |
REPAIR SMP FACE <2.5CM |
12011 |
0516 |
515 |
515 |
154.5 |
468.65000000000003 |
360.5 |
154.5 |
468.65000000000003 |
370.8 |
437.75 |
Carle Eureka Hospital |
1323550284 |
REP CMPLX EYE/NS/ER/LP 2.6-7.5 |
13152 |
0516 |
1555 |
1555 |
466.5 |
1415.05 |
1088.5 |
466.5 |
1415.05 |
1119.5999999999999 |
1321.75 |
Carle Eureka Hospital |
1323550293 |
AVULSION NAIL PLATE 1ST SIMPLE |
11730 |
0516 |
310 |
310 |
93 |
282.10000000000002 |
217 |
93 |
282.10000000000002 |
223.2 |
263.5 |
Carle Eureka Hospital |
1323550294 |
REMOVAL FB MUSCLE SIMPLE |
20520 |
0516 |
1530 |
1530 |
459 |
1392.3 |
1071 |
459 |
1392.3 |
1101.5999999999999 |
1300.5 |
Carle Eureka Hospital |
1323550296 |
REMOVAL FB NASAL |
30300 |
0516 |
360 |
360 |
108 |
327.60000000000002 |
251.99999999999997 |
108 |
327.60000000000002 |
259.2 |
306 |
Carle Eureka Hospital |
1323550297 |
REMOVAL FB FOOT SUBCUTANEOUS |
28190 |
0510 |
1620 |
1620 |
486 |
1474.2 |
1134 |
486 |
1474.2 |
1166.3999999999999 |
1377 |
Carle Eureka Hospital |
1323550299 |
REMOVAL FB EYE CORNEA WO SLIT |
65220 |
0516 |
530 |
530 |
159 |
482.3 |
371 |
159 |
482.3 |
381.59999999999997 |
450.5 |
Carle Eureka Hospital |
1323550300 |
REMOVAL FB EYE CONJUNTC SUPERF |
65205 |
0516 |
440 |
440 |
132 |
400.40000000000003 |
308 |
132 |
400.40000000000003 |
316.8 |
374 |
Carle Eureka Hospital |
1323550301 |
REMOVAL FB EYE CONJUNCT EMBEDD |
65210 |
0516 |
714 |
714 |
214.2 |
649.74 |
499.79999999999995 |
214.2 |
649.74 |
514.07999999999993 |
606.9 |
Carle Eureka Hospital |
1323550305 |
REMOV IMPACT CERUMEN INSTR UNI |
69210 |
0516 |
195 |
195 |
58.5 |
177.45000000000002 |
136.5 |
58.5 |
177.45000000000002 |
140.4 |
165.75 |
Carle Eureka Hospital |
1323550306 |
REMOVAL FB EAR |
69200 |
0516 |
360 |
360 |
108 |
327.60000000000002 |
251.99999999999997 |
108 |
327.60000000000002 |
259.2 |
306 |
Carle Eureka Hospital |
1323550433 |
REP LAYER FACE 2.6-5.0CM |
12052 |
0516 |
840 |
840 |
252 |
764.4 |
588 |
252 |
764.4 |
604.79999999999995 |
714 |
Carle Eureka Hospital |
1323550434 |
REP LAYER FACE 0-2.5CM |
12051 |
0516 |
550 |
550 |
165 |
500.5 |
385 |
165 |
500.5 |
396 |
467.5 |
Carle Eureka Hospital |
1323550438 |
REP LAYER NCK/HND/FT 2.6-7.5CM |
12042 |
0516 |
1155 |
1155 |
346.5 |
1051.05 |
808.5 |
346.5 |
1051.05 |
831.6 |
981.75 |
Carle Eureka Hospital |
1323550439 |
REP LAYER NCK/HND/FT 0-2.5CM |
12041 |
0516 |
980 |
980 |
294 |
891.80000000000007 |
686 |
294 |
891.80000000000007 |
705.6 |
833 |
Carle Eureka Hospital |
1323550453 |
IV INF THERAPEUTIC UP TO 1HR |
96365 |
0260 |
635 |
635 |
190.5 |
577.85 |
444.5 |
190.5 |
577.85 |
457.2 |
539.75 |
Carle Eureka Hospital |
1323550454 |
IRRIGATION BLADDER |
51700 |
0516 |
780 |
780 |
234 |
709.80000000000007 |
546 |
234 |
709.80000000000007 |
561.6 |
663 |
Carle Eureka Hospital |
1323550484 |
INJECTION SUB-Q/IM |
96372 |
0260 |
125 |
125 |
37.5 |
113.75 |
87.5 |
37.5 |
113.75 |
90 |
106.25 |
Carle Eureka Hospital |
1323550490 |
IV PUSH INITIAL DRUG |
96374 |
0260 |
234 |
234 |
70.2 |
212.94 |
163.79999999999998 |
70.2 |
212.94 |
168.48 |
198.9 |
Carle Eureka Hospital |
1323550497 |
INJECTION PERIPHERAL NERVE BLO |
64450 |
0516 |
1680 |
1680 |
504 |
1528.8 |
1176 |
504 |
1528.8 |
1209.5999999999999 |
1428 |
Carle Eureka Hospital |
1323550532 |
I&D DENTOALVEOLAR STRUCTURES |
41800 |
0516 |
438 |
438 |
131.4 |
398.58000000000004 |
306.59999999999997 |
131.4 |
398.58000000000004 |
315.36 |
372.3 |
Carle Eureka Hospital |
1323550533 |
I&D PERINEAL/VULVA ABSCESS |
56405 |
0516 |
1055 |
1055 |
316.5 |
960.05000000000007 |
738.5 |
316.5 |
960.05000000000007 |
759.6 |
896.75 |
Carle Eureka Hospital |
1323550534 |
I&D ABSCESS SIMPLE |
10060 |
0516 |
675 |
675 |
202.5 |
614.25 |
472.49999999999994 |
202.5 |
614.25 |
486 |
573.75 |
Carle Eureka Hospital |
1323550536 |
I&D PERIANAL ABSCESS |
46050 |
0516 |
1800 |
1800 |
540 |
1638 |
1260 |
540 |
1638 |
1296 |
1530 |
Carle Eureka Hospital |
1323550539 |
I&D ABSCESS COMPLICATED |
10061 |
0516 |
1020 |
1020 |
306 |
928.2 |
714 |
306 |
928.2 |
734.4 |
867 |
Carle Eureka Hospital |
1323550550 |
HEMOCULT |
82270 |
0300 |
42 |
42 |
12.6 |
38.22 |
29.4 |
12.6 |
38.22 |
30.24 |
35.699999999999996 |
Carle Eureka Hospital |
1323550562 |
GASTROCULT |
82271 |
0300 |
38 |
38 |
11.4 |
34.58 |
26.599999999999998 |
11.4 |
34.58 |
27.36 |
32.299999999999997 |
Carle Eureka Hospital |
1323550582 |
EVACUATION SUBUNGUAL HEMATOMA |
11740 |
0516 |
195 |
195 |
58.5 |
177.45000000000002 |
136.5 |
58.5 |
177.45000000000002 |
140.4 |
165.75 |
Carle Eureka Hospital |
1323550603 |
IV PUSH EA SEQUENTIAL DRUG |
96376 |
0260 |
153 |
153 |
45.9 |
139.23000000000002 |
107.1 |
45.9 |
139.23000000000002 |
110.16 |
130.04999999999998 |
Carle Eureka Hospital |
1323550618 |
BURN CARE 1ST DEGREE |
16000 |
0516 |
370 |
370 |
111 |
336.7 |
259 |
111 |
336.7 |
266.39999999999998 |
314.5 |
Carle Eureka Hospital |
1323550634 |
BURN CARE SMALL |
16020 |
0516 |
510 |
510 |
153 |
464.1 |
357 |
153 |
464.1 |
367.2 |
433.5 |
Carle Eureka Hospital |
1323550638 |
I&D EXTERNAL EAR ABS/HEM/ SMP |
69000 |
0516 |
1190 |
1190 |
357 |
1082.9000000000001 |
833 |
357 |
1082.9000000000001 |
856.8 |
1011.5 |
Carle Eureka Hospital |
1323550664 |
DEBRIDEMENT NAILS 1-5 ANY METH |
11720 |
0516 |
145 |
145 |
43.5 |
131.95000000000002 |
101.5 |
43.5 |
131.95000000000002 |
104.39999999999999 |
123.25 |
Carle Eureka Hospital |
1323550667 |
DEBRIDEMENT EXT ECZEMATOUS TO |
11000 |
0450 |
460 |
460 |
138 |
418.6 |
322 |
138 |
418.6 |
331.2 |
391 |
Carle Eureka Hospital |
1323550678 |
CONTL NASAL HEMORRHAGE ANTER |
30901 |
0516 |
360 |
360 |
108 |
327.60000000000002 |
251.99999999999997 |
108 |
327.60000000000002 |
259.2 |
306 |
Carle Eureka Hospital |
1323550721 |
DISLOCATION RADIAL HEAD W MANI |
24640 |
0516 |
685 |
685 |
205.5 |
623.35 |
479.49999999999994 |
205.5 |
623.35 |
493.2 |
582.25 |
Carle Eureka Hospital |
1323550728 |
CLSD TX MEDIAL ANKLE FX W MANI |
27762 |
0450 |
2223 |
2223 |
666.9 |
2022.93 |
1556.1 |
666.9 |
2022.93 |
1600.56 |
1889.55 |
Carle Eureka Hospital |
1323550730 |
DISLOCATION IP JOINT W ANES |
26775 |
0516 |
1061 |
1061 |
318.3 |
965.51 |
742.69999999999993 |
318.3 |
965.51 |
763.92 |
901.85 |
Carle Eureka Hospital |
1323550731 |
DISLOCATION FINGER/THUMB |
26770 |
0516 |
510 |
510 |
153 |
464.1 |
357 |
153 |
464.1 |
367.2 |
433.5 |
Carle Eureka Hospital |
1323550739 |
CLSD TX OTHER TOES W MANIP |
28515 |
0516 |
640 |
640 |
192 |
582.4 |
448 |
192 |
582.4 |
460.79999999999995 |
544 |
Carle Eureka Hospital |
1323550752 |
CLSD TX ANKLE BIMALLEO FX W MA |
27810 |
0516 |
2776 |
2776 |
832.8 |
2526.1600000000003 |
1943.1999999999998 |
832.8 |
2526.1600000000003 |
1998.72 |
2359.6 |
Carle Eureka Hospital |
1323550771 |
CATH INDWELL BLADDER SIMPLE |
51702 |
0516 |
210 |
210 |
63 |
191.1 |
147 |
63 |
191.1 |
151.19999999999999 |
178.5 |
Carle Eureka Hospital |
1323550785 |
REPAR SMP SCLP/TRNK/EXT<2.5C |
12001 |
0516 |
500 |
500 |
150 |
455 |
350 |
150 |
455 |
360 |
425 |
Carle Eureka Hospital |
1323550787 |
REMOVAL FB SUBQ TISSUE SIMPL |
10120 |
0516 |
690 |
690 |
207 |
627.9 |
482.99999999999994 |
207 |
627.9 |
496.79999999999995 |
586.5 |
Carle Eureka Hospital |
1323550810 |
PUNCTURE ASPIRATION |
10160 |
0516 |
580 |
580 |
174 |
527.80000000000007 |
406 |
174 |
527.80000000000007 |
417.59999999999997 |
493 |
Carle Eureka Hospital |
1323550813 |
ARTHROCENT MAJ JNT WO IMAGE |
20610 |
0516 |
760 |
760 |
228 |
691.6 |
532 |
228 |
691.6 |
547.19999999999993 |
646 |
Carle Eureka Hospital |
1323550814 |
ARTHROCENT INTMED JNT WO IMAGE |
20605 |
0516 |
760 |
760 |
228 |
691.6 |
532 |
228 |
691.6 |
547.19999999999993 |
646 |
Carle Eureka Hospital |
1323550827 |
APPL SPLINT SHORT LEG |
29515 |
0516 |
495 |
495 |
148.5 |
450.45 |
346.5 |
148.5 |
450.45 |
356.4 |
420.75 |
Carle Eureka Hospital |
1323550828 |
APPL SPLINT SHORT ARM |
29125 |
0516 |
430 |
430 |
129 |
391.3 |
301 |
129 |
391.3 |
309.59999999999997 |
365.5 |
Carle Eureka Hospital |
1323550829 |
APPL SPLINT LONG LEG |
29505 |
0516 |
495 |
495 |
148.5 |
450.45 |
346.5 |
148.5 |
450.45 |
356.4 |
420.75 |
Carle Eureka Hospital |
1323550830 |
APPL SPLINT LONG ARM |
29105 |
0516 |
550 |
550 |
165 |
500.5 |
385 |
165 |
500.5 |
396 |
467.5 |
Carle Eureka Hospital |
1323550832 |
APPL SPLINT FINGER STATIC |
29130 |
0516 |
180 |
180 |
54 |
163.80000000000001 |
125.99999999999999 |
54 |
163.80000000000001 |
129.6 |
153 |
Carle Eureka Hospital |
1323550885 |
ADMININSTRATION IMMUNIZATION |
90471 |
0771 |
120 |
120 |
36 |
109.2 |
84 |
36 |
109.2 |
86.399999999999991 |
102 |
Carle Eureka Hospital |
1323550895 |
EXCISION NAIL & MATRIX |
11750 |
0516 |
880 |
880 |
264 |
800.80000000000007 |
616 |
264 |
800.80000000000007 |
633.6 |
748 |
Carle Eureka Hospital |
1323550949 |
EXCISION SKIN OF NAIL FOLD |
11765 |
0516 |
870 |
870 |
261 |
791.7 |
609 |
261 |
791.7 |
626.4 |
739.5 |
Carle Eureka Hospital |
1323550972 |
I&D BARTHOLIN GLAND ABSCESS |
56420 |
0516 |
550 |
550 |
165 |
500.5 |
385 |
165 |
500.5 |
396 |
467.5 |
Carle Eureka Hospital |
1323550979 |
DRAINAGE MOUTH ABSCESS SIMPLE |
40800 |
0450 |
340 |
340 |
102 |
309.40000000000003 |
237.99999999999997 |
102 |
309.40000000000003 |
244.79999999999998 |
289 |
Carle Eureka Hospital |
1323550990 |
STRAPPING TOES |
29550 |
0516 |
180 |
180 |
54 |
163.80000000000001 |
125.99999999999999 |
54 |
163.80000000000001 |
129.6 |
153 |
Carle Eureka Hospital |
1323560269 |
US PV RESIDUAL URINE |
51798 |
0516 |
230 |
230 |
69 |
209.3 |
161 |
69 |
209.3 |
165.6 |
195.5 |
Carle Eureka Hospital |
1323560274 |
IV PUSH EA ADD DRUG |
96375 |
0260 |
168 |
168 |
50.4 |
152.88 |
117.6 |
50.4 |
152.88 |
120.96 |
142.79999999999998 |
Carle Eureka Hospital |
1323560293 |
INSERT STRAIGHT CATH THERAPEUT |
51701 |
0516 |
195 |
195 |
58.5 |
177.45000000000002 |
136.5 |
58.5 |
177.45000000000002 |
140.4 |
165.75 |
Carle Eureka Hospital |
1323560373 |
IV INF HYDRATION EA ADD HR |
96361 |
0260 |
170 |
170 |
51 |
154.70000000000002 |
118.99999999999999 |
51 |
154.70000000000002 |
122.39999999999999 |
144.5 |
Carle Eureka Hospital |
1323560374 |
IV INF HYDRATION UP TO 1HR |
96360 |
0260 |
585 |
585 |
175.5 |
532.35 |
409.5 |
175.5 |
532.35 |
421.2 |
497.25 |
Carle Eureka Hospital |
1323560777 |
NERVE BLOCK TRIGEMINAL |
64400 |
0516 |
735 |
735 |
220.5 |
668.85 |
514.5 |
220.5 |
668.85 |
529.19999999999993 |
624.75 |
Carle Eureka Hospital |
1323560801 |
CATH FOR URINE SPECIMEN |
P9612 |
0300 |
21 |
21 |
6.3 |
19.11 |
14.7 |
6.3 |
19.11 |
15.12 |
17.849999999999998 |
Carle Eureka Hospital |
1323561062 |
URGENT CARE E/M ESTAB LVL 1 |
99211 |
0516 |
100 |
100 |
30 |
91 |
70 |
30 |
91 |
72 |
85 |
Carle Eureka Hospital |
1323561063 |
URGENT CARE E/M ESTAB LVL 2 |
99212 |
0516 |
115 |
115 |
34.5 |
104.65 |
80.5 |
34.5 |
104.65 |
82.8 |
97.75 |
Carle Eureka Hospital |
1323561064 |
URGENT CARE E/M ESTAB LVL 3 |
99213 |
0516 |
145 |
145 |
43.5 |
131.95000000000002 |
101.5 |
43.5 |
131.95000000000002 |
104.39999999999999 |
123.25 |
Carle Eureka Hospital |
1323561065 |
URGENT CARE E/M ESTAB LVL 4 |
99214 |
0516 |
190 |
190 |
57 |
172.9 |
133 |
57 |
172.9 |
136.79999999999998 |
161.5 |
Carle Eureka Hospital |
1323561066 |
URGENT CARE E/M ESTAB LVL 5 |
99215 |
0516 |
204 |
204 |
61.199999999999996 |
185.64000000000001 |
142.79999999999998 |
61.199999999999996 |
185.64000000000001 |
146.88 |
173.4 |
Carle Eureka Hospital |
1323561067 |
URGENT CARE E/M NEW LVL 1 |
99201 |
0516 |
115 |
115 |
34.5 |
104.65 |
80.5 |
34.5 |
104.65 |
82.8 |
97.75 |
Carle Eureka Hospital |
1323561068 |
URGENT CARE E/M NEW LVL 2 |
99202 |
0516 |
145 |
145 |
43.5 |
131.95000000000002 |
101.5 |
43.5 |
131.95000000000002 |
104.39999999999999 |
123.25 |
Carle Eureka Hospital |
1323561069 |
URGENT CARE E/M NEW LVL 3 |
99203 |
0516 |
190 |
190 |
57 |
172.9 |
133 |
57 |
172.9 |
136.79999999999998 |
161.5 |
Carle Eureka Hospital |
1323561070 |
URGENT CARE E/M NEW LVL 4 |
99204 |
0516 |
204 |
204 |
61.199999999999996 |
185.64000000000001 |
142.79999999999998 |
61.199999999999996 |
185.64000000000001 |
146.88 |
173.4 |
Carle Eureka Hospital |
1323561071 |
URGENT CARE E/M NEW LVL 5 |
99205 |
0516 |
300 |
300 |
90 |
273 |
210 |
90 |
273 |
216 |
255 |
Carle Eureka Hospital |
1323561114 |
REMOVE IMPACT CERUMEN INSTR BI |
6921050 |
0516 |
240 |
240 |
72 |
218.4 |
168 |
72 |
218.4 |
172.79999999999998 |
204 |
Carle Eureka Hospital |
1323561165 |
CANALITH REPOSITIONING PROC |
95992 |
0516 |
120 |
120 |
36 |
109.2 |
84 |
36 |
109.2 |
86.399999999999991 |
102 |
Carle Eureka Hospital |
1323561181 |
REMOV IMPACT CERUMEN IRRIG UNI |
69209 |
0516 |
180 |
180 |
54 |
163.80000000000001 |
125.99999999999999 |
54 |
163.80000000000001 |
129.6 |
153 |
Carle Eureka Hospital |
1323561182 |
REMOV IMPACT CERUMEN IRRIG BIL |
6920950 |
0516 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
1323561208 |
PORT FLUSH |
96523 |
0510 |
190 |
190 |
57 |
172.9 |
133 |
57 |
172.9 |
136.79999999999998 |
161.5 |
Carle Eureka Hospital |
1323561299 |
SHAVING SKIN LESION 0.6-1.0 CM |
11301 |
0510 |
175 |
175 |
52.5 |
159.25 |
122.49999999999999 |
52.5 |
159.25 |
126 |
148.75 |
Carle Eureka Hospital |
1323561339 |
UNLISTED PROC EXT EAR |
69399 |
0516 |
500 |
500 |
150 |
455 |
350 |
150 |
455 |
360 |
425 |
Carle Eureka Hospital |
1323590028 |
DEBRID OPEN WOUND <20SQCM |
97597 |
0516 |
383 |
383 |
114.89999999999999 |
348.53000000000003 |
268.09999999999997 |
114.89999999999999 |
348.53000000000003 |
275.76 |
325.55 |
Carle Eureka Hospital |
1330900640 |
MNT-REAS/INTERV-INDIVID 97803 |
97803 |
0942 |
77 |
77 |
23.099999999999998 |
70.070000000000007 |
53.9 |
23.099999999999998 |
70.070000000000007 |
55.44 |
65.45 |
Carle Eureka Hospital |
1330900641 |
MNT-INITAL ASS/INTV-IND 97802 |
97802 |
0942 |
77 |
77 |
23.099999999999998 |
70.070000000000007 |
53.9 |
23.099999999999998 |
70.070000000000007 |
55.44 |
65.45 |
Carle Eureka Hospital |
1330900642 |
MNT - GROUP 97804 |
97804 |
0942 |
72 |
72 |
21.599999999999998 |
65.52 |
50.4 |
21.599999999999998 |
65.52 |
51.839999999999996 |
61.199999999999996 |
Carle Eureka Hospital |
1330950650 |
DIABETES EDUC RN INDIVID 30MIN |
G0108 |
0942 |
190 |
190 |
57 |
172.9 |
133 |
57 |
172.9 |
136.79999999999998 |
161.5 |
Carle Eureka Hospital |
1330950651 |
DIABETES EDUC RN GROUP 30 MIN |
G0109 |
0942 |
53 |
53 |
15.899999999999999 |
48.230000000000004 |
37.099999999999994 |
15.899999999999999 |
48.230000000000004 |
38.159999999999997 |
45.05 |
Carle Eureka Hospital |
1330950652 |
DIABETES EDUC RD INDIVID 30MIN |
G0108 |
0942 |
190 |
190 |
57 |
172.9 |
133 |
57 |
172.9 |
136.79999999999998 |
161.5 |
Carle Eureka Hospital |
1330950653 |
DIABETES EDUC RD GROUP 30MIN |
G0109 |
0942 |
53 |
53 |
15.899999999999999 |
48.230000000000004 |
37.099999999999994 |
15.899999999999999 |
48.230000000000004 |
38.159999999999997 |
45.05 |
Carle Eureka Hospital |
1330990134 |
CONTIN GLUCOSE MON TEC SEN REM |
95250 |
0920 |
670 |
670 |
201 |
609.70000000000005 |
468.99999999999994 |
201 |
609.70000000000005 |
482.4 |
569.5 |
Carle Eureka Hospital |
0331891864 |
TRYGLYCERIDES PERITONEAL FLUID |
84478 |
0300 |
47 |
47 |
14.1 |
42.77 |
32.9 |
14.1 |
42.77 |
33.839999999999996 |
39.949999999999996 |
Carle Eureka Hospital |
1331090677 |
VENIPUNCTURE |
36415 |
0300 |
21 |
21 |
6.3 |
19.11 |
14.7 |
6.3 |
19.11 |
15.12 |
17.849999999999998 |
Carle Eureka Hospital |
1331091109 |
TRAINING |
0300 |
75 |
75 |
22.5 |
68.25 |
52.5 |
22.5 |
68.25 |
54 |
63.75 |
Carle Eureka Hospital |
1331091484 |
THIN PREP (CYTOLOGY) |
88112 |
0311 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
1331091485 |
INFLUENZA A |
87804 |
0302 |
125 |
125 |
37.5 |
113.75 |
87.5 |
37.5 |
113.75 |
90 |
106.25 |
Carle Eureka Hospital |
1331091486 |
INFLUENZA B |
87804 |
0302 |
125 |
125 |
37.5 |
113.75 |
87.5 |
37.5 |
113.75 |
90 |
106.25 |
Carle Eureka Hospital |
1331290064 |
ANTITHROMBIN III |
85300 |
0300 |
135 |
135 |
40.5 |
122.85000000000001 |
94.5 |
40.5 |
122.85000000000001 |
97.2 |
114.75 |
Carle Eureka Hospital |
1331290087 |
BLEEDING TIME DUKE |
85002 |
0305 |
98 |
98 |
29.4 |
89.18 |
68.599999999999994 |
29.4 |
89.18 |
70.56 |
83.3 |
Carle Eureka Hospital |
1331290088 |
BLEEDING TIME IVY |
85002 |
0300 |
98 |
98 |
29.4 |
89.18 |
68.599999999999994 |
29.4 |
89.18 |
70.56 |
83.3 |
Carle Eureka Hospital |
1331290121 |
CBC AUTOMATED DIFF |
85025 |
0300 |
74 |
74 |
22.2 |
67.34 |
51.8 |
22.2 |
67.34 |
53.28 |
62.9 |
Carle Eureka Hospital |
1331290130 |
OBSCN |
82270 |
0301 |
42 |
42 |
12.6 |
38.22 |
29.4 |
12.6 |
38.22 |
30.24 |
35.699999999999996 |
Carle Eureka Hospital |
1331290184 |
CSF CELL COUNT AND DIFFERENTIA |
89051 |
0300 |
110 |
110 |
33 |
100.10000000000001 |
77 |
33 |
100.10000000000001 |
79.2 |
93.5 |
Carle Eureka Hospital |
1331290287 |
FECAL FAT QUALITATIVE |
82705 |
0301 |
105 |
105 |
31.5 |
95.55 |
73.5 |
31.5 |
95.55 |
75.599999999999994 |
89.25 |
Carle Eureka Hospital |
1331290295 |
FIBRIN SPLIT PRODUCTS-SEMI-QNT |
85362 |
0300 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
1331290296 |
FIBRINOGEN |
85384 |
0300 |
140 |
140 |
42 |
127.4 |
98 |
42 |
127.4 |
100.8 |
119 |
Carle Eureka Hospital |
1331290299 |
FLUID MISC CELL CT AND DIFF |
89051 |
0300 |
110 |
110 |
33 |
100.10000000000001 |
77 |
33 |
100.10000000000001 |
79.2 |
93.5 |
Carle Eureka Hospital |
1331290350 |
HEMATOCRIT |
85014 |
0300 |
35 |
35 |
10.5 |
31.85 |
24.5 |
10.5 |
31.85 |
25.2 |
29.75 |
Carle Eureka Hospital |
1331290352 |
HEMOGLOBIN |
85018 |
0300 |
38 |
38 |
11.4 |
34.58 |
26.599999999999998 |
11.4 |
34.58 |
27.36 |
32.299999999999997 |
Carle Eureka Hospital |
1331290355 |
CBC NO DIFFERENTIAL |
85027 |
0300 |
64 |
64 |
19.2 |
58.24 |
44.8 |
19.2 |
58.24 |
46.08 |
54.4 |
Carle Eureka Hospital |
1331290357 |
HEMOSIDERIN-URINE |
83070 |
0300 |
72 |
72 |
21.599999999999998 |
65.52 |
50.4 |
21.599999999999998 |
65.52 |
51.839999999999996 |
61.199999999999996 |
Carle Eureka Hospital |
1331290456 |
NASAL SMEAR FOR EOSINOPHILS |
89190 |
0300 |
62 |
62 |
18.599999999999998 |
56.42 |
43.4 |
18.599999999999998 |
56.42 |
44.64 |
52.699999999999996 |
Carle Eureka Hospital |
1331290464 |
OCCULT BLOOD GASTRIC |
82271 |
0301 |
31 |
31 |
9.2999999999999989 |
28.21 |
21.7 |
9.2999999999999989 |
28.21 |
22.32 |
26.349999999999998 |
Carle Eureka Hospital |
1331290474 |
PARTIAL THROMBOPLASTIN TIME |
85730 |
0300 |
93 |
93 |
27.9 |
84.63000000000001 |
65.099999999999994 |
27.9 |
84.63000000000001 |
66.959999999999994 |
79.05 |
Carle Eureka Hospital |
1331290499 |
PLATELET COUNT |
85049 |
0300 |
42 |
42 |
12.6 |
38.22 |
29.4 |
12.6 |
38.22 |
30.24 |
35.699999999999996 |
Carle Eureka Hospital |
1331290531 |
PROTHROMBIN TIME |
85610 |
0300 |
72 |
72 |
21.599999999999998 |
65.52 |
50.4 |
21.599999999999998 |
65.52 |
51.839999999999996 |
61.199999999999996 |
Carle Eureka Hospital |
1331290542 |
RBC RED BLOOD CELL COUNT |
85041 |
0300 |
25 |
25 |
7.5 |
22.75 |
17.5 |
7.5 |
22.75 |
18 |
21.25 |
Carle Eureka Hospital |
1331290558 |
RETICULOCYTE COUNT |
85045 |
0300 |
90 |
90 |
27 |
81.900000000000006 |
62.999999999999993 |
27 |
81.900000000000006 |
64.8 |
76.5 |
Carle Eureka Hospital |
1331290571 |
SEDIMENTATION RATE |
85652 |
0300 |
66 |
66 |
19.8 |
60.06 |
46.199999999999996 |
19.8 |
60.06 |
47.519999999999996 |
56.1 |
Carle Eureka Hospital |
1331290572 |
SEMEN ANALYSIS FERTILITY |
89320 |
0300 |
220 |
220 |
66 |
200.20000000000002 |
154 |
66 |
200.20000000000002 |
158.4 |
187 |
Carle Eureka Hospital |
1331290577 |
SICKLE CELL SCREEN |
85660 |
0300 |
68 |
68 |
20.399999999999999 |
61.88 |
47.599999999999994 |
20.399999999999999 |
61.88 |
48.96 |
57.8 |
Carle Eureka Hospital |
1331290589 |
SPECIFIC GRAVITY MISC |
84315 |
0301 |
31 |
31 |
9.2999999999999989 |
28.21 |
21.7 |
9.2999999999999989 |
28.21 |
22.32 |
26.349999999999998 |
Carle Eureka Hospital |
1331290590 |
SPERM COUNT POST SURGERY |
89321 |
0300 |
135 |
135 |
40.5 |
122.85000000000001 |
94.5 |
40.5 |
122.85000000000001 |
97.2 |
114.75 |
Carle Eureka Hospital |
1331290594 |
STOOL FOR LEUKOCYTES |
83630 |
0301 |
185 |
185 |
55.5 |
168.35 |
129.5 |
55.5 |
168.35 |
133.19999999999999 |
157.25 |
Carle Eureka Hospital |
1331290599 |
SYNOVIAL FLD CELL CT AND DIFF |
89051 |
0300 |
110 |
110 |
33 |
100.10000000000001 |
77 |
33 |
100.10000000000001 |
79.2 |
93.5 |
Carle Eureka Hospital |
1331290600 |
SYNOVIAL FLUID CRYSTAL EXAM |
89060 |
0300 |
69 |
69 |
20.7 |
62.79 |
48.3 |
20.7 |
62.79 |
49.68 |
58.65 |
Carle Eureka Hospital |
1331290604 |
SYNOVIAL FLUID MUCIN CLOT |
83872 |
0300 |
61 |
61 |
18.3 |
55.510000000000005 |
42.699999999999996 |
18.3 |
55.510000000000005 |
43.92 |
51.85 |
Carle Eureka Hospital |
1331290615 |
THROMBIN TIME |
85670 |
0300 |
84 |
84 |
25.2 |
76.44 |
58.8 |
25.2 |
76.44 |
60.48 |
71.399999999999991 |
Carle Eureka Hospital |
1331290626 |
TOTAL EOSINOPHIL COUNT |
85048 |
0300 |
52 |
52 |
15.6 |
47.32 |
36.4 |
15.6 |
47.32 |
37.44 |
44.199999999999996 |
Carle Eureka Hospital |
1331290654 |
URINALYSIS MACROSCOPIC |
81003 |
0307 |
44 |
44 |
13.2 |
40.04 |
30.799999999999997 |
13.2 |
40.04 |
31.68 |
37.4 |
Carle Eureka Hospital |
1331290655 |
URINALYSIS MICROSCOPIC |
81015 |
0300 |
71 |
71 |
21.3 |
64.61 |
49.699999999999996 |
21.3 |
64.61 |
51.12 |
60.35 |
Carle Eureka Hospital |
1331290658 |
URINE BLOOD |
82271 |
0300 |
38 |
38 |
11.4 |
34.58 |
26.599999999999998 |
11.4 |
34.58 |
27.36 |
32.299999999999997 |
Carle Eureka Hospital |
1331290662 |
URINE GLUCOSE |
81003 |
0300 |
44 |
44 |
13.2 |
40.04 |
30.799999999999997 |
13.2 |
40.04 |
31.68 |
37.4 |
Carle Eureka Hospital |
1331290663 |
URINE KETONES |
81003 |
0300 |
44 |
44 |
13.2 |
40.04 |
30.799999999999997 |
13.2 |
40.04 |
31.68 |
37.4 |
Carle Eureka Hospital |
1331290664 |
URINE PH |
81003 |
0300 |
44 |
44 |
13.2 |
40.04 |
30.799999999999997 |
13.2 |
40.04 |
31.68 |
37.4 |
Carle Eureka Hospital |
1331290665 |
URINE REDUCING SUBSTANCE |
81002 |
0301 |
37 |
37 |
11.1 |
33.67 |
25.9 |
11.1 |
33.67 |
26.64 |
31.45 |
Carle Eureka Hospital |
1331290666 |
URINE SPECIFIC GRAVITY |
81002 |
0300 |
37 |
37 |
11.1 |
33.67 |
25.9 |
11.1 |
33.67 |
26.64 |
31.45 |
Carle Eureka Hospital |
1331290667 |
UROBILINOGEN |
81002 |
0300 |
37 |
37 |
11.1 |
33.67 |
25.9 |
11.1 |
33.67 |
26.64 |
31.45 |
Carle Eureka Hospital |
1331290687 |
WBC COUNT AND DIFFERENTIAL |
85007 |
0300 |
47 |
47 |
14.1 |
42.77 |
32.9 |
14.1 |
42.77 |
33.839999999999996 |
39.949999999999996 |
Carle Eureka Hospital |
1331290688 |
WBC DIFFERENTIAL |
85007 |
0300 |
47 |
47 |
14.1 |
42.77 |
32.9 |
14.1 |
42.77 |
33.839999999999996 |
39.949999999999996 |
Carle Eureka Hospital |
1331290692 |
WHITE BLOOD CELL COUNT |
85048 |
0300 |
53 |
53 |
15.899999999999999 |
48.230000000000004 |
37.099999999999994 |
15.899999999999999 |
48.230000000000004 |
38.159999999999997 |
45.05 |
Carle Eureka Hospital |
1331290702 |
COMPLETE BLOOD COUNT CAT |
0305 |
7.25 |
7.25 |
2.1749999999999998 |
6.5975000000000001 |
5.0749999999999993 |
2.1749999999999998 |
6.5975000000000001 |
5.22 |
6.1624999999999996 |
Carle Eureka Hospital |
1331290703 |
COMPLETE BLOOD COUNT CAT |
0305 |
6.5 |
6.5 |
1.95 |
5.915 |
4.55 |
1.95 |
5.915 |
4.68 |
5.5249999999999995 |
Carle Eureka Hospital |
1331290704 |
COMPLETE BLOOD COUNT VET OTHER |
0305 |
7.25 |
7.25 |
2.1749999999999998 |
6.5975000000000001 |
5.0749999999999993 |
2.1749999999999998 |
6.5975000000000001 |
5.22 |
6.1624999999999996 |
Carle Eureka Hospital |
1331291005 |
CSF COUNT-NO DIFF CHARGE |
89050 |
0300 |
89 |
89 |
26.7 |
80.990000000000009 |
62.3 |
26.7 |
80.990000000000009 |
64.08 |
75.649999999999991 |
Carle Eureka Hospital |
1331291006 |
CSF COUNT WITH DIFF CHARGE |
89051 |
0300 |
110 |
110 |
33 |
100.10000000000001 |
77 |
33 |
100.10000000000001 |
79.2 |
93.5 |
Carle Eureka Hospital |
1331291007 |
FLUID COUNT-NO DIFF CHARGE |
89050 |
0300 |
89 |
89 |
26.7 |
80.990000000000009 |
62.3 |
26.7 |
80.990000000000009 |
64.08 |
75.649999999999991 |
Carle Eureka Hospital |
1331291008 |
FLUID COUNT WITH DIFF CHARGE |
89051 |
0300 |
110 |
110 |
33 |
100.10000000000001 |
77 |
33 |
100.10000000000001 |
79.2 |
93.5 |
Carle Eureka Hospital |
1331291012 |
MANUAL RETICULACYTE COUNT |
85044 |
0305 |
64 |
64 |
19.2 |
58.24 |
44.8 |
19.2 |
58.24 |
46.08 |
54.4 |
Carle Eureka Hospital |
1331291178 |
HEMOGM CHARGE TEST |
85027 |
0305 |
64 |
64 |
19.2 |
58.24 |
44.8 |
19.2 |
58.24 |
46.08 |
54.4 |
Carle Eureka Hospital |
1331291179 |
MANUAL DIFF CHARGE TEST |
85007 |
0305 |
32 |
32 |
9.6 |
29.12 |
22.4 |
9.6 |
29.12 |
23.04 |
27.2 |
Carle Eureka Hospital |
1331291249 |
OBSTETRICS PANEL |
80055 |
0300 |
495 |
495 |
148.5 |
450.45 |
346.5 |
148.5 |
450.45 |
356.4 |
420.75 |
Carle Eureka Hospital |
1331291300 |
OCCULT BLOOD FECAL SCREEN IMMU |
82274 |
0301 |
55 |
55 |
16.5 |
50.050000000000004 |
38.5 |
16.5 |
50.050000000000004 |
39.6 |
46.75 |
Carle Eureka Hospital |
1331291617 |
URINE MACROSCOPIC |
81003 |
0307 |
39 |
39 |
11.7 |
35.49 |
27.299999999999997 |
11.7 |
35.49 |
28.08 |
33.15 |
Carle Eureka Hospital |
1331291618 |
URINE WITH MICROSCOPIC |
81001 |
0307 |
54 |
54 |
16.2 |
49.14 |
37.799999999999997 |
16.2 |
49.14 |
38.879999999999995 |
45.9 |
Carle Eureka Hospital |
1331291803 |
P2Y12 |
85576 |
0305 |
185 |
185 |
55.5 |
168.35 |
129.5 |
55.5 |
168.35 |
133.19999999999999 |
157.25 |
Carle Eureka Hospital |
1331490007 |
ACETAMINOPHEN |
80329 |
0300 |
185 |
185 |
55.5 |
168.35 |
129.5 |
55.5 |
168.35 |
133.19999999999999 |
157.25 |
Carle Eureka Hospital |
1331490016 |
ALBUMIN |
82040 |
0300 |
55 |
55 |
16.5 |
50.050000000000004 |
38.5 |
16.5 |
50.050000000000004 |
39.6 |
46.75 |
Carle Eureka Hospital |
1331490021 |
ALKALINE PHOSPHATASE |
84075 |
0300 |
53 |
53 |
15.899999999999999 |
48.230000000000004 |
37.099999999999994 |
15.899999999999999 |
48.230000000000004 |
38.159999999999997 |
45.05 |
Carle Eureka Hospital |
1331490027 |
ALT (SGPT) |
84460 |
0300 |
56 |
56 |
16.8 |
50.96 |
39.199999999999996 |
16.8 |
50.96 |
40.32 |
47.6 |
Carle Eureka Hospital |
1331490029 |
AMIKACIN PEAK |
80150 |
0300 |
410 |
410 |
123 |
373.1 |
287 |
123 |
373.1 |
295.2 |
348.5 |
Carle Eureka Hospital |
1331490035 |
AMMONIA PLASMA |
82140 |
0300 |
140 |
140 |
42 |
127.4 |
98 |
42 |
127.4 |
100.8 |
119 |
Carle Eureka Hospital |
1331490036 |
AMYLASE |
82150 |
0300 |
98 |
98 |
29.4 |
89.18 |
68.599999999999994 |
29.4 |
89.18 |
70.56 |
83.3 |
Carle Eureka Hospital |
1331490067 |
ARTERIAL BLOOD GAS |
82803 |
0300 |
175 |
175 |
52.5 |
159.25 |
122.49999999999999 |
52.5 |
159.25 |
126 |
148.75 |
Carle Eureka Hospital |
1331490072 |
AST SGOT |
84450 |
0300 |
75 |
75 |
22.5 |
68.25 |
52.5 |
22.5 |
68.25 |
54 |
63.75 |
Carle Eureka Hospital |
1331490075 |
BASIC METABOLIC PANEL |
80048 |
0300 |
120 |
120 |
36 |
109.2 |
84 |
36 |
109.2 |
86.399999999999991 |
102 |
Carle Eureka Hospital |
1331490080 |
BHCG-QUANTITATIVE |
84702 |
0300 |
140 |
140 |
42 |
127.4 |
98 |
42 |
127.4 |
100.8 |
119 |
Carle Eureka Hospital |
1331490081 |
BILIRUBIN DIRECT |
82248 |
0300 |
49 |
49 |
14.7 |
44.59 |
34.299999999999997 |
14.7 |
44.59 |
35.28 |
41.65 |
Carle Eureka Hospital |
1331490082 |
BILIRUBIN NEONATAL DIRECT |
82248 |
0301 |
49 |
49 |
14.7 |
44.59 |
34.299999999999997 |
14.7 |
44.59 |
35.28 |
41.65 |
Carle Eureka Hospital |
1331490083 |
BILIRUBIN NEONATAL TOTAL |
82247 |
0300 |
58 |
58 |
17.399999999999999 |
52.78 |
40.599999999999994 |
17.399999999999999 |
52.78 |
41.76 |
49.3 |
Carle Eureka Hospital |
1331490085 |
BILIRUBIN TOTAL |
82247 |
0300 |
75 |
75 |
22.5 |
68.25 |
52.5 |
22.5 |
68.25 |
54 |
63.75 |
Carle Eureka Hospital |
1331490103 |
BUN |
84520 |
0300 |
50 |
50 |
15 |
45.5 |
35 |
15 |
45.5 |
36 |
42.5 |
Carle Eureka Hospital |
1331490108 |
CALCIUM |
82310 |
0300 |
50 |
50 |
15 |
45.5 |
35 |
15 |
45.5 |
36 |
42.5 |
Carle Eureka Hospital |
1331490116 |
CARBAMAZEPINE-TEGRETOL |
80156 |
0300 |
155 |
155 |
46.5 |
141.05000000000001 |
108.5 |
46.5 |
141.05000000000001 |
111.6 |
131.75 |
Carle Eureka Hospital |
1331490117 |
CARBON DIOXIDE-TCO2 |
82374 |
0300 |
63 |
63 |
18.899999999999999 |
57.330000000000005 |
44.099999999999994 |
18.899999999999999 |
57.330000000000005 |
45.36 |
53.55 |
Carle Eureka Hospital |
1331490118 |
CARBON MONOXIDE |
82375 |
0300 |
81 |
81 |
24.3 |
73.710000000000008 |
56.699999999999996 |
24.3 |
73.710000000000008 |
58.32 |
68.849999999999994 |
Carle Eureka Hospital |
1331490131 |
CHLORIDE |
82435 |
0300 |
61 |
61 |
18.3 |
55.510000000000005 |
42.699999999999996 |
18.3 |
55.510000000000005 |
43.92 |
51.85 |
Carle Eureka Hospital |
1331490134 |
CHOLESTEROL |
82465 |
0300 |
74 |
74 |
22.2 |
67.34 |
51.8 |
22.2 |
67.34 |
53.28 |
62.9 |
Carle Eureka Hospital |
1331490139 |
CKMB |
82553 |
0300 |
140 |
140 |
42 |
127.4 |
98 |
42 |
127.4 |
100.8 |
119 |
Carle Eureka Hospital |
1331490140 |
CK-TOTAL |
82550 |
0300 |
114 |
114 |
34.199999999999996 |
103.74000000000001 |
79.8 |
34.199999999999996 |
103.74000000000001 |
82.08 |
96.899999999999991 |
Carle Eureka Hospital |
1331490156 |
COMPREHENSIVE METABOLIC PANEL |
80053 |
0300 |
185 |
185 |
55.5 |
168.35 |
129.5 |
55.5 |
168.35 |
133.19999999999999 |
157.25 |
Carle Eureka Hospital |
1331490163 |
CREATININE |
82565 |
0300 |
53 |
53 |
15.899999999999999 |
48.230000000000004 |
37.099999999999994 |
15.899999999999999 |
48.230000000000004 |
38.159999999999997 |
45.05 |
Carle Eureka Hospital |
1331490164 |
CREATININE CLEARANCE 24HR UR |
82575 |
0300 |
180 |
180 |
54 |
163.80000000000001 |
125.99999999999999 |
54 |
163.80000000000001 |
129.6 |
153 |
Carle Eureka Hospital |
1331490165 |
CREATININE URINE RANDOM |
82570 |
0300 |
79 |
79 |
23.7 |
71.89 |
55.3 |
23.7 |
71.89 |
56.879999999999995 |
67.149999999999991 |
Carle Eureka Hospital |
1331490166 |
CREATININE-24HR URINE |
82570 |
0300 |
91 |
91 |
27.3 |
82.81 |
63.699999999999996 |
27.3 |
82.81 |
65.52 |
77.349999999999994 |
Carle Eureka Hospital |
1331490176 |
CRP QUANTITATIVE |
86140 |
0300 |
97 |
97 |
29.099999999999998 |
88.27 |
67.899999999999991 |
29.099999999999998 |
88.27 |
69.84 |
82.45 |
Carle Eureka Hospital |
1331490193 |
CSF GLUCOSE |
82945 |
0300 |
83 |
83 |
24.9 |
75.53 |
58.099999999999994 |
24.9 |
75.53 |
59.76 |
70.55 |
Carle Eureka Hospital |
1331490202 |
CSF PROTEIN |
84157 |
0300 |
81 |
81 |
24.3 |
73.710000000000008 |
56.699999999999996 |
24.3 |
73.710000000000008 |
58.32 |
68.849999999999994 |
Carle Eureka Hospital |
1331490251 |
D-DIMER |
85379 |
0305 |
120 |
120 |
36 |
109.2 |
84 |
36 |
109.2 |
86.399999999999991 |
102 |
Carle Eureka Hospital |
1331490256 |
DIGOXIN LANOXIN |
80162 |
0300 |
125 |
125 |
37.5 |
113.75 |
87.5 |
37.5 |
113.75 |
90 |
106.25 |
Carle Eureka Hospital |
1331490264 |
DRUG SCREEN COLLECTION FEE |
0300 |
34 |
34 |
10.199999999999999 |
30.94 |
23.799999999999997 |
10.199999999999999 |
30.94 |
24.48 |
28.9 |
Carle Eureka Hospital |
1331490266 |
DRUG SCREEN SUBSTANCE ABUSE |
80307 |
0300 |
85 |
85 |
25.5 |
77.350000000000009 |
59.499999999999993 |
25.5 |
77.350000000000009 |
61.199999999999996 |
72.25 |
Carle Eureka Hospital |
1331490267 |
ELECTROLYTE PANEL |
80051 |
0300 |
115 |
115 |
34.5 |
104.65 |
80.5 |
34.5 |
104.65 |
82.8 |
97.75 |
Carle Eureka Hospital |
1331490276 |
ESTRADIOL |
82670 |
0300 |
206 |
206 |
61.8 |
187.46 |
144.19999999999999 |
61.8 |
187.46 |
148.32 |
175.1 |
Carle Eureka Hospital |
1331490280 |
ETHANOL-SERUM CLINICAL |
80320 |
0300 |
200 |
200 |
60 |
182 |
140 |
60 |
182 |
144 |
170 |
Carle Eureka Hospital |
1331490291 |
FERRITIN |
82728 |
0300 |
172 |
172 |
51.6 |
156.52000000000001 |
120.39999999999999 |
51.6 |
156.52000000000001 |
123.83999999999999 |
146.19999999999999 |
Carle Eureka Hospital |
1331490301 |
FLUID MISC-GLUCOSE |
82945 |
0300 |
83 |
83 |
24.9 |
75.53 |
58.099999999999994 |
24.9 |
75.53 |
59.76 |
70.55 |
Carle Eureka Hospital |
1331490303 |
FLUID MISC-PROTEIN |
84157 |
0300 |
81 |
81 |
24.3 |
73.710000000000008 |
56.699999999999996 |
24.3 |
73.710000000000008 |
58.32 |
68.849999999999994 |
Carle Eureka Hospital |
1331490304 |
FLUIDMISC-LD |
83615 |
0300 |
76 |
76 |
22.8 |
69.16 |
53.199999999999996 |
22.8 |
69.16 |
54.72 |
64.599999999999994 |
Carle Eureka Hospital |
1331490306 |
FOLATE-SERUM |
82746 |
0300 |
140 |
140 |
42 |
127.4 |
98 |
42 |
127.4 |
100.8 |
119 |
Carle Eureka Hospital |
1331490307 |
FOLLICLE STIMULATING HORMONE |
83001 |
0300 |
214 |
214 |
64.2 |
194.74 |
149.79999999999998 |
64.2 |
194.74 |
154.07999999999998 |
181.9 |
Carle Eureka Hospital |
1331490321 |
GENTAMICIN-PEAK LEVEL |
80170 |
0300 |
205 |
205 |
61.5 |
186.55 |
143.5 |
61.5 |
186.55 |
147.6 |
174.25 |
Carle Eureka Hospital |
1331490322 |
GENTAMICIN-RANDOM LEVEL |
80170 |
0300 |
205 |
205 |
61.5 |
186.55 |
143.5 |
61.5 |
186.55 |
147.6 |
174.25 |
Carle Eureka Hospital |
1331490323 |
GENTAMICIN-TROUGH LEVEL |
80170 |
0300 |
205 |
205 |
61.5 |
186.55 |
143.5 |
61.5 |
186.55 |
147.6 |
174.25 |
Carle Eureka Hospital |
1331490324 |
GGTP |
82977 |
0300 |
105 |
105 |
31.5 |
95.55 |
73.5 |
31.5 |
95.55 |
75.599999999999994 |
89.25 |
Carle Eureka Hospital |
1331490327 |
GLUCOSE |
82947 |
0300 |
70 |
70 |
21 |
63.7 |
49 |
21 |
63.7 |
50.4 |
59.5 |
Carle Eureka Hospital |
1331490328 |
GLUCOSE 1 HR PP 50 GM DOSE |
82950 |
0300 |
54 |
54 |
16.2 |
49.14 |
37.799999999999997 |
16.2 |
49.14 |
38.879999999999995 |
45.9 |
Carle Eureka Hospital |
1331490329 |
GLUCOSE 2HR PP |
82947 |
0300 |
70 |
70 |
21 |
63.7 |
49 |
21 |
63.7 |
50.4 |
59.5 |
Carle Eureka Hospital |
1331490331 |
GLUCOSE RANDOM |
82947 |
0300 |
70 |
70 |
21 |
63.7 |
49 |
21 |
63.7 |
50.4 |
59.5 |
Carle Eureka Hospital |
1331490343 |
HDL CHOLESTEROL |
83718 |
0300 |
115 |
115 |
34.5 |
104.65 |
80.5 |
34.5 |
104.65 |
82.8 |
97.75 |
Carle Eureka Hospital |
1331490353 |
HEMOGLOBIN A1C |
83036 |
0301 |
104 |
104 |
31.2 |
94.64 |
72.8 |
31.2 |
94.64 |
74.88 |
88.399999999999991 |
Carle Eureka Hospital |
1331490359 |
HEPATIC FUNCTION PANEL |
80076 |
0300 |
162 |
162 |
48.6 |
147.42000000000002 |
113.39999999999999 |
48.6 |
147.42000000000002 |
116.64 |
137.69999999999999 |
Carle Eureka Hospital |
1331490360 |
HEPATITIS A ANTIBODY IGM |
86709 |
0300 |
190 |
190 |
57 |
172.9 |
133 |
57 |
172.9 |
136.79999999999998 |
161.5 |
Carle Eureka Hospital |
1331490361 |
HEPATITIS B CORE ANTIBODY IGM |
86705 |
0300 |
160 |
160 |
48 |
145.6 |
112 |
48 |
145.6 |
115.19999999999999 |
136 |
Carle Eureka Hospital |
1331490362 |
HEPATITIS B SURFACE ANTIBODY |
86706 |
0300 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
1331490363 |
HEPATITIS B SURFACE ANTIGEN |
87340 |
0300 |
119 |
119 |
35.699999999999996 |
108.29 |
83.3 |
35.699999999999996 |
108.29 |
85.679999999999993 |
101.14999999999999 |
Carle Eureka Hospital |
1331490364 |
HEPATITIS C ANTIBODY |
86803 |
0300 |
140 |
140 |
42 |
127.4 |
98 |
42 |
127.4 |
100.8 |
119 |
Carle Eureka Hospital |
1331490365 |
HEPATITIS PANEL ACUTE |
80074 |
0300 |
541 |
541 |
162.29999999999998 |
492.31 |
378.7 |
162.29999999999998 |
492.31 |
389.52 |
459.84999999999997 |
Carle Eureka Hospital |
1331490394 |
IRON |
83540 |
0300 |
106 |
106 |
31.799999999999997 |
96.460000000000008 |
74.199999999999989 |
31.799999999999997 |
96.460000000000008 |
76.319999999999993 |
90.1 |
Carle Eureka Hospital |
1331490399 |
KETONES ACETONE-SERUM |
82009 |
0300 |
54 |
54 |
16.2 |
49.14 |
37.799999999999997 |
16.2 |
49.14 |
38.879999999999995 |
45.9 |
Carle Eureka Hospital |
1331490405 |
LACTIC ACID |
83605 |
0300 |
100 |
100 |
30 |
91 |
70 |
30 |
91 |
72 |
85 |
Carle Eureka Hospital |
1331490408 |
LDH |
83615 |
0300 |
89 |
89 |
26.7 |
80.990000000000009 |
62.3 |
26.7 |
80.990000000000009 |
64.08 |
75.649999999999991 |
Carle Eureka Hospital |
1331490430 |
LH - LUTEINIZING HORMONE |
83002 |
0300 |
183 |
183 |
54.9 |
166.53 |
128.1 |
54.9 |
166.53 |
131.76 |
155.54999999999998 |
Carle Eureka Hospital |
1331490432 |
LIPASE |
83690 |
0300 |
115 |
115 |
34.5 |
104.65 |
80.5 |
34.5 |
104.65 |
82.8 |
97.75 |
Carle Eureka Hospital |
1331490433 |
LIPID PANEL |
80061 |
0300 |
183 |
183 |
54.9 |
166.53 |
128.1 |
54.9 |
166.53 |
131.76 |
155.54999999999998 |
Carle Eureka Hospital |
1331490434 |
LITHIUM |
80178 |
0300 |
102 |
102 |
30.599999999999998 |
92.820000000000007 |
71.399999999999991 |
30.599999999999998 |
92.820000000000007 |
73.44 |
86.7 |
Carle Eureka Hospital |
1331490440 |
MAGNESIUM |
83735 |
0300 |
109 |
109 |
32.699999999999996 |
99.19 |
76.3 |
32.699999999999996 |
99.19 |
78.48 |
92.649999999999991 |
Carle Eureka Hospital |
1331490448 |
MICROALBUMIN-RANDOM URINE |
82043 |
0300 |
122 |
122 |
36.6 |
111.02000000000001 |
85.399999999999991 |
36.6 |
111.02000000000001 |
87.84 |
103.7 |
Carle Eureka Hospital |
1331490453 |
MYOGLOBIN |
83874 |
0300 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
1331490454 |
MYOGLOBIN URINE QUANT |
83874 |
0300 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
1331490467 |
OSMOLALITY SERUM |
83930 |
0300 |
93 |
93 |
27.9 |
84.63000000000001 |
65.099999999999994 |
27.9 |
84.63000000000001 |
66.959999999999994 |
79.05 |
Carle Eureka Hospital |
1331490468 |
OSMOLALITY URINE |
83935 |
0300 |
91 |
91 |
27.3 |
82.81 |
63.699999999999996 |
27.3 |
82.81 |
65.52 |
77.349999999999994 |
Carle Eureka Hospital |
1331490478 |
PERIOD AND VOLUME |
81050 |
0300 |
31 |
31 |
9.2999999999999989 |
28.21 |
21.7 |
9.2999999999999989 |
28.21 |
22.32 |
26.349999999999998 |
Carle Eureka Hospital |
1331490481 |
PG TEST FOR FETAL MATURITY |
84081 |
0300 |
425 |
425 |
127.5 |
386.75 |
297.5 |
127.5 |
386.75 |
306 |
361.25 |
Carle Eureka Hospital |
1331490483 |
PH MISC |
83986 |
0300 |
37 |
37 |
11.1 |
33.67 |
25.9 |
11.1 |
33.67 |
26.64 |
31.45 |
Carle Eureka Hospital |
1331490484 |
PHENOBARBITAL |
80184 |
0300 |
175 |
175 |
52.5 |
159.25 |
122.49999999999999 |
52.5 |
159.25 |
126 |
148.75 |
Carle Eureka Hospital |
1331490486 |
PHENYTOIN DILANTIN |
80185 |
0300 |
130 |
130 |
39 |
118.3 |
91 |
39 |
118.3 |
93.6 |
110.5 |
Carle Eureka Hospital |
1331490490 |
PHOSPHORUS |
84100 |
0300 |
54 |
54 |
16.2 |
49.14 |
37.799999999999997 |
16.2 |
49.14 |
38.879999999999995 |
45.9 |
Carle Eureka Hospital |
1331490506 |
POTASSIUM |
84132 |
0300 |
53 |
53 |
15.899999999999999 |
48.230000000000004 |
37.099999999999994 |
15.899999999999999 |
48.230000000000004 |
38.159999999999997 |
45.05 |
Carle Eureka Hospital |
1331490507 |
POTASSIUM-24HR URINE |
84133 |
0300 |
88 |
88 |
26.4 |
80.08 |
61.599999999999994 |
26.4 |
80.08 |
63.36 |
74.8 |
Carle Eureka Hospital |
1331490508 |
POTASSIUM-RANDOM URINE |
84133 |
0300 |
67 |
67 |
20.099999999999998 |
60.97 |
46.9 |
20.099999999999998 |
60.97 |
48.239999999999995 |
56.949999999999996 |
Carle Eureka Hospital |
1331490509 |
PREALBUMIN TRANSTHYRETIN |
84134 |
0300 |
132 |
132 |
39.6 |
120.12 |
92.399999999999991 |
39.6 |
120.12 |
95.039999999999992 |
112.2 |
Carle Eureka Hospital |
1331490511 |
PREG TEST HCG URINE QUAL |
81025 |
0300 |
76 |
76 |
22.8 |
69.16 |
53.199999999999996 |
22.8 |
69.16 |
54.72 |
64.599999999999994 |
Carle Eureka Hospital |
1331490513 |
PREG TEST-HCG SERUM QUAL |
84703 |
0300 |
84 |
84 |
25.2 |
76.44 |
58.8 |
25.2 |
76.44 |
60.48 |
71.399999999999991 |
Carle Eureka Hospital |
1331490521 |
PROGESTERONE |
84144 |
0300 |
240 |
240 |
72 |
218.4 |
168 |
72 |
218.4 |
172.79999999999998 |
204 |
Carle Eureka Hospital |
1331490524 |
PROLACTIN |
84146 |
0300 |
220 |
220 |
66 |
200.20000000000002 |
154 |
66 |
200.20000000000002 |
158.4 |
187 |
Carle Eureka Hospital |
1331490525 |
PSA DIAGNOSTIC |
84153 |
0300 |
152 |
152 |
45.6 |
138.32 |
106.39999999999999 |
45.6 |
138.32 |
109.44 |
129.19999999999999 |
Carle Eureka Hospital |
1331490526 |
PSA SCREENING |
84153 |
0301 |
152 |
152 |
45.6 |
138.32 |
106.39999999999999 |
45.6 |
138.32 |
109.44 |
129.19999999999999 |
Carle Eureka Hospital |
1331490529 |
PROTEIN-24HR URINE |
84156 |
0300 |
105 |
105 |
31.5 |
95.55 |
73.5 |
31.5 |
95.55 |
75.599999999999994 |
89.25 |
Carle Eureka Hospital |
1331490530 |
PROTEIN-RANDOM URINE |
84156 |
0300 |
87 |
87 |
26.099999999999998 |
79.17 |
60.9 |
26.099999999999998 |
79.17 |
62.64 |
73.95 |
Carle Eureka Hospital |
1331490554 |
RENAL FUNCTION PANEL |
80069 |
0300 |
145 |
145 |
43.5 |
131.95000000000002 |
101.5 |
43.5 |
131.95000000000002 |
104.39999999999999 |
123.25 |
Carle Eureka Hospital |
1331490568 |
RUBELLA ANTIBODY-IGG |
86762 |
0300 |
102 |
102 |
30.599999999999998 |
92.820000000000007 |
71.399999999999991 |
30.599999999999998 |
92.820000000000007 |
73.44 |
86.7 |
Carle Eureka Hospital |
1331490570 |
SALICYLATE |
80329 |
0300 |
160 |
160 |
48 |
145.6 |
112 |
48 |
145.6 |
115.19999999999999 |
136 |
Carle Eureka Hospital |
1331490580 |
SODIUM |
84295 |
0300 |
79 |
79 |
23.7 |
71.89 |
55.3 |
23.7 |
71.89 |
56.879999999999995 |
67.149999999999991 |
Carle Eureka Hospital |
1331490582 |
SODIUM-24HR URINE |
84300 |
0300 |
88 |
88 |
26.4 |
80.08 |
61.599999999999994 |
26.4 |
80.08 |
63.36 |
74.8 |
Carle Eureka Hospital |
1331490583 |
SODIUM-RANDOM URINE |
84300 |
0300 |
72 |
72 |
21.599999999999998 |
65.52 |
50.4 |
21.599999999999998 |
65.52 |
51.839999999999996 |
61.199999999999996 |
Carle Eureka Hospital |
1331490603 |
SYNOVIAL FLUID GLUCOSE |
82945 |
0300 |
83 |
83 |
24.9 |
75.53 |
58.099999999999994 |
24.9 |
75.53 |
59.76 |
70.55 |
Carle Eureka Hospital |
1331490605 |
SYNOVIAL FLUID PROTEIN |
84157 |
0300 |
79 |
79 |
23.7 |
71.89 |
55.3 |
23.7 |
71.89 |
56.879999999999995 |
67.149999999999991 |
Carle Eureka Hospital |
1331490606 |
SYNOVIAL FLUID URIC ACID |
84560 |
0300 |
98 |
98 |
29.4 |
89.18 |
68.599999999999994 |
29.4 |
89.18 |
70.56 |
83.3 |
Carle Eureka Hospital |
1331490607 |
T3 BY RIA |
84480 |
0300 |
110 |
110 |
33 |
100.10000000000001 |
77 |
33 |
100.10000000000001 |
79.2 |
93.5 |
Carle Eureka Hospital |
1331490609 |
T4 - THYROXINE |
84436 |
0300 |
89 |
89 |
26.7 |
80.990000000000009 |
62.3 |
26.7 |
80.990000000000009 |
64.08 |
75.649999999999991 |
Carle Eureka Hospital |
1331490610 |
T4 FREE |
84439 |
0300 |
132 |
132 |
39.6 |
120.12 |
92.399999999999991 |
39.6 |
120.12 |
95.039999999999992 |
112.2 |
Carle Eureka Hospital |
1331490621 |
TOBRAMCIN-TROUGH LEVEL |
80200 |
0300 |
165 |
165 |
49.5 |
150.15 |
115.49999999999999 |
49.5 |
150.15 |
118.8 |
140.25 |
Carle Eureka Hospital |
1331490622 |
TOBRAMYCIN-PEAK LEVEL |
80200 |
0300 |
165 |
165 |
49.5 |
150.15 |
115.49999999999999 |
49.5 |
150.15 |
118.8 |
140.25 |
Carle Eureka Hospital |
1331490623 |
TOBRAMYCIN-RANDOM LEVEL |
80200 |
0300 |
165 |
165 |
49.5 |
150.15 |
115.49999999999999 |
49.5 |
150.15 |
118.8 |
140.25 |
Carle Eureka Hospital |
1331490627 |
TOTAL IRON BINDING CAPACITY |
83550 |
0300 |
82 |
82 |
24.599999999999998 |
74.62 |
57.4 |
24.599999999999998 |
74.62 |
59.04 |
69.7 |
Carle Eureka Hospital |
1331490628 |
TOTAL PROTEIN-SERUM |
84155 |
0300 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
1331490638 |
TRIGLYCERIDES |
84478 |
0300 |
92 |
92 |
27.599999999999998 |
83.72 |
64.399999999999991 |
27.599999999999998 |
83.72 |
66.239999999999995 |
78.2 |
Carle Eureka Hospital |
1331490640 |
TROPONIN I |
84484 |
0300 |
105 |
105 |
31.5 |
95.55 |
73.5 |
31.5 |
95.55 |
75.599999999999994 |
89.25 |
Carle Eureka Hospital |
1331490641 |
TSH THYROID STIMULATING HORM |
84443 |
0300 |
161 |
161 |
48.3 |
146.51 |
112.69999999999999 |
48.3 |
146.51 |
115.92 |
136.85 |
Carle Eureka Hospital |
1331490651 |
UREA NITROGEN-24HR URINE |
84540 |
0300 |
78 |
78 |
23.4 |
70.98 |
54.599999999999994 |
23.4 |
70.98 |
56.16 |
66.3 |
Carle Eureka Hospital |
1331490652 |
URIC ACID |
84550 |
0300 |
69 |
69 |
20.7 |
62.79 |
48.3 |
20.7 |
62.79 |
49.68 |
58.65 |
Carle Eureka Hospital |
1331490653 |
URIC ACID- 24HR URINE |
84560 |
0300 |
98 |
98 |
29.4 |
89.18 |
68.599999999999994 |
29.4 |
89.18 |
70.56 |
83.3 |
Carle Eureka Hospital |
1331490671 |
VALPROIC ACID DEPAKENE |
80164 |
0300 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
1331490672 |
VANCOMYCIN-PEAK LEVEL |
80202 |
0300 |
230 |
230 |
69 |
209.3 |
161 |
69 |
209.3 |
165.6 |
195.5 |
Carle Eureka Hospital |
1331490673 |
VANCOMYCIN-RANDOM LEVEL |
80202 |
0300 |
230 |
230 |
69 |
209.3 |
161 |
69 |
209.3 |
165.6 |
195.5 |
Carle Eureka Hospital |
1331490674 |
VANCOMYCIN-TROUGH LEVEL |
80202 |
0300 |
230 |
230 |
69 |
209.3 |
161 |
69 |
209.3 |
165.6 |
195.5 |
Carle Eureka Hospital |
1331490679 |
VET PANEL |
0300 |
20 |
20 |
6 |
18.2 |
14 |
6 |
18.2 |
14.399999999999999 |
17 |
Carle Eureka Hospital |
1331490683 |
VITAMIN B12 |
82607 |
0300 |
147 |
147 |
44.1 |
133.77000000000001 |
102.89999999999999 |
44.1 |
133.77000000000001 |
105.83999999999999 |
124.95 |
Carle Eureka Hospital |
1331490697 |
B-TYPE NATRIURETIC PEPTIDE |
83880 |
0301 |
265 |
265 |
79.5 |
241.15 |
185.5 |
79.5 |
241.15 |
190.79999999999998 |
225.25 |
Carle Eureka Hospital |
1331490765 |
ANTI NUCLEAR ANTIBODY TITER |
86039 |
0302 |
105 |
105 |
31.5 |
95.55 |
73.5 |
31.5 |
95.55 |
75.599999999999994 |
89.25 |
Carle Eureka Hospital |
1331491048 |
BILIRUBIN CORD |
82247 |
0301 |
75 |
75 |
22.5 |
68.25 |
52.5 |
22.5 |
68.25 |
54 |
63.75 |
Carle Eureka Hospital |
1331491052 |
TOLERANCE TEST ADD GLUCOSE |
82952 |
0301 |
45 |
45 |
13.5 |
40.950000000000003 |
31.499999999999996 |
13.5 |
40.950000000000003 |
32.4 |
38.25 |
Carle Eureka Hospital |
1331491172 |
VITAMIN D 25 HYDORXY |
82306 |
0301 |
145 |
145 |
43.5 |
131.95000000000002 |
101.5 |
43.5 |
131.95000000000002 |
104.39999999999999 |
123.25 |
Carle Eureka Hospital |
1331491388 |
PARATHORMONE (PTH) |
83970 |
0301 |
260 |
260 |
78 |
236.6 |
182 |
78 |
236.6 |
187.2 |
221 |
Carle Eureka Hospital |
1331491525 |
CORTISOL |
82533 |
0300 |
155 |
155 |
46.5 |
141.05000000000001 |
108.5 |
46.5 |
141.05000000000001 |
111.6 |
131.75 |
Carle Eureka Hospital |
1331491526 |
CORTISOL - DST SUPPRESSION |
82533 |
0300 |
155 |
155 |
46.5 |
141.05000000000001 |
108.5 |
46.5 |
141.05000000000001 |
111.6 |
131.75 |
Carle Eureka Hospital |
1331491527 |
ACTH STIMULATION PANEL |
80400 |
0300 |
325 |
325 |
97.5 |
295.75 |
227.49999999999997 |
97.5 |
295.75 |
234 |
276.25 |
Carle Eureka Hospital |
1331491637 |
FETAL FIBRONECTIN |
82731 |
0300 |
670 |
670 |
201 |
609.70000000000005 |
468.99999999999994 |
201 |
609.70000000000005 |
482.4 |
569.5 |
Carle Eureka Hospital |
1331491653 |
ACETAMINOPHEN SCREEN URINE |
80329 |
0300 |
160 |
160 |
48 |
145.6 |
112 |
48 |
145.6 |
115.19999999999999 |
136 |
Carle Eureka Hospital |
1331491667 |
GESTATIONAL GTT 2 HR |
82951 |
0300 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
1331491669 |
ACL COLLECTION FEE |
0300 |
7.4 |
7.4 |
2.2200000000000002 |
6.7340000000000009 |
5.18 |
2.2200000000000002 |
6.7340000000000009 |
5.3280000000000003 |
6.29 |
Carle Eureka Hospital |
1331491693 |
PROCALCITONIN |
84145 |
0301 |
350 |
350 |
105 |
318.5 |
244.99999999999997 |
105 |
318.5 |
252 |
297.5 |
Carle Eureka Hospital |
1331491706 |
GTT ADD GLUCOSE |
82947 |
0300 |
70 |
70 |
21 |
63.7 |
49 |
21 |
63.7 |
50.4 |
59.5 |
Carle Eureka Hospital |
1331491707 |
GLUCOSE TOLERANCE 2 HR |
82950 |
0300 |
56 |
56 |
16.8 |
50.96 |
39.199999999999996 |
16.8 |
50.96 |
40.32 |
47.6 |
Carle Eureka Hospital |
1331491807 |
HIV AG AB |
87806 |
0306 |
103 |
103 |
30.9 |
93.73 |
72.099999999999994 |
30.9 |
93.73 |
74.16 |
87.55 |
Carle Eureka Hospital |
1331491818 |
ACETAMINOPHEN W SALICYLATE |
80329 |
0300 |
184 |
184 |
55.199999999999996 |
167.44 |
128.79999999999998 |
55.199999999999996 |
167.44 |
132.47999999999999 |
156.4 |
Carle Eureka Hospital |
1331491822 |
GLUCOSE BEDSIDE OP SINGLE TEST |
82962 |
0300 |
25 |
25 |
7.5 |
22.75 |
17.5 |
7.5 |
22.75 |
18 |
21.25 |
Carle Eureka Hospital |
1331494836 |
GTT 2 HR 3 SPECIMENS |
82951 |
0300 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
1331690012 |
AEROBE DEFINITIVE ID 1 |
87077 |
0306 |
73 |
73 |
21.9 |
66.430000000000007 |
51.099999999999994 |
21.9 |
66.430000000000007 |
52.559999999999995 |
62.05 |
Carle Eureka Hospital |
1331690013 |
AEROBIC CULTURE |
87070 |
0306 |
136 |
136 |
40.799999999999997 |
123.76 |
95.199999999999989 |
40.799999999999997 |
123.76 |
97.92 |
115.6 |
Carle Eureka Hospital |
1331690041 |
ANAEROBE DEFINITIVE ID |
87076 |
0306 |
110 |
110 |
33 |
100.10000000000001 |
77 |
33 |
100.10000000000001 |
79.2 |
93.5 |
Carle Eureka Hospital |
1331690076 |
BETA LACTAMASE DETECTION |
87185 |
0306 |
49 |
49 |
14.7 |
44.59 |
34.299999999999997 |
14.7 |
44.59 |
35.28 |
41.65 |
Carle Eureka Hospital |
1331690142 |
TOXIGENIC C DIFFICILE |
87493 |
0300 |
255 |
255 |
76.5 |
232.05 |
178.5 |
76.5 |
232.05 |
183.6 |
216.75 |
Carle Eureka Hospital |
1331690147 |
COLD AGGLUTININS |
86157 |
0300 |
76 |
76 |
22.8 |
69.16 |
53.199999999999996 |
22.8 |
69.16 |
54.72 |
64.599999999999994 |
Carle Eureka Hospital |
1331690192 |
CSF FUNGUS CULTURE |
87102 |
0306 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
1331690206 |
CULTURE AFB CULTURE ONLY |
87116 |
0306 |
155 |
155 |
46.5 |
141.05000000000001 |
108.5 |
46.5 |
141.05000000000001 |
111.6 |
131.75 |
Carle Eureka Hospital |
1331690207 |
CULTURE ANAEROBIC |
87075 |
0306 |
141 |
141 |
42.3 |
128.31 |
98.699999999999989 |
42.3 |
128.31 |
101.52 |
119.85 |
Carle Eureka Hospital |
1331690209 |
CULTURE BLOOD |
87040 |
0306 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
1331690210 |
CULTURE BLOOD FUNGUS |
87103 |
0306 |
180 |
180 |
54 |
163.80000000000001 |
125.99999999999999 |
54 |
163.80000000000001 |
129.6 |
153 |
Carle Eureka Hospital |
1331690214 |
CULTURE CATHETER TIP |
87070 |
0306 |
136 |
136 |
40.799999999999997 |
123.76 |
95.199999999999989 |
40.799999999999997 |
123.76 |
97.92 |
115.6 |
Carle Eureka Hospital |
1331690217 |
CULTURE FOR CAMPYLOBACTER |
87046 |
0306 |
86 |
86 |
25.8 |
78.260000000000005 |
60.199999999999996 |
25.8 |
78.260000000000005 |
61.919999999999995 |
73.099999999999994 |
Carle Eureka Hospital |
1331690218 |
CULTURE FOR E.COLI 0157 |
87046 |
0306 |
86 |
86 |
25.8 |
78.260000000000005 |
60.199999999999996 |
25.8 |
78.260000000000005 |
61.919999999999995 |
73.099999999999994 |
Carle Eureka Hospital |
1331690219 |
CULTURE FOR YERSINIA |
87046 |
0306 |
86 |
86 |
25.8 |
78.260000000000005 |
60.199999999999996 |
25.8 |
78.260000000000005 |
61.919999999999995 |
73.099999999999994 |
Carle Eureka Hospital |
1331690220 |
CULTURE FUNGUS |
87102 |
0306 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
1331690221 |
CULTURE FUNGUS SKIN HAIR NAI |
87101 |
0306 |
99 |
99 |
29.7 |
90.09 |
69.3 |
29.7 |
90.09 |
71.28 |
84.149999999999991 |
Carle Eureka Hospital |
1331690225 |
CULTURE MAXILLARY SINUS |
87070 |
0306 |
136 |
136 |
40.799999999999997 |
123.76 |
95.199999999999989 |
40.799999999999997 |
123.76 |
97.92 |
115.6 |
Carle Eureka Hospital |
1331690226 |
CULTURE NOSE/NASOPHARYNGEAL |
87070 |
0306 |
136 |
136 |
40.799999999999997 |
123.76 |
95.199999999999989 |
40.799999999999997 |
123.76 |
97.92 |
115.6 |
Carle Eureka Hospital |
1331690227 |
CULTURE OTHER-SPECIFY SOURCE |
87070 |
0306 |
136 |
136 |
40.799999999999997 |
123.76 |
95.199999999999989 |
40.799999999999997 |
123.76 |
97.92 |
115.6 |
Carle Eureka Hospital |
1331690228 |
CULTURE QUANTITATIVE AEROBIC |
87071 |
0306 |
145 |
145 |
43.5 |
131.95000000000002 |
101.5 |
43.5 |
131.95000000000002 |
104.39999999999999 |
123.25 |
Carle Eureka Hospital |
1331690234 |
CULTURE THROAT |
87070 |
0306 |
136 |
136 |
40.799999999999997 |
123.76 |
95.199999999999989 |
40.799999999999997 |
123.76 |
97.92 |
115.6 |
Carle Eureka Hospital |
1331690235 |
CULTURE THROAT-BETA STREP ONLY |
87081 |
0306 |
96 |
96 |
28.799999999999997 |
87.36 |
67.199999999999989 |
28.799999999999997 |
87.36 |
69.12 |
81.599999999999994 |
Carle Eureka Hospital |
1331690237 |
CULTURE URINE |
87086 |
0300 |
136 |
136 |
40.799999999999997 |
123.76 |
95.199999999999989 |
40.799999999999997 |
123.76 |
97.92 |
115.6 |
Carle Eureka Hospital |
1331690240 |
CULTURE VAGINAL B-STREP ONLY |
87081 |
0306 |
96 |
96 |
28.799999999999997 |
87.36 |
67.199999999999989 |
28.799999999999997 |
87.36 |
69.12 |
81.599999999999994 |
Carle Eureka Hospital |
1331690242 |
CULTURE/SALMONELLA & SHIGELLA |
87045 |
0306 |
140 |
140 |
42 |
127.4 |
98 |
42 |
127.4 |
100.8 |
119 |
Carle Eureka Hospital |
1331690281 |
EXAM FOR CLUE CELLS |
87205 |
0306 |
72 |
72 |
21.599999999999998 |
65.52 |
50.4 |
21.599999999999998 |
65.52 |
51.839999999999996 |
61.199999999999996 |
Carle Eureka Hospital |
1331690282 |
EXAM FOR FUNGUS/YEAST |
87205 |
0306 |
72 |
72 |
21.599999999999998 |
65.52 |
50.4 |
21.599999999999998 |
65.52 |
51.839999999999996 |
61.199999999999996 |
Carle Eureka Hospital |
1331690283 |
EXAM FOR TRICHOMONAS |
87210 |
0306 |
99 |
99 |
29.7 |
90.09 |
69.3 |
29.7 |
90.09 |
71.28 |
84.149999999999991 |
Carle Eureka Hospital |
1331690285 |
EYEBANK CULTURE |
87070 |
0306 |
136 |
136 |
40.799999999999997 |
123.76 |
95.199999999999989 |
40.799999999999997 |
123.76 |
97.92 |
115.6 |
Carle Eureka Hospital |
1331690318 |
GC SMEAR ONLY |
87205 |
0306 |
65 |
65 |
19.5 |
59.15 |
45.5 |
19.5 |
59.15 |
46.8 |
55.25 |
Carle Eureka Hospital |
1331690336 |
GRAM SMEAR |
87205 |
0306 |
72 |
72 |
21.599999999999998 |
65.52 |
50.4 |
21.599999999999998 |
65.52 |
51.839999999999996 |
61.199999999999996 |
Carle Eureka Hospital |
1331690376 |
HOMOGENIZATION TISSUE CULTURE |
87176 |
0306 |
55 |
55 |
16.5 |
50.050000000000004 |
38.5 |
16.5 |
50.050000000000004 |
39.6 |
46.75 |
Carle Eureka Hospital |
1331690379 |
IDENTIFICATION OF FUNGUS |
87107 |
0306 |
120 |
120 |
36 |
109.2 |
84 |
36 |
109.2 |
86.399999999999991 |
102 |
Carle Eureka Hospital |
1331690401 |
KOH EXAM OF SKIN HAIR NAILS |
87220 |
0306 |
86 |
86 |
25.8 |
78.260000000000005 |
60.199999999999996 |
25.8 |
78.260000000000005 |
61.919999999999995 |
73.099999999999994 |
Carle Eureka Hospital |
1331690450 |
MONO TEST |
86308 |
0302 |
93 |
93 |
27.9 |
84.63000000000001 |
65.099999999999994 |
27.9 |
84.63000000000001 |
66.959999999999994 |
79.05 |
Carle Eureka Hospital |
1331690460 |
NEONATAL SCREEN |
84030 |
0300 |
130 |
130 |
39 |
118.3 |
91 |
39 |
118.3 |
93.6 |
110.5 |
Carle Eureka Hospital |
1331690463 |
OCCULT BLOOD FECES QUALITATIVE |
82270 |
0300 |
42 |
42 |
12.6 |
38.22 |
29.4 |
12.6 |
38.22 |
30.24 |
35.699999999999996 |
Carle Eureka Hospital |
1331690539 |
RAPID SCREEN FOR GROUP A STREP |
87430 |
0300 |
135 |
135 |
40.5 |
122.85000000000001 |
94.5 |
40.5 |
122.85000000000001 |
97.2 |
114.75 |
Carle Eureka Hospital |
1331690556 |
REPEAT NEONATAL SCREEN |
84030 |
0300 |
130 |
130 |
39 |
118.3 |
91 |
39 |
118.3 |
93.6 |
110.5 |
Carle Eureka Hospital |
1331690557 |
RESPIRATORY SYNCYTIAL VIRUS |
87420 |
0300 |
170 |
170 |
51 |
154.70000000000002 |
118.99999999999999 |
51 |
154.70000000000002 |
122.39999999999999 |
144.5 |
Carle Eureka Hospital |
1331690565 |
ROTAVIRUS IN FECES |
87425 |
0300 |
160 |
160 |
48 |
145.6 |
112 |
48 |
145.6 |
115.19999999999999 |
136 |
Carle Eureka Hospital |
1331690566 |
RPR TEST |
86592 |
0300 |
68 |
68 |
20.399999999999999 |
61.88 |
47.599999999999994 |
20.399999999999999 |
61.88 |
48.96 |
57.8 |
Carle Eureka Hospital |
1331690579 |
SMEAR FOR ACID FAST BACILLI |
87206 |
0306 |
75 |
75 |
22.5 |
68.25 |
52.5 |
22.5 |
68.25 |
54 |
63.75 |
Carle Eureka Hospital |
1331690596 |
SUSCEPTIBILITY KB |
87184 |
0306 |
87 |
87 |
26.099999999999998 |
79.17 |
60.9 |
26.099999999999998 |
79.17 |
62.64 |
73.95 |
Carle Eureka Hospital |
1331690597 |
SUSCEPTIBILITY MIC |
87186 |
0306 |
109 |
109 |
32.699999999999996 |
99.19 |
76.3 |
32.699999999999996 |
99.19 |
78.48 |
92.649999999999991 |
Carle Eureka Hospital |
1331690660 |
ISOLATION AND ID, URINE |
87088 |
0306 |
75 |
75 |
22.5 |
68.25 |
52.5 |
22.5 |
68.25 |
54 |
63.75 |
Carle Eureka Hospital |
1331690691 |
EXAM FOR TRICH CLUE & FUNGUS |
87210 |
0300 |
74 |
74 |
22.2 |
67.34 |
51.8 |
22.2 |
67.34 |
53.28 |
62.9 |
Carle Eureka Hospital |
1331690693 |
YEAST DEFINITIVE ID |
87106 |
0306 |
97 |
97 |
29.099999999999998 |
88.27 |
67.899999999999991 |
29.099999999999998 |
88.27 |
69.84 |
82.45 |
Carle Eureka Hospital |
1331691013 |
SPECIFIC ORGANISM CULTURE |
87081 |
0306 |
96 |
96 |
28.799999999999997 |
87.36 |
67.199999999999989 |
28.799999999999997 |
87.36 |
69.12 |
81.599999999999994 |
Carle Eureka Hospital |
1331691014 |
BETA LACTAMASE DETECTION 2 |
87185 |
0306 |
49 |
49 |
14.7 |
44.59 |
34.299999999999997 |
14.7 |
44.59 |
35.28 |
41.65 |
Carle Eureka Hospital |
1331691015 |
YEAST DEFINITIVE ID 2 |
87106 |
0306 |
97 |
97 |
29.099999999999998 |
88.27 |
67.899999999999991 |
29.099999999999998 |
88.27 |
69.84 |
82.45 |
Carle Eureka Hospital |
1331691016 |
IDENTIFICATION OF FUNGUS-MOLD2 |
8707759 |
0306 |
61 |
61 |
18.3 |
55.510000000000005 |
42.699999999999996 |
18.3 |
55.510000000000005 |
43.92 |
51.85 |
Carle Eureka Hospital |
1331691017 |
RAPID HIV FROM SOURCE |
87806 |
0302 |
215 |
215 |
64.5 |
195.65 |
150.5 |
64.5 |
195.65 |
154.79999999999998 |
182.75 |
Carle Eureka Hospital |
1331691018 |
ANAEROBE DEFINITIVE ID 2 |
87076 |
0306 |
110 |
110 |
33 |
100.10000000000001 |
77 |
33 |
100.10000000000001 |
79.2 |
93.5 |
Carle Eureka Hospital |
1331691019 |
ANAEROBE DEFINITIVE ID 3 |
87076 |
0306 |
110 |
110 |
33 |
100.10000000000001 |
77 |
33 |
100.10000000000001 |
79.2 |
93.5 |
Carle Eureka Hospital |
1331691020 |
AEROBE DEFINITIVE ID 2 |
87077 |
0306 |
73 |
73 |
21.9 |
66.430000000000007 |
51.099999999999994 |
21.9 |
66.430000000000007 |
52.559999999999995 |
62.05 |
Carle Eureka Hospital |
1331691021 |
AEROBE DEFINITIVE ID 3 |
87077 |
0306 |
73 |
73 |
21.9 |
66.430000000000007 |
51.099999999999994 |
21.9 |
66.430000000000007 |
52.559999999999995 |
62.05 |
Carle Eureka Hospital |
1331691060 |
VET SUSCEPTIBILITY |
0306 |
21 |
21 |
6.3 |
19.11 |
14.7 |
6.3 |
19.11 |
15.12 |
17.849999999999998 |
Carle Eureka Hospital |
1331691190 |
GRAM NEGATIVE MIC |
87186 |
0306 |
109 |
109 |
32.699999999999996 |
99.19 |
76.3 |
32.699999999999996 |
99.19 |
78.48 |
92.649999999999991 |
Carle Eureka Hospital |
1331691256 |
GRAM POSITIVE MIC |
87186 |
0306 |
109 |
109 |
32.699999999999996 |
99.19 |
76.3 |
32.699999999999996 |
99.19 |
78.48 |
92.649999999999991 |
Carle Eureka Hospital |
1331691485 |
INFLUENZA A |
87276 |
0302 |
110 |
110 |
33 |
100.10000000000001 |
77 |
33 |
100.10000000000001 |
79.2 |
93.5 |
Carle Eureka Hospital |
1331691486 |
INFLUENZA B |
87275 |
0302 |
110 |
110 |
33 |
100.10000000000001 |
77 |
33 |
100.10000000000001 |
79.2 |
93.5 |
Carle Eureka Hospital |
1331691559 |
CONCENTRATION FOR INFCT AGENTS |
87015 |
0306 |
63 |
63 |
18.899999999999999 |
57.330000000000005 |
44.099999999999994 |
18.899999999999999 |
57.330000000000005 |
45.36 |
53.55 |
Carle Eureka Hospital |
1331691565 |
RAPID MRSA |
87641 |
0306 |
290 |
290 |
87 |
263.90000000000003 |
203 |
87 |
263.90000000000003 |
208.79999999999998 |
246.5 |
Carle Eureka Hospital |
1331691660 |
SHIGA TOXIN 1 |
87427 |
0306 |
110 |
110 |
33 |
100.10000000000001 |
77 |
33 |
100.10000000000001 |
79.2 |
93.5 |
Carle Eureka Hospital |
1331691661 |
SHIGA TOXIN 2 |
87427 |
0306 |
110 |
110 |
33 |
100.10000000000001 |
77 |
33 |
100.10000000000001 |
79.2 |
93.5 |
Carle Eureka Hospital |
1331691666 |
CULTURE FOR E COLI 0157 |
87046 |
0306 |
86 |
86 |
25.8 |
78.260000000000005 |
60.199999999999996 |
25.8 |
78.260000000000005 |
61.919999999999995 |
73.099999999999994 |
Carle Eureka Hospital |
1331691670 |
CAMPYLOBACTER ANTIGEN |
87899 |
0306 |
110 |
110 |
33 |
100.10000000000001 |
77 |
33 |
100.10000000000001 |
79.2 |
93.5 |
Carle Eureka Hospital |
1331691705 |
PRE OP NASAL MRSA |
87641 |
0306 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
1331691711 |
STREPTOCOCCUS GROUP A PROBE |
87651 |
0300 |
170 |
170 |
51 |
154.70000000000002 |
118.99999999999999 |
51 |
154.70000000000002 |
122.39999999999999 |
144.5 |
Carle Eureka Hospital |
1331691733 |
STREPT PNEUM URINARY ANTIGEN |
87899 |
0300 |
110 |
110 |
33 |
100.10000000000001 |
77 |
33 |
100.10000000000001 |
79.2 |
93.5 |
Carle Eureka Hospital |
1331691734 |
LEGIONELLA PNEUM URINE ANTIGEN |
87899 |
0300 |
110 |
110 |
33 |
100.10000000000001 |
77 |
33 |
100.10000000000001 |
79.2 |
93.5 |
Carle Eureka Hospital |
1331691796 |
CHLAMYDIA CT/NG |
87491 |
0302 |
144 |
144 |
43.199999999999996 |
131.04 |
100.8 |
43.199999999999996 |
131.04 |
103.67999999999999 |
122.39999999999999 |
Carle Eureka Hospital |
1331691797 |
NEISSERIA GONORRHOEA CT/NG |
87591 |
0302 |
144 |
144 |
43.199999999999996 |
131.04 |
100.8 |
43.199999999999996 |
131.04 |
103.67999999999999 |
122.39999999999999 |
Carle Eureka Hospital |
1331694836 |
COVID 19 NON CDC |
87635 |
0300 |
153 |
153 |
45.9 |
139.23000000000002 |
107.1 |
45.9 |
139.23000000000002 |
110.16 |
130.04999999999998 |
Carle Eureka Hospital |
1331694837 |
CARBAPENEMASE ENZYME EACH |
87185 |
0306 |
49 |
49 |
14.7 |
44.59 |
34.299999999999997 |
14.7 |
44.59 |
35.28 |
41.65 |
Carle Eureka Hospital |
1331694839 |
SARS COV 2 IGG ANTIBODY |
86769 |
0302 |
73 |
73 |
21.9 |
66.430000000000007 |
51.099999999999994 |
21.9 |
66.430000000000007 |
52.559999999999995 |
62.05 |
Carle Eureka Hospital |
1331790099 |
BODY FLUID CYTOLOGY |
88104 |
0311 |
215 |
215 |
64.5 |
195.65 |
150.5 |
64.5 |
195.65 |
154.79999999999998 |
182.75 |
Carle Eureka Hospital |
1331790101 |
BONE MARROW STUDY ONLY |
88305 |
0300 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
1331790126 |
CELL BLOCK |
88305 |
0310 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
1331790245 |
CYTOLOGY SMEARS ANY SOURCE |
88161 |
0311 |
235 |
235 |
70.5 |
213.85 |
164.5 |
70.5 |
213.85 |
169.2 |
199.75 |
Carle Eureka Hospital |
1331790246 |
CYTOMEGALIC INCLUSION BODIES |
87207 |
0300 |
190 |
190 |
57 |
172.9 |
133 |
57 |
172.9 |
136.79999999999998 |
161.5 |
Carle Eureka Hospital |
1331790248 |
DARK FIELD EXAMINATION |
87164 |
0300 |
140 |
140 |
42 |
127.4 |
98 |
42 |
127.4 |
100.8 |
119 |
Carle Eureka Hospital |
1331790278 |
ESTROGEN RECEPTOR OR ASSAY |
84233 |
0300 |
230 |
230 |
69 |
209.3 |
161 |
69 |
209.3 |
165.6 |
195.5 |
Carle Eureka Hospital |
1331790310 |
FROZEN SECTION 1 |
88331 |
0312 |
710 |
710 |
213 |
646.1 |
496.99999999999994 |
213 |
646.1 |
511.2 |
603.5 |
Carle Eureka Hospital |
1331790311 |
FROZEN SECTION EACH ADDITIONAL |
88332 |
0310 |
380 |
380 |
114 |
345.8 |
266 |
114 |
345.8 |
273.59999999999997 |
323 |
Carle Eureka Hospital |
1331790338 |
H AND E SLIDE PREPARATION |
88399 |
0300 |
61 |
61 |
18.3 |
55.510000000000005 |
42.699999999999996 |
18.3 |
55.510000000000005 |
43.92 |
51.85 |
Carle Eureka Hospital |
1331790369 |
HISTOCHEMISTRY OR CYTOCHEM |
88319 |
0310 |
550 |
550 |
165 |
500.5 |
385 |
165 |
500.5 |
396 |
467.5 |
Carle Eureka Hospital |
1331790377 |
HORMONE RECEPTOR ASSAY |
84233 |
0300 |
485 |
485 |
145.5 |
441.35 |
339.5 |
145.5 |
441.35 |
349.2 |
412.25 |
Carle Eureka Hospital |
1331790382 |
IMMUNOCYTOCHEMISTRY INITIAL |
88342 |
0310 |
244 |
244 |
73.2 |
222.04000000000002 |
170.79999999999998 |
73.2 |
222.04000000000002 |
175.68 |
207.4 |
Carle Eureka Hospital |
1331790417 |
LEUKOCYTE ALKALINE PHOS STAIN |
85540 |
0300 |
96 |
96 |
28.799999999999997 |
87.36 |
67.199999999999989 |
28.799999999999997 |
87.36 |
69.12 |
81.599999999999994 |
Carle Eureka Hospital |
1331790424 |
LEVEL I SURG PATH GROSS ONLY |
88300 |
0310 |
145 |
145 |
43.5 |
131.95000000000002 |
101.5 |
43.5 |
131.95000000000002 |
104.39999999999999 |
123.25 |
Carle Eureka Hospital |
1331790425 |
LEVEL II SURG PATH GROSS & MIC |
88302 |
0310 |
195 |
195 |
58.5 |
177.45000000000002 |
136.5 |
58.5 |
177.45000000000002 |
140.4 |
165.75 |
Carle Eureka Hospital |
1331790426 |
LEVEL III SURG PATH GROSS & MI |
88304 |
0310 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
1331790427 |
LEVEL IV SURG PATH GROSS & MIC |
88305 |
0310 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
1331790428 |
LEVEL V SURG PATH GROSS & MIC |
88307 |
0310 |
1215 |
1215 |
364.5 |
1105.6500000000001 |
850.5 |
364.5 |
1105.6500000000001 |
874.8 |
1032.75 |
Carle Eureka Hospital |
1331790429 |
LEVEL VI SURG PATH GROSS & MIC |
88309 |
0310 |
1295 |
1295 |
388.5 |
1178.45 |
906.49999999999989 |
388.5 |
1178.45 |
932.4 |
1100.75 |
Carle Eureka Hospital |
1331790475 |
PATH CONSULT DURING SURGERY |
88329 |
0310 |
200 |
200 |
60 |
182 |
140 |
60 |
182 |
144 |
170 |
Carle Eureka Hospital |
1331790476 |
PATH CONSULTATION-AFIP |
88323 |
0312 |
710 |
710 |
213 |
646.1 |
496.99999999999994 |
213 |
646.1 |
511.2 |
603.5 |
Carle Eureka Hospital |
1331790477 |
PATH CONSULTATION-MAYO CLINIC |
88325 |
0312 |
460 |
460 |
138 |
418.6 |
322 |
138 |
418.6 |
331.2 |
391 |
Carle Eureka Hospital |
1331790523 |
PROGESTERONE RECEPTOR ASSAY |
84234 |
0300 |
420 |
420 |
126 |
382.2 |
294 |
126 |
382.2 |
302.39999999999998 |
357 |
Carle Eureka Hospital |
1331790536 |
QUANTITATIVE IRON LIVER TISSUE |
83540 |
0301 |
122 |
122 |
36.6 |
111.02000000000001 |
85.399999999999991 |
36.6 |
111.02000000000001 |
87.84 |
103.7 |
Carle Eureka Hospital |
1331790584 |
SPECIAL STAIN BY MAYO INITIAL |
88342 |
0312 |
480 |
480 |
144 |
436.8 |
336 |
144 |
436.8 |
345.59999999999997 |
408 |
Carle Eureka Hospital |
1331790585 |
SPECIAL STAIN GROUP 1 |
88312 |
0312 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
1331790586 |
SPECIAL STAIN GROUP 2 |
88313 |
0312 |
235 |
235 |
70.5 |
213.85 |
164.5 |
70.5 |
213.85 |
169.2 |
199.75 |
Carle Eureka Hospital |
1331790587 |
SPECIAL STAIN HISTO GRP II |
88313 |
0310 |
235 |
235 |
70.5 |
213.85 |
164.5 |
70.5 |
213.85 |
169.2 |
199.75 |
Carle Eureka Hospital |
1331790591 |
SPUTUM FOR CYTO |
88162 |
0311 |
295 |
295 |
88.5 |
268.45 |
206.5 |
88.5 |
268.45 |
212.4 |
250.75 |
Carle Eureka Hospital |
1331790619 |
TISSUE DECALCIFICATION |
88311 |
0312 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
1331790650 |
TZANCK TEST FOR VIRAL INCLUSIO |
87207 |
0300 |
190 |
190 |
57 |
172.9 |
133 |
57 |
172.9 |
136.79999999999998 |
161.5 |
Carle Eureka Hospital |
1331791024 |
PATH CONSULTATION LOYOLA |
88325 |
0310 |
585 |
585 |
175.5 |
532.35 |
409.5 |
175.5 |
532.35 |
421.2 |
497.25 |
Carle Eureka Hospital |
1331791025 |
PATH CONSULTATION AFIP |
88325 |
0310 |
460 |
460 |
138 |
418.6 |
322 |
138 |
418.6 |
331.2 |
391 |
Carle Eureka Hospital |
1331791026 |
PATH CONSULT MAYO COMPREHENSIV |
88325 |
0310 |
460 |
460 |
138 |
418.6 |
322 |
138 |
418.6 |
331.2 |
391 |
Carle Eureka Hospital |
1331791027 |
PATH CONSULTATION MAYO |
88321 |
0310 |
480 |
480 |
144 |
436.8 |
336 |
144 |
436.8 |
345.59999999999997 |
408 |
Carle Eureka Hospital |
1331791030 |
MUSCLE BIOPSY TO ST FRANCIS |
99001 |
0300 |
110 |
110 |
33 |
100.10000000000001 |
77 |
33 |
100.10000000000001 |
79.2 |
93.5 |
Carle Eureka Hospital |
1331791483 |
IMMUNO STAIN ADDITIONAL BRMC |
88341 |
0310 |
198 |
198 |
59.4 |
180.18 |
138.6 |
59.4 |
180.18 |
142.56 |
168.29999999999998 |
Carle Eureka Hospital |
1331791691 |
FNA PATHOLOGIST EVALUATION |
88172 |
0311 |
410 |
410 |
123 |
373.1 |
287 |
123 |
373.1 |
295.2 |
348.5 |
Carle Eureka Hospital |
1331791692 |
FNA ADDITIONAL EVALUATION |
88177 |
0311 |
265 |
265 |
79.5 |
241.15 |
185.5 |
79.5 |
241.15 |
190.79999999999998 |
225.25 |
Carle Eureka Hospital |
1331791694 |
FNA EVAL INT AND REPORT |
88173 |
0311 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
1331791710 |
PATH CONSLT WSLIDEPREP BY MAYO |
88323 |
0312 |
710 |
710 |
213 |
646.1 |
496.99999999999994 |
213 |
646.1 |
511.2 |
603.5 |
Carle Eureka Hospital |
1331791735 |
INTRAOPERATIV TOUCH PREP FIRST |
88333 |
0312 |
1070 |
1070 |
321 |
973.7 |
749 |
321 |
973.7 |
770.4 |
909.5 |
Carle Eureka Hospital |
1331791736 |
INTRAOPERATIV TOUCH PREP EA AD |
88334 |
0312 |
325 |
325 |
97.5 |
295.75 |
227.49999999999997 |
97.5 |
295.75 |
234 |
276.25 |
Carle Eureka Hospital |
1331890000 |
17-HYDROXYPROGESTERONE |
83498 |
0300 |
255 |
255 |
76.5 |
232.05 |
178.5 |
76.5 |
232.05 |
183.6 |
216.75 |
Carle Eureka Hospital |
1331890001 |
5-HIAA 24HR URINE |
83497 |
0300 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
1331890008 |
ACETYLCHOLINE RECEPTOR AB |
84238 |
0300 |
310 |
310 |
93 |
282.10000000000002 |
217 |
93 |
282.10000000000002 |
223.2 |
263.5 |
Carle Eureka Hospital |
1331890009 |
ACID PHOSPHATASE PROSTATIC |
84066 |
0300 |
100 |
100 |
30 |
91 |
70 |
30 |
91 |
72 |
85 |
Carle Eureka Hospital |
1331890011 |
ADRENOCORTICOTROPIC HORMONE |
82024 |
0300 |
215 |
215 |
64.5 |
195.65 |
150.5 |
64.5 |
195.65 |
154.79999999999998 |
182.75 |
Carle Eureka Hospital |
1331890018 |
ALDOLASE |
82085 |
0300 |
116 |
116 |
34.799999999999997 |
105.56 |
81.199999999999989 |
34.799999999999997 |
105.56 |
83.52 |
98.6 |
Carle Eureka Hospital |
1331890019 |
ALDOSTERONE |
82088 |
0300 |
360 |
360 |
108 |
327.60000000000002 |
251.99999999999997 |
108 |
327.60000000000002 |
259.2 |
306 |
Carle Eureka Hospital |
1331890022 |
ALKALINE PHOSPHATASE ISOENZYME |
84080 |
0300 |
140 |
140 |
42 |
127.4 |
98 |
42 |
127.4 |
100.8 |
119 |
Carle Eureka Hospital |
1331890023 |
ALPHA-1-ANTITRYPSIN |
82103 |
0300 |
155 |
155 |
46.5 |
141.05000000000001 |
108.5 |
46.5 |
141.05000000000001 |
111.6 |
131.75 |
Carle Eureka Hospital |
1331890024 |
ALPHAFETOPROTEIN MATERNAL |
82105 |
0300 |
190 |
190 |
57 |
172.9 |
133 |
57 |
172.9 |
136.79999999999998 |
161.5 |
Carle Eureka Hospital |
1331890025 |
ALPHAFETOPROTEIN TUMOR MARKER |
82105 |
0300 |
190 |
190 |
57 |
172.9 |
133 |
57 |
172.9 |
136.79999999999998 |
161.5 |
Carle Eureka Hospital |
1331890026 |
ALPRAZOLAM |
80346 |
0300 |
205 |
205 |
61.5 |
186.55 |
143.5 |
61.5 |
186.55 |
147.6 |
174.25 |
Carle Eureka Hospital |
1331890027 |
RMSF IGG (FEB) |
86757 |
0302 |
95 |
95 |
28.5 |
86.45 |
66.5 |
28.5 |
86.45 |
68.399999999999991 |
80.75 |
Carle Eureka Hospital |
1331890028 |
AMIKACIN RANDOM |
80150 |
0300 |
555 |
555 |
166.5 |
505.05 |
388.5 |
166.5 |
505.05 |
399.59999999999997 |
471.75 |
Carle Eureka Hospital |
1331890029 |
AMIKACIN PEAK |
80150 |
0300 |
410 |
410 |
123 |
373.1 |
287 |
123 |
373.1 |
295.2 |
348.5 |
Carle Eureka Hospital |
1331890030 |
AMIKACIN RANDOM |
80150 |
0300 |
555 |
555 |
166.5 |
505.05 |
388.5 |
166.5 |
505.05 |
399.59999999999997 |
471.75 |
Carle Eureka Hospital |
1331890031 |
AMIKACIN TROUGH |
80150 |
0300 |
555 |
555 |
166.5 |
505.05 |
388.5 |
166.5 |
505.05 |
399.59999999999997 |
471.75 |
Carle Eureka Hospital |
1331890033 |
AMINOLEVULINIC ACID 24HR URINE |
82135 |
0300 |
185 |
185 |
55.5 |
168.35 |
129.5 |
55.5 |
168.35 |
133.19999999999999 |
157.25 |
Carle Eureka Hospital |
1331890034 |
AMITRIPTYLINE ELAVIL |
80335 |
0300 |
215 |
215 |
64.5 |
195.65 |
150.5 |
64.5 |
195.65 |
154.79999999999998 |
182.75 |
Carle Eureka Hospital |
1331890035 |
AMMONIA PLASMA |
82140 |
0300 |
135 |
135 |
40.5 |
122.85000000000001 |
94.5 |
40.5 |
122.85000000000001 |
97.2 |
114.75 |
Carle Eureka Hospital |
1331890038 |
AMYLASE 24HR URINE |
82150 |
0300 |
135 |
135 |
40.5 |
122.85000000000001 |
94.5 |
40.5 |
122.85000000000001 |
97.2 |
114.75 |
Carle Eureka Hospital |
1331890039 |
AMYLASE URINE RANDOM |
82150 |
0300 |
130 |
130 |
39 |
118.3 |
91 |
39 |
118.3 |
93.6 |
110.5 |
Carle Eureka Hospital |
1331890043 |
ANGIOTENSIN 1 CONVERTING ENZ |
82164 |
0300 |
135 |
135 |
40.5 |
122.85000000000001 |
94.5 |
40.5 |
122.85000000000001 |
97.2 |
114.75 |
Carle Eureka Hospital |
1331890055 |
ANTI-DNA ANTIBODY |
86225 |
0300 |
145 |
145 |
43.5 |
131.95000000000002 |
101.5 |
43.5 |
131.95000000000002 |
104.39999999999999 |
123.25 |
Carle Eureka Hospital |
1331890058 |
ANTI-MICROSOMAL ANTIBODY |
86376 |
0300 |
111 |
111 |
33.299999999999997 |
101.01 |
77.699999999999989 |
33.299999999999997 |
101.01 |
79.92 |
94.35 |
Carle Eureka Hospital |
1331890059 |
ANTI-MITOCHONDRIAL ANTIBODY |
86255 |
0300 |
157 |
157 |
47.1 |
142.87 |
109.89999999999999 |
47.1 |
142.87 |
113.03999999999999 |
133.44999999999999 |
Carle Eureka Hospital |
1331890060 |
ANTINUCLEAR ANTIBODY-ANA |
86038 |
0300 |
109 |
109 |
32.699999999999996 |
99.19 |
76.3 |
32.699999999999996 |
99.19 |
78.48 |
92.649999999999991 |
Carle Eureka Hospital |
1331890061 |
ANTI-PLATELET ANTIBODY |
86023 |
0300 |
275 |
275 |
82.5 |
250.25 |
192.5 |
82.5 |
250.25 |
198 |
233.75 |
Carle Eureka Hospital |
1331890062 |
ANTI-SMOOTH MUSCLE ANTIBODY |
86255 |
0300 |
167 |
167 |
50.1 |
151.97 |
116.89999999999999 |
50.1 |
151.97 |
120.24 |
141.94999999999999 |
Carle Eureka Hospital |
1331890063 |
ANTISTREPTOLYSIN O TITER-ASO |
86060 |
0300 |
105 |
105 |
31.5 |
95.55 |
73.5 |
31.5 |
95.55 |
75.599999999999994 |
89.25 |
Carle Eureka Hospital |
1331890064 |
ANTITHROMBIN III |
85300 |
0300 |
185 |
185 |
55.5 |
168.35 |
129.5 |
55.5 |
168.35 |
133.19999999999999 |
157.25 |
Carle Eureka Hospital |
1331890077 |
BETA-2 MICROGLOBULIN |
82232 |
0301 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
1331890079 |
BETA-HCG TUMORMARKER |
84702 |
0301 |
175 |
175 |
52.5 |
159.25 |
122.49999999999999 |
52.5 |
159.25 |
126 |
148.75 |
Carle Eureka Hospital |
1331890086 |
BLASTOMYCES ANTIBODY |
86612 |
0300 |
120 |
120 |
36 |
109.2 |
84 |
36 |
109.2 |
86.399999999999991 |
102 |
Carle Eureka Hospital |
1331890104 |
CA 125 |
86304 |
0300 |
240 |
240 |
72 |
218.4 |
168 |
72 |
218.4 |
172.79999999999998 |
204 |
Carle Eureka Hospital |
1331890105 |
CA 19-9 |
86301 |
0300 |
195 |
195 |
58.5 |
177.45000000000002 |
136.5 |
58.5 |
177.45000000000002 |
140.4 |
165.75 |
Carle Eureka Hospital |
1331890106 |
CA 2729 |
86300 |
0300 |
240 |
240 |
72 |
218.4 |
168 |
72 |
218.4 |
172.79999999999998 |
204 |
Carle Eureka Hospital |
1331890107 |
CALCITONIN |
82308 |
0300 |
240 |
240 |
72 |
218.4 |
168 |
72 |
218.4 |
172.79999999999998 |
204 |
Carle Eureka Hospital |
1331890109 |
CALCIUM IONIZED |
82330 |
0300 |
155 |
155 |
46.5 |
141.05000000000001 |
108.5 |
46.5 |
141.05000000000001 |
111.6 |
131.75 |
Carle Eureka Hospital |
1331890110 |
CALCIUM-24HR URINE |
82340 |
0300 |
110 |
110 |
33 |
100.10000000000001 |
77 |
33 |
100.10000000000001 |
79.2 |
93.5 |
Carle Eureka Hospital |
1331890112 |
CALCIUM-URINE RANDOM |
82340 |
0300 |
145 |
145 |
43.5 |
131.95000000000002 |
101.5 |
43.5 |
131.95000000000002 |
104.39999999999999 |
123.25 |
Carle Eureka Hospital |
1331890120 |
CATECHOLAMINES 24HR URINE |
82384 |
0300 |
290 |
290 |
87 |
263.90000000000003 |
203 |
87 |
263.90000000000003 |
208.79999999999998 |
246.5 |
Carle Eureka Hospital |
1331890125 |
CEA-CARCINO EMBRYONIC ANTIGEN |
82378 |
0300 |
180 |
180 |
54 |
163.80000000000001 |
125.99999999999999 |
54 |
163.80000000000001 |
129.6 |
153 |
Carle Eureka Hospital |
1331890128 |
CERULOPLASMIN |
82390 |
0300 |
125 |
125 |
37.5 |
113.75 |
87.5 |
37.5 |
113.75 |
90 |
106.25 |
Carle Eureka Hospital |
1331890132 |
CHLORIDE URINE RANDOM |
82436 |
0300 |
125 |
125 |
37.5 |
113.75 |
87.5 |
37.5 |
113.75 |
90 |
106.25 |
Carle Eureka Hospital |
1331890133 |
CHLORIDE-24HR URINE |
82436 |
0300 |
125 |
125 |
37.5 |
113.75 |
87.5 |
37.5 |
113.75 |
90 |
106.25 |
Carle Eureka Hospital |
1331890135 |
CHOLINESTERASE - PLASMA |
82480 |
0300 |
82 |
82 |
24.599999999999998 |
74.62 |
57.4 |
24.599999999999998 |
74.62 |
59.04 |
69.7 |
Carle Eureka Hospital |
1331890138 |
CITRIC ACID-24HR URINE |
82507 |
0301 |
120 |
120 |
36 |
109.2 |
84 |
36 |
109.2 |
86.399999999999991 |
102 |
Carle Eureka Hospital |
1331890141 |
CLOMIPRAMINE ANAFRANIL |
80335 |
0300 |
215 |
215 |
64.5 |
195.65 |
150.5 |
64.5 |
195.65 |
154.79999999999998 |
182.75 |
Carle Eureka Hospital |
1331890147 |
COLD AGGLUTININS |
86157 |
0300 |
76 |
76 |
22.8 |
69.16 |
53.199999999999996 |
22.8 |
69.16 |
54.72 |
64.599999999999994 |
Carle Eureka Hospital |
1331890151 |
COMPLEMENT C3 |
86160 |
0300 |
115 |
115 |
34.5 |
104.65 |
80.5 |
34.5 |
104.65 |
82.8 |
97.75 |
Carle Eureka Hospital |
1331890153 |
COMPLEMENT C4 |
86160 |
0300 |
115 |
115 |
34.5 |
104.65 |
80.5 |
34.5 |
104.65 |
82.8 |
97.75 |
Carle Eureka Hospital |
1331890154 |
COMPLEMENT TOTAL |
86162 |
0300 |
190 |
190 |
57 |
172.9 |
133 |
57 |
172.9 |
136.79999999999998 |
161.5 |
Carle Eureka Hospital |
1331890162 |
CORTISOL-URINE FREE BY HPLC |
82530 |
0301 |
155 |
155 |
46.5 |
141.05000000000001 |
108.5 |
46.5 |
141.05000000000001 |
111.6 |
131.75 |
Carle Eureka Hospital |
1331890177 |
CRYOGLOBULIN |
82595 |
0300 |
115 |
115 |
34.5 |
104.65 |
80.5 |
34.5 |
104.65 |
82.8 |
97.75 |
Carle Eureka Hospital |
1331890180 |
CRYPTOCOCCAL ANTIGEN CSF |
87327 |
0300 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
1331890181 |
CRYPTOSPORIDIUM FECES |
87272 |
0300 |
110 |
110 |
33 |
100.10000000000001 |
77 |
33 |
100.10000000000001 |
79.2 |
93.5 |
Carle Eureka Hospital |
1331890194 |
CSF IGG ALBUMIN INDEX |
82784 |
0300 |
131 |
131 |
39.299999999999997 |
119.21000000000001 |
91.699999999999989 |
39.299999999999997 |
119.21000000000001 |
94.32 |
111.35 |
Carle Eureka Hospital |
1331890200 |
CSF OLIGOCLONAL BANDS |
83916 |
0300 |
230 |
230 |
69 |
209.3 |
161 |
69 |
209.3 |
165.6 |
195.5 |
Carle Eureka Hospital |
1331890203 |
CSF VDRL |
86592 |
0300 |
88 |
88 |
26.4 |
80.08 |
61.599999999999994 |
26.4 |
80.08 |
63.36 |
74.8 |
Carle Eureka Hospital |
1331890219 |
YERSINIA CULTURE |
87046 |
0306 |
105 |
105 |
31.5 |
95.55 |
73.5 |
31.5 |
95.55 |
75.599999999999994 |
89.25 |
Carle Eureka Hospital |
1331890243 |
CYCLOSPORINE |
80158 |
0300 |
215 |
215 |
64.5 |
195.65 |
150.5 |
64.5 |
195.65 |
154.79999999999998 |
182.75 |
Carle Eureka Hospital |
1331890247 |
CYTOMEGALOVIRUS IGM AB |
86644 |
0300 |
135 |
135 |
40.5 |
122.85000000000001 |
94.5 |
40.5 |
122.85000000000001 |
97.2 |
114.75 |
Carle Eureka Hospital |
1331890253 |
DESIPRAMINE |
80335 |
0300 |
215 |
215 |
64.5 |
195.65 |
150.5 |
64.5 |
195.65 |
154.79999999999998 |
182.75 |
Carle Eureka Hospital |
1331890254 |
DHEA-SO4 |
82627 |
0300 |
245 |
245 |
73.5 |
222.95000000000002 |
171.5 |
73.5 |
222.95000000000002 |
176.4 |
208.25 |
Carle Eureka Hospital |
1331890259 |
DOXEPIN SINEQUAN |
80335 |
0300 |
215 |
215 |
64.5 |
195.65 |
150.5 |
64.5 |
195.65 |
154.79999999999998 |
182.75 |
Carle Eureka Hospital |
1331890275 |
ERYTHROPOIETIN |
82668 |
0300 |
140 |
140 |
42 |
127.4 |
98 |
42 |
127.4 |
100.8 |
119 |
Carle Eureka Hospital |
1331890276 |
ESTRADIOL |
82670 |
0300 |
209 |
209 |
62.699999999999996 |
190.19 |
146.29999999999998 |
62.699999999999996 |
190.19 |
150.47999999999999 |
177.65 |
Carle Eureka Hospital |
1331890277 |
ESTRIOL |
82677 |
0300 |
115 |
115 |
34.5 |
104.65 |
80.5 |
34.5 |
104.65 |
82.8 |
97.75 |
Carle Eureka Hospital |
1331890278 |
ESTROGEN RECEPTOR STAIN |
88361 |
0300 |
860 |
860 |
258 |
782.6 |
602 |
258 |
782.6 |
619.19999999999993 |
731 |
Carle Eureka Hospital |
1331890279 |
ETHANOL BLOOD CHAIN CUSTODY |
80320 |
0300 |
230 |
230 |
69 |
209.3 |
161 |
69 |
209.3 |
165.6 |
195.5 |
Carle Eureka Hospital |
1331890315 |
GABAPENTIN |
80171 |
0301 |
135 |
135 |
40.5 |
122.85000000000001 |
94.5 |
40.5 |
122.85000000000001 |
97.2 |
114.75 |
Carle Eureka Hospital |
1331890316 |
GASTRIN |
82941 |
0300 |
165 |
165 |
49.5 |
150.15 |
115.49999999999999 |
49.5 |
150.15 |
118.8 |
140.25 |
Carle Eureka Hospital |
1331890325 |
GIARDIA SCREEN |
87329 |
0300 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
1331890326 |
GLUCAGON |
82943 |
0300 |
200 |
200 |
60 |
182 |
140 |
60 |
182 |
144 |
170 |
Carle Eureka Hospital |
1331890340 |
HAPTOGLOBIN |
83010 |
0300 |
120 |
120 |
36 |
109.2 |
84 |
36 |
109.2 |
86.399999999999991 |
102 |
Carle Eureka Hospital |
1331890342 |
HCV RNA BY PCR QUANTITATIVE |
87522 |
0306 |
490 |
490 |
147 |
445.90000000000003 |
343 |
147 |
445.90000000000003 |
352.8 |
416.5 |
Carle Eureka Hospital |
1331890356 |
HEMOQUANT |
84126 |
0300 |
170 |
170 |
51 |
154.70000000000002 |
118.99999999999999 |
51 |
154.70000000000002 |
122.39999999999999 |
144.5 |
Carle Eureka Hospital |
1331890357 |
HEMOSIDERIN-URINE |
83070 |
0300 |
94 |
94 |
28.2 |
85.54 |
65.8 |
28.2 |
85.54 |
67.679999999999993 |
79.899999999999991 |
Carle Eureka Hospital |
1331890362 |
HEPATITIS B SURFACE ANTIBODY |
86706 |
0300 |
121 |
121 |
36.299999999999997 |
110.11 |
84.699999999999989 |
36.299999999999997 |
110.11 |
87.11999999999999 |
102.85 |
Carle Eureka Hospital |
1331890366 |
HERPES CULTURE WITH TYPING |
87255 |
0300 |
285 |
285 |
85.5 |
259.35000000000002 |
199.5 |
85.5 |
259.35000000000002 |
205.2 |
242.25 |
Carle Eureka Hospital |
1331890368 |
HERPES SIMPLEX VIRUS1&2 DNA PC |
87529 |
0306 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
1331890370 |
HISTOPLASMA ANTIBODY |
86698 |
0300 |
115 |
115 |
34.5 |
104.65 |
80.5 |
34.5 |
104.65 |
82.8 |
97.75 |
Carle Eureka Hospital |
1331890371 |
HIV 1 ANTIBODY |
86701 |
0300 |
110 |
110 |
33 |
100.10000000000001 |
77 |
33 |
100.10000000000001 |
79.2 |
93.5 |
Carle Eureka Hospital |
1331890372 |
HIV RNA BY PCR QUANTITATIVE |
87536 |
0306 |
530 |
530 |
159 |
482.3 |
371 |
159 |
482.3 |
381.59999999999997 |
450.5 |
Carle Eureka Hospital |
1331890373 |
HLA B27 TYPING |
86812 |
0300 |
205 |
205 |
61.5 |
186.55 |
143.5 |
61.5 |
186.55 |
147.6 |
174.25 |
Carle Eureka Hospital |
1331890375 |
HOMOCYSTEINE SERUM OR PLASMA |
83090 |
0301 |
195 |
195 |
58.5 |
177.45000000000002 |
136.5 |
58.5 |
177.45000000000002 |
140.4 |
165.75 |
Carle Eureka Hospital |
1331890378 |
HUMAN GROWTH HORMONE |
83003 |
0300 |
155 |
155 |
46.5 |
141.05000000000001 |
108.5 |
46.5 |
141.05000000000001 |
111.6 |
131.75 |
Carle Eureka Hospital |
1331890385 |
IMMUNOELECTROPHORESIS URINE |
86335 |
0300 |
260 |
260 |
78 |
236.6 |
182 |
78 |
236.6 |
187.2 |
221 |
Carle Eureka Hospital |
1331890386 |
IMMUNOGLOBULIN A IGA |
82784 |
0300 |
129 |
129 |
38.699999999999996 |
117.39 |
90.3 |
38.699999999999996 |
117.39 |
92.88 |
109.64999999999999 |
Carle Eureka Hospital |
1331890387 |
IMMUNOGLOBULIN E IGE |
82785 |
0300 |
190 |
190 |
57 |
172.9 |
133 |
57 |
172.9 |
136.79999999999998 |
161.5 |
Carle Eureka Hospital |
1331890388 |
IMMUNOGLOBULIN G IGG |
82784 |
0300 |
129 |
129 |
38.699999999999996 |
117.39 |
90.3 |
38.699999999999996 |
117.39 |
92.88 |
109.64999999999999 |
Carle Eureka Hospital |
1331890389 |
IMMUNOGLOBULIN M IGM |
82784 |
0300 |
129 |
129 |
38.699999999999996 |
117.39 |
90.3 |
38.699999999999996 |
117.39 |
92.88 |
109.64999999999999 |
Carle Eureka Hospital |
1331890392 |
INSULIN |
83525 |
0300 |
126 |
126 |
37.799999999999997 |
114.66000000000001 |
88.199999999999989 |
37.799999999999997 |
114.66000000000001 |
90.72 |
107.1 |
Carle Eureka Hospital |
1331890405 |
LACTIC ACID |
83605 |
0300 |
130 |
130 |
39 |
118.3 |
91 |
39 |
118.3 |
93.6 |
110.5 |
Carle Eureka Hospital |
1331890411 |
LEAD LEVEL BLOOD |
83655 |
0300 |
115 |
115 |
34.5 |
104.65 |
80.5 |
34.5 |
104.65 |
82.8 |
97.75 |
Carle Eureka Hospital |
1331890412 |
LEGAL COLLECTION-POLICE DEPT. |
36415 |
0300 |
21 |
21 |
6.3 |
19.11 |
14.7 |
6.3 |
19.11 |
15.12 |
17.849999999999998 |
Carle Eureka Hospital |
1331890415 |
LEGIONELLA ANTIGEN URINE |
87899 |
0306 |
125 |
125 |
37.5 |
113.75 |
87.5 |
37.5 |
113.75 |
90 |
106.25 |
Carle Eureka Hospital |
1331890416 |
LEGIONELLA PNEUMOPHILA SMEAR |
87278 |
0300 |
120 |
120 |
36 |
109.2 |
84 |
36 |
109.2 |
86.399999999999991 |
102 |
Carle Eureka Hospital |
1331890431 |
LIDOCAINE |
80176 |
0300 |
255 |
255 |
76.5 |
232.05 |
178.5 |
76.5 |
232.05 |
183.6 |
216.75 |
Carle Eureka Hospital |
1331890436 |
LYME AB ON CSF |
86618 |
0302 |
147 |
147 |
44.1 |
133.77000000000001 |
102.89999999999999 |
44.1 |
133.77000000000001 |
105.83999999999999 |
124.95 |
Carle Eureka Hospital |
1331890437 |
LYME DISEASE AB TITER |
86618 |
0300 |
147 |
147 |
44.1 |
133.77000000000001 |
102.89999999999999 |
44.1 |
133.77000000000001 |
105.83999999999999 |
124.95 |
Carle Eureka Hospital |
1331890438 |
LYMPHOCYTES CD4 |
86361 |
0302 |
180 |
180 |
54 |
163.80000000000001 |
125.99999999999999 |
54 |
163.80000000000001 |
129.6 |
153 |
Carle Eureka Hospital |
1331890439 |
LYMPHOCYTES CD4/CD8 |
86360 |
0302 |
350 |
350 |
105 |
318.5 |
244.99999999999997 |
105 |
318.5 |
252 |
297.5 |
Carle Eureka Hospital |
1331890441 |
MAGNESIUM 24 HR URINE |
83735 |
0301 |
120 |
120 |
36 |
109.2 |
84 |
36 |
109.2 |
86.399999999999991 |
102 |
Carle Eureka Hospital |
1331890442 |
MAGNESIUM RANDOM URINE |
83735 |
0301 |
119 |
119 |
35.699999999999996 |
108.29 |
83.3 |
35.699999999999996 |
108.29 |
85.679999999999993 |
101.14999999999999 |
Carle Eureka Hospital |
1331890444 |
MALARIAL SMEAR |
87207 |
0300 |
215 |
215 |
64.5 |
195.65 |
150.5 |
64.5 |
195.65 |
154.79999999999998 |
182.75 |
Carle Eureka Hospital |
1331890446 |
METANEPHRINES 24HR URINE |
83835 |
0300 |
325 |
325 |
97.5 |
295.75 |
227.49999999999997 |
97.5 |
295.75 |
234 |
276.25 |
Carle Eureka Hospital |
1331890447 |
TREPONEMA PALLINIUM ANTIBODY |
86780 |
0300 |
76 |
76 |
22.8 |
69.16 |
53.199999999999996 |
22.8 |
69.16 |
54.72 |
64.599999999999994 |
Carle Eureka Hospital |
1331890454 |
MYOGLOBIN URINE QUANT |
83874 |
0300 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
1331890457 |
NASAL SMEAR FOR PERTUSSIS |
89190 |
0300 |
110 |
110 |
33 |
100.10000000000001 |
77 |
33 |
100.10000000000001 |
79.2 |
93.5 |
Carle Eureka Hospital |
1331890466 |
ORGANIC ACIDS SCREEN-URINE |
83918 |
0300 |
314 |
314 |
94.2 |
285.74 |
219.79999999999998 |
94.2 |
285.74 |
226.07999999999998 |
266.89999999999998 |
Carle Eureka Hospital |
1331890470 |
OXALATE-24HR URINE |
83945 |
0301 |
120 |
120 |
36 |
109.2 |
84 |
36 |
109.2 |
86.399999999999991 |
102 |
Carle Eureka Hospital |
1331890472 |
PAP THIN PREP CYTOLOGY |
88142 |
0311 |
190 |
190 |
57 |
172.9 |
133 |
57 |
172.9 |
136.79999999999998 |
161.5 |
Carle Eureka Hospital |
1331890484 |
PHENOBARBITAL (PRIMIDONE) |
80184 |
0300 |
130 |
130 |
39 |
118.3 |
91 |
39 |
118.3 |
93.6 |
110.5 |
Carle Eureka Hospital |
1331890491 |
PHOSPHORUS-24HR URINE |
84105 |
0300 |
100 |
100 |
30 |
91 |
70 |
30 |
91 |
72 |
85 |
Carle Eureka Hospital |
1331890492 |
PINWORM EXAMINATION |
87172 |
0300 |
89 |
89 |
26.7 |
80.990000000000009 |
62.3 |
26.7 |
80.990000000000009 |
64.08 |
75.649999999999991 |
Carle Eureka Hospital |
1331890497 |
PLATELET AGGREGATION STUDIES |
85576 |
0300 |
420 |
420 |
126 |
382.2 |
294 |
126 |
382.2 |
302.39999999999998 |
357 |
Carle Eureka Hospital |
1331890503 |
PLT AGGREGATION ASPRIN EFFECT |
85576 |
0300 |
245 |
245 |
73.5 |
222.95000000000002 |
171.5 |
73.5 |
222.95000000000002 |
176.4 |
208.25 |
Carle Eureka Hospital |
1331890505 |
PORPHYRIN QUANT 24HR URINE |
84120 |
0300 |
145 |
145 |
43.5 |
131.95000000000002 |
101.5 |
43.5 |
131.95000000000002 |
104.39999999999999 |
123.25 |
Carle Eureka Hospital |
1331890518 |
PRIMIDONE |
80188 |
0300 |
155 |
155 |
46.5 |
141.05000000000001 |
108.5 |
46.5 |
141.05000000000001 |
111.6 |
131.75 |
Carle Eureka Hospital |
1331890519 |
**PRIMIDONE-MYSOLINE** |
80188 |
0300 |
200 |
200 |
60 |
182 |
140 |
60 |
182 |
144 |
170 |
Carle Eureka Hospital |
1331890520 |
PROCAINAMIDE-PRONESTYL |
80192 |
0300 |
175 |
175 |
52.5 |
159.25 |
122.49999999999999 |
52.5 |
159.25 |
126 |
148.75 |
Carle Eureka Hospital |
1331890521 |
PROGESTERONE |
84144 |
0300 |
240 |
240 |
72 |
218.4 |
168 |
72 |
218.4 |
172.79999999999998 |
204 |
Carle Eureka Hospital |
1331890523 |
PRA INITIAL |
88342 |
0300 |
480 |
480 |
144 |
436.8 |
336 |
144 |
436.8 |
345.59999999999997 |
408 |
Carle Eureka Hospital |
1331890527 |
PROTEIN C ACTIVITY |
85303 |
0300 |
160 |
160 |
48 |
145.6 |
112 |
48 |
145.6 |
115.19999999999999 |
136 |
Carle Eureka Hospital |
1331890528 |
PROTEIN S ANTIGEN |
85306 |
0300 |
175 |
175 |
52.5 |
159.25 |
122.49999999999999 |
52.5 |
159.25 |
126 |
148.75 |
Carle Eureka Hospital |
1331890540 |
RBC FOLATE |
82747 |
0301 |
185 |
185 |
55.5 |
168.35 |
129.5 |
55.5 |
168.35 |
133.19999999999999 |
157.25 |
Carle Eureka Hospital |
1331890552 |
AUTO WBC (NATKIL) |
85048 |
0301 |
58 |
58 |
17.399999999999999 |
52.78 |
40.599999999999994 |
17.399999999999999 |
52.78 |
41.76 |
49.3 |
Carle Eureka Hospital |
1331890553 |
BLD CT, AUTO DIFF (NATKIL) |
85004 |
0301 |
81 |
81 |
24.3 |
73.710000000000008 |
56.699999999999996 |
24.3 |
73.710000000000008 |
58.32 |
68.849999999999994 |
Carle Eureka Hospital |
1331890554 |
NK CELLS, TOTAT CT (NATKIL) |
86357 |
0301 |
135 |
135 |
40.5 |
122.85000000000001 |
94.5 |
40.5 |
122.85000000000001 |
97.2 |
114.75 |
Carle Eureka Hospital |
1331890555 |
RENIN PLASMA |
84244 |
0300 |
205 |
205 |
61.5 |
186.55 |
143.5 |
61.5 |
186.55 |
147.6 |
174.25 |
Carle Eureka Hospital |
1331890559 |
HSV,TYPE 1 (TORCH) |
86695 |
0300 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
1331890560 |
HSV, TYPE 2 (TORCH) |
86696 |
0300 |
165 |
165 |
49.5 |
150.15 |
115.49999999999999 |
49.5 |
150.15 |
118.8 |
140.25 |
Carle Eureka Hospital |
1331890562 |
CONCENTRATION (CYCLOISO) |
87015 |
0300 |
63 |
63 |
18.899999999999999 |
57.330000000000005 |
44.099999999999994 |
18.899999999999999 |
57.330000000000005 |
45.36 |
53.55 |
Carle Eureka Hospital |
1331890563 |
SPECIAL STAIN (CYCLOISO) |
87207 |
0300 |
190 |
190 |
57 |
172.9 |
133 |
57 |
172.9 |
136.79999999999998 |
161.5 |
Carle Eureka Hospital |
1331890564 |
CYTOMEGALOVIRUS |
86644 |
0300 |
135 |
135 |
40.5 |
122.85000000000001 |
94.5 |
40.5 |
122.85000000000001 |
97.2 |
114.75 |
Carle Eureka Hospital |
1331890565 |
TOXOPLASMA,IGG (TORCH) |
86777 |
0300 |
165 |
165 |
49.5 |
150.15 |
115.49999999999999 |
49.5 |
150.15 |
118.8 |
140.25 |
Carle Eureka Hospital |
1331890568 |
RUBELLA ANTIBODY-IGG |
86762 |
0300 |
148 |
148 |
44.4 |
134.68 |
103.6 |
44.4 |
134.68 |
106.56 |
125.8 |
Carle Eureka Hospital |
1331890574 |
SEROTONIN |
84260 |
0300 |
220 |
220 |
66 |
200.20000000000002 |
154 |
66 |
200.20000000000002 |
158.4 |
187 |
Carle Eureka Hospital |
1331890575 |
ANTIGLIADIN ELISA IgG SPECIFIC |
83516 |
0300 |
94 |
94 |
28.2 |
85.54 |
65.8 |
28.2 |
85.54 |
67.679999999999993 |
79.899999999999991 |
Carle Eureka Hospital |
1331890576 |
ANTIGLIADIN ELISA IgA SPECIFIC |
83516 |
0300 |
94 |
94 |
28.2 |
85.54 |
65.8 |
28.2 |
85.54 |
67.679999999999993 |
79.899999999999991 |
Carle Eureka Hospital |
1331890577 |
SICKLE CELL SCREEN |
85660 |
0300 |
92 |
92 |
27.599999999999998 |
83.72 |
64.399999999999991 |
27.599999999999998 |
83.72 |
66.239999999999995 |
78.2 |
Carle Eureka Hospital |
1331890578 |
ANTI ENDOMYSIAL IgA AB IFA |
88346 |
0300 |
195 |
195 |
58.5 |
177.45000000000002 |
136.5 |
58.5 |
177.45000000000002 |
140.4 |
165.75 |
Carle Eureka Hospital |
1331890579 |
TOTAL SERUM IgA NEPHELOMETRY |
82784 |
0300 |
94 |
94 |
28.2 |
85.54 |
65.8 |
28.2 |
85.54 |
67.679999999999993 |
79.899999999999991 |
Carle Eureka Hospital |
1331890580 |
HU-tTG IGA TO PROMETHUS |
83520 |
0300 |
255 |
255 |
76.5 |
232.05 |
178.5 |
76.5 |
232.05 |
183.6 |
216.75 |
Carle Eureka Hospital |
1331890581 |
ANTI HU tTG ELISA RECOMBINT Ag |
83516 |
0300 |
94 |
94 |
28.2 |
85.54 |
65.8 |
28.2 |
85.54 |
67.679999999999993 |
79.899999999999991 |
Carle Eureka Hospital |
1331890607 |
T3 BY RIA |
84480 |
0300 |
105 |
105 |
31.5 |
95.55 |
73.5 |
31.5 |
95.55 |
75.599999999999994 |
89.25 |
Carle Eureka Hospital |
1331890608 |
T3 UPTAKE |
84479 |
0300 |
74 |
74 |
22.2 |
67.34 |
51.8 |
22.2 |
67.34 |
53.28 |
62.9 |
Carle Eureka Hospital |
1331890611 |
TESTOSTER FREE W TOT (TESTF) |
84402 |
0301 |
134 |
134 |
40.199999999999996 |
121.94 |
93.8 |
40.199999999999996 |
121.94 |
96.47999999999999 |
113.89999999999999 |
Carle Eureka Hospital |
1331890612 |
TESTOSTERONE TOTAL |
84403 |
0300 |
163 |
163 |
48.9 |
148.33000000000001 |
114.1 |
48.9 |
148.33000000000001 |
117.36 |
138.54999999999998 |
Carle Eureka Hospital |
1331890614 |
THEOPHYLLINE |
80198 |
0300 |
135 |
135 |
40.5 |
122.85000000000001 |
94.5 |
40.5 |
122.85000000000001 |
97.2 |
114.75 |
Carle Eureka Hospital |
1331890615 |
THROMBIN TIME |
85670 |
0300 |
84 |
84 |
25.2 |
76.44 |
58.8 |
25.2 |
76.44 |
60.48 |
71.399999999999991 |
Carle Eureka Hospital |
1331890616 |
THYROGLOBULIN ABS |
86800 |
0300 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
1331890618 |
THYROXINE-BINDING GLOBULIN |
84442 |
0301 |
165 |
165 |
49.5 |
150.15 |
115.49999999999999 |
49.5 |
150.15 |
118.8 |
140.25 |
Carle Eureka Hospital |
1331890631 |
TRANSFERRIN |
84466 |
0300 |
120 |
120 |
36 |
109.2 |
84 |
36 |
109.2 |
86.399999999999991 |
102 |
Carle Eureka Hospital |
1331890653 |
URIC ACID- 24HR URINE |
84560 |
0300 |
98 |
98 |
29.4 |
89.18 |
68.599999999999994 |
29.4 |
89.18 |
70.56 |
83.3 |
Carle Eureka Hospital |
1331890661 |
URINE FOR EOSINOPHILS |
85999 |
0307 |
100 |
100 |
30 |
91 |
70 |
30 |
91 |
72 |
85 |
Carle Eureka Hospital |
1331890675 |
VARICELLA ZOSTER IGG AB |
86787 |
0300 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
1331890681 |
VIRAL CULTURE |
87252 |
0300 |
220 |
220 |
66 |
200.20000000000002 |
154 |
66 |
200.20000000000002 |
158.4 |
187 |
Carle Eureka Hospital |
1331890682 |
VISCOSITY SERUM |
85810 |
0300 |
110 |
110 |
33 |
100.10000000000001 |
77 |
33 |
100.10000000000001 |
79.2 |
93.5 |
Carle Eureka Hospital |
1331890684 |
VMA 24HR URINE |
84585 |
0300 |
145 |
145 |
43.5 |
131.95000000000002 |
101.5 |
43.5 |
131.95000000000002 |
104.39999999999999 |
123.25 |
Carle Eureka Hospital |
1331890690 |
HIV WESTERN BLOT ASSAY |
86689 |
0300 |
200 |
200 |
60 |
182 |
140 |
60 |
182 |
144 |
170 |
Carle Eureka Hospital |
1331890694 |
ZINC |
84630 |
0300 |
130 |
130 |
39 |
118.3 |
91 |
39 |
118.3 |
93.6 |
110.5 |
Carle Eureka Hospital |
1331890697 |
ACL B-TYPE NATRIURETIC PEPTIDE |
83880 |
0301 |
265 |
265 |
79.5 |
241.15 |
185.5 |
79.5 |
241.15 |
190.79999999999998 |
225.25 |
Carle Eureka Hospital |
1331890705 |
GAMMAHYDROXYBUTRIC ACID BLD |
80307 |
0300 |
285 |
285 |
85.5 |
259.35000000000002 |
199.5 |
85.5 |
259.35000000000002 |
205.2 |
242.25 |
Carle Eureka Hospital |
1331890707 |
BENZODIAZEPINES CONF CG/MS URI |
80346 |
0300 |
225 |
225 |
67.5 |
204.75 |
157.5 |
67.5 |
204.75 |
162 |
191.25 |
Carle Eureka Hospital |
1331890710 |
PHENCYCLIDINE CONF GC/MS UR |
83992 |
0300 |
485 |
485 |
145.5 |
441.35 |
339.5 |
145.5 |
441.35 |
349.2 |
412.25 |
Carle Eureka Hospital |
1331890711 |
THC-CANNABINOIDS-QUANT URINE |
80349 |
0300 |
260 |
260 |
78 |
236.6 |
182 |
78 |
236.6 |
187.2 |
221 |
Carle Eureka Hospital |
1331890712 |
LORAZEPAM |
80346 |
0300 |
305 |
305 |
91.5 |
277.55 |
213.5 |
91.5 |
277.55 |
219.6 |
259.25 |
Carle Eureka Hospital |
1331890713 |
TOPIRAMATE |
80201 |
0300 |
110 |
110 |
33 |
100.10000000000001 |
77 |
33 |
100.10000000000001 |
79.2 |
93.5 |
Carle Eureka Hospital |
1331890715 |
LAMOTRIGINE |
80175 |
0300 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
1331890716 |
METHYLPHENIDATE-RITALIN |
80360 |
0300 |
245 |
245 |
73.5 |
222.95000000000002 |
171.5 |
73.5 |
222.95000000000002 |
176.4 |
208.25 |
Carle Eureka Hospital |
1331890718 |
MICROALBUMIN 24 HR UR |
82043 |
0301 |
91 |
91 |
27.3 |
82.81 |
63.699999999999996 |
27.3 |
82.81 |
65.52 |
77.349999999999994 |
Carle Eureka Hospital |
1331890719 |
AMPHETAMINES CONF CG/MS URINE |
80324 |
0300 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
1331890720 |
LIPOPROTEIN A |
83695 |
0301 |
125 |
125 |
37.5 |
113.75 |
87.5 |
37.5 |
113.75 |
90 |
106.25 |
Carle Eureka Hospital |
1331890721 |
APOLIPOPROTEIN A-1 |
82172 |
0301 |
145 |
145 |
43.5 |
131.95000000000002 |
101.5 |
43.5 |
131.95000000000002 |
104.39999999999999 |
123.25 |
Carle Eureka Hospital |
1331890722 |
STONE ANALYSIS OTHER |
82365 |
0301 |
107 |
107 |
32.1 |
97.37 |
74.899999999999991 |
32.1 |
97.37 |
77.039999999999992 |
90.95 |
Carle Eureka Hospital |
1331890724 |
CATECHOLAMINES FRAC PLASMA |
82384 |
0301 |
235 |
235 |
70.5 |
213.85 |
164.5 |
70.5 |
213.85 |
169.2 |
199.75 |
Carle Eureka Hospital |
1331890725 |
OXCARBAZEPINE S/P-TRILEPTAL |
80183 |
0301 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
1331890727 |
COCAINE MET CONF GC/MS URINE |
80353 |
0300 |
275 |
275 |
82.5 |
250.25 |
192.5 |
82.5 |
250.25 |
198 |
233.75 |
Carle Eureka Hospital |
1331890728 |
N-TELOPEPTIDE RANDOM URINE |
82523 |
0301 |
195 |
195 |
58.5 |
177.45000000000002 |
136.5 |
58.5 |
177.45000000000002 |
140.4 |
165.75 |
Carle Eureka Hospital |
1331890729 |
COPPER PLASMA |
82525 |
0301 |
140 |
140 |
42 |
127.4 |
98 |
42 |
127.4 |
100.8 |
119 |
Carle Eureka Hospital |
1331890730 |
COPPER 24HR URINE |
82525 |
0301 |
140 |
140 |
42 |
127.4 |
98 |
42 |
127.4 |
100.8 |
119 |
Carle Eureka Hospital |
1331890731 |
GAMMAHYDROXYBUTRIC ACID UR |
80307 |
0301 |
285 |
285 |
85.5 |
259.35000000000002 |
199.5 |
85.5 |
259.35000000000002 |
205.2 |
242.25 |
Carle Eureka Hospital |
1331890732 |
ETHYLENE GLYCOL |
82693 |
0301 |
140 |
140 |
42 |
127.4 |
98 |
42 |
127.4 |
100.8 |
119 |
Carle Eureka Hospital |
1331890733 |
LIPIDS STOOL |
82710 |
0301 |
125 |
125 |
37.5 |
113.75 |
87.5 |
37.5 |
113.75 |
90 |
106.25 |
Carle Eureka Hospital |
1331890734 |
HEMOGLOBIN PLASMA |
83051 |
0301 |
175 |
175 |
52.5 |
159.25 |
122.49999999999999 |
52.5 |
159.25 |
126 |
148.75 |
Carle Eureka Hospital |
1331890736 |
GBM-GLOMERULAR BASEMENT MEM- |
83520 |
0301 |
255 |
255 |
76.5 |
232.05 |
178.5 |
76.5 |
232.05 |
183.6 |
216.75 |
Carle Eureka Hospital |
1331890737 |
TISSUE TRANSGLUTAMINASE AB IGA |
83516 |
0301 |
134 |
134 |
40.199999999999996 |
121.94 |
93.8 |
40.199999999999996 |
121.94 |
96.47999999999999 |
113.89999999999999 |
Carle Eureka Hospital |
1331890738 |
TRYPTASE |
83520 |
0301 |
255 |
255 |
76.5 |
232.05 |
178.5 |
76.5 |
232.05 |
183.6 |
216.75 |
Carle Eureka Hospital |
1331890739 |
RIBOSOMAL PORTEIN AB |
83516 |
0301 |
214 |
214 |
64.2 |
194.74 |
149.79999999999998 |
64.2 |
194.74 |
154.07999999999998 |
181.9 |
Carle Eureka Hospital |
1331890740 |
LS RATIO |
83661 |
0301 |
190 |
190 |
57 |
172.9 |
133 |
57 |
172.9 |
136.79999999999998 |
161.5 |
Carle Eureka Hospital |
1331890743 |
METHYLMALONIC ACID |
83921 |
0301 |
155 |
155 |
46.5 |
141.05000000000001 |
108.5 |
46.5 |
141.05000000000001 |
111.6 |
131.75 |
Carle Eureka Hospital |
1331890744 |
PH STOOL-RANDOM SAMPLE |
83986 |
0301 |
86 |
86 |
25.8 |
78.260000000000005 |
60.199999999999996 |
25.8 |
78.260000000000005 |
61.919999999999995 |
73.099999999999994 |
Carle Eureka Hospital |
1331890745 |
ALK PHOSPHATASE BONE SECIFIC |
84075 |
0301 |
105 |
105 |
31.5 |
95.55 |
73.5 |
31.5 |
95.55 |
75.599999999999994 |
89.25 |
Carle Eureka Hospital |
1331890746 |
PORPHOBILINOGEN 24HR URINE |
84120 |
0301 |
210 |
210 |
63 |
191.1 |
147 |
63 |
191.1 |
151.19999999999999 |
178.5 |
Carle Eureka Hospital |
1331890748 |
SEX HORMONE BINDING GLOBULIN |
84270 |
0301 |
250 |
250 |
75 |
227.5 |
175 |
75 |
227.5 |
180 |
212.5 |
Carle Eureka Hospital |
1331890749 |
VITAMIN E |
84446 |
0301 |
135 |
135 |
40.5 |
122.85000000000001 |
94.5 |
40.5 |
122.85000000000001 |
97.2 |
114.75 |
Carle Eureka Hospital |
1331890750 |
T3 FREE |
84481 |
0301 |
187 |
187 |
56.1 |
170.17000000000002 |
130.9 |
56.1 |
170.17000000000002 |
134.63999999999999 |
158.94999999999999 |
Carle Eureka Hospital |
1331890751 |
C-PEPTIDE |
84681 |
0301 |
195 |
195 |
58.5 |
177.45000000000002 |
136.5 |
58.5 |
177.45000000000002 |
140.4 |
165.75 |
Carle Eureka Hospital |
1331890753 |
POTASSIUM STOOL-24HR COLLECT |
84999 |
0301 |
115 |
115 |
34.5 |
104.65 |
80.5 |
34.5 |
104.65 |
82.8 |
97.75 |
Carle Eureka Hospital |
1331890754 |
SODIUM STOOL-24HR COLLECT |
84302 |
0301 |
115 |
115 |
34.5 |
104.65 |
80.5 |
34.5 |
104.65 |
82.8 |
97.75 |
Carle Eureka Hospital |
1331890755 |
FACTOR V ACTIVITY |
85220 |
0305 |
200 |
200 |
60 |
182 |
140 |
60 |
182 |
144 |
170 |
Carle Eureka Hospital |
1331890756 |
FACTOR VIII ACTIVITY |
85240 |
0305 |
170 |
170 |
51 |
154.70000000000002 |
118.99999999999999 |
51 |
154.70000000000002 |
122.39999999999999 |
144.5 |
Carle Eureka Hospital |
1331890757 |
RISTOCETIN CO-FACTOR/VWF |
85245 |
0305 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
1331890758 |
VON WILLEBRAND AG |
85246 |
0305 |
160 |
160 |
48 |
145.6 |
112 |
48 |
145.6 |
115.19999999999999 |
136 |
Carle Eureka Hospital |
1331890759 |
VWF AG MULTIMERIC |
85247 |
0305 |
224 |
224 |
67.2 |
203.84 |
156.79999999999998 |
67.2 |
203.84 |
161.28 |
190.4 |
Carle Eureka Hospital |
1331890760 |
FACTOR IX ACTIVITY |
85250 |
0305 |
195 |
195 |
58.5 |
177.45000000000002 |
136.5 |
58.5 |
177.45000000000002 |
140.4 |
165.75 |
Carle Eureka Hospital |
1331890761 |
FACTOR X ACTIVITY |
85260 |
0305 |
285 |
285 |
85.5 |
259.35000000000002 |
199.5 |
85.5 |
259.35000000000002 |
205.2 |
242.25 |
Carle Eureka Hospital |
1331890762 |
FACTOR XI ACTIVITY |
85270 |
0305 |
225 |
225 |
67.5 |
204.75 |
157.5 |
67.5 |
204.75 |
162 |
191.25 |
Carle Eureka Hospital |
1331890763 |
FACTOR XII ACTIVITY |
85280 |
0305 |
265 |
265 |
79.5 |
241.15 |
185.5 |
79.5 |
241.15 |
190.79999999999998 |
225.25 |
Carle Eureka Hospital |
1331890764 |
PLATELET AB HEPARIN INDUCED |
86022 |
0302 |
275 |
275 |
82.5 |
250.25 |
192.5 |
82.5 |
250.25 |
198 |
233.75 |
Carle Eureka Hospital |
1331890765 |
ANTI NUCLEAR ANTIBODY TITER |
86039 |
0302 |
130 |
130 |
39 |
118.3 |
91 |
39 |
118.3 |
93.6 |
110.5 |
Carle Eureka Hospital |
1331890766 |
DNASE-B ANTIBODY |
86215 |
0302 |
125 |
125 |
37.5 |
113.75 |
87.5 |
37.5 |
113.75 |
90 |
106.25 |
Carle Eureka Hospital |
1331890768 |
SCL-70 AB |
86235 |
0302 |
165 |
165 |
49.5 |
150.15 |
115.49999999999999 |
49.5 |
150.15 |
118.8 |
140.25 |
Carle Eureka Hospital |
1331890769 |
RETICULIN AB IGA |
86255 |
0302 |
152 |
152 |
45.6 |
138.32 |
106.39999999999999 |
45.6 |
138.32 |
109.44 |
129.19999999999999 |
Carle Eureka Hospital |
1331890770 |
MITOCHONDRIAL AB TITER |
86256 |
0302 |
115 |
115 |
34.5 |
104.65 |
80.5 |
34.5 |
104.65 |
82.8 |
97.75 |
Carle Eureka Hospital |
1331890771 |
SMOOTH MUSCLE AB TITER |
86256 |
0302 |
86 |
86 |
25.8 |
78.260000000000005 |
60.199999999999996 |
25.8 |
78.260000000000005 |
61.919999999999995 |
73.099999999999994 |
Carle Eureka Hospital |
1331890772 |
RETICULIN AB IGA TITER |
86256 |
0302 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
1331890775 |
COCCIDOIDES AB CF |
86635 |
0302 |
125 |
125 |
37.5 |
113.75 |
87.5 |
37.5 |
113.75 |
90 |
106.25 |
Carle Eureka Hospital |
1331890776 |
CMV-CYTOMEGALOVIRUS AB IGG |
86644 |
0302 |
135 |
135 |
40.5 |
122.85000000000001 |
94.5 |
40.5 |
122.85000000000001 |
97.2 |
114.75 |
Carle Eureka Hospital |
1331890777 |
SACCAROMYCES CEREVISIAE IGG |
86671 |
0302 |
279 |
279 |
83.7 |
253.89000000000001 |
195.29999999999998 |
83.7 |
253.89000000000001 |
200.88 |
237.15 |
Carle Eureka Hospital |
1331890778 |
SACCAROMYCES CEREVISIAE IGA |
86671 |
0302 |
279 |
279 |
83.7 |
253.89000000000001 |
195.29999999999998 |
83.7 |
253.89000000000001 |
200.88 |
237.15 |
Carle Eureka Hospital |
1331890779 |
ANTI-HIV2 WESTERN BLOT |
86689 |
0302 |
234 |
234 |
70.2 |
212.94 |
163.79999999999998 |
70.2 |
212.94 |
168.48 |
198.9 |
Carle Eureka Hospital |
1331890780 |
ANTI-HTLV-I/II WESTERN BLOT |
86689 |
0302 |
205 |
205 |
61.5 |
186.55 |
143.5 |
61.5 |
186.55 |
147.6 |
174.25 |
Carle Eureka Hospital |
1331890781 |
HSV 2 IGG TYPE SPECIFIC AB |
86696 |
0302 |
165 |
165 |
49.5 |
150.15 |
115.49999999999999 |
49.5 |
150.15 |
118.8 |
140.25 |
Carle Eureka Hospital |
1331890784 |
MUMPS AB IGG |
86735 |
0302 |
74 |
74 |
22.2 |
67.34 |
51.8 |
22.2 |
67.34 |
53.28 |
62.9 |
Carle Eureka Hospital |
1331890785 |
RUBEOLA AB IGG |
86765 |
0302 |
97 |
97 |
29.099999999999998 |
88.27 |
67.899999999999991 |
29.099999999999998 |
88.27 |
69.84 |
82.45 |
Carle Eureka Hospital |
1331890786 |
HTLV-I/II AB |
86790 |
0302 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
1331890787 |
BORDETELLA PERTUSSIS ID |
87077 |
0306 |
108 |
108 |
32.4 |
98.28 |
75.599999999999994 |
32.4 |
98.28 |
77.759999999999991 |
91.8 |
Carle Eureka Hospital |
1331890788 |
HERPES VIRUS TYPING |
87140 |
0306 |
140 |
140 |
42 |
127.4 |
98 |
42 |
127.4 |
100.8 |
119 |
Carle Eureka Hospital |
1331890789 |
H PYLORI AG QUAL-STOOL |
87338 |
0306 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
1331890790 |
HEP BE AG |
87350 |
0306 |
130 |
130 |
39 |
118.3 |
91 |
39 |
118.3 |
93.6 |
110.5 |
Carle Eureka Hospital |
1331890791 |
HISTOPLASMOSIS AG RANDOM URINE |
87385 |
0306 |
215 |
215 |
64.5 |
195.65 |
150.5 |
64.5 |
195.65 |
154.79999999999998 |
182.75 |
Carle Eureka Hospital |
1331890802 |
ALTERNARIA TENUIS (M6) IGE |
86003 |
0302 |
49 |
49 |
14.7 |
44.59 |
34.299999999999997 |
14.7 |
44.59 |
35.28 |
41.65 |
Carle Eureka Hospital |
1331890803 |
ASPERGILLUS FUMIGATUS (M3) IGE |
86003 |
0302 |
49 |
49 |
14.7 |
44.59 |
34.299999999999997 |
14.7 |
44.59 |
35.28 |
41.65 |
Carle Eureka Hospital |
1331890804 |
BERMUDA GRASS (G2) IGE |
86003 |
0302 |
49 |
49 |
14.7 |
44.59 |
34.299999999999997 |
14.7 |
44.59 |
35.28 |
41.65 |
Carle Eureka Hospital |
1331890805 |
CAT EPITHELIUM/DANDER (E1) IGE |
86003 |
0302 |
49 |
49 |
14.7 |
44.59 |
34.299999999999997 |
14.7 |
44.59 |
35.28 |
41.65 |
Carle Eureka Hospital |
1331890807 |
CALDOSPORIUM HERBARUM (M2) IGE |
86003 |
0302 |
49 |
49 |
14.7 |
44.59 |
34.299999999999997 |
14.7 |
44.59 |
35.28 |
41.65 |
Carle Eureka Hospital |
1331890808 |
COCKROACH (I6) IGE |
86003 |
0302 |
49 |
49 |
14.7 |
44.59 |
34.299999999999997 |
14.7 |
44.59 |
35.28 |
41.65 |
Carle Eureka Hospital |
1331890809 |
COMMON RAGWEED (SHORT) (W1)IGE |
86003 |
0302 |
49 |
49 |
14.7 |
44.59 |
34.299999999999997 |
14.7 |
44.59 |
35.28 |
41.65 |
Carle Eureka Hospital |
1331890811 |
ELM (T8) IGE |
86003 |
0302 |
49 |
49 |
14.7 |
44.59 |
34.299999999999997 |
14.7 |
44.59 |
35.28 |
41.65 |
Carle Eureka Hospital |
1331890814 |
JOHNSON GRASS (G10) IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
1331890815 |
JUNE GRASS (G8) IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
1331890817 |
D FARINAE (D2) IGE |
86003 |
0302 |
49 |
49 |
14.7 |
44.59 |
34.299999999999997 |
14.7 |
44.59 |
35.28 |
41.65 |
Carle Eureka Hospital |
1331890818 |
D PTERONYSSINUS (D1) IGE |
86003 |
0302 |
49 |
49 |
14.7 |
44.59 |
34.299999999999997 |
14.7 |
44.59 |
35.28 |
41.65 |
Carle Eureka Hospital |
1331890819 |
MUCOR RACEMOSUS (M4) IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
1331890820 |
WHITE MULBERRY (T70) IGE |
86003 |
0302 |
49 |
49 |
14.7 |
44.59 |
34.299999999999997 |
14.7 |
44.59 |
35.28 |
41.65 |
Carle Eureka Hospital |
1331890822 |
OAK (T7) IGE |
86003 |
0302 |
49 |
49 |
14.7 |
44.59 |
34.299999999999997 |
14.7 |
44.59 |
35.28 |
41.65 |
Carle Eureka Hospital |
1331890823 |
PENICILLIUM NOTATUM (M1) IGE |
86003 |
0302 |
49 |
49 |
14.7 |
44.59 |
34.299999999999997 |
14.7 |
44.59 |
35.28 |
41.65 |
Carle Eureka Hospital |
1331890824 |
ROUGH PIGWEED (W14) IGE |
86003 |
0302 |
49 |
49 |
14.7 |
44.59 |
34.299999999999997 |
14.7 |
44.59 |
35.28 |
41.65 |
Carle Eureka Hospital |
1331890825 |
RUSSIAN THISTLE (W11) IGE |
86003 |
0302 |
49 |
49 |
14.7 |
44.59 |
34.299999999999997 |
14.7 |
44.59 |
35.28 |
41.65 |
Carle Eureka Hospital |
1331890828 |
SYCAMORE (T11) IGE |
86003 |
0302 |
49 |
49 |
14.7 |
44.59 |
34.299999999999997 |
14.7 |
44.59 |
35.28 |
41.65 |
Carle Eureka Hospital |
1331890830 |
YEAST (F45) IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
1331890831 |
BARLEY (F6) IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
1331890832 |
BEEF (F27) IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
1331890833 |
MAIZE/CORN (F8) IGE |
86003 |
0302 |
49 |
49 |
14.7 |
44.59 |
34.299999999999997 |
14.7 |
44.59 |
35.28 |
41.65 |
Carle Eureka Hospital |
1331890834 |
EGG WHITE (F1) IGE |
86003 |
0302 |
49 |
49 |
14.7 |
44.59 |
34.299999999999997 |
14.7 |
44.59 |
35.28 |
41.65 |
Carle Eureka Hospital |
1331890835 |
MILK (F2) IGE |
86003 |
0302 |
49 |
49 |
14.7 |
44.59 |
34.299999999999997 |
14.7 |
44.59 |
35.28 |
41.65 |
Carle Eureka Hospital |
1331890836 |
PEANUT (F13) IGE |
86003 |
0302 |
49 |
49 |
14.7 |
44.59 |
34.299999999999997 |
14.7 |
44.59 |
35.28 |
41.65 |
Carle Eureka Hospital |
1331890837 |
PORK (F26) IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
1331890838 |
SOYBEAN (F14) IGE |
86003 |
0302 |
49 |
49 |
14.7 |
44.59 |
34.299999999999997 |
14.7 |
44.59 |
35.28 |
41.65 |
Carle Eureka Hospital |
1331890839 |
WHEAT (F4) IGE |
86003 |
0302 |
49 |
49 |
14.7 |
44.59 |
34.299999999999997 |
14.7 |
44.59 |
35.28 |
41.65 |
Carle Eureka Hospital |
1331890841 |
CRAB (F23) IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
1331890842 |
OAT (F7) IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
1331890843 |
RYE (F5) IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
1331890844 |
SHRIMP (F24) IGE |
86003 |
0302 |
49 |
49 |
14.7 |
44.59 |
34.299999999999997 |
14.7 |
44.59 |
35.28 |
41.65 |
Carle Eureka Hospital |
1331890845 |
RAST EGG WHITE IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
1331890846 |
RAST MILK IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
1331890847 |
RAST PEANUT IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
1331890848 |
RAST SOYBEAN IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
1331890849 |
RAST WHEAT IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
1331890850 |
RAST BARLEY IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
1331890851 |
COCOA (F93) IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
1331890852 |
ALLERGEN MISCELLANEOUS |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
1331890866 |
ENZY ACT RED BLD CELLS (TPMTEA |
82657 |
0301 |
170 |
170 |
51 |
154.70000000000002 |
118.99999999999999 |
51 |
154.70000000000002 |
122.39999999999999 |
144.5 |
Carle Eureka Hospital |
1331890867 |
HGH PRSH CHOGR 6M THIO (TPMTEA |
82542 |
0301 |
170 |
170 |
51 |
154.70000000000002 |
118.99999999999999 |
51 |
154.70000000000002 |
122.39999999999999 |
144.5 |
Carle Eureka Hospital |
1331890869 |
HGH PSH LQID CHRGR 6 THIO (6MP |
82542 |
0301 |
245 |
245 |
73.5 |
222.95000000000002 |
171.5 |
73.5 |
222.95000000000002 |
176.4 |
208.25 |
Carle Eureka Hospital |
1331890870 |
HGH PRSH CHOGR 6M MCPTP (6MP) |
82542 |
0301 |
245 |
245 |
73.5 |
222.95000000000002 |
171.5 |
73.5 |
222.95000000000002 |
176.4 |
208.25 |
Carle Eureka Hospital |
1331890871 |
HCV RNA GENOTYPE |
87902 |
0300 |
795 |
795 |
238.5 |
723.45 |
556.5 |
238.5 |
723.45 |
572.4 |
675.75 |
Carle Eureka Hospital |
1331890880 |
BORRELIA BURG COMFIM TEST |
86617 |
0302 |
355 |
355 |
106.5 |
323.05 |
248.49999999999997 |
106.5 |
323.05 |
255.6 |
301.75 |
Carle Eureka Hospital |
1331890881 |
BORRELIA BURGORDERI |
86617 |
0302 |
355 |
355 |
106.5 |
323.05 |
248.49999999999997 |
106.5 |
323.05 |
255.6 |
301.75 |
Carle Eureka Hospital |
1331890889 |
COXSACKIE B1 (MYOCARD) |
86658 |
0302 |
105 |
105 |
31.5 |
95.55 |
73.5 |
31.5 |
95.55 |
75.599999999999994 |
89.25 |
Carle Eureka Hospital |
1331890890 |
COXSACKIE B2 |
86658 |
0302 |
105 |
105 |
31.5 |
95.55 |
73.5 |
31.5 |
95.55 |
75.599999999999994 |
89.25 |
Carle Eureka Hospital |
1331890891 |
COXSACKIE B3 (MYOCARD) |
86658 |
0302 |
105 |
105 |
31.5 |
95.55 |
73.5 |
31.5 |
95.55 |
75.599999999999994 |
89.25 |
Carle Eureka Hospital |
1331890892 |
COXSACKIE B4 (MYOCARD) |
86658 |
0302 |
105 |
105 |
31.5 |
95.55 |
73.5 |
31.5 |
95.55 |
75.599999999999994 |
89.25 |
Carle Eureka Hospital |
1331890893 |
COXSACKIE B5 (MYOCARD) |
86658 |
0302 |
105 |
105 |
31.5 |
95.55 |
73.5 |
31.5 |
95.55 |
75.599999999999994 |
89.25 |
Carle Eureka Hospital |
1331890894 |
INFLUENZA AB TYPE A (MYOCARD) |
86710 |
0302 |
96 |
96 |
28.799999999999997 |
87.36 |
67.199999999999989 |
28.799999999999997 |
87.36 |
69.12 |
81.599999999999994 |
Carle Eureka Hospital |
1331890895 |
INFLUENZA AB TYPE B (MYOCARD) |
86710 |
0302 |
96 |
96 |
28.799999999999997 |
87.36 |
67.199999999999989 |
28.799999999999997 |
87.36 |
69.12 |
81.599999999999994 |
Carle Eureka Hospital |
1331890903 |
PTT |
85730 |
0305 |
106 |
106 |
31.799999999999997 |
96.460000000000008 |
74.199999999999989 |
31.799999999999997 |
96.460000000000008 |
76.319999999999993 |
90.1 |
Carle Eureka Hospital |
1331890904 |
SUBSTIT, PLAS, FRACT, (PTTMIX) |
85732 |
0305 |
190 |
190 |
57 |
172.9 |
133 |
57 |
172.9 |
136.79999999999998 |
161.5 |
Carle Eureka Hospital |
1331890906 |
NEPH ANALY NO/EW SPEC (LTCHNS) |
83883 |
0301 |
76 |
76 |
22.8 |
69.16 |
53.199999999999996 |
22.8 |
69.16 |
54.72 |
64.599999999999994 |
Carle Eureka Hospital |
1331890907 |
NEPH ANALY N/EW SPEC (LTCHNS) |
83883 |
0301 |
76 |
76 |
22.8 |
69.16 |
53.199999999999996 |
22.8 |
69.16 |
54.72 |
64.599999999999994 |
Carle Eureka Hospital |
1331890909 |
NEPH ANAL NO/EW SPEC (LTCHNRU) |
83883 |
0301 |
231 |
231 |
69.3 |
210.21 |
161.69999999999999 |
69.3 |
210.21 |
166.32 |
196.35 |
Carle Eureka Hospital |
1331890910 |
NEPH ANAL NO/EW SPEC (LTCHNRU) |
83883 |
0301 |
231 |
231 |
69.3 |
210.21 |
161.69999999999999 |
69.3 |
210.21 |
166.32 |
196.35 |
Carle Eureka Hospital |
1331890912 |
GAMMAGL IGA IGR IGM EA (MSPROF |
82784 |
0301 |
32 |
32 |
9.6 |
29.12 |
22.4 |
9.6 |
29.12 |
23.04 |
27.2 |
Carle Eureka Hospital |
1331890913 |
MYELIN BASIC PROT, CSF (MSPROF |
83873 |
0301 |
67 |
67 |
20.099999999999998 |
60.97 |
46.9 |
20.099999999999998 |
60.97 |
48.239999999999995 |
56.949999999999996 |
Carle Eureka Hospital |
1331890915 |
THN LYR ANLTE NOT EW SPEC (PG) |
83516 |
0301 |
77 |
77 |
23.099999999999998 |
70.070000000000007 |
53.9 |
23.099999999999998 |
70.070000000000007 |
55.44 |
65.45 |
Carle Eureka Hospital |
1331890916 |
LS |
83661 |
0301 |
205 |
205 |
61.5 |
186.55 |
143.5 |
61.5 |
186.55 |
147.6 |
174.25 |
Carle Eureka Hospital |
1331890918 |
CHRMSME ANAL ADD KARYOTYPES EA |
88280 |
0300 |
260 |
260 |
78 |
236.6 |
182 |
78 |
236.6 |
187.2 |
221 |
Carle Eureka Hospital |
1331890919 |
AMNIOTC FLD/CRNIC VILLUS CELLS |
88235 |
0300 |
355 |
355 |
106.5 |
323.05 |
248.49999999999997 |
106.5 |
323.05 |
255.6 |
301.75 |
Carle Eureka Hospital |
1331890920 |
CHRMSOME A CT 15 CL 1KA W BAND |
88267 |
0300 |
1770 |
1770 |
531 |
1610.7 |
1239 |
531 |
1610.7 |
1274.3999999999999 |
1504.5 |
Carle Eureka Hospital |
1331890923 |
CT 15-20 CELLS 2 KRTYPS W BAND |
88262 |
0300 |
1410 |
1410 |
423 |
1283.1000000000001 |
986.99999999999989 |
423 |
1283.1000000000001 |
1015.1999999999999 |
1198.5 |
Carle Eureka Hospital |
1331890924 |
TIS CULT F NEOPLAS DISO BM/BLD |
88237 |
0300 |
530 |
530 |
159 |
482.3 |
371 |
159 |
482.3 |
381.59999999999997 |
450.5 |
Carle Eureka Hospital |
1331890927 |
ALBUMIN |
82040 |
0301 |
74 |
74 |
22.2 |
67.34 |
51.8 |
22.2 |
67.34 |
53.28 |
62.9 |
Carle Eureka Hospital |
1331890929 |
GLIADIN AB IGA |
83516 |
0301 |
196 |
196 |
58.8 |
178.36 |
137.19999999999999 |
58.8 |
178.36 |
141.12 |
166.6 |
Carle Eureka Hospital |
1331890930 |
GLIADIN AB IGG |
83516 |
0301 |
134 |
134 |
40.199999999999996 |
121.94 |
93.8 |
40.199999999999996 |
121.94 |
96.47999999999999 |
113.89999999999999 |
Carle Eureka Hospital |
1331890932 |
LEAD URINE |
83655 |
0301 |
115 |
115 |
34.5 |
104.65 |
80.5 |
34.5 |
104.65 |
82.8 |
97.75 |
Carle Eureka Hospital |
1331890933 |
MERCURY URINE |
83825 |
0301 |
105 |
105 |
31.5 |
95.55 |
73.5 |
31.5 |
95.55 |
75.599999999999994 |
89.25 |
Carle Eureka Hospital |
1331890934 |
ARSENIC URINE |
82175 |
0301 |
105 |
105 |
31.5 |
95.55 |
73.5 |
31.5 |
95.55 |
75.599999999999994 |
89.25 |
Carle Eureka Hospital |
1331890935 |
CADMIUM |
82300 |
0301 |
215 |
215 |
64.5 |
195.65 |
150.5 |
64.5 |
195.65 |
154.79999999999998 |
182.75 |
Carle Eureka Hospital |
1331890949 |
SSA |
86235 |
0302 |
125 |
125 |
37.5 |
113.75 |
87.5 |
37.5 |
113.75 |
90 |
106.25 |
Carle Eureka Hospital |
1331890950 |
SSB |
86235 |
0302 |
125 |
125 |
37.5 |
113.75 |
87.5 |
37.5 |
113.75 |
90 |
106.25 |
Carle Eureka Hospital |
1331890968 |
COXSACKIE A AB TYPE 2 |
86658 |
0302 |
105 |
105 |
31.5 |
95.55 |
73.5 |
31.5 |
95.55 |
75.599999999999994 |
89.25 |
Carle Eureka Hospital |
1331890969 |
COXSACKIE A AB TYPE 4 |
86658 |
0302 |
105 |
105 |
31.5 |
95.55 |
73.5 |
31.5 |
95.55 |
75.599999999999994 |
89.25 |
Carle Eureka Hospital |
1331890970 |
COXSACKIE A AB TYPE 7 |
86658 |
0302 |
105 |
105 |
31.5 |
95.55 |
73.5 |
31.5 |
95.55 |
75.599999999999994 |
89.25 |
Carle Eureka Hospital |
1331890971 |
COXSACKIE A AB TYPE 9 |
86658 |
0302 |
105 |
105 |
31.5 |
95.55 |
73.5 |
31.5 |
95.55 |
75.599999999999994 |
89.25 |
Carle Eureka Hospital |
1331890972 |
COXSACKIE A AB TYPE 10 |
86658 |
0302 |
105 |
105 |
31.5 |
95.55 |
73.5 |
31.5 |
95.55 |
75.599999999999994 |
89.25 |
Carle Eureka Hospital |
1331890973 |
COXSACKIE A AB TYPE 16 |
86658 |
0302 |
105 |
105 |
31.5 |
95.55 |
73.5 |
31.5 |
95.55 |
75.599999999999994 |
89.25 |
Carle Eureka Hospital |
1331890975 |
E CHAFFEENSIS AB IGG |
86666 |
0302 |
175 |
175 |
52.5 |
159.25 |
122.49999999999999 |
52.5 |
159.25 |
126 |
148.75 |
Carle Eureka Hospital |
1331890976 |
E CHAFFEENSIS AB IGM |
86666 |
0302 |
175 |
175 |
52.5 |
159.25 |
122.49999999999999 |
52.5 |
159.25 |
126 |
148.75 |
Carle Eureka Hospital |
1331890978 |
OTHER SOURCE |
82570 |
0301 |
6 |
6 |
1.7999999999999998 |
5.46 |
4.1999999999999993 |
1.7999999999999998 |
5.46 |
4.32 |
5.0999999999999996 |
Carle Eureka Hospital |
1331890979 |
ORGANIC ACID SINGLE QUANTITATI |
83921 |
0301 |
560 |
560 |
168 |
509.6 |
392 |
168 |
509.6 |
403.2 |
476 |
Carle Eureka Hospital |
1331890981 |
ATOMIC ABSORPTION SPECTROSCOPY |
82190 |
0301 |
339 |
339 |
101.7 |
308.49 |
237.29999999999998 |
101.7 |
308.49 |
244.07999999999998 |
288.14999999999998 |
Carle Eureka Hospital |
1331890983 |
FLUNITRAZEPAM CONF BLD |
80346 |
0300 |
345 |
345 |
103.5 |
313.95 |
241.49999999999997 |
103.5 |
313.95 |
248.39999999999998 |
293.25 |
Carle Eureka Hospital |
1331890984 |
FLUNITRAZEPAM CONF UR |
80346 |
0300 |
325 |
325 |
97.5 |
295.75 |
227.49999999999997 |
97.5 |
295.75 |
234 |
276.25 |
Carle Eureka Hospital |
1331890986 |
TISSUE CULTURE INOC, OBS, PRP |
87252 |
0306 |
265 |
265 |
79.5 |
241.15 |
185.5 |
79.5 |
241.15 |
190.79999999999998 |
225.25 |
Carle Eureka Hospital |
1331890987 |
SHELL VIAL ID W/IMMFLOURESCEN |
87254 |
0306 |
260 |
260 |
78 |
236.6 |
182 |
78 |
236.6 |
187.2 |
221 |
Carle Eureka Hospital |
1331890988 |
HISTONE AB |
83516 |
0301 |
194 |
194 |
58.199999999999996 |
176.54 |
135.79999999999998 |
58.199999999999996 |
176.54 |
139.68 |
164.9 |
Carle Eureka Hospital |
1331890989 |
NICOTINE RANDOM URINE |
80323 |
0301 |
196 |
196 |
58.8 |
178.36 |
137.19999999999999 |
58.8 |
178.36 |
141.12 |
166.6 |
Carle Eureka Hospital |
1331890992 |
CHLAMYDIA-REFLEX FOR GCCHLAM |
87490 |
0306 |
155 |
155 |
46.5 |
141.05000000000001 |
108.5 |
46.5 |
141.05000000000001 |
111.6 |
131.75 |
Carle Eureka Hospital |
1331890993 |
GC-REFLEX FOR GCCHLAM |
87590 |
0306 |
210 |
210 |
63 |
191.1 |
147 |
63 |
191.1 |
151.19999999999999 |
178.5 |
Carle Eureka Hospital |
1331890994 |
REFLEX WESTERRN BLOT FOR HIV-1 |
86689 |
0302 |
200 |
200 |
60 |
182 |
140 |
60 |
182 |
144 |
170 |
Carle Eureka Hospital |
1331890998 |
ATOMIC ABORPTION SPECTROSCOPY |
82190 |
0301 |
339 |
339 |
101.7 |
308.49 |
237.29999999999998 |
101.7 |
308.49 |
244.07999999999998 |
288.14999999999998 |
Carle Eureka Hospital |
1331891002 |
HISTONE AB |
83516 |
0301 |
126 |
126 |
37.799999999999997 |
114.66000000000001 |
88.199999999999989 |
37.799999999999997 |
114.66000000000001 |
90.72 |
107.1 |
Carle Eureka Hospital |
1331891004 |
OLIGOCLONAL IMMUNE (MSPROF) |
83916 |
0301 |
230 |
230 |
69 |
209.3 |
161 |
69 |
209.3 |
165.6 |
195.5 |
Carle Eureka Hospital |
1331891023 |
HER2/NEU STAIN |
88361 |
0310 |
860 |
860 |
258 |
782.6 |
602 |
258 |
782.6 |
619.19999999999993 |
731 |
Carle Eureka Hospital |
1331891057 |
ALPHAFETOPROTEIN MATERNAL-TSM |
82105 |
0300 |
155 |
155 |
46.5 |
141.05000000000001 |
108.5 |
46.5 |
141.05000000000001 |
111.6 |
131.75 |
Carle Eureka Hospital |
1331891058 |
ESTRIOL - TSM |
82677 |
0300 |
105 |
105 |
31.5 |
95.55 |
73.5 |
31.5 |
95.55 |
75.599999999999994 |
89.25 |
Carle Eureka Hospital |
1331891059 |
BHCG-QUANTITATIVE - TSM |
84702 |
0300 |
140 |
140 |
42 |
127.4 |
98 |
42 |
127.4 |
100.8 |
119 |
Carle Eureka Hospital |
1331891062 |
RUBEOLA IGG CSF |
86765 |
0302 |
97 |
97 |
29.099999999999998 |
88.27 |
67.899999999999991 |
29.099999999999998 |
88.27 |
69.84 |
82.45 |
Carle Eureka Hospital |
1331891063 |
RUBEOLA IGM CSF |
86765 |
0302 |
97 |
97 |
29.099999999999998 |
88.27 |
67.899999999999991 |
29.099999999999998 |
88.27 |
69.84 |
82.45 |
Carle Eureka Hospital |
1331891064 |
RUBEOLA IGG SERUM |
86765 |
0302 |
97 |
97 |
29.099999999999998 |
88.27 |
67.899999999999991 |
29.099999999999998 |
88.27 |
69.84 |
82.45 |
Carle Eureka Hospital |
1331891065 |
RUBEOLA IGM SERUM |
86765 |
0302 |
97 |
97 |
29.099999999999998 |
88.27 |
67.899999999999991 |
29.099999999999998 |
88.27 |
69.84 |
82.45 |
Carle Eureka Hospital |
1331891069 |
ANTI-HUMAN NEUTROPHIL ELIS IGG |
83520 |
0301 |
255 |
255 |
76.5 |
232.05 |
178.5 |
76.5 |
232.05 |
183.6 |
216.75 |
Carle Eureka Hospital |
1331891070 |
ANTI-OMPC ELISA IGA |
83520 |
0301 |
255 |
255 |
76.5 |
232.05 |
178.5 |
76.5 |
232.05 |
183.6 |
216.75 |
Carle Eureka Hospital |
1331891071 |
ANIT-HUMAN NEUTROPHIL IMM IGA |
83520 |
0301 |
255 |
255 |
76.5 |
232.05 |
178.5 |
76.5 |
232.05 |
183.6 |
216.75 |
Carle Eureka Hospital |
1331891072 |
ANTI-HUMAN NEUTROPHIL IGG DNAS |
83520 |
0301 |
255 |
255 |
76.5 |
232.05 |
178.5 |
76.5 |
232.05 |
183.6 |
216.75 |
Carle Eureka Hospital |
1331891081 |
WESTER BLOT (HU) |
84182 |
0301 |
290 |
290 |
87 |
263.90000000000003 |
203 |
87 |
263.90000000000003 |
208.79999999999998 |
246.5 |
Carle Eureka Hospital |
1331891082 |
WESTERN BLOT (CV2) |
84182 |
0301 |
290 |
290 |
87 |
263.90000000000003 |
203 |
87 |
263.90000000000003 |
208.79999999999998 |
246.5 |
Carle Eureka Hospital |
1331891083 |
WESTERN BLOT (YO) |
84182 |
0301 |
290 |
290 |
87 |
263.90000000000003 |
203 |
87 |
263.90000000000003 |
208.79999999999998 |
246.5 |
Carle Eureka Hospital |
1331891084 |
WESTERN BLOT (RI) |
84182 |
0301 |
290 |
290 |
87 |
263.90000000000003 |
203 |
87 |
263.90000000000003 |
208.79999999999998 |
246.5 |
Carle Eureka Hospital |
1331891085 |
WESTERN BLOT(CAR) |
84182 |
0301 |
290 |
290 |
87 |
263.90000000000003 |
203 |
87 |
263.90000000000003 |
208.79999999999998 |
246.5 |
Carle Eureka Hospital |
1331891087 |
IMMUNOASSAY (MA) |
83520 |
0301 |
255 |
255 |
76.5 |
232.05 |
178.5 |
76.5 |
232.05 |
183.6 |
216.75 |
Carle Eureka Hospital |
1331891088 |
IMMUNOASSAY (TA) |
83520 |
0301 |
255 |
255 |
76.5 |
232.05 |
178.5 |
76.5 |
232.05 |
183.6 |
216.75 |
Carle Eureka Hospital |
1331891094 |
VIRAL NEUTRALIZING TEST |
86382 |
0302 |
570 |
570 |
171 |
518.70000000000005 |
399 |
171 |
518.70000000000005 |
410.4 |
484.5 |
Carle Eureka Hospital |
1331891095 |
NTD TEST |
86384 |
0302 |
570 |
570 |
171 |
518.70000000000005 |
399 |
171 |
518.70000000000005 |
410.4 |
484.5 |
Carle Eureka Hospital |
1331891096 |
TISSUE CULTRUE INTERFERON |
87253 |
0306 |
575 |
575 |
172.5 |
523.25 |
402.5 |
172.5 |
523.25 |
414 |
488.75 |
Carle Eureka Hospital |
1331891098 |
ANTI-GMI |
83520 |
0301 |
320 |
320 |
96 |
291.2 |
224 |
96 |
291.2 |
230.39999999999998 |
272 |
Carle Eureka Hospital |
1331891099 |
ANTI-ASIALO GM |
83520 |
0301 |
320 |
320 |
96 |
291.2 |
224 |
96 |
291.2 |
230.39999999999998 |
272 |
Carle Eureka Hospital |
1331891100 |
ANTI-GDLB AB |
83520 |
0301 |
320 |
320 |
96 |
291.2 |
224 |
96 |
291.2 |
230.39999999999998 |
272 |
Carle Eureka Hospital |
1331891101 |
PAP THIN PREP W/FLEX HPV |
88142 |
0311 |
190 |
190 |
57 |
172.9 |
133 |
57 |
172.9 |
136.79999999999998 |
161.5 |
Carle Eureka Hospital |
1331891102 |
REFLEX HPV HIGH RISK ONLY |
87624 |
0306 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
1331891103 |
FK506-TACROLIMUS |
80197 |
0300 |
165 |
165 |
49.5 |
150.15 |
115.49999999999999 |
49.5 |
150.15 |
118.8 |
140.25 |
Carle Eureka Hospital |
1331891106 |
HPB DNA LOW RISK |
87623 |
0306 |
112 |
112 |
33.6 |
101.92 |
78.399999999999991 |
33.6 |
101.92 |
80.64 |
95.2 |
Carle Eureka Hospital |
1331891107 |
HPV DNA INT/HIGH RISK |
87624 |
0306 |
195 |
195 |
58.5 |
177.45000000000002 |
136.5 |
58.5 |
177.45000000000002 |
140.4 |
165.75 |
Carle Eureka Hospital |
1331891112 |
CHLAMYDIA CULTURE |
87140 |
0306 |
61 |
61 |
18.3 |
55.510000000000005 |
42.699999999999996 |
18.3 |
55.510000000000005 |
43.92 |
51.85 |
Carle Eureka Hospital |
1331891113 |
MERCURY 24 HR URINE |
83825 |
0301 |
175 |
175 |
52.5 |
159.25 |
122.49999999999999 |
52.5 |
159.25 |
126 |
148.75 |
Carle Eureka Hospital |
1331891114 |
ECHINOCCUS AB IgG |
86682 |
0302 |
175 |
175 |
52.5 |
159.25 |
122.49999999999999 |
52.5 |
159.25 |
126 |
148.75 |
Carle Eureka Hospital |
1331891115 |
RFLX ECHINOCOCCUS WESTERN BLOT |
86682 |
0302 |
269 |
269 |
80.7 |
244.79000000000002 |
188.29999999999998 |
80.7 |
244.79000000000002 |
193.68 |
228.65 |
Carle Eureka Hospital |
1331891117 |
C TRACHOMATIS AB IGM |
86632 |
0302 |
130 |
130 |
39 |
118.3 |
91 |
39 |
118.3 |
93.6 |
110.5 |
Carle Eureka Hospital |
1331891118 |
C TRACHOMATIS AB IGG |
86631 |
0302 |
125 |
125 |
37.5 |
113.75 |
87.5 |
37.5 |
113.75 |
90 |
106.25 |
Carle Eureka Hospital |
1331891119 |
C TRACHOMATIS AB IGA |
86631 |
0302 |
125 |
125 |
37.5 |
113.75 |
87.5 |
37.5 |
113.75 |
90 |
106.25 |
Carle Eureka Hospital |
1331891120 |
KEPPRA - LEVETIRACETAM |
80177 |
0301 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
1331891121 |
HU ANTIBODY/W RFLX |
86255 |
0302 |
134 |
134 |
40.199999999999996 |
121.94 |
93.8 |
40.199999999999996 |
121.94 |
96.47999999999999 |
113.89999999999999 |
Carle Eureka Hospital |
1331891122 |
REFLEX HU AB TITER |
86256 |
0302 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
1331891123 |
REFLEX HU AB WESTERN BLOT |
84181 |
0301 |
279 |
279 |
83.7 |
253.89000000000001 |
195.29999999999998 |
83.7 |
253.89000000000001 |
200.88 |
237.15 |
Carle Eureka Hospital |
1331891125 |
YO-PURKINJE CELLS TITER/REFLX |
86256 |
0302 |
120 |
120 |
36 |
109.2 |
84 |
36 |
109.2 |
86.399999999999991 |
102 |
Carle Eureka Hospital |
1331891128 |
RMSF IGM (FEB) |
86757 |
0302 |
95 |
95 |
28.5 |
86.45 |
66.5 |
28.5 |
86.45 |
68.399999999999991 |
80.75 |
Carle Eureka Hospital |
1331891130 |
TYPHUS FEVER IGM (FEB) |
86757 |
0302 |
95 |
95 |
28.5 |
86.45 |
66.5 |
28.5 |
86.45 |
68.399999999999991 |
80.75 |
Carle Eureka Hospital |
1331891131 |
REFLEX TYPHUS AB TITIER IGG |
86757 |
0302 |
115 |
115 |
34.5 |
104.65 |
80.5 |
34.5 |
104.65 |
82.8 |
97.75 |
Carle Eureka Hospital |
1331891132 |
REFLEX TYPHUS AB TITER IGM |
86757 |
0302 |
120 |
120 |
36 |
109.2 |
84 |
36 |
109.2 |
86.399999999999991 |
102 |
Carle Eureka Hospital |
1331891133 |
REFLEX RICKETTSIA AB TITER IGG |
86757 |
0302 |
180 |
180 |
54 |
163.80000000000001 |
125.99999999999999 |
54 |
163.80000000000001 |
129.6 |
153 |
Carle Eureka Hospital |
1331891134 |
REFLEX RICKETTSIA AB TITER IGM |
86757 |
0302 |
180 |
180 |
54 |
163.80000000000001 |
125.99999999999999 |
54 |
163.80000000000001 |
129.6 |
153 |
Carle Eureka Hospital |
1331891136 |
PARVOVIRUS B19 AB IGG |
86747 |
0302 |
145 |
145 |
43.5 |
131.95000000000002 |
101.5 |
43.5 |
131.95000000000002 |
104.39999999999999 |
123.25 |
Carle Eureka Hospital |
1331891137 |
PARVOVIRUS B19 AB IGM |
86747 |
0302 |
145 |
145 |
43.5 |
131.95000000000002 |
101.5 |
43.5 |
131.95000000000002 |
104.39999999999999 |
123.25 |
Carle Eureka Hospital |
1331891140 |
PERRENIAL RYE GRASS (G5) IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
1331891141 |
TIMOTHY GRASS (G6) IGE |
86003 |
0302 |
49 |
49 |
14.7 |
44.59 |
34.299999999999997 |
14.7 |
44.59 |
35.28 |
41.65 |
Carle Eureka Hospital |
1331891143 |
MAPLE (BOX ELDER) (T1) IGE |
86003 |
0302 |
49 |
49 |
14.7 |
44.59 |
34.299999999999997 |
14.7 |
44.59 |
35.28 |
41.65 |
Carle Eureka Hospital |
1331891144 |
COTTONWOOD (T14) IGE |
86003 |
0302 |
49 |
49 |
14.7 |
44.59 |
34.299999999999997 |
14.7 |
44.59 |
35.28 |
41.65 |
Carle Eureka Hospital |
1331891147 |
RAST GOOSE FEATHERS |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
1331891150 |
HEPATITIS B CORE AB TOTAL |
86704 |
0302 |
160 |
160 |
48 |
145.6 |
112 |
48 |
145.6 |
115.19999999999999 |
136 |
Carle Eureka Hospital |
1331891152 |
ALPHA 1 ANTITRYPSIN PHENOTYPIN |
82104 |
0301 |
245 |
245 |
73.5 |
222.95000000000002 |
171.5 |
73.5 |
222.95000000000002 |
176.4 |
208.25 |
Carle Eureka Hospital |
1331891153 |
HEPATITIS A AB TOTAL |
86708 |
0302 |
115 |
115 |
34.5 |
104.65 |
80.5 |
34.5 |
104.65 |
82.8 |
97.75 |
Carle Eureka Hospital |
1331891154 |
REFLEX HEPATITIS A AB IGM |
86709 |
0302 |
190 |
190 |
57 |
172.9 |
133 |
57 |
172.9 |
136.79999999999998 |
161.5 |
Carle Eureka Hospital |
1331891155 |
PTH RELATED PROTEIN |
83519 |
0301 |
185 |
185 |
55.5 |
168.35 |
129.5 |
55.5 |
168.35 |
133.19999999999999 |
157.25 |
Carle Eureka Hospital |
1331891157 |
FREE DILANTIN |
80186 |
0300 |
130 |
130 |
39 |
118.3 |
91 |
39 |
118.3 |
93.6 |
110.5 |
Carle Eureka Hospital |
1331891158 |
IGA SUBCLASS 1 |
82787 |
0301 |
105 |
105 |
31.5 |
95.55 |
73.5 |
31.5 |
95.55 |
75.599999999999994 |
89.25 |
Carle Eureka Hospital |
1331891159 |
IGA SUBCLASS 2 |
82787 |
0301 |
105 |
105 |
31.5 |
95.55 |
73.5 |
31.5 |
95.55 |
75.599999999999994 |
89.25 |
Carle Eureka Hospital |
1331891160 |
IGA TOTAL |
82784 |
0301 |
79 |
79 |
23.7 |
71.89 |
55.3 |
23.7 |
71.89 |
56.879999999999995 |
67.149999999999991 |
Carle Eureka Hospital |
1331891161 |
G-6-PD RBC |
82955 |
0301 |
155 |
155 |
46.5 |
141.05000000000001 |
108.5 |
46.5 |
141.05000000000001 |
111.6 |
131.75 |
Carle Eureka Hospital |
1331891163 |
B CELLS TOTAL COUNT |
86355 |
0302 |
195 |
195 |
58.5 |
177.45000000000002 |
136.5 |
58.5 |
177.45000000000002 |
140.4 |
165.75 |
Carle Eureka Hospital |
1331891164 |
T CELLS TOTAL CT |
86359 |
0302 |
435 |
435 |
130.5 |
395.85 |
304.5 |
130.5 |
395.85 |
313.2 |
369.75 |
Carle Eureka Hospital |
1331891165 |
CD4/CD8 CT |
86360 |
0302 |
440 |
440 |
132 |
400.40000000000003 |
308 |
132 |
400.40000000000003 |
316.8 |
374 |
Carle Eureka Hospital |
1331891166 |
CD4/CD8 CT |
86360 |
0301 |
160 |
160 |
48 |
145.6 |
112 |
48 |
145.6 |
115.19999999999999 |
136 |
Carle Eureka Hospital |
1331891168 |
HOMOCYSTEINE NUTR/CONGENITAL |
83090 |
0301 |
160 |
160 |
48 |
145.6 |
112 |
48 |
145.6 |
115.19999999999999 |
136 |
Carle Eureka Hospital |
1331891170 |
METHOTREXATE |
80299 |
0300 |
165 |
165 |
49.5 |
150.15 |
115.49999999999999 |
49.5 |
150.15 |
118.8 |
140.25 |
Carle Eureka Hospital |
1331891171 |
VITAMIN D 1 25 DIHYDROXY |
82652 |
0301 |
360 |
360 |
108 |
327.60000000000002 |
251.99999999999997 |
108 |
327.60000000000002 |
259.2 |
306 |
Carle Eureka Hospital |
1331891172 |
VITAMIN D 25 HYDORXY |
82306 |
0301 |
145 |
145 |
43.5 |
131.95000000000002 |
101.5 |
43.5 |
131.95000000000002 |
104.39999999999999 |
123.25 |
Carle Eureka Hospital |
1331891173 |
VITAMIN A |
84590 |
0301 |
135 |
135 |
40.5 |
122.85000000000001 |
94.5 |
40.5 |
122.85000000000001 |
97.2 |
114.75 |
Carle Eureka Hospital |
1331891174 |
FRUCTOSAMINE |
82985 |
0301 |
140 |
140 |
42 |
127.4 |
98 |
42 |
127.4 |
100.8 |
119 |
Carle Eureka Hospital |
1331891175 |
REDUCING SUBSTANCE STOOL |
84376 |
0301 |
120 |
120 |
36 |
109.2 |
84 |
36 |
109.2 |
86.399999999999991 |
102 |
Carle Eureka Hospital |
1331891176 |
ARSENIC BLOOD |
82175 |
0301 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
1331891191 |
LYME DISEASE CSF RATIO |
86618 |
0302 |
198 |
198 |
59.4 |
180.18 |
138.6 |
59.4 |
180.18 |
142.56 |
168.29999999999998 |
Carle Eureka Hospital |
1331891195 |
CRYPTOCOCCAL AG TITER |
86406 |
0302 |
210 |
210 |
63 |
191.1 |
147 |
63 |
191.1 |
151.19999999999999 |
178.5 |
Carle Eureka Hospital |
1331891198 |
HSV IGM TITER |
86694 |
0302 |
214 |
214 |
64.2 |
194.74 |
149.79999999999998 |
64.2 |
194.74 |
154.07999999999998 |
181.9 |
Carle Eureka Hospital |
1331891199 |
MOLECULAR CYTOGENETICS,DNA PRO |
88271 |
0300 |
180 |
180 |
54 |
163.80000000000001 |
125.99999999999999 |
54 |
163.80000000000001 |
129.6 |
153 |
Carle Eureka Hospital |
1331891200 |
CHROMOSOMAL IN SITU HYBRID,10- |
88273 |
0300 |
335 |
335 |
100.5 |
304.85000000000002 |
234.49999999999997 |
100.5 |
304.85000000000002 |
241.2 |
284.75 |
Carle Eureka Hospital |
1331891206 |
WEST NILE VIRUS IGG |
86789 |
0302 |
165 |
165 |
49.5 |
150.15 |
115.49999999999999 |
49.5 |
150.15 |
118.8 |
140.25 |
Carle Eureka Hospital |
1331891207 |
WEST NILE VIRUS IGM |
86788 |
0302 |
165 |
165 |
49.5 |
150.15 |
115.49999999999999 |
49.5 |
150.15 |
118.8 |
140.25 |
Carle Eureka Hospital |
1331891209 |
TOXOPLASMA 1GM |
86778 |
0302 |
165 |
165 |
49.5 |
150.15 |
115.49999999999999 |
49.5 |
150.15 |
118.8 |
140.25 |
Carle Eureka Hospital |
1331891211 |
IMMUNO FIXATION SERUM |
86334 |
0302 |
218 |
218 |
65.399999999999991 |
198.38 |
152.6 |
65.399999999999991 |
198.38 |
156.96 |
185.29999999999998 |
Carle Eureka Hospital |
1331891212 |
EBV EARLY ANTIGEN |
86663 |
0302 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
1331891213 |
CAROTENE |
82380 |
0301 |
180 |
180 |
54 |
163.80000000000001 |
125.99999999999999 |
54 |
163.80000000000001 |
129.6 |
153 |
Carle Eureka Hospital |
1331891214 |
METANEPHRINES PLASMA |
83835 |
0301 |
195 |
195 |
58.5 |
177.45000000000002 |
136.5 |
58.5 |
177.45000000000002 |
140.4 |
165.75 |
Carle Eureka Hospital |
1331891215 |
VITAMIN B1 |
84425 |
0301 |
240 |
240 |
72 |
218.4 |
168 |
72 |
218.4 |
172.79999999999998 |
204 |
Carle Eureka Hospital |
1331891216 |
ZONISAMIDE |
80203 |
0301 |
200 |
200 |
60 |
182 |
140 |
60 |
182 |
144 |
170 |
Carle Eureka Hospital |
1331891217 |
APOLIPOPROTEIN B |
82172 |
0301 |
145 |
145 |
43.5 |
131.95000000000002 |
101.5 |
43.5 |
131.95000000000002 |
104.39999999999999 |
123.25 |
Carle Eureka Hospital |
1331891218 |
ANDROSTENEDIONE |
82157 |
0301 |
275 |
275 |
82.5 |
250.25 |
192.5 |
82.5 |
250.25 |
198 |
233.75 |
Carle Eureka Hospital |
1331891219 |
AFP AMNIOTIC FLD |
82106 |
0301 |
175 |
175 |
52.5 |
159.25 |
122.49999999999999 |
52.5 |
159.25 |
126 |
148.75 |
Carle Eureka Hospital |
1331891220 |
HERPES TYPE 1 |
86695 |
0302 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
1331891221 |
CHOLINESTERASE - RBC |
82482 |
0301 |
80 |
80 |
24 |
72.8 |
56 |
24 |
72.8 |
57.599999999999994 |
68 |
Carle Eureka Hospital |
1331891223 |
IMMUNOSTAIN ADDITIONAL |
88341 |
0312 |
480 |
480 |
144 |
436.8 |
336 |
144 |
436.8 |
345.59999999999997 |
408 |
Carle Eureka Hospital |
1331891224 |
DNA PROBE |
88271 |
0300 |
475 |
475 |
142.5 |
432.25 |
332.5 |
142.5 |
432.25 |
342 |
403.75 |
Carle Eureka Hospital |
1331891225 |
MOLECLULAS CYTOGEN 25-99 CELLS |
88274 |
0300 |
710 |
710 |
213 |
646.1 |
496.99999999999994 |
213 |
646.1 |
511.2 |
603.5 |
Carle Eureka Hospital |
1331891226 |
INTERPRETATION REPORT |
88365 |
0312 |
785 |
785 |
235.5 |
714.35 |
549.5 |
235.5 |
714.35 |
565.19999999999993 |
667.25 |
Carle Eureka Hospital |
1331891229 |
THYROGLOBULIN LEVEL |
84432 |
0300 |
56 |
56 |
16.8 |
50.96 |
39.199999999999996 |
16.8 |
50.96 |
40.32 |
47.6 |
Carle Eureka Hospital |
1331891230 |
STRIATED MUSCLE AB SCREEN |
86255 |
0302 |
199 |
199 |
59.699999999999996 |
181.09 |
139.29999999999998 |
59.699999999999996 |
181.09 |
143.28 |
169.15 |
Carle Eureka Hospital |
1331891231 |
STRIATED MUSCLE AB TITER CHG |
86256 |
0302 |
140 |
140 |
42 |
127.4 |
98 |
42 |
127.4 |
100.8 |
119 |
Carle Eureka Hospital |
1331891233 |
WEST NILE VIRUS AB IGG TITER C |
86789 |
0302 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
1331891234 |
WEST NILE VIRUS AB IGM TITER C |
86788 |
0302 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
1331891235 |
WEST NILE AB IGM TITER CHG |
86788 |
0302 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
1331891236 |
WEST NILE AB IGG TITER CHG |
86789 |
0302 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
1331891240 |
CK TOTAL |
82550 |
0301 |
62 |
62 |
18.599999999999998 |
56.42 |
43.4 |
18.599999999999998 |
56.42 |
44.64 |
52.699999999999996 |
Carle Eureka Hospital |
1331891241 |
CK ISOENZYMES (MB,MM,BB) |
82552 |
0301 |
110 |
110 |
33 |
100.10000000000001 |
77 |
33 |
100.10000000000001 |
79.2 |
93.5 |
Carle Eureka Hospital |
1331891243 |
CHROMOGRANIN A |
86316 |
0302 |
240 |
240 |
72 |
218.4 |
168 |
72 |
218.4 |
172.79999999999998 |
204 |
Carle Eureka Hospital |
1331891244 |
LYSOZYME |
85549 |
0305 |
195 |
195 |
58.5 |
177.45000000000002 |
136.5 |
58.5 |
177.45000000000002 |
140.4 |
165.75 |
Carle Eureka Hospital |
1331891245 |
VITAMIN B6 |
84207 |
0301 |
235 |
235 |
70.5 |
213.85 |
164.5 |
70.5 |
213.85 |
169.2 |
199.75 |
Carle Eureka Hospital |
1331891246 |
STREPTOZYME SCREEN |
86403 |
0302 |
74 |
74 |
22.2 |
67.34 |
51.8 |
22.2 |
67.34 |
53.28 |
62.9 |
Carle Eureka Hospital |
1331891247 |
TETANUS ANTITOXOID AB |
86317 |
0302 |
190 |
190 |
57 |
172.9 |
133 |
57 |
172.9 |
136.79999999999998 |
161.5 |
Carle Eureka Hospital |
1331891248 |
DIPTHERIA ANTIOXOID AB |
86317 |
0302 |
190 |
190 |
57 |
172.9 |
133 |
57 |
172.9 |
136.79999999999998 |
161.5 |
Carle Eureka Hospital |
1331891250 |
CHARGE TYPHUS AB TITER IGG |
86757 |
0302 |
180 |
180 |
54 |
163.80000000000001 |
125.99999999999999 |
54 |
163.80000000000001 |
129.6 |
153 |
Carle Eureka Hospital |
1331891251 |
CHARGE TYPHUS AB TITER IGM |
86757 |
0302 |
180 |
180 |
54 |
163.80000000000001 |
125.99999999999999 |
54 |
163.80000000000001 |
129.6 |
153 |
Carle Eureka Hospital |
1331891252 |
TISSUE CULTURE - LYMPHOCYTES |
88230 |
0310 |
1335 |
1335 |
400.5 |
1214.8500000000001 |
934.49999999999989 |
400.5 |
1214.8500000000001 |
961.19999999999993 |
1134.75 |
Carle Eureka Hospital |
1331891253 |
CHROMOSOME ANALYSIS 20-25 CELL |
88264 |
0310 |
1295 |
1295 |
388.5 |
1178.45 |
906.49999999999989 |
388.5 |
1178.45 |
932.4 |
1100.75 |
Carle Eureka Hospital |
1331891254 |
TISSUE CULTURE |
88233 |
0310 |
1530 |
1530 |
459 |
1392.3 |
1071 |
459 |
1392.3 |
1101.5999999999999 |
1300.5 |
Carle Eureka Hospital |
1331891271 |
TOTAL PROTEIN URINE (PE24U) |
84156 |
0301 |
53 |
53 |
15.899999999999999 |
48.230000000000004 |
37.099999999999994 |
15.899999999999999 |
48.230000000000004 |
38.159999999999997 |
45.05 |
Carle Eureka Hospital |
1331891272 |
PROT ELECTROPH FRAC/QU (PE24U) |
84166 |
0301 |
120 |
120 |
36 |
109.2 |
84 |
36 |
109.2 |
86.399999999999991 |
102 |
Carle Eureka Hospital |
1331891273 |
TOTAL PROTEIN OTHER (CSFELP) |
84157 |
0301 |
175 |
175 |
52.5 |
159.25 |
122.49999999999999 |
52.5 |
159.25 |
126 |
148.75 |
Carle Eureka Hospital |
1331891276 |
NSNA IGG, DNASE SLIDE |
88346 |
0310 |
370 |
370 |
111 |
336.7 |
259 |
111 |
336.7 |
266.39999999999998 |
314.5 |
Carle Eureka Hospital |
1331891277 |
NSNA IGG |
88346 |
0310 |
370 |
370 |
111 |
336.7 |
259 |
111 |
336.7 |
266.39999999999998 |
314.5 |
Carle Eureka Hospital |
1331891279 |
STREPTOZYME TITER |
86406 |
0302 |
110 |
110 |
33 |
100.10000000000001 |
77 |
33 |
100.10000000000001 |
79.2 |
93.5 |
Carle Eureka Hospital |
1331891281 |
ASPERGILLUS FUMIGATUS (FUNGAB) |
86606 |
0302 |
96 |
96 |
28.799999999999997 |
87.36 |
67.199999999999989 |
28.799999999999997 |
87.36 |
69.12 |
81.599999999999994 |
Carle Eureka Hospital |
1331891282 |
ASPERGILLUS NIGER (FUNGAB) |
86606 |
0302 |
96 |
96 |
28.799999999999997 |
87.36 |
67.199999999999989 |
28.799999999999997 |
87.36 |
69.12 |
81.599999999999994 |
Carle Eureka Hospital |
1331891283 |
ASPERGILLUS FLAVUS |
86606 |
0302 |
96 |
96 |
28.799999999999997 |
87.36 |
67.199999999999989 |
28.799999999999997 |
87.36 |
69.12 |
81.599999999999994 |
Carle Eureka Hospital |
1331891284 |
ANTICARDIOLIPIN AB, IGM |
86147 |
0302 |
120 |
120 |
36 |
109.2 |
84 |
36 |
109.2 |
86.399999999999991 |
102 |
Carle Eureka Hospital |
1331891285 |
ANTICARDIOLIPIN AB, IGG |
86147 |
0302 |
120 |
120 |
36 |
109.2 |
84 |
36 |
109.2 |
86.399999999999991 |
102 |
Carle Eureka Hospital |
1331891286 |
ANTICARDIOLIPIN AB, IGA |
86147 |
0302 |
185 |
185 |
55.5 |
168.35 |
129.5 |
55.5 |
168.35 |
133.19999999999999 |
157.25 |
Carle Eureka Hospital |
1331891297 |
TESTOSTOSTERONE FREE |
84402 |
0301 |
100 |
100 |
30 |
91 |
70 |
30 |
91 |
72 |
85 |
Carle Eureka Hospital |
1331891298 |
INHIBIN A |
86336 |
0302 |
145 |
145 |
43.5 |
131.95000000000002 |
101.5 |
43.5 |
131.95000000000002 |
104.39999999999999 |
123.25 |
Carle Eureka Hospital |
1331891305 |
RAST LATEX IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
1331891306 |
PSA, TOTAL |
84153 |
0301 |
92 |
92 |
27.599999999999998 |
83.72 |
64.399999999999991 |
27.599999999999998 |
83.72 |
66.239999999999995 |
78.2 |
Carle Eureka Hospital |
1331891307 |
PSA, FREE |
84154 |
0301 |
121 |
121 |
36.299999999999997 |
110.11 |
84.699999999999989 |
36.299999999999997 |
110.11 |
87.11999999999999 |
102.85 |
Carle Eureka Hospital |
1331891309 |
CARDIOLIPIN AB-IGA |
86147 |
0302 |
190 |
190 |
57 |
172.9 |
133 |
57 |
172.9 |
136.79999999999998 |
161.5 |
Carle Eureka Hospital |
1331891311 |
CADMIUM (BLOOD) |
82300 |
0301 |
265 |
265 |
79.5 |
241.15 |
185.5 |
79.5 |
241.15 |
190.79999999999998 |
225.25 |
Carle Eureka Hospital |
1331891312 |
HSV IGM W/REFLEX TITER |
86694 |
0302 |
165 |
165 |
49.5 |
150.15 |
115.49999999999999 |
49.5 |
150.15 |
118.8 |
140.25 |
Carle Eureka Hospital |
1331891316 |
CORTISOL SPECIMEN 1 (ACTHST) |
82533 |
0301 |
155 |
155 |
46.5 |
141.05000000000001 |
108.5 |
46.5 |
141.05000000000001 |
111.6 |
131.75 |
Carle Eureka Hospital |
1331891317 |
CORTISOL SPECIMEN 2 (ACTHST) |
82533 |
0301 |
155 |
155 |
46.5 |
141.05000000000001 |
108.5 |
46.5 |
141.05000000000001 |
111.6 |
131.75 |
Carle Eureka Hospital |
1331891318 |
CORTISOL SPECIMEN 3 (ACTHST) |
82533 |
0301 |
155 |
155 |
46.5 |
141.05000000000001 |
108.5 |
46.5 |
141.05000000000001 |
111.6 |
131.75 |
Carle Eureka Hospital |
1331891319 |
ALKALI PHOSPH ISOENZYM (APISO) |
84080 |
0301 |
140 |
140 |
42 |
127.4 |
98 |
42 |
127.4 |
100.8 |
119 |
Carle Eureka Hospital |
1331891320 |
ALKALINE PHOSPHATASE (APISO) |
84075 |
0301 |
78 |
78 |
23.4 |
70.98 |
54.599999999999994 |
23.4 |
70.98 |
56.16 |
66.3 |
Carle Eureka Hospital |
1331891321 |
PROTEINASE-3 ANTIBODY (ANCA) |
86021 |
0302 |
105 |
105 |
31.5 |
95.55 |
73.5 |
31.5 |
95.55 |
75.599999999999994 |
89.25 |
Carle Eureka Hospital |
1331891322 |
MYELOPEROXIDASE ANTIB (ANCA) |
86021 |
0302 |
105 |
105 |
31.5 |
95.55 |
73.5 |
31.5 |
95.55 |
75.599999999999994 |
89.25 |
Carle Eureka Hospital |
1331891323 |
ANTI-MICROSOMAL ANTIBDY (ATHY) |
86376 |
0300 |
84 |
84 |
25.2 |
76.44 |
58.8 |
25.2 |
76.44 |
60.48 |
71.399999999999991 |
Carle Eureka Hospital |
1331891324 |
THYROGLOBULIN ABS |
86800 |
0300 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
1331891346 |
PROT,ELECTROPH FRA/QUA (SPE) |
84165 |
0301 |
119 |
119 |
35.699999999999996 |
108.29 |
83.3 |
35.699999999999996 |
108.29 |
85.679999999999993 |
101.14999999999999 |
Carle Eureka Hospital |
1331891347 |
CREATININE,URINE (PE24U) |
82570 |
0301 |
51 |
51 |
15.299999999999999 |
46.410000000000004 |
35.699999999999996 |
15.299999999999999 |
46.410000000000004 |
36.72 |
43.35 |
Carle Eureka Hospital |
1331891348 |
EBV CAPSID IGM (EBV) |
86665 |
0302 |
57 |
57 |
17.099999999999998 |
51.870000000000005 |
39.9 |
17.099999999999998 |
51.870000000000005 |
41.04 |
48.449999999999996 |
Carle Eureka Hospital |
1331891349 |
EBV CAPSID IGG (EBV) |
86665 |
0302 |
57 |
57 |
17.099999999999998 |
51.870000000000005 |
39.9 |
17.099999999999998 |
51.870000000000005 |
41.04 |
48.449999999999996 |
Carle Eureka Hospital |
1331891350 |
EBV NUCLEAR AG (EBV) |
86664 |
0302 |
145 |
145 |
43.5 |
131.95000000000002 |
101.5 |
43.5 |
131.95000000000002 |
104.39999999999999 |
123.25 |
Carle Eureka Hospital |
1331891351 |
BLASTOMYCES ANTIBODY (FUNGAB) |
86612 |
0302 |
120 |
120 |
36 |
109.2 |
84 |
36 |
109.2 |
86.399999999999991 |
102 |
Carle Eureka Hospital |
1331891352 |
HISTOPLASMA ANTI (FUNGAB) |
86698 |
0302 |
115 |
115 |
34.5 |
104.65 |
80.5 |
34.5 |
104.65 |
82.8 |
97.75 |
Carle Eureka Hospital |
1331891356 |
HGB FRACT/QUA CHROMA (HGBE) |
83021 |
0301 |
170 |
170 |
51 |
154.70000000000002 |
118.99999999999999 |
51 |
154.70000000000002 |
122.39999999999999 |
144.5 |
Carle Eureka Hospital |
1331891357 |
HERPES SIMP TYPE 1 IGG (HSV12) |
86695 |
0302 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
1331891358 |
HERPES SIMP TYPE 2 IGG (HSV12) |
86696 |
0302 |
165 |
165 |
49.5 |
150.15 |
115.49999999999999 |
49.5 |
150.15 |
118.8 |
140.25 |
Carle Eureka Hospital |
1331891359 |
HERP SIMP NON-SPEC IGM (HSV12) |
86694 |
0302 |
165 |
165 |
49.5 |
150.15 |
115.49999999999999 |
49.5 |
150.15 |
118.8 |
140.25 |
Carle Eureka Hospital |
1331891362 |
IGG SUBCLASS 1 (IGGS) |
82787 |
0301 |
78 |
78 |
23.4 |
70.98 |
54.599999999999994 |
23.4 |
70.98 |
56.16 |
66.3 |
Carle Eureka Hospital |
1331891363 |
IGG SUBCLASS 2 (IGGS) |
82787 |
0301 |
78 |
78 |
23.4 |
70.98 |
54.599999999999994 |
23.4 |
70.98 |
56.16 |
66.3 |
Carle Eureka Hospital |
1331891364 |
IGG SUBCLASS 3 (IGGS) |
82787 |
0301 |
78 |
78 |
23.4 |
70.98 |
54.599999999999994 |
23.4 |
70.98 |
56.16 |
66.3 |
Carle Eureka Hospital |
1331891365 |
IGG SUBCLASS 4 (IGGS) |
82787 |
0301 |
78 |
78 |
23.4 |
70.98 |
54.599999999999994 |
23.4 |
70.98 |
56.16 |
66.3 |
Carle Eureka Hospital |
1331891366 |
TOTAL IGG (IGGS) |
82784 |
0301 |
57 |
57 |
17.099999999999998 |
51.870000000000005 |
39.9 |
17.099999999999998 |
51.870000000000005 |
41.04 |
48.449999999999996 |
Carle Eureka Hospital |
1331891367 |
LD ISOENZYMES SEP QUA (LDI) |
83625 |
0301 |
120 |
120 |
36 |
109.2 |
84 |
36 |
109.2 |
86.399999999999991 |
102 |
Carle Eureka Hospital |
1331891368 |
LDH (LDI) |
83615 |
0301 |
72 |
72 |
21.599999999999998 |
65.52 |
50.4 |
21.599999999999998 |
65.52 |
51.839999999999996 |
61.199999999999996 |
Carle Eureka Hospital |
1331891369 |
PTT (LUP) |
85730 |
0305 |
95 |
95 |
28.5 |
86.45 |
66.5 |
28.5 |
86.45 |
68.399999999999991 |
80.75 |
Carle Eureka Hospital |
1331891370 |
AMIKACIN PEAK |
80150 |
0300 |
555 |
555 |
166.5 |
505.05 |
388.5 |
166.5 |
505.05 |
399.59999999999997 |
471.75 |
Carle Eureka Hospital |
1331891371 |
PLATELET NEURTRALIZ-PTT (LUP) |
85597 |
0305 |
72 |
72 |
21.599999999999998 |
65.52 |
50.4 |
21.599999999999998 |
65.52 |
51.839999999999996 |
61.199999999999996 |
Carle Eureka Hospital |
1331891372 |
PLATELET NEUTRALIZ-PHO (LUP) |
85597 |
0305 |
72 |
72 |
21.599999999999998 |
65.52 |
50.4 |
21.599999999999998 |
65.52 |
51.839999999999996 |
61.199999999999996 |
Carle Eureka Hospital |
1331891384 |
MYCOPLASMA PNEUM IGG AB (MYCO) |
86738 |
0302 |
125 |
125 |
37.5 |
113.75 |
87.5 |
37.5 |
113.75 |
90 |
106.25 |
Carle Eureka Hospital |
1331891385 |
MYCOPLASMA PNEUM IGM AB (MYCO) |
86738 |
0302 |
125 |
125 |
37.5 |
113.75 |
87.5 |
37.5 |
113.75 |
90 |
106.25 |
Carle Eureka Hospital |
1331891386 |
TRICHROME STAIN (OP) |
87209 |
0310 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
1331891387 |
OVA&PARA DIR SMR CONC&ID (OP) |
87177 |
0306 |
76 |
76 |
22.8 |
69.16 |
53.199999999999996 |
22.8 |
69.16 |
54.72 |
64.599999999999994 |
Carle Eureka Hospital |
1331891388 |
PARATHORMONE (PTH) |
83970 |
0301 |
305 |
305 |
91.5 |
277.55 |
213.5 |
91.5 |
277.55 |
219.6 |
259.25 |
Carle Eureka Hospital |
1331891391 |
TESTOSTERONE TOTAL (TESTF) |
84403 |
0301 |
109 |
109 |
32.699999999999996 |
99.19 |
76.3 |
32.699999999999996 |
99.19 |
78.48 |
92.649999999999991 |
Carle Eureka Hospital |
1331891392 |
TOXOPLASMA IGG AB (TOXO) |
86777 |
0302 |
135 |
135 |
40.5 |
122.85000000000001 |
94.5 |
40.5 |
122.85000000000001 |
97.2 |
114.75 |
Carle Eureka Hospital |
1331891393 |
TOXOPLASMA IGM AB (TOXO) |
86778 |
0302 |
135 |
135 |
40.5 |
122.85000000000001 |
94.5 |
40.5 |
122.85000000000001 |
97.2 |
114.75 |
Carle Eureka Hospital |
1331891394 |
SM AB (ENA) |
86235 |
0302 |
125 |
125 |
37.5 |
113.75 |
87.5 |
37.5 |
113.75 |
90 |
106.25 |
Carle Eureka Hospital |
1331891395 |
SM/RNP AB (ENA) |
86235 |
0302 |
125 |
125 |
37.5 |
113.75 |
87.5 |
37.5 |
113.75 |
90 |
106.25 |
Carle Eureka Hospital |
1331891406 |
GAMMABLOBULIN IGG,CSF (MSRPOF) |
82784 |
0301 |
37 |
37 |
11.1 |
33.67 |
25.9 |
11.1 |
33.67 |
26.64 |
31.45 |
Carle Eureka Hospital |
1331891407 |
ALBUMIN,SERUM (MSPROF) |
82040 |
0301 |
71 |
71 |
21.3 |
64.61 |
49.699999999999996 |
21.3 |
64.61 |
51.12 |
60.35 |
Carle Eureka Hospital |
1331891408 |
ALBUMIN,CSF (MSPROF) |
82042 |
0301 |
59 |
59 |
17.7 |
53.690000000000005 |
41.3 |
17.7 |
53.690000000000005 |
42.48 |
50.15 |
Carle Eureka Hospital |
1331891415 |
FLO CYTO,CELL SUR 1ST MARKER |
88184 |
0311 |
100 |
100 |
30 |
91 |
70 |
30 |
91 |
72 |
85 |
Carle Eureka Hospital |
1331891416 |
FLO CYTO,CELL SUR ADD MARKER |
88185 |
0311 |
53 |
53 |
15.899999999999999 |
48.230000000000004 |
37.099999999999994 |
15.899999999999999 |
48.230000000000004 |
38.159999999999997 |
45.05 |
Carle Eureka Hospital |
1331891417 |
FLO CYTO,CELL SUR ADD MARKER |
88185 |
0311 |
53 |
53 |
15.899999999999999 |
48.230000000000004 |
37.099999999999994 |
15.899999999999999 |
48.230000000000004 |
38.159999999999997 |
45.05 |
Carle Eureka Hospital |
1331891418 |
FLO CYTO,CELL SUR ADD MARKER |
88185 |
0311 |
53 |
53 |
15.899999999999999 |
48.230000000000004 |
37.099999999999994 |
15.899999999999999 |
48.230000000000004 |
38.159999999999997 |
45.05 |
Carle Eureka Hospital |
1331891419 |
FLO CYTO,CELL SUR ADD MARKER |
88185 |
0311 |
53 |
53 |
15.899999999999999 |
48.230000000000004 |
37.099999999999994 |
15.899999999999999 |
48.230000000000004 |
38.159999999999997 |
45.05 |
Carle Eureka Hospital |
1331891420 |
FLO CYTO,CELL SUR ADD MARKER |
88185 |
0311 |
53 |
53 |
15.899999999999999 |
48.230000000000004 |
37.099999999999994 |
15.899999999999999 |
48.230000000000004 |
38.159999999999997 |
45.05 |
Carle Eureka Hospital |
1331891421 |
FLO CYTO,CELL SUR ADD MARKER |
88185 |
0311 |
53 |
53 |
15.899999999999999 |
48.230000000000004 |
37.099999999999994 |
15.899999999999999 |
48.230000000000004 |
38.159999999999997 |
45.05 |
Carle Eureka Hospital |
1331891422 |
FLO CYTO,CELL SUR ADD MARKER |
88185 |
0311 |
53 |
53 |
15.899999999999999 |
48.230000000000004 |
37.099999999999994 |
15.899999999999999 |
48.230000000000004 |
38.159999999999997 |
45.05 |
Carle Eureka Hospital |
1331891423 |
FLO CYTO,CELL SUR ADD MARKER |
88185 |
0311 |
53 |
53 |
15.899999999999999 |
48.230000000000004 |
37.099999999999994 |
15.899999999999999 |
48.230000000000004 |
38.159999999999997 |
45.05 |
Carle Eureka Hospital |
1331891424 |
FLO CYTO,CELL SUR ADD MARKER |
88185 |
0311 |
53 |
53 |
15.899999999999999 |
48.230000000000004 |
37.099999999999994 |
15.899999999999999 |
48.230000000000004 |
38.159999999999997 |
45.05 |
Carle Eureka Hospital |
1331891425 |
FLO CYTO,CELL SUR ADD MARKER |
88185 |
0311 |
53 |
53 |
15.899999999999999 |
48.230000000000004 |
37.099999999999994 |
15.899999999999999 |
48.230000000000004 |
38.159999999999997 |
45.05 |
Carle Eureka Hospital |
1331891426 |
FLO CYTO,CELL SUR ADD MARKER |
88185 |
0311 |
53 |
53 |
15.899999999999999 |
48.230000000000004 |
37.099999999999994 |
15.899999999999999 |
48.230000000000004 |
38.159999999999997 |
45.05 |
Carle Eureka Hospital |
1331891427 |
FLO CYTO,CELL SUR ADD MARKER |
88185 |
0311 |
53 |
53 |
15.899999999999999 |
48.230000000000004 |
37.099999999999994 |
15.899999999999999 |
48.230000000000004 |
38.159999999999997 |
45.05 |
Carle Eureka Hospital |
1331891428 |
FLO CYTO,CELL SUR ADD MARKER |
88185 |
0311 |
53 |
53 |
15.899999999999999 |
48.230000000000004 |
37.099999999999994 |
15.899999999999999 |
48.230000000000004 |
38.159999999999997 |
45.05 |
Carle Eureka Hospital |
1331891429 |
FLO CYTO,CELL SUR ADD MARKER |
88185 |
0311 |
53 |
53 |
15.899999999999999 |
48.230000000000004 |
37.099999999999994 |
15.899999999999999 |
48.230000000000004 |
38.159999999999997 |
45.05 |
Carle Eureka Hospital |
1331891430 |
FLO CYTO,CELL SUR ADD MARKER |
88185 |
0311 |
53 |
53 |
15.899999999999999 |
48.230000000000004 |
37.099999999999994 |
15.899999999999999 |
48.230000000000004 |
38.159999999999997 |
45.05 |
Carle Eureka Hospital |
1331891431 |
FLO CYTO,CELL SUR ADD MARKER |
88185 |
0311 |
53 |
53 |
15.899999999999999 |
48.230000000000004 |
37.099999999999994 |
15.899999999999999 |
48.230000000000004 |
38.159999999999997 |
45.05 |
Carle Eureka Hospital |
1331891432 |
FLO CYTO,CELL SUR ADD MARKER |
88185 |
0311 |
53 |
53 |
15.899999999999999 |
48.230000000000004 |
37.099999999999994 |
15.899999999999999 |
48.230000000000004 |
38.159999999999997 |
45.05 |
Carle Eureka Hospital |
1331891433 |
FLO CYTO,CELL SUR ADD MARKER |
88185 |
0311 |
53 |
53 |
15.899999999999999 |
48.230000000000004 |
37.099999999999994 |
15.899999999999999 |
48.230000000000004 |
38.159999999999997 |
45.05 |
Carle Eureka Hospital |
1331891434 |
FLO CYTO,CELL SUR ADD MARKER |
88185 |
0311 |
53 |
53 |
15.899999999999999 |
48.230000000000004 |
37.099999999999994 |
15.899999999999999 |
48.230000000000004 |
38.159999999999997 |
45.05 |
Carle Eureka Hospital |
1331891435 |
FLO CYTO,CELL SUR ADD MARKER |
88185 |
0311 |
53 |
53 |
15.899999999999999 |
48.230000000000004 |
37.099999999999994 |
15.899999999999999 |
48.230000000000004 |
38.159999999999997 |
45.05 |
Carle Eureka Hospital |
1331891436 |
FLO CYTO INTERP 16 => MARKERS |
88189 |
0311 |
210 |
210 |
63 |
191.1 |
147 |
63 |
191.1 |
151.19999999999999 |
178.5 |
Carle Eureka Hospital |
1331891448 |
HSV IGM |
86694 |
0302 |
165 |
165 |
49.5 |
150.15 |
115.49999999999999 |
49.5 |
150.15 |
118.8 |
140.25 |
Carle Eureka Hospital |
1331891461 |
LEAD |
83655 |
0301 |
140 |
140 |
42 |
127.4 |
98 |
42 |
127.4 |
100.8 |
119 |
Carle Eureka Hospital |
1331891462 |
MERCURY |
83825 |
0301 |
155 |
155 |
46.5 |
141.05000000000001 |
108.5 |
46.5 |
141.05000000000001 |
111.6 |
131.75 |
Carle Eureka Hospital |
1331891463 |
ARSENIC |
82175 |
0301 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
1331891470 |
DILUTED RUSSELL VIP VEN (LUP) |
85613 |
0305 |
110 |
110 |
33 |
100.10000000000001 |
77 |
33 |
100.10000000000001 |
79.2 |
93.5 |
Carle Eureka Hospital |
1331891471 |
TYPHUS FEVER IGG (FEB) |
86757 |
0302 |
95 |
95 |
28.5 |
86.45 |
66.5 |
28.5 |
86.45 |
68.399999999999991 |
80.75 |
Carle Eureka Hospital |
1331891472 |
LATEX (K82) IGE |
86003 |
0300 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
1331891473 |
WORMWOOD (W5) IGE |
86003 |
0300 |
49 |
49 |
14.7 |
44.59 |
34.299999999999997 |
14.7 |
44.59 |
35.28 |
41.65 |
Carle Eureka Hospital |
1331891474 |
CODFISH (F3) IGE |
86003 |
0300 |
49 |
49 |
14.7 |
44.59 |
34.299999999999997 |
14.7 |
44.59 |
35.28 |
41.65 |
Carle Eureka Hospital |
1331891475 |
MOUNTAIN CEDAR (T6) IGE |
86003 |
0300 |
49 |
49 |
14.7 |
44.59 |
34.299999999999997 |
14.7 |
44.59 |
35.28 |
41.65 |
Carle Eureka Hospital |
1331891476 |
ORCHARD GRASS (G3) IGE |
86003 |
0300 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
1331891477 |
TOMATO (F25) IGE |
86003 |
0300 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
1331891478 |
WALNUT (F256) IGE |
86003 |
0300 |
49 |
49 |
14.7 |
44.59 |
34.299999999999997 |
14.7 |
44.59 |
35.28 |
41.65 |
Carle Eureka Hospital |
1331891479 |
CHICKEN MEAT (F83) IGE |
86003 |
0300 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
1331891487 |
ELECTROPHORESIS,CSF (CSFELP) |
84166 |
0301 |
175 |
175 |
52.5 |
159.25 |
122.49999999999999 |
52.5 |
159.25 |
126 |
148.75 |
Carle Eureka Hospital |
1331891488 |
MUMPS IGM |
86735 |
0300 |
129 |
129 |
38.699999999999996 |
117.39 |
90.3 |
38.699999999999996 |
117.39 |
92.88 |
109.64999999999999 |
Carle Eureka Hospital |
1331891489 |
RAPAMYCIN LEVEL |
80195 |
0300 |
130 |
130 |
39 |
118.3 |
91 |
39 |
118.3 |
93.6 |
110.5 |
Carle Eureka Hospital |
1331891494 |
ENDOMYSIAL ANTIBODY |
86255 |
0300 |
134 |
134 |
40.199999999999996 |
121.94 |
93.8 |
40.199999999999996 |
121.94 |
96.47999999999999 |
113.89999999999999 |
Carle Eureka Hospital |
1331891497 |
PLATELET NEUTRALIZ-PTT (LUP) |
85597 |
0305 |
72 |
72 |
21.599999999999998 |
65.52 |
50.4 |
21.599999999999998 |
65.52 |
51.839999999999996 |
61.199999999999996 |
Carle Eureka Hospital |
1331891499 |
PLAT FUNCT COLLAGEN EPINEPHRIN |
85576 |
0305 |
245 |
245 |
73.5 |
222.95000000000002 |
171.5 |
73.5 |
222.95000000000002 |
176.4 |
208.25 |
Carle Eureka Hospital |
1331891501 |
FLO CYTO,CELL SUR ADD MARKER |
88185 |
0311 |
53 |
53 |
15.899999999999999 |
48.230000000000004 |
37.099999999999994 |
15.899999999999999 |
48.230000000000004 |
38.159999999999997 |
45.05 |
Carle Eureka Hospital |
1331891503 |
NSNA IFA PERINUCLEAR |
88346 |
0301 |
370 |
370 |
111 |
336.7 |
259 |
111 |
336.7 |
266.39999999999998 |
314.5 |
Carle Eureka Hospital |
1331891504 |
ANTI CBIR 1 |
83520 |
0301 |
255 |
255 |
76.5 |
232.05 |
178.5 |
76.5 |
232.05 |
183.6 |
216.75 |
Carle Eureka Hospital |
1331891507 |
HERPES SIMPLEX TYPE 1 IGG |
86695 |
0300 |
125 |
125 |
37.5 |
113.75 |
87.5 |
37.5 |
113.75 |
90 |
106.25 |
Carle Eureka Hospital |
1331891508 |
HERPES SIMPLEX TYPE 2 IGG |
86696 |
0300 |
130 |
130 |
39 |
118.3 |
91 |
39 |
118.3 |
93.6 |
110.5 |
Carle Eureka Hospital |
1331891509 |
PROTEIN URINE |
81003 |
0300 |
44 |
44 |
13.2 |
40.04 |
30.799999999999997 |
13.2 |
40.04 |
31.68 |
37.4 |
Carle Eureka Hospital |
1331891530 |
CHLAMYDIA DAN,SDA |
87491 |
0300 |
101 |
101 |
30.299999999999997 |
91.91 |
70.699999999999989 |
30.299999999999997 |
91.91 |
72.72 |
85.85 |
Carle Eureka Hospital |
1331891531 |
GC DNA, SDA |
87591 |
0300 |
101 |
101 |
30.299999999999997 |
91.91 |
70.699999999999989 |
30.299999999999997 |
91.91 |
72.72 |
85.85 |
Carle Eureka Hospital |
1331891558 |
CHRO ANAL AMFLD 6-12COL 1 KARO |
88269 |
0300 |
355 |
355 |
106.5 |
323.05 |
248.49999999999997 |
106.5 |
323.05 |
255.6 |
301.75 |
Carle Eureka Hospital |
1331891561 |
RHEUMATOID FACTOR QUANT |
86431 |
0300 |
97 |
97 |
29.099999999999998 |
88.27 |
67.899999999999991 |
29.099999999999998 |
88.27 |
69.84 |
82.45 |
Carle Eureka Hospital |
1331891564 |
CKMB |
82553 |
0300 |
125 |
125 |
37.5 |
113.75 |
87.5 |
37.5 |
113.75 |
90 |
106.25 |
Carle Eureka Hospital |
1331891569 |
TOTAL SERUM IGA TO PROMETHEUS |
82784 |
0300 |
119 |
119 |
35.699999999999996 |
108.29 |
83.3 |
35.699999999999996 |
108.29 |
85.679999999999993 |
101.14999999999999 |
Carle Eureka Hospital |
1331891571 |
TISSUE TRANSGLUTAMINASE AS IgA |
83516 |
0300 |
134 |
134 |
40.199999999999996 |
121.94 |
93.8 |
40.199999999999996 |
121.94 |
96.47999999999999 |
113.89999999999999 |
Carle Eureka Hospital |
1331891572 |
IgA |
82784 |
0300 |
79 |
79 |
23.7 |
71.89 |
55.3 |
23.7 |
71.89 |
56.879999999999995 |
67.149999999999991 |
Carle Eureka Hospital |
1331891573 |
GLIADIN AB IgA |
83516 |
0300 |
134 |
134 |
40.199999999999996 |
121.94 |
93.8 |
40.199999999999996 |
121.94 |
96.47999999999999 |
113.89999999999999 |
Carle Eureka Hospital |
1331891582 |
HEXAGONAL PHASE CONFIRM |
85597 |
0300 |
135 |
135 |
40.5 |
122.85000000000001 |
94.5 |
40.5 |
122.85000000000001 |
97.2 |
114.75 |
Carle Eureka Hospital |
1331891583 |
DRVVT CONFIRM |
85597 |
0300 |
100 |
100 |
30 |
91 |
70 |
30 |
91 |
72 |
85 |
Carle Eureka Hospital |
1331891584 |
DRVVT 1:1 DILUTION |
85613 |
0300 |
90 |
90 |
27 |
81.900000000000006 |
62.999999999999993 |
27 |
81.900000000000006 |
64.8 |
76.5 |
Carle Eureka Hospital |
1331891591 |
INTRINSIC FACTOR BLOCKING AB |
86340 |
0300 |
175 |
175 |
52.5 |
159.25 |
122.49999999999999 |
52.5 |
159.25 |
126 |
148.75 |
Carle Eureka Hospital |
1331891592 |
ARGININE VASOPRESSIN (ADH) |
84588 |
0300 |
265 |
265 |
79.5 |
241.15 |
185.5 |
79.5 |
241.15 |
190.79999999999998 |
225.25 |
Carle Eureka Hospital |
1331891593 |
IGF BINDING PROTEIN 3 |
82397 |
0300 |
145 |
145 |
43.5 |
131.95000000000002 |
101.5 |
43.5 |
131.95000000000002 |
104.39999999999999 |
123.25 |
Carle Eureka Hospital |
1331891595 |
STACHYBOTRYS IGG |
86001 |
0300 |
76 |
76 |
22.8 |
69.16 |
53.199999999999996 |
22.8 |
69.16 |
54.72 |
64.599999999999994 |
Carle Eureka Hospital |
1331891596 |
STACHYBOTRYS IGE |
86003 |
0300 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
1331891598 |
QUANTIFERON (R) TB GOLD |
86480 |
0300 |
370 |
370 |
111 |
336.7 |
259 |
111 |
336.7 |
266.39999999999998 |
314.5 |
Carle Eureka Hospital |
1331891599 |
ALMOND (F20) IGE |
86003 |
0302 |
49 |
49 |
14.7 |
44.59 |
34.299999999999997 |
14.7 |
44.59 |
35.28 |
41.65 |
Carle Eureka Hospital |
1331891600 |
CLAM (F207) IGE |
86003 |
0302 |
49 |
49 |
14.7 |
44.59 |
34.299999999999997 |
14.7 |
44.59 |
35.28 |
41.65 |
Carle Eureka Hospital |
1331891601 |
CASHEW NUT (202) IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
1331891602 |
CANDIDA ALBICANS (M5) IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
1331891603 |
COCONUT (F36) IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
1331891604 |
DOG DANDER (E5) IGE |
86003 |
0302 |
49 |
49 |
14.7 |
44.59 |
34.299999999999997 |
14.7 |
44.59 |
35.28 |
41.65 |
Carle Eureka Hospital |
1331891605 |
EGG MIX (F245) IGE |
86003 |
0302 |
49 |
49 |
14.7 |
44.59 |
34.299999999999997 |
14.7 |
44.59 |
35.28 |
41.65 |
Carle Eureka Hospital |
1331891606 |
EGG YOLK (F75) IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
1331891607 |
GLUTEN (F75) IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
1331891608 |
LOBSTER (F80) IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
1331891609 |
PECAN NUT (F201) IGE |
86003 |
0302 |
49 |
49 |
14.7 |
44.59 |
34.299999999999997 |
14.7 |
44.59 |
35.28 |
41.65 |
Carle Eureka Hospital |
1331891610 |
PECAN/HICKORY TREE (T22) IGE |
86003 |
0302 |
49 |
49 |
14.7 |
44.59 |
34.299999999999997 |
14.7 |
44.59 |
35.28 |
41.65 |
Carle Eureka Hospital |
1331891611 |
ROUGH MARSH ELDER (W16) IGE |
86003 |
0302 |
49 |
49 |
14.7 |
44.59 |
34.299999999999997 |
14.7 |
44.59 |
35.28 |
41.65 |
Carle Eureka Hospital |
1331891612 |
SCALLOP (F338) IGE |
86003 |
0302 |
49 |
49 |
14.7 |
44.59 |
34.299999999999997 |
14.7 |
44.59 |
35.28 |
41.65 |
Carle Eureka Hospital |
1331891613 |
TUNA (F40) IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
1331891614 |
WALNUT TREE (T10) IGE |
86003 |
0302 |
49 |
49 |
14.7 |
44.59 |
34.299999999999997 |
14.7 |
44.59 |
35.28 |
41.65 |
Carle Eureka Hospital |
1331891615 |
WHITE ASH (F15) IGE |
86003 |
0302 |
49 |
49 |
14.7 |
44.59 |
34.299999999999997 |
14.7 |
44.59 |
35.28 |
41.65 |
Carle Eureka Hospital |
1331891616 |
SESAME SEED (F10) IGE |
86003 |
0302 |
49 |
49 |
14.7 |
44.59 |
34.299999999999997 |
14.7 |
44.59 |
35.28 |
41.65 |
Carle Eureka Hospital |
1331891628 |
COCCIDIOIDES Ab ID |
86635 |
0300 |
110 |
110 |
33 |
100.10000000000001 |
77 |
33 |
100.10000000000001 |
79.2 |
93.5 |
Carle Eureka Hospital |
1331891629 |
COCCIDIOIDES Ab CF |
86635 |
0300 |
110 |
110 |
33 |
100.10000000000001 |
77 |
33 |
100.10000000000001 |
79.2 |
93.5 |
Carle Eureka Hospital |
1331891631 |
PROTEIN FRACTIONATION (PERU) |
84166 |
0300 |
165 |
165 |
49.5 |
150.15 |
115.49999999999999 |
49.5 |
150.15 |
118.8 |
140.25 |
Carle Eureka Hospital |
1331891634 |
THYROID STIMULATING IMMUNOGLOB |
84445 |
0300 |
470 |
470 |
141 |
427.7 |
329 |
141 |
427.7 |
338.4 |
399.5 |
Carle Eureka Hospital |
1331891635 |
SPE WITH TRACINGS |
84165 |
0300 |
97 |
97 |
29.099999999999998 |
88.27 |
67.899999999999991 |
29.099999999999998 |
88.27 |
69.84 |
82.45 |
Carle Eureka Hospital |
1331891636 |
BK VIRUS DNA |
87799 |
0300 |
450 |
450 |
135 |
409.5 |
315 |
135 |
409.5 |
324 |
382.5 |
Carle Eureka Hospital |
1331891642 |
CCP AB IGG |
83520 |
0300 |
120 |
120 |
36 |
109.2 |
84 |
36 |
109.2 |
86.399999999999991 |
102 |
Carle Eureka Hospital |
1331891643 |
MYCOPHENOLIC ACID |
80180 |
0300 |
265 |
265 |
79.5 |
241.15 |
185.5 |
79.5 |
241.15 |
190.79999999999998 |
225.25 |
Carle Eureka Hospital |
1331891657 |
CELLSURFACE FIRST MARKER |
88184 |
0310 |
120 |
120 |
36 |
109.2 |
84 |
36 |
109.2 |
86.399999999999991 |
102 |
Carle Eureka Hospital |
1331891658 |
CELL SURFACE EACH ADD MARKER |
88185 |
0310 |
61 |
61 |
18.3 |
55.510000000000005 |
42.699999999999996 |
18.3 |
55.510000000000005 |
43.92 |
51.85 |
Carle Eureka Hospital |
1331891659 |
CREATININE URINE (HMSRU) |
82570 |
0300 |
50 |
50 |
15 |
45.5 |
35 |
15 |
45.5 |
36 |
42.5 |
Carle Eureka Hospital |
1331891662 |
THYROGLOBULIN AB RIA |
86800 |
0300 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
1331891663 |
TOTAL THYROGLOBULIN RIA |
84432 |
0300 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
1331891697 |
HLA II TYPING 1 LOC HR |
81382 |
0301 |
1410 |
1410 |
423 |
1283.1000000000001 |
986.99999999999989 |
423 |
1283.1000000000001 |
1015.1999999999999 |
1198.5 |
Carle Eureka Hospital |
1331891698 |
TPMT GENETICS PROMETH |
81335 |
0301 |
485 |
485 |
145.5 |
441.35 |
339.5 |
145.5 |
441.35 |
349.2 |
412.25 |
Carle Eureka Hospital |
1331891700 |
PROTHROMBIN GENE ANALYSIS |
81240 |
0301 |
565 |
565 |
169.5 |
514.15 |
395.5 |
169.5 |
514.15 |
406.8 |
480.25 |
Carle Eureka Hospital |
1331891701 |
FACTOR V LEIDEN |
81241 |
0301 |
485 |
485 |
145.5 |
441.35 |
339.5 |
145.5 |
441.35 |
349.2 |
412.25 |
Carle Eureka Hospital |
1331891702 |
CYSTIC FIBROSIS CARRIER SCREEN |
81220 |
0301 |
1915 |
1915 |
574.5 |
1742.65 |
1340.5 |
574.5 |
1742.65 |
1378.8 |
1627.75 |
Carle Eureka Hospital |
1331891713 |
DRUG SCREEN COMPREHENSIVE |
80307 |
0300 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
1331891714 |
DRUG SCN DRUG CLASS A DRGCOM |
80307 |
0300 |
18 |
18 |
5.3999999999999995 |
16.38 |
12.6 |
5.3999999999999995 |
16.38 |
12.959999999999999 |
15.299999999999999 |
Carle Eureka Hospital |
1331891715 |
DRUG SCN ANTIDEPRS TRIC DRGCOM |
80337 |
0300 |
18 |
18 |
5.3999999999999995 |
16.38 |
12.6 |
5.3999999999999995 |
16.38 |
12.959999999999999 |
15.299999999999999 |
Carle Eureka Hospital |
1331891716 |
DRUG SCN AMPHETAMINE DRGCOM |
80326 |
0300 |
18 |
18 |
5.3999999999999995 |
16.38 |
12.6 |
5.3999999999999995 |
16.38 |
12.959999999999999 |
15.299999999999999 |
Carle Eureka Hospital |
1331891717 |
DRUG SCN ANAGESIC DRGCOM |
80329 |
0300 |
160 |
160 |
48 |
145.6 |
112 |
48 |
145.6 |
115.19999999999999 |
136 |
Carle Eureka Hospital |
1331891718 |
DRUG SCN ANTIDEPRS NOS DRGCOM |
80338 |
0300 |
18 |
18 |
5.3999999999999995 |
16.38 |
12.6 |
5.3999999999999995 |
16.38 |
12.959999999999999 |
15.299999999999999 |
Carle Eureka Hospital |
1331891719 |
DRUG SCN BARBITUATES DRGCOM |
80345 |
0300 |
18 |
18 |
5.3999999999999995 |
16.38 |
12.6 |
5.3999999999999995 |
16.38 |
12.959999999999999 |
15.299999999999999 |
Carle Eureka Hospital |
1331891720 |
DRUG SCN ANTIEPILEPTIC DRGCOM |
80339 |
0300 |
18 |
18 |
5.3999999999999995 |
16.38 |
12.6 |
5.3999999999999995 |
16.38 |
12.959999999999999 |
15.299999999999999 |
Carle Eureka Hospital |
1331891721 |
DRUG SCN MUSCLE RELAX DRGCOM |
80370 |
0300 |
18 |
18 |
5.3999999999999995 |
16.38 |
12.6 |
5.3999999999999995 |
16.38 |
12.959999999999999 |
15.299999999999999 |
Carle Eureka Hospital |
1331891722 |
DRUG SCN OPIATES DRGCOM |
80363 |
0300 |
18 |
18 |
5.3999999999999995 |
16.38 |
12.6 |
5.3999999999999995 |
16.38 |
12.959999999999999 |
15.299999999999999 |
Carle Eureka Hospital |
1331891723 |
DRUG SCN SEDATIVE DRGCOM |
80368 |
0300 |
18 |
18 |
5.3999999999999995 |
16.38 |
12.6 |
5.3999999999999995 |
16.38 |
12.959999999999999 |
15.299999999999999 |
Carle Eureka Hospital |
1331891724 |
DRUG SCN ANTIDEPRS SERO DRGCOM |
80332 |
0300 |
18 |
18 |
5.3999999999999995 |
16.38 |
12.6 |
5.3999999999999995 |
16.38 |
12.959999999999999 |
15.299999999999999 |
Carle Eureka Hospital |
1331891725 |
DRUG SCN ANTIPYCHOTIC DRGCOM |
80342 |
0300 |
18 |
18 |
5.3999999999999995 |
16.38 |
12.6 |
5.3999999999999995 |
16.38 |
12.959999999999999 |
15.299999999999999 |
Carle Eureka Hospital |
1331891726 |
DRUG SCN METHADONE DRGCOM |
80358 |
0300 |
18 |
18 |
5.3999999999999995 |
16.38 |
12.6 |
5.3999999999999995 |
16.38 |
12.959999999999999 |
15.299999999999999 |
Carle Eureka Hospital |
1331891727 |
DRUG SCN ALKALOIDS DRGCOM |
80323 |
0300 |
18 |
18 |
5.3999999999999995 |
16.38 |
12.6 |
5.3999999999999995 |
16.38 |
12.959999999999999 |
15.299999999999999 |
Carle Eureka Hospital |
1331891728 |
DRUG SCN OXYCODONE DRGCOM |
80365 |
0300 |
18 |
18 |
5.3999999999999995 |
16.38 |
12.6 |
5.3999999999999995 |
16.38 |
12.959999999999999 |
15.299999999999999 |
Carle Eureka Hospital |
1331891729 |
DRUG SCN PHENOCYCLIDINE DRGCOM |
83992 |
0300 |
35 |
35 |
10.5 |
31.85 |
24.5 |
10.5 |
31.85 |
25.2 |
29.75 |
Carle Eureka Hospital |
1331891730 |
DRUG SCN ALCOHOL DRGCOM |
80320 |
0300 |
18 |
18 |
5.3999999999999995 |
16.38 |
12.6 |
5.3999999999999995 |
16.38 |
12.959999999999999 |
15.299999999999999 |
Carle Eureka Hospital |
1331891731 |
DRUG SCN NOS DRGCOM |
80377 |
0300 |
105 |
105 |
31.5 |
95.55 |
73.5 |
31.5 |
95.55 |
75.599999999999994 |
89.25 |
Carle Eureka Hospital |
1331891737 |
TIS CULT NEOPL BM/BLD GPCHRM |
88237 |
0311 |
410 |
410 |
123 |
373.1 |
287 |
123 |
373.1 |
295.2 |
348.5 |
Carle Eureka Hospital |
1331891738 |
CT 15-20 CELLS 2KRTYPS GPCHRM |
88262 |
0311 |
1410 |
1410 |
423 |
1283.1000000000001 |
986.99999999999989 |
423 |
1283.1000000000001 |
1015.1999999999999 |
1198.5 |
Carle Eureka Hospital |
1331891741 |
ACL KAPPA NEPH (KAPLAM) |
83883 |
0301 |
77 |
77 |
23.099999999999998 |
70.070000000000007 |
53.9 |
23.099999999999998 |
70.070000000000007 |
55.44 |
65.45 |
Carle Eureka Hospital |
1331891742 |
ACL LAMBDA NEPH (KAPLAM) |
83883 |
0301 |
77 |
77 |
23.099999999999998 |
70.070000000000007 |
53.9 |
23.099999999999998 |
70.070000000000007 |
55.44 |
65.45 |
Carle Eureka Hospital |
1331891744 |
ACL MECONIUM DRUG PANEL |
80307 |
0300 |
455 |
455 |
136.5 |
414.05 |
318.5 |
136.5 |
414.05 |
327.59999999999997 |
386.75 |
Carle Eureka Hospital |
1331891747 |
ACL BLASTOMYCES ANTIGEN |
87449 |
0300 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
1331891748 |
ACL CALPROTECTIN FECAL |
83993 |
0300 |
415 |
415 |
124.5 |
377.65000000000003 |
290.5 |
124.5 |
377.65000000000003 |
298.8 |
352.75 |
Carle Eureka Hospital |
1331891749 |
ACL INHIBIN B |
83520 |
0300 |
255 |
255 |
76.5 |
232.05 |
178.5 |
76.5 |
232.05 |
183.6 |
216.75 |
Carle Eureka Hospital |
1331891750 |
ACL MUMP VIRUS RNA QUALITATIVE |
87798 |
0300 |
875 |
875 |
262.5 |
796.25 |
612.5 |
262.5 |
796.25 |
630 |
743.75 |
Carle Eureka Hospital |
1331891751 |
A PHOSPHATIDYLSERINE IGGIGMIGA |
86148 |
0300 |
165 |
165 |
49.5 |
150.15 |
115.49999999999999 |
49.5 |
150.15 |
118.8 |
140.25 |
Carle Eureka Hospital |
1331891752 |
ACL VOLT GATE CALCIUM CHAN IGG |
83519 |
0300 |
415 |
415 |
124.5 |
377.65000000000003 |
290.5 |
124.5 |
377.65000000000003 |
298.8 |
352.75 |
Carle Eureka Hospital |
1331891755 |
ACL BETA2 GLYCOPROTEIN |
86146 |
0300 |
120 |
120 |
36 |
109.2 |
84 |
36 |
109.2 |
86.399999999999991 |
102 |
Carle Eureka Hospital |
1331891756 |
ACL BILE ACIDS FRAC TOT |
83789 |
0300 |
685 |
685 |
205.5 |
623.35 |
479.49999999999994 |
205.5 |
623.35 |
493.2 |
582.25 |
Carle Eureka Hospital |
1331891757 |
ACL CMV QUANTITATIVE |
87497 |
0300 |
310 |
310 |
93 |
282.10000000000002 |
217 |
93 |
282.10000000000002 |
223.2 |
263.5 |
Carle Eureka Hospital |
1331891758 |
ACL MAGNESIUM RBC |
83735 |
0300 |
185 |
185 |
55.5 |
168.35 |
129.5 |
55.5 |
168.35 |
133.19999999999999 |
157.25 |
Carle Eureka Hospital |
1331891759 |
ACL ALBUMIN FLUID |
82042 |
0301 |
52 |
52 |
15.6 |
47.32 |
36.4 |
15.6 |
47.32 |
37.44 |
44.199999999999996 |
Carle Eureka Hospital |
1331891761 |
ACL TOTAL PROTEIN FLUID |
84157 |
0301 |
79 |
79 |
23.7 |
71.89 |
55.3 |
23.7 |
71.89 |
56.879999999999995 |
67.149999999999991 |
Carle Eureka Hospital |
1331891762 |
ACL AMYLASE FLUID |
82150 |
0301 |
130 |
130 |
39 |
118.3 |
91 |
39 |
118.3 |
93.6 |
110.5 |
Carle Eureka Hospital |
1331891764 |
ACL TRYGLYCERIDES FLUID |
84478 |
0301 |
135 |
135 |
40.5 |
122.85000000000001 |
94.5 |
40.5 |
122.85000000000001 |
97.2 |
114.75 |
Carle Eureka Hospital |
1331891765 |
ACL CHOLESTEROL FLUID |
84311 |
0301 |
74 |
74 |
22.2 |
67.34 |
51.8 |
22.2 |
67.34 |
53.28 |
62.9 |
Carle Eureka Hospital |
1331891766 |
ACL GLUCOSE BODY FLUID |
82945 |
0301 |
83 |
83 |
24.9 |
75.53 |
58.099999999999994 |
24.9 |
75.53 |
59.76 |
70.55 |
Carle Eureka Hospital |
1331891768 |
ACL LDH BODY FLUID |
83615 |
0301 |
65 |
65 |
19.5 |
59.15 |
45.5 |
19.5 |
59.15 |
46.8 |
55.25 |
Carle Eureka Hospital |
1331891769 |
ACL ANTI MULLER HORMONE |
83520 |
0301 |
345 |
345 |
103.5 |
313.95 |
241.49999999999997 |
103.5 |
313.95 |
248.39999999999998 |
293.25 |
Carle Eureka Hospital |
1331891770 |
ACL RABIES ANTIBODY |
86382 |
0301 |
180 |
180 |
54 |
163.80000000000001 |
125.99999999999999 |
54 |
163.80000000000001 |
129.6 |
153 |
Carle Eureka Hospital |
1331891773 |
ACL XLINK N TELOPEPTIDE |
82523 |
0301 |
100 |
100 |
30 |
91 |
70 |
30 |
91 |
72 |
85 |
Carle Eureka Hospital |
1331891774 |
ACL RESPIRATORY PATH PANEL |
87633 |
0306 |
1990 |
1990 |
597 |
1810.9 |
1393 |
597 |
1810.9 |
1432.8 |
1691.5 |
Carle Eureka Hospital |
1331891775 |
ACL GASTRO PATH PANEL |
87507 |
0306 |
1990 |
1990 |
597 |
1810.9 |
1393 |
597 |
1810.9 |
1432.8 |
1691.5 |
Carle Eureka Hospital |
1331891778 |
ACL CGPRGRL |
87798 |
0306 |
170 |
170 |
51 |
154.70000000000002 |
118.99999999999999 |
51 |
154.70000000000002 |
122.39999999999999 |
144.5 |
Carle Eureka Hospital |
1331891779 |
ACL CGPEDH |
87798 |
0306 |
170 |
170 |
51 |
154.70000000000002 |
118.99999999999999 |
51 |
154.70000000000002 |
122.39999999999999 |
144.5 |
Carle Eureka Hospital |
1331891780 |
ACL CGPCRY |
87798 |
0306 |
170 |
170 |
51 |
154.70000000000002 |
118.99999999999999 |
51 |
154.70000000000002 |
122.39999999999999 |
144.5 |
Carle Eureka Hospital |
1331891782 |
ACL CGLIGGP |
83516 |
0302 |
47 |
47 |
14.1 |
42.77 |
32.9 |
14.1 |
42.77 |
33.839999999999996 |
39.949999999999996 |
Carle Eureka Hospital |
1331891783 |
ACL STRIATED MUSCLE AB TITER |
86256 |
0302 |
115 |
115 |
34.5 |
104.65 |
80.5 |
34.5 |
104.65 |
82.8 |
97.75 |
Carle Eureka Hospital |
1331891784 |
ACL TESTOSTERONE TOTAL F/CH |
84403 |
0301 |
70 |
70 |
21 |
63.7 |
49 |
21 |
63.7 |
50.4 |
59.5 |
Carle Eureka Hospital |
1331891785 |
ACL TESTOSTERONE FREE F/CH |
84402 |
0301 |
142 |
142 |
42.6 |
129.22 |
99.399999999999991 |
42.6 |
129.22 |
102.24 |
120.7 |
Carle Eureka Hospital |
1331891786 |
ACL TESTOS FR MALES ED |
84402 |
0301 |
303 |
303 |
90.899999999999991 |
275.73 |
212.1 |
90.899999999999991 |
275.73 |
218.16 |
257.55 |
Carle Eureka Hospital |
1331891787 |
ACL CTTABGP |
83516 |
0302 |
47 |
47 |
14.1 |
42.77 |
32.9 |
14.1 |
42.77 |
33.839999999999996 |
39.949999999999996 |
Carle Eureka Hospital |
1331891788 |
ACL H PYLORI BREATH TEST |
83013 |
0301 |
350 |
350 |
105 |
318.5 |
244.99999999999997 |
105 |
318.5 |
252 |
297.5 |
Carle Eureka Hospital |
1331891789 |
ACL HIV-1 RNA CONFIRM |
87535 |
0306 |
255 |
255 |
76.5 |
232.05 |
178.5 |
76.5 |
232.05 |
183.6 |
216.75 |
Carle Eureka Hospital |
1331891790 |
ACL HIV AG/AB COMBO SCREEN |
87389 |
0306 |
66 |
66 |
19.8 |
60.06 |
46.199999999999996 |
19.8 |
60.06 |
47.519999999999996 |
56.1 |
Carle Eureka Hospital |
1331891791 |
INTERLEUKIN-6 |
83520 |
0300 |
344 |
344 |
103.2 |
313.04000000000002 |
240.79999999999998 |
103.2 |
313.04000000000002 |
247.67999999999998 |
292.39999999999998 |
Carle Eureka Hospital |
1331891793 |
ACL HIV1 AB RAPID TEST HIVRAP |
86701 |
0302 |
91 |
91 |
27.3 |
82.81 |
63.699999999999996 |
27.3 |
82.81 |
65.52 |
77.349999999999994 |
Carle Eureka Hospital |
1331891794 |
ACL HIV2 AB RAPID TEST HIVRAP |
86702 |
0302 |
95 |
95 |
28.5 |
86.45 |
66.5 |
28.5 |
86.45 |
68.399999999999991 |
80.75 |
Carle Eureka Hospital |
1331891798 |
ACL PD-L1 KEYTRUDA |
88360 |
0310 |
800 |
800 |
240 |
728 |
560 |
240 |
728 |
576 |
680 |
Carle Eureka Hospital |
1331891799 |
ACL ROS 1 FISH |
88374 |
0312 |
380 |
380 |
114 |
345.8 |
266 |
114 |
345.8 |
273.59999999999997 |
323 |
Carle Eureka Hospital |
1331891800 |
ACL ALK BY IHC |
88342 |
0310 |
379 |
379 |
113.7 |
344.89 |
265.3 |
113.7 |
344.89 |
272.88 |
322.14999999999998 |
Carle Eureka Hospital |
1331891801 |
ACL LYME DISEASE DNA (CSF/SYN) |
87801 |
0306 |
235 |
235 |
70.5 |
213.85 |
164.5 |
70.5 |
213.85 |
169.2 |
199.75 |
Carle Eureka Hospital |
1331891802 |
ACL EGFR |
81235 |
0310 |
798 |
798 |
239.39999999999998 |
726.18000000000006 |
558.59999999999991 |
239.39999999999998 |
726.18000000000006 |
574.55999999999995 |
678.3 |
Carle Eureka Hospital |
1331891804 |
IGF BINDING PROTEIN 1 QUEST |
83519 |
0301 |
100 |
100 |
30 |
91 |
70 |
30 |
91 |
72 |
85 |
Carle Eureka Hospital |
1331891805 |
STRATIFY JCV AB AND INDEX W RF |
86711 |
0300 |
59 |
59 |
17.7 |
53.690000000000005 |
41.3 |
17.7 |
53.690000000000005 |
42.48 |
50.15 |
Carle Eureka Hospital |
1331891806 |
INSULIN LIKE GROWTH FACTOR 1 |
84305 |
0301 |
58 |
58 |
17.399999999999999 |
52.78 |
40.599999999999994 |
17.399999999999999 |
52.78 |
41.76 |
49.3 |
Carle Eureka Hospital |
1331891808 |
OPIATES CONFIRMATION QUANT |
80361 |
0301 |
235 |
235 |
70.5 |
213.85 |
164.5 |
70.5 |
213.85 |
169.2 |
199.75 |
Carle Eureka Hospital |
1331891813 |
ACETYLCHOLINE BINDNG AB QUEST |
83519 |
0301 |
177 |
177 |
53.1 |
161.07 |
123.89999999999999 |
53.1 |
161.07 |
127.44 |
150.44999999999999 |
Carle Eureka Hospital |
1331891814 |
ACETYLCHOLINE BLOCK AB QUEST |
83519 |
0301 |
177 |
177 |
53.1 |
161.07 |
123.89999999999999 |
53.1 |
161.07 |
127.44 |
150.44999999999999 |
Carle Eureka Hospital |
1331891815 |
ACETYLCHOLINE MODULAT AB QUEST |
83519 |
0301 |
208 |
208 |
62.4 |
189.28 |
145.6 |
62.4 |
189.28 |
149.76 |
176.79999999999998 |
Carle Eureka Hospital |
1331891816 |
CGH ARRAY MOLECULAR KARYOTYPIN |
81406 |
0310 |
1273 |
1273 |
381.9 |
1158.43 |
891.09999999999991 |
381.9 |
1158.43 |
916.56 |
1082.05 |
Carle Eureka Hospital |
1331891820 |
CC PATH CONSULT |
88321 |
0300 |
400 |
400 |
120 |
364 |
280 |
120 |
364 |
288 |
340 |
Carle Eureka Hospital |
1331891821 |
CC PATH CONSULT SLIDE PREP |
88323 |
0300 |
460 |
460 |
138 |
418.6 |
322 |
138 |
418.6 |
331.2 |
391 |
Carle Eureka Hospital |
1331891823 |
INSULIN LIKE GROWTH FACTOR 1 |
84305 |
0301 |
70 |
70 |
21 |
63.7 |
49 |
21 |
63.7 |
50.4 |
59.5 |
Carle Eureka Hospital |
1331891824 |
HAZELNUT IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
1331891825 |
SALMON IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
1331891826 |
MOUSE URINE PROTEINS IGE |
86003 |
0302 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
1331891827 |
TISSUE TRANSGLUTAMINASE AB IGG |
83516 |
0301 |
130 |
130 |
39 |
118.3 |
91 |
39 |
118.3 |
93.6 |
110.5 |
Carle Eureka Hospital |
1331891828 |
INFLIXIMAB ADAIBD |
83520 |
0301 |
425 |
425 |
127.5 |
386.75 |
297.5 |
127.5 |
386.75 |
306 |
361.25 |
Carle Eureka Hospital |
1331891829 |
INFLIXIMAB LEVEL IBD |
80230 |
0301 |
425 |
425 |
127.5 |
386.75 |
297.5 |
127.5 |
386.75 |
306 |
361.25 |
Carle Eureka Hospital |
1331891832 |
RBC MAGNESIUM |
83735 |
0301 |
140 |
140 |
42 |
127.4 |
98 |
42 |
127.4 |
100.8 |
119 |
Carle Eureka Hospital |
1331891833 |
CARDIOLIPIN IGM |
86147 |
0301 |
185 |
185 |
55.5 |
168.35 |
129.5 |
55.5 |
168.35 |
133.19999999999999 |
157.25 |
Carle Eureka Hospital |
1331891834 |
CARDIOLIPIN IGG |
86147 |
0301 |
185 |
185 |
55.5 |
168.35 |
129.5 |
55.5 |
168.35 |
133.19999999999999 |
157.25 |
Carle Eureka Hospital |
1331891835 |
BILE ACIDS FRACTIONATED/TOTAL |
82542 |
0301 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
1331891836 |
INHIBIN B |
83520 |
0301 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
1331891837 |
SJOGRENS AB SS-A |
86235 |
0301 |
205 |
205 |
61.5 |
186.55 |
143.5 |
61.5 |
186.55 |
147.6 |
174.25 |
Carle Eureka Hospital |
1331891838 |
SJOGRENS AB SS-B |
86235 |
0301 |
205 |
205 |
61.5 |
186.55 |
143.5 |
61.5 |
186.55 |
147.6 |
174.25 |
Carle Eureka Hospital |
1331891840 |
KAPPA FREE LIGHT CHAINS |
83520 |
0301 |
160 |
160 |
48 |
145.6 |
112 |
48 |
145.6 |
115.19999999999999 |
136 |
Carle Eureka Hospital |
1331891841 |
LAMBDA FREE LIGHT CHAINS |
83520 |
0301 |
160 |
160 |
48 |
145.6 |
112 |
48 |
145.6 |
115.19999999999999 |
136 |
Carle Eureka Hospital |
1331891843 |
TRICHOMONIS VAGINALIS DNA |
87660 |
0300 |
54 |
54 |
16.2 |
49.14 |
37.799999999999997 |
16.2 |
49.14 |
38.879999999999995 |
45.9 |
Carle Eureka Hospital |
1331891844 |
GARNERELLA VAGINALIS DNA |
87510 |
0300 |
54 |
54 |
16.2 |
49.14 |
37.799999999999997 |
16.2 |
49.14 |
38.879999999999995 |
45.9 |
Carle Eureka Hospital |
1331891845 |
CANDIDA SP DNA |
87480 |
0300 |
54 |
54 |
16.2 |
49.14 |
37.799999999999997 |
16.2 |
49.14 |
38.879999999999995 |
45.9 |
Carle Eureka Hospital |
1331891846 |
DEXAMETHASONE |
82542 |
0300 |
177 |
177 |
53.1 |
161.07 |
123.89999999999999 |
53.1 |
161.07 |
127.44 |
150.44999999999999 |
Carle Eureka Hospital |
1331891847 |
SALIVA CORTISOL |
82530 |
0300 |
128 |
128 |
38.4 |
116.48 |
89.6 |
38.4 |
116.48 |
92.16 |
108.8 |
Carle Eureka Hospital |
1331891848 |
VARICELLA ZOSTER DNA,QUAL PCR |
87798 |
0300 |
448 |
448 |
134.4 |
407.68 |
313.59999999999997 |
134.4 |
407.68 |
322.56 |
380.8 |
Carle Eureka Hospital |
1331891850 |
PROLACTIN TOTAL |
84146 |
0300 |
105 |
105 |
31.5 |
95.55 |
73.5 |
31.5 |
95.55 |
75.599999999999994 |
89.25 |
Carle Eureka Hospital |
1331891851 |
PROLACTIN MONOMERIC |
84146 |
0300 |
105 |
105 |
31.5 |
95.55 |
73.5 |
31.5 |
95.55 |
75.599999999999994 |
89.25 |
Carle Eureka Hospital |
1331891852 |
THYROID CANCER MONITOR |
86800 |
0300 |
256 |
256 |
76.8 |
232.96 |
179.2 |
76.8 |
232.96 |
184.32 |
217.6 |
Carle Eureka Hospital |
1331891853 |
N-TELOPEPTIDE SERUM |
82523 |
0300 |
248 |
248 |
74.399999999999991 |
225.68 |
173.6 |
74.399999999999991 |
225.68 |
178.56 |
210.79999999999998 |
Carle Eureka Hospital |
1331891855 |
DIRECT LDL |
83721 |
0300 |
50 |
50 |
15 |
45.5 |
35 |
15 |
45.5 |
36 |
42.5 |
Carle Eureka Hospital |
1331891856 |
COLLAGEN TYPE 1 C TELOPEPTIDE |
82523 |
0300 |
278 |
278 |
83.399999999999991 |
252.98000000000002 |
194.6 |
83.399999999999991 |
252.98000000000002 |
200.16 |
236.29999999999998 |
Carle Eureka Hospital |
1331891857 |
TRICHOMONIS VAGINALIS MALE |
87661 |
0300 |
224 |
224 |
67.2 |
203.84 |
156.79999999999998 |
67.2 |
203.84 |
161.28 |
190.4 |
Carle Eureka Hospital |
1331891859 |
PROLACTIN UNDILUTED |
84146 |
0300 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
1331891860 |
PROLACTIN DILUTED |
84146 |
0300 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
1331891861 |
ALBUMIN PERITONEAL FLUID |
82042 |
0300 |
44 |
44 |
13.2 |
40.04 |
30.799999999999997 |
13.2 |
40.04 |
31.68 |
37.4 |
Carle Eureka Hospital |
1331891862 |
LD PERITONEAL FLUID |
83615 |
0300 |
28 |
28 |
8.4 |
25.48 |
19.599999999999998 |
8.4 |
25.48 |
20.16 |
23.8 |
Carle Eureka Hospital |
1331891863 |
TOTAL PROTEIN PERITONEAL FLUID |
84157 |
0300 |
37 |
37 |
11.1 |
33.67 |
25.9 |
11.1 |
33.67 |
26.64 |
31.45 |
Carle Eureka Hospital |
1331891864 |
TRYGLYCERIDES PERITONEAL FLUID |
84478 |
0300 |
47 |
47 |
14.1 |
42.77 |
32.9 |
14.1 |
42.77 |
33.839999999999996 |
39.949999999999996 |
Carle Eureka Hospital |
1331891865 |
GASTROINTESTINAL PATH PANEL |
87506 |
0300 |
800 |
800 |
240 |
728 |
560 |
240 |
728 |
576 |
680 |
Carle Eureka Hospital |
1331891866 |
GLUTAMIC ACID DECARBOXYLASE 65 |
86341 |
0300 |
148 |
148 |
44.4 |
134.68 |
103.6 |
44.4 |
134.68 |
106.56 |
125.8 |
Carle Eureka Hospital |
1331891868 |
RESP INFECTIOUS AGENTS 12-24 |
87633 |
0300 |
1368 |
1368 |
410.4 |
1244.8800000000001 |
957.59999999999991 |
410.4 |
1244.8800000000001 |
984.95999999999992 |
1162.8 |
Carle Eureka Hospital |
1331891869 |
CHLAMYDOPHILA PNEUMONIAE |
87486 |
0300 |
100 |
100 |
30 |
91 |
70 |
30 |
91 |
72 |
85 |
Carle Eureka Hospital |
1331891870 |
MYCOPLASMA PNEUMONIA |
87581 |
0300 |
100 |
100 |
30 |
91 |
70 |
30 |
91 |
72 |
85 |
Carle Eureka Hospital |
1331891871 |
BENZODIAZEPINES CONF URINE |
80346 |
0300 |
170 |
170 |
51 |
154.70000000000002 |
118.99999999999999 |
51 |
154.70000000000002 |
122.39999999999999 |
144.5 |
Carle Eureka Hospital |
1331891872 |
BUPRENORPHINE CONF URINE |
80348 |
0300 |
170 |
170 |
51 |
154.70000000000002 |
118.99999999999999 |
51 |
154.70000000000002 |
122.39999999999999 |
144.5 |
Carle Eureka Hospital |
1331891873 |
FENTANYL CONF URINE |
80354 |
0300 |
170 |
170 |
51 |
154.70000000000002 |
118.99999999999999 |
51 |
154.70000000000002 |
122.39999999999999 |
144.5 |
Carle Eureka Hospital |
1331891874 |
ALCOHOL METABOLITES URINE |
80321 |
0300 |
170 |
170 |
51 |
154.70000000000002 |
118.99999999999999 |
51 |
154.70000000000002 |
122.39999999999999 |
144.5 |
Carle Eureka Hospital |
1331891875 |
METHADONE CONF URINE |
80358 |
0300 |
170 |
170 |
51 |
154.70000000000002 |
118.99999999999999 |
51 |
154.70000000000002 |
122.39999999999999 |
144.5 |
Carle Eureka Hospital |
1331891876 |
TRAMADOL CONF URINE |
80373 |
0300 |
170 |
170 |
51 |
154.70000000000002 |
118.99999999999999 |
51 |
154.70000000000002 |
122.39999999999999 |
144.5 |
Carle Eureka Hospital |
1331891877 |
ISLET CELL AB SCREEN |
86341 |
0300 |
97 |
97 |
29.099999999999998 |
88.27 |
67.899999999999991 |
29.099999999999998 |
88.27 |
69.84 |
82.45 |
Carle Eureka Hospital |
1331891878 |
ISLET CELL AB TITER |
86341 |
0300 |
168 |
168 |
50.4 |
152.88 |
117.6 |
50.4 |
152.88 |
120.96 |
142.79999999999998 |
Carle Eureka Hospital |
1331894826 |
BRAF GENPATH |
81210 |
0310 |
500 |
500 |
150 |
455 |
350 |
150 |
455 |
360 |
425 |
Carle Eureka Hospital |
1331894828 |
ACL RPR |
86592 |
0302 |
56 |
56 |
16.8 |
50.96 |
39.199999999999996 |
16.8 |
50.96 |
40.32 |
47.6 |
Carle Eureka Hospital |
1331894829 |
ACL RPR TITER |
86593 |
0302 |
48 |
48 |
14.399999999999999 |
43.68 |
33.599999999999994 |
14.399999999999999 |
43.68 |
34.56 |
40.799999999999997 |
Carle Eureka Hospital |
1331894831 |
MENING ENCEPH PANEL |
87483 |
0306 |
585 |
585 |
175.5 |
532.35 |
409.5 |
175.5 |
532.35 |
421.2 |
497.25 |
Carle Eureka Hospital |
1331894832 |
GEN PATH ISH |
88365 |
0310 |
190 |
190 |
57 |
172.9 |
133 |
57 |
172.9 |
136.79999999999998 |
161.5 |
Carle Eureka Hospital |
1331894833 |
GEN PATH ISH ADD |
88364 |
0310 |
190 |
190 |
57 |
172.9 |
133 |
57 |
172.9 |
136.79999999999998 |
161.5 |
Carle Eureka Hospital |
1331894835 |
COVID 19 CDC DIAG PANEL |
87635 |
0300 |
108 |
108 |
32.4 |
98.28 |
75.599999999999994 |
32.4 |
98.28 |
77.759999999999991 |
91.8 |
Carle Eureka Hospital |
1331894836 |
COVID 19 NON CDC |
87635 |
0300 |
153 |
153 |
45.9 |
139.23000000000002 |
107.1 |
45.9 |
139.23000000000002 |
110.16 |
130.04999999999998 |
Carle Eureka Hospital |
1331894839 |
SARS COV 2 IGG ANTIBODY |
86769 |
0302 |
73 |
73 |
21.9 |
66.430000000000007 |
51.099999999999994 |
21.9 |
66.430000000000007 |
52.559999999999995 |
62.05 |
Carle Eureka Hospital |
1331894840 |
CHYMOTRYPSIN |
84311 |
0301 |
204 |
204 |
61.199999999999996 |
185.64000000000001 |
142.79999999999998 |
61.199999999999996 |
185.64000000000001 |
146.88 |
173.4 |
Carle Eureka Hospital |
1331894841 |
LACOSAMIDE |
80299 |
0301 |
190 |
190 |
57 |
172.9 |
133 |
57 |
172.9 |
136.79999999999998 |
161.5 |
Carle Eureka Hospital |
1331894842 |
CALPROTECTIN |
83993 |
0301 |
280 |
280 |
84 |
254.8 |
196 |
84 |
254.8 |
201.6 |
238 |
Carle Eureka Hospital |
1331894843 |
PANCREATIC ELASTASE 1 |
82656 |
0301 |
280 |
280 |
84 |
254.8 |
196 |
84 |
254.8 |
201.6 |
238 |
Carle Eureka Hospital |
1331894844 |
RPR |
86592 |
0302 |
59 |
59 |
17.7 |
53.690000000000005 |
41.3 |
17.7 |
53.690000000000005 |
42.48 |
50.15 |
Carle Eureka Hospital |
1331894845 |
RPR TITER |
86593 |
0302 |
52 |
52 |
15.6 |
47.32 |
36.4 |
15.6 |
47.32 |
37.44 |
44.199999999999996 |
Carle Eureka Hospital |
1331894846 |
H PYLORI UREA BREATH TEST |
83013 |
0301 |
100 |
100 |
30 |
91 |
70 |
30 |
91 |
72 |
85 |
Carle Eureka Hospital |
1331894847 |
QUANTIFERON TB GOLD PLUS |
86480 |
0302 |
105 |
105 |
31.5 |
95.55 |
73.5 |
31.5 |
95.55 |
75.599999999999994 |
89.25 |
Carle Eureka Hospital |
1331894848 |
ANTI-MULLERIAN HORMONE |
82397 |
0301 |
204 |
204 |
61.199999999999996 |
185.64000000000001 |
142.79999999999998 |
61.199999999999996 |
185.64000000000001 |
146.88 |
173.4 |
Carle Eureka Hospital |
1331894849 |
ANTI CENTROMERE B ANTIBODY |
86235 |
0302 |
110 |
110 |
33 |
100.10000000000001 |
77 |
33 |
100.10000000000001 |
79.2 |
93.5 |
Carle Eureka Hospital |
1331990002 |
ABO |
86900 |
0302 |
91 |
91 |
27.3 |
82.81 |
63.699999999999996 |
27.3 |
82.81 |
65.52 |
77.349999999999994 |
Carle Eureka Hospital |
1331990020 |
ALIQUOT RED CELLS |
86985 |
0300 |
165 |
165 |
49.5 |
150.15 |
115.49999999999999 |
49.5 |
150.15 |
118.8 |
140.25 |
Carle Eureka Hospital |
1331990047 |
ANTIBODY I.D. |
86870 |
0300 |
465 |
465 |
139.5 |
423.15000000000003 |
325.5 |
139.5 |
423.15000000000003 |
334.8 |
395.25 |
Carle Eureka Hospital |
1331990048 |
ANTIBODY ID PANEL #2 |
86870 |
0300 |
465 |
465 |
139.5 |
423.15000000000003 |
325.5 |
139.5 |
423.15000000000003 |
334.8 |
395.25 |
Carle Eureka Hospital |
1331990049 |
ANTIBODY IDENTIFICATION |
86870 |
0300 |
515 |
515 |
154.5 |
468.65000000000003 |
360.5 |
154.5 |
468.65000000000003 |
370.8 |
437.75 |
Carle Eureka Hospital |
1331990050 |
ANTIBODY SCREEN |
86850 |
0300 |
185 |
185 |
55.5 |
168.35 |
129.5 |
55.5 |
168.35 |
133.19999999999999 |
157.25 |
Carle Eureka Hospital |
1331990056 |
ANTIGEN EA TESTED DONOR/REAGEN |
86902 |
0300 |
175 |
175 |
52.5 |
159.25 |
122.49999999999999 |
52.5 |
159.25 |
126 |
148.75 |
Carle Eureka Hospital |
1331990057 |
ANTIGEN TYPING P |
86905 |
0300 |
140 |
140 |
42 |
127.4 |
98 |
42 |
127.4 |
100.8 |
119 |
Carle Eureka Hospital |
1331990066 |
ARC 2ND WASH OF DONOR CELLS |
0390 |
100 |
100 |
30 |
91 |
70 |
30 |
91 |
72 |
85 |
Carle Eureka Hospital |
1331990091 |
BLOOD BANK PLATELET PHERESIS |
P9035 |
0390 |
1440 |
1440 |
432 |
1310.4000000000001 |
1007.9999999999999 |
432 |
1310.4000000000001 |
1036.8 |
1224 |
Carle Eureka Hospital |
1331990092 |
BLOOD BANK RH GLOBULIN CH SCRN |
86850 |
0300 |
195 |
195 |
58.5 |
177.45000000000002 |
136.5 |
58.5 |
177.45000000000002 |
140.4 |
165.75 |
Carle Eureka Hospital |
1331990093 |
BLOOD BANK RH IMMUNE GLOBULIN |
J2790 |
0636 |
156 |
156 |
46.8 |
141.96 |
109.19999999999999 |
46.8 |
141.96 |
112.32 |
132.6 |
Carle Eureka Hospital |
1331990097 |
BLOOD COMP EACH UNIT I.S. |
86920 |
0300 |
215 |
215 |
64.5 |
195.65 |
150.5 |
64.5 |
195.65 |
154.79999999999998 |
182.75 |
Carle Eureka Hospital |
1331990146 |
COLD ADSORPTION |
86975 |
0300 |
145 |
145 |
43.5 |
131.95000000000002 |
101.5 |
43.5 |
131.95000000000002 |
104.39999999999999 |
123.25 |
Carle Eureka Hospital |
1331990149 |
COMP EACH UNIT ANTIGLOBULIN |
86922 |
0300 |
215 |
215 |
64.5 |
195.65 |
150.5 |
64.5 |
195.65 |
154.79999999999998 |
182.75 |
Carle Eureka Hospital |
1331990159 |
COOMBS DIRECT |
86880 |
0300 |
105 |
105 |
31.5 |
95.55 |
73.5 |
31.5 |
95.55 |
75.599999999999994 |
89.25 |
Carle Eureka Hospital |
1331990169 |
CROSSMATCH PACKED CELLS 1UNIT |
86922 |
0300 |
325 |
325 |
97.5 |
295.75 |
227.49999999999997 |
97.5 |
295.75 |
234 |
276.25 |
Carle Eureka Hospital |
1331990170 |
CROSSMATCH PACKED CELLS 2UNITS |
86922 |
0300 |
325 |
325 |
97.5 |
295.75 |
227.49999999999997 |
97.5 |
295.75 |
234 |
276.25 |
Carle Eureka Hospital |
1331990171 |
CROSSMATCH PACKED CELLS 3UNITS |
86922 |
0300 |
325 |
325 |
97.5 |
295.75 |
227.49999999999997 |
97.5 |
295.75 |
234 |
276.25 |
Carle Eureka Hospital |
1331990172 |
CROSSMATCH PACKED CELLS 4UNITS |
86922 |
0300 |
325 |
325 |
97.5 |
295.75 |
227.49999999999997 |
97.5 |
295.75 |
234 |
276.25 |
Carle Eureka Hospital |
1331990173 |
CROSSMATCH PLATLETS |
86904 |
0300 |
300 |
300 |
90 |
273 |
210 |
90 |
273 |
216 |
255 |
Carle Eureka Hospital |
1331990179 |
CRYOPRECIPITATE |
P9012 |
0390 |
690 |
690 |
207 |
627.9 |
482.99999999999994 |
207 |
627.9 |
496.79999999999995 |
586.5 |
Carle Eureka Hospital |
1331990252 |
DEGLYC RED CELLS |
P9039 |
0390 |
1015 |
1015 |
304.5 |
923.65 |
710.5 |
304.5 |
923.65 |
730.8 |
862.75 |
Carle Eureka Hospital |
1331990271 |
ELUTION |
86860 |
0300 |
280 |
280 |
84 |
254.8 |
196 |
84 |
254.8 |
201.6 |
238 |
Carle Eureka Hospital |
1331990292 |
FETAL CELL SCREEN |
85461 |
0300 |
115 |
115 |
34.5 |
104.65 |
80.5 |
34.5 |
104.65 |
82.8 |
97.75 |
Carle Eureka Hospital |
1331990297 |
FILTER - LEUKOCYTE SEPACELL |
0300 |
110 |
110 |
33 |
100.10000000000001 |
77 |
33 |
100.10000000000001 |
79.2 |
93.5 |
Carle Eureka Hospital |
1331990374 |
HLA TYPE/MATCH PLTS |
86812 |
0300 |
310 |
310 |
93 |
282.10000000000002 |
217 |
93 |
282.10000000000002 |
223.2 |
263.5 |
Carle Eureka Hospital |
1331990400 |
KLEIHAUER BETKE MODIFIED |
85460 |
0300 |
165 |
165 |
49.5 |
150.15 |
115.49999999999999 |
49.5 |
150.15 |
118.8 |
140.25 |
Carle Eureka Hospital |
1331990487 |
PHLEBOTOMY DRAW |
36415 |
0300 |
21 |
21 |
6.3 |
19.11 |
14.7 |
6.3 |
19.11 |
15.12 |
17.849999999999998 |
Carle Eureka Hospital |
1331990488 |
PHLEBOTOMY ONE UNIT-450ML |
99195 |
0940 |
180 |
180 |
54 |
163.80000000000001 |
125.99999999999999 |
54 |
163.80000000000001 |
129.6 |
153 |
Carle Eureka Hospital |
1331990494 |
PLASMA FRESH FROZEN |
P9017 |
0390 |
235 |
235 |
70.5 |
213.85 |
164.5 |
70.5 |
213.85 |
169.2 |
199.75 |
Carle Eureka Hospital |
1331990495 |
PLASMA FZ WITHIN 24 HRS |
P9059 |
0390 |
215 |
215 |
64.5 |
195.65 |
150.5 |
64.5 |
195.65 |
154.79999999999998 |
182.75 |
Carle Eureka Hospital |
1331990498 |
PLATELET ANTIBODY SCREEN |
86023 |
0302 |
490 |
490 |
147 |
445.90000000000003 |
343 |
147 |
445.90000000000003 |
352.8 |
416.5 |
Carle Eureka Hospital |
1331990500 |
PLATELETPHERESIS IRR LKRD |
P9037 |
0390 |
1715 |
1715 |
514.5 |
1560.65 |
1200.5 |
514.5 |
1560.65 |
1234.8 |
1457.75 |
Carle Eureka Hospital |
1331990501 |
PLATELETPHERESIS LEUKOREDUCED |
P9035 |
0390 |
1440 |
1440 |
432 |
1310.4000000000001 |
1007.9999999999999 |
432 |
1310.4000000000001 |
1036.8 |
1224 |
Carle Eureka Hospital |
1331990504 |
POOLING OF BLOOD PRODUCT |
86965 |
0300 |
230 |
230 |
69 |
209.3 |
161 |
69 |
209.3 |
165.6 |
195.5 |
Carle Eureka Hospital |
1331990545 |
RED BLOOD CELLS ARC PROCESS |
P9021 |
0390 |
455 |
455 |
136.5 |
414.05 |
318.5 |
136.5 |
414.05 |
327.59999999999997 |
386.75 |
Carle Eureka Hospital |
1331990546 |
RED BLOOD CELLS AUTOLOGOUS |
P9021 |
0390 |
470 |
470 |
141 |
427.7 |
329 |
141 |
427.7 |
338.4 |
399.5 |
Carle Eureka Hospital |
1331990548 |
RED CELLS DEGLYC AUTOLOGOUS |
P9039 |
0390 |
1225 |
1225 |
367.5 |
1114.75 |
857.5 |
367.5 |
1114.75 |
882 |
1041.25 |
Carle Eureka Hospital |
1331990549 |
RED CELLS IRP LKRD |
P9040 |
0390 |
765 |
765 |
229.5 |
696.15 |
535.5 |
229.5 |
696.15 |
550.79999999999995 |
650.25 |
Carle Eureka Hospital |
1331990550 |
RED CELLS LEUKOREDUCED |
P9016 |
0390 |
535 |
535 |
160.5 |
486.85 |
374.5 |
160.5 |
486.85 |
385.2 |
454.75 |
Carle Eureka Hospital |
1331990551 |
RED CELLS WASHED |
P9022 |
0390 |
850 |
850 |
255 |
773.5 |
595 |
255 |
773.5 |
612 |
722.5 |
Carle Eureka Hospital |
1331990559 |
RH |
86901 |
0302 |
86 |
86 |
25.8 |
78.260000000000005 |
60.199999999999996 |
25.8 |
78.260000000000005 |
61.919999999999995 |
73.099999999999994 |
Carle Eureka Hospital |
1331990564 |
RHO D IMMUNE GLOBULIN 1 DOSE |
90384 |
0636 |
163 |
163 |
48.9 |
148.33000000000001 |
114.1 |
48.9 |
148.33000000000001 |
117.36 |
138.54999999999998 |
Carle Eureka Hospital |
1331990613 |
THAW PLASMA EACH UNIT |
86927 |
0300 |
140 |
140 |
42 |
127.4 |
98 |
42 |
127.4 |
100.8 |
119 |
Carle Eureka Hospital |
1331990630 |
TRANSF RED CELLS LEUKOREDUCED |
P9016 |
0390 |
535 |
535 |
160.5 |
486.85 |
374.5 |
160.5 |
486.85 |
385.2 |
454.75 |
Carle Eureka Hospital |
1331990642 |
TYPE & RH - DIRECTED DONATIONS |
86901 |
0300 |
93 |
93 |
27.9 |
84.63000000000001 |
65.099999999999994 |
27.9 |
84.63000000000001 |
66.959999999999994 |
79.05 |
Carle Eureka Hospital |
1331990644 |
TYPE & SCREEN - PRENATAL |
86850 |
0300 |
195 |
195 |
58.5 |
177.45000000000002 |
136.5 |
58.5 |
177.45000000000002 |
140.4 |
165.75 |
Carle Eureka Hospital |
1331990646 |
TYPE AND RH ABO RH GROUP |
86901 |
0300 |
93 |
93 |
27.9 |
84.63000000000001 |
65.099999999999994 |
27.9 |
84.63000000000001 |
66.959999999999994 |
79.05 |
Carle Eureka Hospital |
1331990649 |
TYPE AND SCREEN SURGICAL |
86900 |
0300 |
93 |
93 |
27.9 |
84.63000000000001 |
65.099999999999994 |
27.9 |
84.63000000000001 |
66.959999999999994 |
79.05 |
Carle Eureka Hospital |
1331990674 |
PLTPHERESIS IRR LP HLA MATCHED |
P9052 |
0390 |
1845 |
1845 |
553.5 |
1678.95 |
1291.5 |
553.5 |
1678.95 |
1328.3999999999999 |
1568.25 |
Carle Eureka Hospital |
1331990675 |
WHOLE BLOOD AUTOLOGOUS |
P9010 |
0390 |
500 |
500 |
150 |
455 |
350 |
150 |
455 |
360 |
425 |
Carle Eureka Hospital |
1331990685 |
WARM AUTOANTIBODY REMOVAL |
86975 |
0300 |
145 |
145 |
43.5 |
131.95000000000002 |
101.5 |
43.5 |
131.95000000000002 |
104.39999999999999 |
123.25 |
Carle Eureka Hospital |
1331990695 |
BLOOD BANK TRANSF PACK CELLS |
0390 |
155 |
155 |
46.5 |
141.05000000000001 |
108.5 |
46.5 |
141.05000000000001 |
111.6 |
131.75 |
Carle Eureka Hospital |
1331991022 |
RED CELLS LEUKOREDUCED SPLIT |
P9016 |
0390 |
535 |
535 |
160.5 |
486.85 |
374.5 |
160.5 |
486.85 |
385.2 |
454.75 |
Carle Eureka Hospital |
1331991049 |
RED CELLS IRR LKRD SPLIT |
P9040 |
0390 |
765 |
765 |
229.5 |
696.15 |
535.5 |
229.5 |
696.15 |
550.79999999999995 |
650.25 |
Carle Eureka Hospital |
1331991193 |
RED CESS IRRLKRD ALQ |
P9040 |
0390 |
765 |
765 |
229.5 |
696.15 |
535.5 |
229.5 |
696.15 |
550.79999999999995 |
650.25 |
Carle Eureka Hospital |
1331991258 |
INDIRECT TITER |
86886 |
0300 |
205 |
205 |
61.5 |
186.55 |
143.5 |
61.5 |
186.55 |
147.6 |
174.25 |
Carle Eureka Hospital |
1331991259 |
DIFFERENTIAL ADSORP OF SERUM |
86978 |
0300 |
100 |
100 |
30 |
91 |
70 |
30 |
91 |
72 |
85 |
Carle Eureka Hospital |
1331991260 |
INCUBATION OF SERUM |
86977 |
0300 |
190 |
190 |
57 |
172.9 |
133 |
57 |
172.9 |
136.79999999999998 |
161.5 |
Carle Eureka Hospital |
1331991261 |
DILUTION OF SERUM |
86976 |
0300 |
105 |
105 |
31.5 |
95.55 |
73.5 |
31.5 |
95.55 |
75.599999999999994 |
89.25 |
Carle Eureka Hospital |
1331991262 |
INCUBATION OF SERUM W DRUGS EA |
86975 |
0300 |
215 |
215 |
64.5 |
195.65 |
150.5 |
64.5 |
195.65 |
154.79999999999998 |
182.75 |
Carle Eureka Hospital |
1331991263 |
RETICULOCYTE SEPARATION |
86972 |
0300 |
250 |
250 |
75 |
227.5 |
175 |
75 |
227.5 |
180 |
212.5 |
Carle Eureka Hospital |
1331991264 |
PRETREAT WITH ENZYME |
86971 |
0300 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
1331991265 |
PRETREAT OF RBC WITH CHEM |
86970 |
0300 |
145 |
145 |
43.5 |
131.95000000000002 |
101.5 |
43.5 |
131.95000000000002 |
104.39999999999999 |
123.25 |
Carle Eureka Hospital |
1331991266 |
HEMOGLOBIN S |
85660 |
0300 |
133 |
133 |
39.9 |
121.03 |
93.1 |
39.9 |
121.03 |
95.759999999999991 |
113.05 |
Carle Eureka Hospital |
1331991267 |
UNCONFIRMED ANTIGEN NEG |
86999 |
0300 |
125 |
125 |
37.5 |
113.75 |
87.5 |
37.5 |
113.75 |
90 |
106.25 |
Carle Eureka Hospital |
1331991268 |
PHENOTYPE OTHER THAN ABO/D |
86905 |
0300 |
140 |
140 |
42 |
127.4 |
98 |
42 |
127.4 |
100.8 |
119 |
Carle Eureka Hospital |
1331991269 |
RH PHENOTYPE COMPLETE |
86906 |
0300 |
185 |
185 |
55.5 |
168.35 |
129.5 |
55.5 |
168.35 |
133.19999999999999 |
157.25 |
Carle Eureka Hospital |
1331991270 |
HEMOLYSINS AGGLUTININS AUTO |
86940 |
0300 |
88 |
88 |
26.4 |
80.08 |
61.599999999999994 |
26.4 |
80.08 |
63.36 |
74.8 |
Carle Eureka Hospital |
1331991274 |
IRRADIATED WASHED RED CELLS |
P9057 |
0390 |
665 |
665 |
199.5 |
605.15 |
465.49999999999994 |
199.5 |
605.15 |
478.79999999999995 |
565.25 |
Carle Eureka Hospital |
1331991303 |
AUTOLOGOUS SURCHARGE PER UNIT |
86890 |
0300 |
165 |
165 |
49.5 |
150.15 |
115.49999999999999 |
49.5 |
150.15 |
118.8 |
140.25 |
Carle Eureka Hospital |
1331991310 |
SCREEN DONR USING PT SPECIMEN |
86904 |
0300 |
195 |
195 |
58.5 |
177.45000000000002 |
136.5 |
58.5 |
177.45000000000002 |
140.4 |
165.75 |
Carle Eureka Hospital |
1331991532 |
CRYOPRECIPITATE 5 PACK |
P9012 |
0390 |
690 |
690 |
207 |
627.9 |
482.99999999999994 |
207 |
627.9 |
496.79999999999995 |
586.5 |
Carle Eureka Hospital |
1331991644 |
ANTIGEN SCREEN BY ARC EA UNIT |
86902 |
0300 |
280 |
280 |
84 |
254.8 |
196 |
84 |
254.8 |
201.6 |
238 |
Carle Eureka Hospital |
1331991652 |
Ab ID EACH SELECTED REAGANT |
86885 |
0300 |
160 |
160 |
48 |
145.6 |
112 |
48 |
145.6 |
115.19999999999999 |
136 |
Carle Eureka Hospital |
1331994837 |
PLASMA FROZEN W COVID ANTIBODY |
P9059 |
0390 |
1240 |
1240 |
372 |
1128.4000000000001 |
868 |
372 |
1128.4000000000001 |
892.8 |
1054 |
Carle Eureka Hospital |
1332090011 |
ADRENOCORTICOTROPIC HORMONE |
82024 |
0300 |
370 |
370 |
111 |
336.7 |
259 |
111 |
336.7 |
266.39999999999998 |
314.5 |
Carle Eureka Hospital |
1332090049 |
ANTIBODY IDENTIFICATION |
86870 |
0300 |
185 |
185 |
55.5 |
168.35 |
129.5 |
55.5 |
168.35 |
133.19999999999999 |
157.25 |
Carle Eureka Hospital |
1332090050 |
ANTIBODY SCREEN |
86850 |
0300 |
195 |
195 |
58.5 |
177.45000000000002 |
136.5 |
58.5 |
177.45000000000002 |
140.4 |
165.75 |
Carle Eureka Hospital |
1332090114 |
CANCER ASSOCIATED BREAST AG |
0300 |
68 |
68 |
20.399999999999999 |
61.88 |
47.599999999999994 |
20.399999999999999 |
61.88 |
48.96 |
57.8 |
Carle Eureka Hospital |
1332090127 |
CELL COUNT AND DIFFERENTIAL |
0300 |
14 |
14 |
4.2 |
12.74 |
9.7999999999999989 |
4.2 |
12.74 |
10.08 |
11.9 |
Carle Eureka Hospital |
1332090132 |
CHLORIDE URINE RANDOM |
82436 |
0300 |
125 |
125 |
37.5 |
113.75 |
87.5 |
37.5 |
113.75 |
90 |
106.25 |
Carle Eureka Hospital |
1332090152 |
COMPLEMENT C3 |
86160 |
0300 |
115 |
115 |
34.5 |
104.65 |
80.5 |
34.5 |
104.65 |
82.8 |
97.75 |
Carle Eureka Hospital |
1332090182 |
CRYSTAL EXAM |
0300 |
22 |
22 |
6.6 |
20.02 |
15.399999999999999 |
6.6 |
20.02 |
15.84 |
18.7 |
Carle Eureka Hospital |
1332090194 |
CSF IGG ALBUMIN INDEX |
82784 |
0300 |
73 |
73 |
21.9 |
66.430000000000007 |
51.099999999999994 |
21.9 |
66.430000000000007 |
52.559999999999995 |
62.05 |
Carle Eureka Hospital |
1332090222 |
CULTURE GC |
87081 |
0300 |
96 |
96 |
28.799999999999997 |
87.36 |
67.199999999999989 |
28.799999999999997 |
87.36 |
69.12 |
81.599999999999994 |
Carle Eureka Hospital |
1332090233 |
CULTURE TB AND ACID FAST SMEAR |
0300 |
37 |
37 |
11.1 |
33.67 |
25.9 |
11.1 |
33.67 |
26.64 |
31.45 |
Carle Eureka Hospital |
1332090244 |
CYTOLOGY FLUID |
0300 |
21 |
21 |
6.3 |
19.11 |
14.7 |
6.3 |
19.11 |
15.12 |
17.849999999999998 |
Carle Eureka Hospital |
1332090255 |
DIFFERENTIAL |
0300 |
10 |
10 |
3 |
9.1 |
7 |
3 |
9.1 |
7.1999999999999993 |
8.5 |
Carle Eureka Hospital |
1332090263 |
DRUG SCREEN - DRUGS OF ABUSE |
0300 |
59 |
59 |
17.7 |
53.690000000000005 |
41.3 |
17.7 |
53.690000000000005 |
42.48 |
50.15 |
Carle Eureka Hospital |
1332090272 |
ENVIRONMENTAL CULTURE |
87070 |
0300 |
136 |
136 |
40.799999999999997 |
123.76 |
95.199999999999989 |
40.799999999999997 |
123.76 |
97.92 |
115.6 |
Carle Eureka Hospital |
1332090273 |
EOSINOPHIL - TOTAL COUNT |
0300 |
14 |
14 |
4.2 |
12.74 |
9.7999999999999989 |
4.2 |
12.74 |
10.08 |
11.9 |
Carle Eureka Hospital |
1332090308 |
FREE T4 |
0300 |
42 |
42 |
12.6 |
38.22 |
29.4 |
12.6 |
38.22 |
30.24 |
35.699999999999996 |
Carle Eureka Hospital |
1332090314 |
FUNGUS ANTIBODY PANEL |
0300 |
200 |
200 |
60 |
182 |
140 |
60 |
182 |
144 |
170 |
Carle Eureka Hospital |
1332090321 |
GENTAMICIN-PEAK LEVEL |
0300 |
36 |
36 |
10.799999999999999 |
32.76 |
25.2 |
10.799999999999999 |
32.76 |
25.919999999999998 |
30.599999999999998 |
Carle Eureka Hospital |
1332090334 |
GLUCOSE TOLERANCE 5HR |
82952 |
0300 |
71 |
71 |
21.3 |
64.61 |
49.699999999999996 |
21.3 |
64.61 |
51.12 |
60.35 |
Carle Eureka Hospital |
1332090335 |
GLUCOSE UR |
0300 |
7 |
7 |
2.1 |
6.37 |
4.8999999999999995 |
2.1 |
6.37 |
5.04 |
5.95 |
Carle Eureka Hospital |
1332090351 |
HEMATOLOGY CONSULTATION |
0300 |
28 |
28 |
8.4 |
25.48 |
19.599999999999998 |
8.4 |
25.48 |
20.16 |
23.8 |
Carle Eureka Hospital |
1332090358 |
HEP SCREEN-HA HBSAG HBCAB |
0300 |
160 |
160 |
48 |
145.6 |
112 |
48 |
145.6 |
115.19999999999999 |
136 |
Carle Eureka Hospital |
1332090384 |
IMMUNOELECTROPHORESIS SERUM |
86320 |
0300 |
230 |
230 |
69 |
209.3 |
161 |
69 |
209.3 |
165.6 |
195.5 |
Carle Eureka Hospital |
1332090390 |
IMMUNOGLOBULINS IG-A/G/M |
0300 |
62 |
62 |
18.599999999999998 |
56.42 |
43.4 |
18.599999999999998 |
56.42 |
44.64 |
52.699999999999996 |
Carle Eureka Hospital |
1332090398 |
KETONES |
0300 |
7 |
7 |
2.1 |
6.37 |
4.8999999999999995 |
2.1 |
6.37 |
5.04 |
5.95 |
Carle Eureka Hospital |
1332090406 |
LACTOSE TOLERANCE |
0300 |
44 |
44 |
13.2 |
40.04 |
30.799999999999997 |
13.2 |
40.04 |
31.68 |
37.4 |
Carle Eureka Hospital |
1332090458 |
NAVAL RESERVE SICKLE CELL |
0300 |
17 |
17 |
5.0999999999999996 |
15.47 |
11.899999999999999 |
5.0999999999999996 |
15.47 |
12.24 |
14.45 |
Carle Eureka Hospital |
1332090465 |
OCCULT BLOOD QUAL OTHER |
0300 |
7 |
7 |
2.1 |
6.37 |
4.8999999999999995 |
2.1 |
6.37 |
5.04 |
5.95 |
Carle Eureka Hospital |
1332090482 |
PH |
0300 |
7 |
7 |
2.1 |
6.37 |
4.8999999999999995 |
2.1 |
6.37 |
5.04 |
5.95 |
Carle Eureka Hospital |
1332090485 |
PHENOLPHTHALEIN IN FECES |
0300 |
17 |
17 |
5.0999999999999996 |
15.47 |
11.899999999999999 |
5.0999999999999996 |
15.47 |
12.24 |
14.45 |
Carle Eureka Hospital |
1332090489 |
PHLEBOTOMY VENIPUNCTURE FEE |
0300 |
7 |
7 |
2.1 |
6.37 |
4.8999999999999995 |
2.1 |
6.37 |
5.04 |
5.95 |
Carle Eureka Hospital |
1332090499 |
PLATELET COUNT |
0300 |
10 |
10 |
3 |
9.1 |
7 |
3 |
9.1 |
7.1999999999999993 |
8.5 |
Carle Eureka Hospital |
1332090547 |
RED CELL ANTIGEN TYPING |
0300 |
14 |
14 |
4.2 |
12.74 |
9.7999999999999989 |
4.2 |
12.74 |
10.08 |
11.9 |
Carle Eureka Hospital |
1332090569 |
RUBELLA QUANTITATIVE TITER |
0300 |
17 |
17 |
5.0999999999999996 |
15.47 |
11.899999999999999 |
5.0999999999999996 |
15.47 |
12.24 |
14.45 |
Carle Eureka Hospital |
1332090581 |
SODIUM/POTASSIUM RANDOM URINE |
0300 |
15 |
15 |
4.5 |
13.65 |
10.5 |
4.5 |
13.65 |
10.799999999999999 |
12.75 |
Carle Eureka Hospital |
1332090588 |
SPECIFIC GRAVITY |
0300 |
7 |
7 |
2.1 |
6.37 |
4.8999999999999995 |
2.1 |
6.37 |
5.04 |
5.95 |
Carle Eureka Hospital |
1332090611 |
TESTOSTERONE FREE |
84402 |
0300 |
160 |
160 |
48 |
145.6 |
112 |
48 |
145.6 |
115.19999999999999 |
136 |
Carle Eureka Hospital |
1332090643 |
TYPE & RH ABO & RH GROUP |
0300 |
15 |
15 |
4.5 |
13.65 |
10.5 |
4.5 |
13.65 |
10.799999999999999 |
12.75 |
Carle Eureka Hospital |
1332090657 |
URINE BACTERIA SCREEN |
0300 |
10 |
10 |
3 |
9.1 |
7 |
3 |
9.1 |
7.1999999999999993 |
8.5 |
Carle Eureka Hospital |
1332090676 |
VDRL CSF |
0300 |
13 |
13 |
3.9 |
11.83 |
9.1 |
3.9 |
11.83 |
9.36 |
11.049999999999999 |
Carle Eureka Hospital |
1332090680 |
VETERNARY PROFILE |
0300 |
15 |
15 |
4.5 |
13.65 |
10.5 |
4.5 |
13.65 |
10.799999999999999 |
12.75 |
Carle Eureka Hospital |
1332090696 |
*CULTURE & SENS VAGINAL/URETH |
0300 |
25 |
25 |
7.5 |
22.75 |
17.5 |
7.5 |
22.75 |
18 |
21.25 |
Carle Eureka Hospital |
1332090702 |
COMPLETE BLOOD COUNT CAT |
0305 |
8 |
8 |
2.4 |
7.28 |
5.6 |
2.4 |
7.28 |
5.76 |
6.8 |
Carle Eureka Hospital |
1332090703 |
COMPLETE BLOOD COUNT DOG |
0305 |
8 |
8 |
2.4 |
7.28 |
5.6 |
2.4 |
7.28 |
5.76 |
6.8 |
Carle Eureka Hospital |
1332090704 |
COMPLETE BLOOD COUNT VET OTHER |
0305 |
8 |
8 |
2.4 |
7.28 |
5.6 |
2.4 |
7.28 |
5.76 |
6.8 |
Carle Eureka Hospital |
1331894838 |
ACL CENTROMERE ANTIBODY |
86235 |
0302 |
62 |
62 |
18.599999999999998 |
56.42 |
43.4 |
18.599999999999998 |
56.42 |
44.64 |
52.699999999999996 |
Carle Eureka Hospital |
1333160656 |
CT BIOPSY ADRENAL GLAND PERC |
60699 |
0361 |
5935 |
5935 |
1780.5 |
5400.85 |
4154.5 |
1780.5 |
5400.85 |
4273.2 |
5044.75 |
Carle Eureka Hospital |
1333170038 |
CT ABDOMEN W CONTRAST |
74160 |
0352 |
2385 |
2385 |
715.5 |
2170.35 |
1669.5 |
715.5 |
2170.35 |
1717.2 |
2027.25 |
Carle Eureka Hospital |
1333170039 |
CT ABDOMEN WO CONSTRAST |
74150 |
0352 |
1400 |
1400 |
420 |
1274 |
979.99999999999989 |
420 |
1274 |
1008 |
1190 |
Carle Eureka Hospital |
1333170040 |
CT ABDOMEN WWO CONTRAST |
74170 |
0352 |
2485 |
2485 |
745.5 |
2261.35 |
1739.5 |
745.5 |
2261.35 |
1789.2 |
2112.25 |
Carle Eureka Hospital |
1333170044 |
CT ANGIOGRAPHY CHEST WWO |
71275 |
0352 |
2385 |
2385 |
715.5 |
2170.35 |
1669.5 |
715.5 |
2170.35 |
1717.2 |
2027.25 |
Carle Eureka Hospital |
1333170058 |
CT CERVICAL SPINE W CONTRAS |
72126 |
0352 |
3840 |
3840 |
1152 |
3494.4 |
2688 |
1152 |
3494.4 |
2764.7999999999997 |
3264 |
Carle Eureka Hospital |
1333170059 |
CT CERVICAL SPINE WO CONTRAST |
72125 |
0352 |
1640 |
1640 |
492 |
1492.4 |
1148 |
492 |
1492.4 |
1180.8 |
1394 |
Carle Eureka Hospital |
1333170060 |
CT CERVICAL SPINE WWO CONTRAS |
72127 |
0352 |
2685 |
2685 |
805.5 |
2443.35 |
1879.4999999999998 |
805.5 |
2443.35 |
1933.1999999999998 |
2282.25 |
Carle Eureka Hospital |
1333170074 |
CT HEAD W CONTRAST |
70460 |
0351 |
2185 |
2185 |
655.5 |
1988.3500000000001 |
1529.5 |
655.5 |
1988.3500000000001 |
1573.2 |
1857.25 |
Carle Eureka Hospital |
1333170075 |
CT HEAD WO CONTRAST |
70450 |
0351 |
1280 |
1280 |
384 |
1164.8 |
896 |
384 |
1164.8 |
921.59999999999991 |
1088 |
Carle Eureka Hospital |
1333170076 |
CT HEAD WWO CONTRAST |
70470 |
0351 |
2385 |
2385 |
715.5 |
2170.35 |
1669.5 |
715.5 |
2170.35 |
1717.2 |
2027.25 |
Carle Eureka Hospital |
1333170080 |
CT LOWER EXTREMITY W CONTRAST |
73701 |
0352 |
2385 |
2385 |
715.5 |
2170.35 |
1669.5 |
715.5 |
2170.35 |
1717.2 |
2027.25 |
Carle Eureka Hospital |
1333170081 |
CT LOWER EXTREMITY WO CONTRAST |
73700 |
0352 |
1285 |
1285 |
385.5 |
1169.3500000000001 |
899.49999999999989 |
385.5 |
1169.3500000000001 |
925.19999999999993 |
1092.25 |
Carle Eureka Hospital |
1333170082 |
CT LOWER EXTREMITY WWO CONTR |
73702 |
0352 |
2385 |
2385 |
715.5 |
2170.35 |
1669.5 |
715.5 |
2170.35 |
1717.2 |
2027.25 |
Carle Eureka Hospital |
1333170083 |
CT LUMBAR SPINE W CONTRAST |
72132 |
0352 |
2715 |
2715 |
814.5 |
2470.65 |
1900.4999999999998 |
814.5 |
2470.65 |
1954.8 |
2307.75 |
Carle Eureka Hospital |
1333170084 |
CT LUMBAR SPINE WO CONTRAST |
72131 |
0352 |
1670 |
1670 |
501 |
1519.7 |
1169 |
501 |
1519.7 |
1202.3999999999999 |
1419.5 |
Carle Eureka Hospital |
1333170085 |
CT LUMBAR SPINE WWO CONTRAST |
72133 |
0352 |
2915 |
2915 |
874.5 |
2652.65 |
2040.4999999999998 |
874.5 |
2652.65 |
2098.7999999999997 |
2477.75 |
Carle Eureka Hospital |
1333170087 |
CT MAXILLOFACIAL W CONTRAST |
70487 |
0351 |
2915 |
2915 |
874.5 |
2652.65 |
2040.4999999999998 |
874.5 |
2652.65 |
2098.7999999999997 |
2477.75 |
Carle Eureka Hospital |
1333170088 |
CT MAXILLOFACIAL WO CONTRAST |
70486 |
0351 |
1225 |
1225 |
367.5 |
1114.75 |
857.5 |
367.5 |
1114.75 |
882 |
1041.25 |
Carle Eureka Hospital |
1333170089 |
CT MAXILLOFACIAL WWO CONTR |
70488 |
0351 |
2255 |
2255 |
676.5 |
2052.0500000000002 |
1578.5 |
676.5 |
2052.0500000000002 |
1623.6 |
1916.75 |
Carle Eureka Hospital |
1333170093 |
CT NECK SOFT TISSUE W CONTRAST |
70491 |
0351 |
2385 |
2385 |
715.5 |
2170.35 |
1669.5 |
715.5 |
2170.35 |
1717.2 |
2027.25 |
Carle Eureka Hospital |
1333170094 |
CT NECK SOFT TISSUE WO CONTRAS |
70490 |
0351 |
1280 |
1280 |
384 |
1164.8 |
896 |
384 |
1164.8 |
921.59999999999991 |
1088 |
Carle Eureka Hospital |
1333170095 |
CT NECK SOFT TISSUE WWO CONTRA |
70492 |
0351 |
2915 |
2915 |
874.5 |
2652.65 |
2040.4999999999998 |
874.5 |
2652.65 |
2098.7999999999997 |
2477.75 |
Carle Eureka Hospital |
1333170096 |
CT ORBIT/INNER EAR W CONTRAST |
70481 |
0351 |
2385 |
2385 |
715.5 |
2170.35 |
1669.5 |
715.5 |
2170.35 |
1717.2 |
2027.25 |
Carle Eureka Hospital |
1333170097 |
CT ORBIT/INNER EAR WO CONTRAS |
70480 |
0351 |
1325 |
1325 |
397.5 |
1205.75 |
927.49999999999989 |
397.5 |
1205.75 |
954 |
1126.25 |
Carle Eureka Hospital |
1333170098 |
CT ORBIT/INNER EAR WWO CONTR |
70482 |
0351 |
2585 |
2585 |
775.5 |
2352.35 |
1809.4999999999998 |
775.5 |
2352.35 |
1861.1999999999998 |
2197.25 |
Carle Eureka Hospital |
1333170099 |
CT PELVIS W CONTRAST |
72193 |
0352 |
2385 |
2385 |
715.5 |
2170.35 |
1669.5 |
715.5 |
2170.35 |
1717.2 |
2027.25 |
Carle Eureka Hospital |
1333170100 |
CT PELVIS WWO CONTRAST |
72194 |
0352 |
2485 |
2485 |
745.5 |
2261.35 |
1739.5 |
745.5 |
2261.35 |
1789.2 |
2112.25 |
Carle Eureka Hospital |
1333170101 |
CT PELVIS WO CONTRAST |
72192 |
0352 |
1375 |
1375 |
412.5 |
1251.25 |
962.49999999999989 |
412.5 |
1251.25 |
990 |
1168.75 |
Carle Eureka Hospital |
1333170102 |
CT THORACIC SPINE W CONTRAST |
72129 |
0352 |
2915 |
2915 |
874.5 |
2652.65 |
2040.4999999999998 |
874.5 |
2652.65 |
2098.7999999999997 |
2477.75 |
Carle Eureka Hospital |
1333170103 |
CT THORACIC SPINE WO CONTRAST |
72128 |
0352 |
1505 |
1505 |
451.5 |
1369.55 |
1053.5 |
451.5 |
1369.55 |
1083.5999999999999 |
1279.25 |
Carle Eureka Hospital |
1333170104 |
CT THORACIC SPINE WWO CONTRA |
72130 |
0352 |
3015 |
3015 |
904.5 |
2743.65 |
2110.5 |
904.5 |
2743.65 |
2170.7999999999997 |
2562.75 |
Carle Eureka Hospital |
1333170107 |
CT THORAX-CHEST W CONTRAST |
71260 |
0352 |
2185 |
2185 |
655.5 |
1988.3500000000001 |
1529.5 |
655.5 |
1988.3500000000001 |
1573.2 |
1857.25 |
Carle Eureka Hospital |
1333170108 |
CT THORAX-CHEST WO CONTRAST |
71250 |
0352 |
1300 |
1300 |
390 |
1183 |
909.99999999999989 |
390 |
1183 |
936 |
1105 |
Carle Eureka Hospital |
1333170110 |
CT THORAX-CHEST WWO CONTRAS |
71270 |
0352 |
2385 |
2385 |
715.5 |
2170.35 |
1669.5 |
715.5 |
2170.35 |
1717.2 |
2027.25 |
Carle Eureka Hospital |
1333170111 |
CT UPR EXTREMITY W CONTRAST |
73201 |
0352 |
2385 |
2385 |
715.5 |
2170.35 |
1669.5 |
715.5 |
2170.35 |
1717.2 |
2027.25 |
Carle Eureka Hospital |
1333170112 |
CT UPR EXTREMITY WO CONTRAST |
73200 |
0352 |
1265 |
1265 |
379.5 |
1151.1500000000001 |
885.5 |
379.5 |
1151.1500000000001 |
910.8 |
1075.25 |
Carle Eureka Hospital |
1333170113 |
CT UPR EXTREMITY WWO CONT |
73202 |
0352 |
2585 |
2585 |
775.5 |
2352.35 |
1809.4999999999998 |
775.5 |
2352.35 |
1861.1999999999998 |
2197.25 |
Carle Eureka Hospital |
1333170658 |
CT CHEST W/WO HIGH REZ |
71270 |
0352 |
3015 |
3015 |
904.5 |
2743.65 |
2110.5 |
904.5 |
2743.65 |
2170.7999999999997 |
2562.75 |
Carle Eureka Hospital |
1333170668 |
CT ABD W/WO PELVIS W |
74178 |
0320 |
3840 |
3840 |
1152 |
3494.4 |
2688 |
1152 |
3494.4 |
2764.7999999999997 |
3264 |
Carle Eureka Hospital |
1333170868 |
CT 3D WITH WORKSTATION |
76377 |
0350 |
770 |
770 |
231 |
700.7 |
539 |
231 |
700.7 |
554.4 |
654.5 |
Carle Eureka Hospital |
1333170878 |
CT ABD PELVIS W/WO CONTR |
74178 |
0352 |
3840 |
3840 |
1152 |
3494.4 |
2688 |
1152 |
3494.4 |
2764.7999999999997 |
3264 |
Carle Eureka Hospital |
1333170879 |
CT ABD PELVIS WO CONTRA |
74176 |
0352 |
2820 |
2820 |
846 |
2566.2000000000003 |
1973.9999999999998 |
846 |
2566.2000000000003 |
2030.3999999999999 |
2397 |
Carle Eureka Hospital |
1333170880 |
CT ABDO PELVIS W CONTRA |
74177 |
0352 |
3035 |
3035 |
910.5 |
2761.85 |
2124.5 |
910.5 |
2761.85 |
2185.1999999999998 |
2579.75 |
Carle Eureka Hospital |
1333170923 |
CT PARACENTESIS W IMAGING |
49083 |
0361 |
2310 |
2310 |
693 |
2102.1 |
1617 |
693 |
2102.1 |
1663.2 |
1963.5 |
Carle Eureka Hospital |
1333170950 |
CT BONE LENGTH SCANOGRAM |
77073 |
0352 |
590 |
590 |
177 |
536.9 |
413 |
177 |
536.9 |
424.8 |
501.5 |
Carle Eureka Hospital |
1333171105 |
CONTRAST LOCM 300-399 PER ML |
Q9967 |
0636 |
3.58 |
3.58 |
1.0740000000000001 |
3.2578 |
2.5059999999999998 |
1.0740000000000001 |
3.2578 |
2.5775999999999999 |
3.0430000000000001 |
Carle Eureka Hospital |
1333171114 |
CT LUNG SCREENING |
71271 |
0352 |
660 |
660 |
198 |
600.6 |
461.99999999999994 |
198 |
600.6 |
475.2 |
561 |
Carle Eureka Hospital |
1333171261 |
LDCT LUNG FOLLOW UP SCAN |
71250 |
0352 |
999 |
999 |
299.7 |
909.09 |
699.3 |
299.7 |
909.09 |
719.28 |
849.15 |
Carle Eureka Hospital |
1333770869 |
MRI 3D WITH WORKSTATION |
76377 |
0610 |
770 |
770 |
231 |
700.7 |
539 |
231 |
700.7 |
554.4 |
654.5 |
Carle Eureka Hospital |
1333770937 |
MRI BRACHIAL PLEXUS WWO CONTRA |
71552 |
0610 |
3455 |
3455 |
1036.5 |
3144.05 |
2418.5 |
1036.5 |
3144.05 |
2487.6 |
2936.75 |
Carle Eureka Hospital |
1333771265 |
MRI BRACHIAL PLEXUS WO CON |
71550 |
0610 |
2985 |
2985 |
895.5 |
2716.35 |
2089.5 |
895.5 |
2716.35 |
2149.1999999999998 |
2537.25 |
Carle Eureka Hospital |
1333771266 |
MRI BRACHIAL PLEXUS W CON |
71551 |
0610 |
4265 |
4265 |
1279.5 |
3881.15 |
2985.5 |
1279.5 |
3881.15 |
3070.7999999999997 |
3625.25 |
Carle Eureka Hospital |
1333777258 |
MRV HEAD WWO CONTRAST |
70546 |
0615 |
4690 |
4690 |
1407 |
4267.9000000000005 |
3283 |
1407 |
4267.9000000000005 |
3376.7999999999997 |
3986.5 |
Carle Eureka Hospital |
1334070037 |
CONTRAST GADOLINIUM PER ML |
A9577 |
0636 |
10 |
10 |
3 |
9.1 |
7 |
3 |
9.1 |
7.1999999999999993 |
8.5 |
Carle Eureka Hospital |
1334070114 |
MRA ABDOMEN W CONTRAST |
74185 |
0618 |
3830 |
3830 |
1149 |
3485.3 |
2681 |
1149 |
3485.3 |
2757.6 |
3255.5 |
Carle Eureka Hospital |
1334070116 |
MRA ABDOMEN WWO CONTRAST |
74185 |
0618 |
3830 |
3830 |
1149 |
3485.3 |
2681 |
1149 |
3485.3 |
2757.6 |
3255.5 |
Carle Eureka Hospital |
1334070117 |
MRA CHEST W CONTRAST |
C8909 |
0618 |
3580 |
3580 |
1074 |
3257.8 |
2506 |
1074 |
3257.8 |
2577.6 |
3043 |
Carle Eureka Hospital |
1334070118 |
MRA CHEST WO CONTRAST |
C8910 |
0618 |
3580 |
3580 |
1074 |
3257.8 |
2506 |
1074 |
3257.8 |
2577.6 |
3043 |
Carle Eureka Hospital |
1334070119 |
MRA CHEST WWO CONTRAST |
C8911 |
0618 |
3580 |
3580 |
1074 |
3257.8 |
2506 |
1074 |
3257.8 |
2577.6 |
3043 |
Carle Eureka Hospital |
1334070120 |
MRA HEAD W CONTRAST |
70545 |
0615 |
3380 |
3380 |
1014 |
3075.8 |
2366 |
1014 |
3075.8 |
2433.6 |
2873 |
Carle Eureka Hospital |
1334070121 |
MRA HEAD WO CONTRAST |
70544 |
0615 |
2485 |
2485 |
745.5 |
2261.35 |
1739.5 |
745.5 |
2261.35 |
1789.2 |
2112.25 |
Carle Eureka Hospital |
1334070122 |
MRA HEAD WWO CONTRAST |
70546 |
0615 |
4690 |
4690 |
1407 |
4267.9000000000005 |
3283 |
1407 |
4267.9000000000005 |
3376.7999999999997 |
3986.5 |
Carle Eureka Hospital |
1334070123 |
MRA LOWER EXT W CONTRAST |
73725 |
0616 |
4235 |
4235 |
1270.5 |
3853.85 |
2964.5 |
1270.5 |
3853.85 |
3049.2 |
3599.75 |
Carle Eureka Hospital |
1334070124 |
MRA LOWER EXT WO CONTRAST |
73725 |
0616 |
4235 |
4235 |
1270.5 |
3853.85 |
2964.5 |
1270.5 |
3853.85 |
3049.2 |
3599.75 |
Carle Eureka Hospital |
1334070125 |
MRA LOWER EXT WWO CONTRAST |
73725 |
0616 |
4235 |
4235 |
1270.5 |
3853.85 |
2964.5 |
1270.5 |
3853.85 |
3049.2 |
3599.75 |
Carle Eureka Hospital |
1334070126 |
MRA NECK W CONTRAST |
70548 |
0615 |
3150 |
3150 |
945 |
2866.5 |
2205 |
945 |
2866.5 |
2268 |
2677.5 |
Carle Eureka Hospital |
1334070127 |
MRA NECK WO CONTRAST |
70547 |
0615 |
2035 |
2035 |
610.5 |
1851.8500000000001 |
1424.5 |
610.5 |
1851.8500000000001 |
1465.2 |
1729.75 |
Carle Eureka Hospital |
1334070128 |
MRA NECK WWO CONTRAST |
70549 |
0615 |
4690 |
4690 |
1407 |
4267.9000000000005 |
3283 |
1407 |
4267.9000000000005 |
3376.7999999999997 |
3986.5 |
Carle Eureka Hospital |
1334070129 |
MRA PELVIS WWO CONTRAST |
72198 |
0610 |
4235 |
4235 |
1270.5 |
3853.85 |
2964.5 |
1270.5 |
3853.85 |
3049.2 |
3599.75 |
Carle Eureka Hospital |
1334070130 |
MRA SPINAL CANAL WWO CONTRAST |
72159 |
0612 |
4395 |
4395 |
1318.5 |
3999.4500000000003 |
3076.5 |
1318.5 |
3999.4500000000003 |
3164.4 |
3735.75 |
Carle Eureka Hospital |
1334070131 |
MRA UPPER EXT WWO CONTRAST |
73225 |
0610 |
4315 |
4315 |
1294.5 |
3926.65 |
3020.5 |
1294.5 |
3926.65 |
3106.7999999999997 |
3667.75 |
Carle Eureka Hospital |
1334070132 |
MRI ABDOMEN W CONTRAST |
74182 |
0610 |
4265 |
4265 |
1279.5 |
3881.15 |
2985.5 |
1279.5 |
3881.15 |
3070.7999999999997 |
3625.25 |
Carle Eureka Hospital |
1334070133 |
MRI ABDOMEN WO CONTRAST |
74181 |
0610 |
2035 |
2035 |
610.5 |
1851.8500000000001 |
1424.5 |
610.5 |
1851.8500000000001 |
1465.2 |
1729.75 |
Carle Eureka Hospital |
1334070134 |
MRI ABDOMEN WWO CONTRAST |
74183 |
0610 |
3840 |
3840 |
1152 |
3494.4 |
2688 |
1152 |
3494.4 |
2764.7999999999997 |
3264 |
Carle Eureka Hospital |
1334070135 |
MRI BONE MARROW BLOOD SUPPLY |
77084 |
0610 |
4495 |
4495 |
1348.5 |
4090.4500000000003 |
3146.5 |
1348.5 |
4090.4500000000003 |
3236.4 |
3820.75 |
Carle Eureka Hospital |
1334070136 |
MRI BRAIN W CONTRAST |
70552 |
0611 |
3840 |
3840 |
1152 |
3494.4 |
2688 |
1152 |
3494.4 |
2764.7999999999997 |
3264 |
Carle Eureka Hospital |
1334070137 |
MRI BRAIN WO CONTRAST |
70551 |
0611 |
2105 |
2105 |
631.5 |
1915.55 |
1473.5 |
631.5 |
1915.55 |
1515.6 |
1789.25 |
Carle Eureka Hospital |
1334070138 |
MRI BRAIN WWO CONTRAST |
70553 |
0611 |
3840 |
3840 |
1152 |
3494.4 |
2688 |
1152 |
3494.4 |
2764.7999999999997 |
3264 |
Carle Eureka Hospital |
1334070145 |
MRI CERVICAL SPINE W CONTRAST |
72142 |
0612 |
3840 |
3840 |
1152 |
3494.4 |
2688 |
1152 |
3494.4 |
2764.7999999999997 |
3264 |
Carle Eureka Hospital |
1334070146 |
MRI CERVICAL SPINE WO CONTRAS |
72141 |
0612 |
2485 |
2485 |
745.5 |
2261.35 |
1739.5 |
745.5 |
2261.35 |
1789.2 |
2112.25 |
Carle Eureka Hospital |
1334070147 |
MRI CERVICAL SPINE WWO CONTRAS |
72156 |
0612 |
4690 |
4690 |
1407 |
4267.9000000000005 |
3283 |
1407 |
4267.9000000000005 |
3376.7999999999997 |
3986.5 |
Carle Eureka Hospital |
1334070148 |
MRI CHEST W CONTRAST |
71551 |
0610 |
5455 |
5455 |
1636.5 |
4964.05 |
3818.4999999999995 |
1636.5 |
4964.05 |
3927.6 |
4636.75 |
Carle Eureka Hospital |
1334070149 |
MRI CHEST WO CONTRAST |
71550 |
0610 |
2740 |
2740 |
822 |
2493.4 |
1917.9999999999998 |
822 |
2493.4 |
1972.8 |
2329 |
Carle Eureka Hospital |
1334070150 |
MRI CHEST WWO CONTRAST |
71552 |
0610 |
4265 |
4265 |
1279.5 |
3881.15 |
2985.5 |
1279.5 |
3881.15 |
3070.7999999999997 |
3625.25 |
Carle Eureka Hospital |
1334070151 |
MRI JOINT LOWER EXT W CONTRAST |
73722 |
0610 |
3640 |
3640 |
1092 |
3312.4 |
2548 |
1092 |
3312.4 |
2620.7999999999997 |
3094 |
Carle Eureka Hospital |
1334070152 |
MRI JOINT LOWER EXT WO CONTRAS |
73721 |
0610 |
2035 |
2035 |
610.5 |
1851.8500000000001 |
1424.5 |
610.5 |
1851.8500000000001 |
1465.2 |
1729.75 |
Carle Eureka Hospital |
1334070153 |
MRI JOINT LOWER EXT WWO CONTRA |
73723 |
0610 |
3840 |
3840 |
1152 |
3494.4 |
2688 |
1152 |
3494.4 |
2764.7999999999997 |
3264 |
Carle Eureka Hospital |
1334070154 |
MRI JOINT UPPER EXT W CONTRAST |
73222 |
0610 |
3090 |
3090 |
927 |
2811.9 |
2163 |
927 |
2811.9 |
2224.7999999999997 |
2626.5 |
Carle Eureka Hospital |
1334070155 |
MRI JOINT UPPER EXT WO CONTRAS |
73221 |
0610 |
2661 |
2661 |
798.3 |
2421.5100000000002 |
1862.6999999999998 |
798.3 |
2421.5100000000002 |
1915.9199999999998 |
2261.85 |
Carle Eureka Hospital |
1334070156 |
MRI JOINT UPPER EXT WWO CONTRA |
73223 |
0610 |
4690 |
4690 |
1407 |
4267.9000000000005 |
3283 |
1407 |
4267.9000000000005 |
3376.7999999999997 |
3986.5 |
Carle Eureka Hospital |
1334070157 |
MRI LOWER EXT W CONTRAST |
73719 |
0610 |
3090 |
3090 |
927 |
2811.9 |
2163 |
927 |
2811.9 |
2224.7999999999997 |
2626.5 |
Carle Eureka Hospital |
1334070158 |
MRI LOWER EXT WO CONTRAST |
73718 |
0614 |
2035 |
2035 |
610.5 |
1851.8500000000001 |
1424.5 |
610.5 |
1851.8500000000001 |
1465.2 |
1729.75 |
Carle Eureka Hospital |
1334070159 |
MRI LOWER EXT WWO CONTRAST |
73720 |
0610 |
3840 |
3840 |
1152 |
3494.4 |
2688 |
1152 |
3494.4 |
2764.7999999999997 |
3264 |
Carle Eureka Hospital |
1334070160 |
MRI LUMBAR SPINE W CONTRAST |
72149 |
0612 |
3840 |
3840 |
1152 |
3494.4 |
2688 |
1152 |
3494.4 |
2764.7999999999997 |
3264 |
Carle Eureka Hospital |
1334070161 |
MRI LUMBAR SPINE WO CONTRAST |
72148 |
0612 |
2035 |
2035 |
610.5 |
1851.8500000000001 |
1424.5 |
610.5 |
1851.8500000000001 |
1465.2 |
1729.75 |
Carle Eureka Hospital |
1334070162 |
MRI LUMBAR SPINE WWO CONTRAST |
72158 |
0612 |
3840 |
3840 |
1152 |
3494.4 |
2688 |
1152 |
3494.4 |
2764.7999999999997 |
3264 |
Carle Eureka Hospital |
1334070163 |
MRI MYOCARDIUM WO CONTRAST |
75565 |
0610 |
2610 |
2610 |
783 |
2375.1 |
1826.9999999999998 |
783 |
2375.1 |
1879.1999999999998 |
2218.5 |
Carle Eureka Hospital |
1334070165 |
MRI ORBIT FACE NECK W CONTRAST |
70542 |
0610 |
4265 |
4265 |
1279.5 |
3881.15 |
2985.5 |
1279.5 |
3881.15 |
3070.7999999999997 |
3625.25 |
Carle Eureka Hospital |
1334070166 |
MRI ORBIT FACE NECK WO CONTRAS |
70540 |
0610 |
2805 |
2805 |
841.5 |
2552.5500000000002 |
1963.4999999999998 |
841.5 |
2552.5500000000002 |
2019.6 |
2384.25 |
Carle Eureka Hospital |
1334070167 |
MRI ORBIT FACE NECK WWO CONTRA |
70543 |
0610 |
3840 |
3840 |
1152 |
3494.4 |
2688 |
1152 |
3494.4 |
2764.7999999999997 |
3264 |
Carle Eureka Hospital |
1334070168 |
MRI PELVIS W CONTRAST |
72196 |
0610 |
4265 |
4265 |
1279.5 |
3881.15 |
2985.5 |
1279.5 |
3881.15 |
3070.7999999999997 |
3625.25 |
Carle Eureka Hospital |
1334070169 |
MRI PELVIS WO CONTRAST |
72195 |
0610 |
2080 |
2080 |
624 |
1892.8 |
1456 |
624 |
1892.8 |
1497.6 |
1768 |
Carle Eureka Hospital |
1334070170 |
MRI PELVIS WWO CONTRAST |
72197 |
0610 |
3840 |
3840 |
1152 |
3494.4 |
2688 |
1152 |
3494.4 |
2764.7999999999997 |
3264 |
Carle Eureka Hospital |
1334070171 |
MRI THORACIC SPINE W CONTRAST |
72147 |
0612 |
3840 |
3840 |
1152 |
3494.4 |
2688 |
1152 |
3494.4 |
2764.7999999999997 |
3264 |
Carle Eureka Hospital |
1334070172 |
MRI THORACIC SPINE WO CONTRAST |
72146 |
0612 |
2485 |
2485 |
745.5 |
2261.35 |
1739.5 |
745.5 |
2261.35 |
1789.2 |
2112.25 |
Carle Eureka Hospital |
1334070173 |
MRI THORACIC SPINE WWO CONTRAS |
72157 |
0612 |
4040 |
4040 |
1212 |
3676.4 |
2828 |
1212 |
3676.4 |
2908.7999999999997 |
3434 |
Carle Eureka Hospital |
1334070174 |
MRI TMJ WO CONTRAST |
70336 |
0610 |
2420 |
2420 |
726 |
2202.2000000000003 |
1694 |
726 |
2202.2000000000003 |
1742.3999999999999 |
2057 |
Carle Eureka Hospital |
1334070175 |
MRI UPPER EXT W CONTRAST |
73219 |
0610 |
4265 |
4265 |
1279.5 |
3881.15 |
2985.5 |
1279.5 |
3881.15 |
3070.7999999999997 |
3625.25 |
Carle Eureka Hospital |
1334070176 |
MRI UPPER EXT WO CONTRAST |
73218 |
0610 |
2035 |
2035 |
610.5 |
1851.8500000000001 |
1424.5 |
610.5 |
1851.8500000000001 |
1465.2 |
1729.75 |
Carle Eureka Hospital |
1334070177 |
MRI UPPER EXT WWO CONTRAST |
73220 |
0610 |
3455 |
3455 |
1036.5 |
3144.05 |
2418.5 |
1036.5 |
3144.05 |
2487.6 |
2936.75 |
Carle Eureka Hospital |
1333902280 |
BREAST CLIP MARKER IMPLANT |
A4648 |
0278 |
261 |
261 |
78.3 |
237.51000000000002 |
182.7 |
78.3 |
237.51000000000002 |
187.92 |
221.85 |
Carle Eureka Hospital |
1333902281 |
VACORA BIOPSY PROBE 14 G |
0272 |
578 |
578 |
173.4 |
525.98 |
404.59999999999997 |
173.4 |
525.98 |
416.15999999999997 |
491.3 |
Carle Eureka Hospital |
1333902282 |
TRAY THOA/PARACENTESIS PROC |
0272 |
142 |
142 |
42.6 |
129.22 |
99.399999999999991 |
42.6 |
129.22 |
102.24 |
120.7 |
Carle Eureka Hospital |
1333950942 |
DUPLEX AORTA/IVC/BYPASSGFTCOMP |
93978 |
0921 |
1090 |
1090 |
327 |
991.9 |
763 |
327 |
991.9 |
784.8 |
926.5 |
Carle Eureka Hospital |
1333950943 |
VASCULAR DUPLEX ABD ORGAN COMP |
93975 |
0921 |
1650 |
1650 |
495 |
1501.5 |
1155 |
495 |
1501.5 |
1188 |
1402.5 |
Carle Eureka Hospital |
1333950944 |
DUPLEX AORTA/IVC/BYPASSFGT LIM |
93979 |
0921 |
710 |
710 |
213 |
646.1 |
496.99999999999994 |
213 |
646.1 |
511.2 |
603.5 |
Carle Eureka Hospital |
1333950945 |
VASCULAR DUPLEX ABD ORGAN LIMI |
93976 |
0921 |
870 |
870 |
261 |
791.7 |
609 |
261 |
791.7 |
626.4 |
739.5 |
Carle Eureka Hospital |
1333960928 |
US THORACENTESIS ASP W IMAGING |
32555 |
0361 |
1499 |
1499 |
449.7 |
1364.0900000000001 |
1049.3 |
449.7 |
1364.0900000000001 |
1079.28 |
1274.1499999999999 |
Carle Eureka Hospital |
1333961044 |
US PLEURAL DRG INDWELL W IMAGE |
32557 |
0361 |
1845 |
1845 |
553.5 |
1678.95 |
1291.5 |
553.5 |
1678.95 |
1328.3999999999999 |
1568.25 |
Carle Eureka Hospital |
1333961165 |
CANALITH REPOSITIONING PROC |
95992 |
0516 |
120 |
120 |
36 |
109.2 |
84 |
36 |
109.2 |
86.399999999999991 |
102 |
Carle Eureka Hospital |
1333970308 |
US GUIDANCE AMNINOCENTESIS |
76946 |
0402 |
345 |
345 |
103.5 |
313.95 |
241.49999999999997 |
103.5 |
313.95 |
248.39999999999998 |
293.25 |
Carle Eureka Hospital |
1333970310 |
US NEEDLE BIOPSY LOCALIZATION |
76942 |
0402 |
590 |
590 |
177 |
536.9 |
413 |
177 |
536.9 |
424.8 |
501.5 |
Carle Eureka Hospital |
1333970311 |
US ABDOMEN COMPLETE |
76700 |
0402 |
870 |
870 |
261 |
791.7 |
609 |
261 |
791.7 |
626.4 |
739.5 |
Carle Eureka Hospital |
1333970312 |
US ABD LMT SINGLE ORG QUAD FU |
76705 |
0402 |
870 |
870 |
261 |
791.7 |
609 |
261 |
791.7 |
626.4 |
739.5 |
Carle Eureka Hospital |
1333970314 |
US ABI WO EXERCISE BIL |
93922 |
0921 |
445 |
445 |
133.5 |
404.95 |
311.5 |
133.5 |
404.95 |
320.39999999999998 |
378.25 |
Carle Eureka Hospital |
1333970315 |
US ABI WITH EXERCISE BIL |
93923 |
0921 |
980 |
980 |
294 |
891.80000000000007 |
686 |
294 |
891.80000000000007 |
705.6 |
833 |
Carle Eureka Hospital |
1333970316 |
US ARTERIES LOWER EXT DUPLEX B |
93925 |
0921 |
1375 |
1375 |
412.5 |
1251.25 |
962.49999999999989 |
412.5 |
1251.25 |
990 |
1168.75 |
Carle Eureka Hospital |
1333970317 |
US ARTERIES LOWER EXT DUPLEX U |
93926 |
0921 |
870 |
870 |
261 |
791.7 |
609 |
261 |
791.7 |
626.4 |
739.5 |
Carle Eureka Hospital |
1333970318 |
US ARTERIES UPPER EXT DUPLEX B |
93930 |
0921 |
1250 |
1250 |
375 |
1137.5 |
875 |
375 |
1137.5 |
900 |
1062.5 |
Carle Eureka Hospital |
1333970319 |
US ARTERIES UPPER EXT DUPLEX U |
93931 |
0921 |
710 |
710 |
213 |
646.1 |
496.99999999999994 |
213 |
646.1 |
511.2 |
603.5 |
Carle Eureka Hospital |
1333970320 |
US ASPIR BREAST CYST EA ADDL |
19001 |
0361 |
260 |
260 |
78 |
236.6 |
182 |
78 |
236.6 |
187.2 |
221 |
Carle Eureka Hospital |
1333970321 |
US ASPIR RENAL/PELVIS CYST |
50390 |
0361 |
1535 |
1535 |
460.5 |
1396.8500000000001 |
1074.5 |
460.5 |
1396.8500000000001 |
1105.2 |
1304.75 |
Carle Eureka Hospital |
1333970322 |
US ASPIRATION BREAST CYST |
19000 |
0361 |
720 |
720 |
216 |
655.20000000000005 |
503.99999999999994 |
216 |
655.20000000000005 |
518.4 |
612 |
Carle Eureka Hospital |
1333970324 |
US ASPIRATION CYST LOCALIZATIO |
76942 |
0402 |
590 |
590 |
177 |
536.9 |
413 |
177 |
536.9 |
424.8 |
501.5 |
Carle Eureka Hospital |
1333970327 |
US ASPIRATION THYROID CYST |
60300 |
0361 |
445 |
445 |
133.5 |
404.95 |
311.5 |
133.5 |
404.95 |
320.39999999999998 |
378.25 |
Carle Eureka Hospital |
1333970331 |
US CAROTID ARTERY UNI |
93882 |
0921 |
790 |
790 |
237 |
718.9 |
553 |
237 |
718.9 |
568.79999999999995 |
671.5 |
Carle Eureka Hospital |
1333970332 |
US CAROTID EXTRACRANIAL ART BI |
93880 |
0921 |
1445 |
1445 |
433.5 |
1314.95 |
1011.4999999999999 |
433.5 |
1314.95 |
1040.3999999999999 |
1228.25 |
Carle Eureka Hospital |
1333970333 |
US DOPPLER TRANSCRANIAL |
93886 |
0921 |
1145 |
1145 |
343.5 |
1041.95 |
801.5 |
343.5 |
1041.95 |
824.4 |
973.25 |
Carle Eureka Hospital |
1333970338 |
US GUIDANCE DRAINAGE ABSCESS |
76942 |
0402 |
590 |
590 |
177 |
536.9 |
413 |
177 |
536.9 |
424.8 |
501.5 |
Carle Eureka Hospital |
1333970339 |
US GUIDANCE NEEDLE BIOPSY |
76942 |
0402 |
590 |
590 |
177 |
536.9 |
413 |
177 |
536.9 |
424.8 |
501.5 |
Carle Eureka Hospital |
1333970340 |
US GUIDANCE PARACENTESIS |
76942 |
0402 |
590 |
590 |
177 |
536.9 |
413 |
177 |
536.9 |
424.8 |
501.5 |
Carle Eureka Hospital |
1333970342 |
US GUIDANCE THORACENTESIS |
76942 |
0402 |
590 |
590 |
177 |
536.9 |
413 |
177 |
536.9 |
424.8 |
501.5 |
Carle Eureka Hospital |
1333970344 |
US HEAD INFANT NEONATAL |
76506 |
0402 |
615 |
615 |
184.5 |
559.65 |
430.5 |
184.5 |
559.65 |
442.8 |
522.75 |
Carle Eureka Hospital |
1333970345 |
US INTRAOPERATIVE |
76998 |
0402 |
580 |
580 |
174 |
527.80000000000007 |
406 |
174 |
527.80000000000007 |
417.59999999999997 |
493 |
Carle Eureka Hospital |
1333970347 |
US NDL BIOPSY ABD/RETROP MASS |
49180 |
0361 |
2120 |
2120 |
636 |
1929.2 |
1484 |
636 |
1929.2 |
1526.3999999999999 |
1802 |
Carle Eureka Hospital |
1333970348 |
US NDL BIOPSY LIVER |
47000 |
0361 |
1330 |
1330 |
399 |
1210.3 |
930.99999999999989 |
399 |
1210.3 |
957.59999999999991 |
1130.5 |
Carle Eureka Hospital |
1333970349 |
US NDL BIOPSY RENAL |
50200 |
0361 |
1295 |
1295 |
388.5 |
1178.45 |
906.49999999999989 |
388.5 |
1178.45 |
932.4 |
1100.75 |
Carle Eureka Hospital |
1333970350 |
US NDL BIOPSY THYROID |
60100 |
0361 |
720 |
720 |
216 |
655.20000000000005 |
503.99999999999994 |
216 |
655.20000000000005 |
518.4 |
612 |
Carle Eureka Hospital |
1333970351 |
US BREAST IL BRST CANCER PROG |
76641 |
0402 |
105.74 |
105.74 |
31.721999999999998 |
96.223399999999998 |
74.017999999999986 |
31.721999999999998 |
96.223399999999998 |
76.132799999999989 |
89.878999999999991 |
Carle Eureka Hospital |
1333970353 |
US OB EA ADD GESTATION>14 WKS |
76810 |
0402 |
775 |
775 |
232.5 |
705.25 |
542.5 |
232.5 |
705.25 |
558 |
658.75 |
Carle Eureka Hospital |
1333970354 |
US OB BIOPHYSICAL PROFILE |
76819 |
0402 |
639 |
639 |
191.7 |
581.49 |
447.29999999999995 |
191.7 |
581.49 |
460.08 |
543.15 |
Carle Eureka Hospital |
1333970355 |
US OB COMP > 14 WEEKS |
76805 |
0402 |
870 |
870 |
261 |
791.7 |
609 |
261 |
791.7 |
626.4 |
739.5 |
Carle Eureka Hospital |
1333970356 |
US OB LIMITED |
76815 |
0402 |
600 |
600 |
180 |
546 |
420 |
180 |
546 |
432 |
510 |
Carle Eureka Hospital |
1333970359 |
US PELVIC |
76856 |
0402 |
870 |
870 |
261 |
791.7 |
609 |
261 |
791.7 |
626.4 |
739.5 |
Carle Eureka Hospital |
1333970361 |
US RETROPERITONEAL COMPLETE |
76770 |
0402 |
870 |
870 |
261 |
791.7 |
609 |
261 |
791.7 |
626.4 |
739.5 |
Carle Eureka Hospital |
1333970362 |
US RETROPERITONEAL LIMITED |
76775 |
0402 |
845 |
845 |
253.5 |
768.95 |
591.5 |
253.5 |
768.95 |
608.4 |
718.25 |
Carle Eureka Hospital |
1333970363 |
US SCROTUM/TESTICLES |
76870 |
0402 |
840 |
840 |
252 |
764.4 |
588 |
252 |
764.4 |
604.79999999999995 |
714 |
Carle Eureka Hospital |
1333970364 |
US SPINAL CANAL |
76800 |
0402 |
375 |
375 |
112.5 |
341.25 |
262.5 |
112.5 |
341.25 |
270 |
318.75 |
Carle Eureka Hospital |
1333970366 |
US THYROID/SOFT TISS NECK |
76536 |
0402 |
795 |
795 |
238.5 |
723.45 |
556.5 |
238.5 |
723.45 |
572.4 |
675.75 |
Carle Eureka Hospital |
1333970367 |
US TRANSVAGINAL |
76830 |
0402 |
870 |
870 |
261 |
791.7 |
609 |
261 |
791.7 |
626.4 |
739.5 |
Carle Eureka Hospital |
1333970369 |
US VENOUS DUPLEX EXTREM UNI |
93971 |
0921 |
870 |
870 |
261 |
791.7 |
609 |
261 |
791.7 |
626.4 |
739.5 |
Carle Eureka Hospital |
1333970628 |
US OB EA ADD GEST 1ST TRI < 14 |
76802 |
0402 |
440 |
440 |
132 |
400.40000000000003 |
308 |
132 |
400.40000000000003 |
316.8 |
374 |
Carle Eureka Hospital |
1333970629 |
US OB COMPL 1ST TRI < 14 WKS |
76801 |
0402 |
805 |
805 |
241.5 |
732.55000000000007 |
563.5 |
241.5 |
732.55000000000007 |
579.6 |
684.25 |
Carle Eureka Hospital |
1333970630 |
US OB TRANSVAGINAL |
76817 |
0402 |
870 |
870 |
261 |
791.7 |
609 |
261 |
791.7 |
626.4 |
739.5 |
Carle Eureka Hospital |
1333970632 |
US GUIDE VASCULAR ACCESS |
76937 |
0402 |
345 |
345 |
103.5 |
313.95 |
241.49999999999997 |
103.5 |
313.95 |
248.39999999999998 |
293.25 |
Carle Eureka Hospital |
1333970657 |
CHEST/MEDIASTINUM |
76604 |
0402 |
655 |
655 |
196.5 |
596.05000000000007 |
458.49999999999994 |
196.5 |
596.05000000000007 |
471.59999999999997 |
556.75 |
Carle Eureka Hospital |
1333970659 |
FINE NEEDLE ASP FACE/NECK |
42400 |
0361 |
1455 |
1455 |
436.5 |
1324.05 |
1018.4999999999999 |
436.5 |
1324.05 |
1047.5999999999999 |
1236.75 |
Carle Eureka Hospital |
1333970665 |
US SCREENING AAA |
76706 |
0402 |
845 |
845 |
253.5 |
768.95 |
591.5 |
253.5 |
768.95 |
608.4 |
718.25 |
Carle Eureka Hospital |
1333970857 |
VENOUS DUP UPPER EXT BILAT |
93970 |
0921 |
1740 |
1740 |
522 |
1583.4 |
1218 |
522 |
1583.4 |
1252.8 |
1479 |
Carle Eureka Hospital |
1333970858 |
VENOUS DUP LOWER EXT BILAT |
93970 |
0921 |
1740 |
1740 |
522 |
1583.4 |
1218 |
522 |
1583.4 |
1252.8 |
1479 |
Carle Eureka Hospital |
1333970859 |
VENOUS DUP LOW EXT UNI/LIMITED |
93971 |
0921 |
870 |
870 |
261 |
791.7 |
609 |
261 |
791.7 |
626.4 |
739.5 |
Carle Eureka Hospital |
1333970860 |
VENOUS DUP LOWER EXT UNILAT |
93971 |
0921 |
870 |
870 |
261 |
791.7 |
609 |
261 |
791.7 |
626.4 |
739.5 |
Carle Eureka Hospital |
1333970874 |
US NDL BIOPSY MUSCLE |
20206 |
0361 |
1980 |
1980 |
594 |
1801.8 |
1386 |
594 |
1801.8 |
1425.6 |
1683 |
Carle Eureka Hospital |
1333970902 |
US JOINT COMPLETE LOWER EXT LT |
76881LT |
0402 |
305 |
305 |
91.5 |
277.55 |
213.5 |
91.5 |
277.55 |
219.6 |
259.25 |
Carle Eureka Hospital |
1333970903 |
US JOINT COMPLETE LOWER EXT RT |
76881RT |
0402 |
305 |
305 |
91.5 |
277.55 |
213.5 |
91.5 |
277.55 |
219.6 |
259.25 |
Carle Eureka Hospital |
1333970904 |
US EXT LOWR NONVASCULAR CMP BI |
7688150 |
0402 |
305 |
305 |
91.5 |
277.55 |
213.5 |
91.5 |
277.55 |
219.6 |
259.25 |
Carle Eureka Hospital |
1333970905 |
US JOINT COMPLETE UPPER EXT LT |
76881LT |
0402 |
305 |
305 |
91.5 |
277.55 |
213.5 |
91.5 |
277.55 |
219.6 |
259.25 |
Carle Eureka Hospital |
1333970906 |
US JOINT COMPLETE UPPER EXT RT |
76881RT |
0402 |
305 |
305 |
91.5 |
277.55 |
213.5 |
91.5 |
277.55 |
219.6 |
259.25 |
Carle Eureka Hospital |
1333970907 |
US JOINT COMPLETE UPPER EXT BI |
7688150 |
0402 |
305 |
305 |
91.5 |
277.55 |
213.5 |
91.5 |
277.55 |
219.6 |
259.25 |
Carle Eureka Hospital |
1333970908 |
US JOINT LIMITED LOWER EXT LT |
76882LT |
0402 |
250 |
250 |
75 |
227.5 |
175 |
75 |
227.5 |
180 |
212.5 |
Carle Eureka Hospital |
1333970909 |
US JOINT LIMITED LOWER EXT LT |
76882RT |
0402 |
250 |
250 |
75 |
227.5 |
175 |
75 |
227.5 |
180 |
212.5 |
Carle Eureka Hospital |
1333970910 |
US JOINT LIMITED LOWER EXT BIL |
7688250 |
0402 |
250 |
250 |
75 |
227.5 |
175 |
75 |
227.5 |
180 |
212.5 |
Carle Eureka Hospital |
1333970911 |
US JOINT LIMITED UPPER EXT LT |
76882LT |
0402 |
250 |
250 |
75 |
227.5 |
175 |
75 |
227.5 |
180 |
212.5 |
Carle Eureka Hospital |
1333970912 |
US JOINT LIMITED UPPER EXT RT |
76882RT |
0402 |
250 |
250 |
75 |
227.5 |
175 |
75 |
227.5 |
180 |
212.5 |
Carle Eureka Hospital |
1333970913 |
US JOINT LIMITED UPPER EXT BIL |
7688250 |
0402 |
250 |
250 |
75 |
227.5 |
175 |
75 |
227.5 |
180 |
212.5 |
Carle Eureka Hospital |
1333970923 |
US PARACENTESIS W IMAGING |
49083 |
0361 |
2310 |
2310 |
693 |
2102.1 |
1617 |
693 |
2102.1 |
1663.2 |
1963.5 |
Carle Eureka Hospital |
1333970924 |
US INFANT HIPS W MANIPULATION |
76885 |
0402 |
460 |
460 |
138 |
418.6 |
322 |
138 |
418.6 |
331.2 |
391 |
Carle Eureka Hospital |
1333970925 |
US HIP(S) INFANT |
76886 |
0402 |
460 |
460 |
138 |
418.6 |
322 |
138 |
418.6 |
331.2 |
391 |
Carle Eureka Hospital |
1333971262 |
US SOFT TISSUE UPPER EXT BIL |
7688250 |
0402 |
250 |
250 |
75 |
227.5 |
175 |
75 |
227.5 |
180 |
212.5 |
Carle Eureka Hospital |
1333971263 |
US SOFT TISSUE UPPER EXT LT |
76882LT |
0402 |
250 |
250 |
75 |
227.5 |
175 |
75 |
227.5 |
180 |
212.5 |
Carle Eureka Hospital |
1333971264 |
US SOFT TISSUE UPPER EXT RT |
76882RT |
0402 |
250 |
250 |
75 |
227.5 |
175 |
75 |
227.5 |
180 |
212.5 |
Carle Eureka Hospital |
1333971306 |
US SOFT TISSUE LOWER EXT LT |
76882LT |
0402 |
215 |
215 |
64.5 |
195.65 |
150.5 |
64.5 |
195.65 |
154.79999999999998 |
182.75 |
Carle Eureka Hospital |
1333971307 |
US SOFT TISSUE LOWER EXT RT |
76882RT |
0402 |
215 |
215 |
64.5 |
195.65 |
150.5 |
64.5 |
195.65 |
154.79999999999998 |
182.75 |
Carle Eureka Hospital |
1333971308 |
US SOFT TISSUE LOWER EXT BIL |
7688250 |
0402 |
356 |
356 |
106.8 |
323.96000000000004 |
249.2 |
106.8 |
323.96000000000004 |
256.32 |
302.59999999999997 |
Carle Eureka Hospital |
1333977150 |
US BREAST DEV 1 LESN LT SI |
19285LT |
0361 |
1840 |
1840 |
552 |
1674.4 |
1288 |
552 |
1674.4 |
1324.8 |
1564 |
Carle Eureka Hospital |
1333977151 |
US BREAST DEV 1 LESN RT SI |
19285RT |
0361 |
1840 |
1840 |
552 |
1674.4 |
1288 |
552 |
1674.4 |
1324.8 |
1564 |
Carle Eureka Hospital |
1333977152 |
US BREAST DEV ADD LESN LT SI |
19286LT |
0361 |
1210 |
1210 |
363 |
1101.1000000000001 |
847 |
363 |
1101.1000000000001 |
871.19999999999993 |
1028.5 |
Carle Eureka Hospital |
1333977153 |
US BREAST DEV ADD LESN RT SI |
19286RT |
0361 |
1210 |
1210 |
363 |
1101.1000000000001 |
847 |
363 |
1101.1000000000001 |
871.19999999999993 |
1028.5 |
Carle Eureka Hospital |
1333977154 |
US BREAST BX W DV LT1 |
19083LT |
0361 |
4080 |
4080 |
1224 |
3712.8 |
2856 |
1224 |
3712.8 |
2937.6 |
3468 |
Carle Eureka Hospital |
1333977155 |
US BREAST BX W DEV RT1 |
19083RT |
0361 |
4080 |
4080 |
1224 |
3712.8 |
2856 |
1224 |
3712.8 |
2937.6 |
3468 |
Carle Eureka Hospital |
1333977156 |
US BREAST BX W DEV ADD LT |
19084LT |
0361 |
1925 |
1925 |
577.5 |
1751.75 |
1347.5 |
577.5 |
1751.75 |
1386 |
1636.25 |
Carle Eureka Hospital |
1333977157 |
US BREAST BX W DEV ADD RT |
19084RT |
0361 |
1925 |
1925 |
577.5 |
1751.75 |
1347.5 |
577.5 |
1751.75 |
1386 |
1636.25 |
Carle Eureka Hospital |
1333977160 |
US ATEMPT BRST BX STV PRE AN |
1908373 |
0361 |
4080 |
4080 |
1224 |
3712.8 |
2856 |
1224 |
3712.8 |
2937.6 |
3468 |
Carle Eureka Hospital |
1333977161 |
US ATEMPT BRST BX STV POST AN |
1908374 |
0361 |
4080 |
4080 |
1224 |
3712.8 |
2856 |
1224 |
3712.8 |
2937.6 |
3468 |
Carle Eureka Hospital |
1333977164 |
US HEAD/NECK SOFT TISSUES |
76536 |
0402 |
795 |
795 |
238.5 |
723.45 |
556.5 |
238.5 |
723.45 |
572.4 |
675.75 |
Carle Eureka Hospital |
1333977165 |
US BLADDER |
76857 |
0402 |
510 |
510 |
153 |
464.1 |
357 |
153 |
464.1 |
367.2 |
433.5 |
Carle Eureka Hospital |
1333977195 |
US BREAST UNILAT COMPLETE |
76641 |
0402 |
695 |
695 |
208.5 |
632.45000000000005 |
486.49999999999994 |
208.5 |
632.45000000000005 |
500.4 |
590.75 |
Carle Eureka Hospital |
1333977196 |
US BREAST BILAT COMPLETE |
7664150 |
0402 |
790 |
790 |
237 |
718.9 |
553 |
237 |
718.9 |
568.79999999999995 |
671.5 |
Carle Eureka Hospital |
1333977197 |
US BREAST UNILAT LIMITED |
76642 |
0402 |
460 |
460 |
138 |
418.6 |
322 |
138 |
418.6 |
331.2 |
391 |
Carle Eureka Hospital |
1333977198 |
US BREAST BILAT LIMITED |
7664250 |
0402 |
690 |
690 |
207 |
627.9 |
482.99999999999994 |
207 |
627.9 |
496.79999999999995 |
586.5 |
Carle Eureka Hospital |
1334050074 |
XRAY HAND TWO VIEWS LEFT |
73120LT |
0320 |
380 |
380 |
114 |
345.8 |
266 |
114 |
345.8 |
273.59999999999997 |
323 |
Carle Eureka Hospital |
1334050941 |
XRAY CHEST 2 VIEWS EMPLOYEE |
71046 |
0324 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
1334060078 |
SKULL LESS THAN 4 VIEWS |
70250 |
0320 |
420 |
420 |
126 |
382.2 |
294 |
126 |
382.2 |
302.39999999999998 |
357 |
Carle Eureka Hospital |
1334070003 |
WC CHEST TWO VIEWS |
71046 |
0324 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
1334070370 |
XRAY ABD ACUTE SERIES PA CHEST |
74022 |
0320 |
505 |
505 |
151.5 |
459.55 |
353.5 |
151.5 |
459.55 |
363.59999999999997 |
429.25 |
Carle Eureka Hospital |
1334070371 |
XRAY ABDOMEN SINGLE VIEW KUB |
74018 |
0320 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
1334070372 |
XRAY ABDOMEN W EREC OR DECB V2 |
74019 |
0320 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
1334070373 |
XRAY ACROMIOCLAVICULAR JTS BIL |
73050 |
0320 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
1334070374 |
XRAY ANKLE 3VIEW/COMPLETE LEFT |
73610LT |
0320 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
1334070375 |
XRAY ANKLE 3 VIEW/COMPLETE RT |
73610RT |
0320 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
1334070376 |
XRAY ANKLE TWO VIEWS LEFT |
73600LT |
0320 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
1334070377 |
XRAY ANKLE TWO VIEWS RIGHT |
73600RT |
0320 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
1334070391 |
XRAY BONE DENSITY STUDY |
77080 |
0320 |
620 |
620 |
186 |
564.20000000000005 |
434 |
186 |
564.20000000000005 |
446.4 |
527 |
Carle Eureka Hospital |
1334070394 |
XRAY BONE SURVEY METASTASES |
77074 |
0320 |
505 |
505 |
151.5 |
459.55 |
353.5 |
151.5 |
459.55 |
363.59999999999997 |
429.25 |
Carle Eureka Hospital |
1334070398 |
XRAY CERV SPINE 2 OR 3 VIEWS |
72040 |
0320 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
1334070399 |
XRAY CERVICAL SPINE 4-5 VIEWS |
72050 |
0320 |
615 |
615 |
184.5 |
559.65 |
430.5 |
184.5 |
559.65 |
442.8 |
522.75 |
Carle Eureka Hospital |
1334070401 |
XRAY CHEST W LAT DECUB 4V |
71048 |
0324 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
1334070402 |
XRAY CHEST SINGLE VIEW |
71045 |
0324 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
1334070403 |
XRAY CHEST TWO VIEWS |
71046 |
0324 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
1334070406 |
XRAY CHEST W FLUOROSCOPY |
76000 |
0324 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
1334070409 |
XRAY CHOLANGIOGRAM OPERATIVE |
74300 |
0320 |
500 |
500 |
150 |
455 |
350 |
150 |
455 |
360 |
425 |
Carle Eureka Hospital |
1334070414 |
XRAY CLAVICLE LEFT |
73000LT |
0320 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
1334070415 |
XRAY CLAVICLE RIGHT |
73000RT |
0320 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
1334070416 |
XRAY COLON BARIUM ENEMA |
74270 |
0320 |
640 |
640 |
192 |
582.4 |
448 |
192 |
582.4 |
460.79999999999995 |
544 |
Carle Eureka Hospital |
1334070417 |
XRAY COLON AIR CONTRAST |
74280 |
0320 |
690 |
690 |
207 |
627.9 |
482.99999999999994 |
207 |
627.9 |
496.79999999999995 |
586.5 |
Carle Eureka Hospital |
1334070422 |
XRAY CYSTOGRAPHY |
74430 |
0320 |
1130 |
1130 |
339 |
1028.3 |
791 |
339 |
1028.3 |
813.6 |
960.5 |
Carle Eureka Hospital |
1334070423 |
XRAY CYSTOGRAPHY VCUG |
74455 |
0320 |
1190 |
1190 |
357 |
1082.9000000000001 |
833 |
357 |
1082.9000000000001 |
856.8 |
1011.5 |
Carle Eureka Hospital |
1334070429 |
XRAY ELBOW 3VIEW/COMPLETE LEFT |
73080LT |
0320 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
1334070430 |
XRAY ELBOW 3 VIEW COMPLETE RT |
73080RT |
0320 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
1334070431 |
XRAY ELBOW TWO VIEWS LEFT |
73070LT |
0320 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
1334070432 |
XRAY ELBOW TWO VIEWS RIGHT |
73070RT |
0320 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
1334070433 |
XRAY ESOPHAGUS |
74220 |
0320 |
620 |
620 |
186 |
564.20000000000005 |
434 |
186 |
564.20000000000005 |
446.4 |
527 |
Carle Eureka Hospital |
1334070435 |
XRAY FACIAL BONES COMPLETE |
70150 |
0320 |
505 |
505 |
151.5 |
459.55 |
353.5 |
151.5 |
459.55 |
363.59999999999997 |
429.25 |
Carle Eureka Hospital |
1334070438 |
XRAY FINGER FIFTH LEFT |
73140F4 |
0320 |
385 |
385 |
115.5 |
350.35 |
269.5 |
115.5 |
350.35 |
277.2 |
327.25 |
Carle Eureka Hospital |
1334070439 |
XRAY FINGER FIFTH RIGHT |
73140F9 |
0320 |
450 |
450 |
135 |
409.5 |
315 |
135 |
409.5 |
324 |
382.5 |
Carle Eureka Hospital |
1334070440 |
XRAY FINGER FOURTH LEFT |
73140F3 |
0320 |
385 |
385 |
115.5 |
350.35 |
269.5 |
115.5 |
350.35 |
277.2 |
327.25 |
Carle Eureka Hospital |
1334070441 |
XRAY FINGER FOURTH RIGHT |
73140F8 |
0320 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
1334070442 |
XRAY FINGER SECOND LEFT |
73140F1 |
0320 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
1334070443 |
XRAY FINGER SECOND RIGHT |
73140F6 |
0320 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
1334070444 |
XRAY FINGER THIRD LEFT |
73140F2 |
0320 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
1334070445 |
XRAY FINGER THIRD RIGHT |
73140F7 |
0320 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
1334070447 |
XRAY FLUORO ESOPH GUIDANCE |
76000 |
0320 |
570 |
570 |
171 |
518.70000000000005 |
399 |
171 |
518.70000000000005 |
410.4 |
484.5 |
Carle Eureka Hospital |
1334070448 |
XRAY FLUORO LOCALIZ/ASPIRATION |
77002 |
0320 |
580 |
580 |
174 |
527.80000000000007 |
406 |
174 |
527.80000000000007 |
417.59999999999997 |
493 |
Carle Eureka Hospital |
1334070449 |
XRAY FLUORO SPINE GUIDANCE |
77003 |
0320 |
555 |
555 |
166.5 |
505.05 |
388.5 |
166.5 |
505.05 |
399.59999999999997 |
471.75 |
Carle Eureka Hospital |
1334070451 |
XRAY FLUOROSCOPY ONE HOUR |
76000 |
0320 |
570 |
570 |
171 |
518.70000000000005 |
399 |
171 |
518.70000000000005 |
410.4 |
484.5 |
Carle Eureka Hospital |
1334070453 |
XRAY FOOT 3 VIEW/COMPLETE LEFT |
73630LT |
0320 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
1334070454 |
XRAY FOOT 3 VIEW/COMPLETE RT |
73630RT |
0320 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
1334070455 |
XRAY FOOT TWO VIEWS LEFT |
73620LT |
0320 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
1334070456 |
XRAY FOOT TWO VIEWS RIGHT |
73620RT |
0320 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
1334070457 |
XRAY FOREARM LEFT |
73090LT |
0320 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
1334070458 |
XRAY FOREARM RIGHT |
73090RT |
0320 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
1334070459 |
XRAY GALLBLADDER |
74290 |
0320 |
425 |
425 |
127.5 |
386.75 |
297.5 |
127.5 |
386.75 |
306 |
361.25 |
Carle Eureka Hospital |
1334070462 |
XRAY HAND 3 VIEW/COMPLETE LEFT |
73130LT |
0320 |
385 |
385 |
115.5 |
350.35 |
269.5 |
115.5 |
350.35 |
277.2 |
327.25 |
Carle Eureka Hospital |
1334070463 |
XRAY HAND 3 VIEW/COMPLETE RT |
73130RT |
0320 |
385 |
385 |
115.5 |
350.35 |
269.5 |
115.5 |
350.35 |
277.2 |
327.25 |
Carle Eureka Hospital |
1334070464 |
XRAY HAND TWO VIEWS RIGHT |
73120RT |
0320 |
380 |
380 |
114 |
345.8 |
266 |
114 |
345.8 |
273.59999999999997 |
323 |
Carle Eureka Hospital |
1334070465 |
XRAY HEEL LEFT |
73650LT |
0320 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
1334070466 |
XRAY HEEL RIGHT |
73650RT |
0320 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
1334070472 |
XRAY HUMERUS LEFT |
73060LT |
0320 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
1334070473 |
XRAY HUMERUS RIGHT |
73060RT |
0320 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
1334070479 |
XRAY INJ PROC CYSTOGRAPHY |
51600 |
0361 |
645 |
645 |
193.5 |
586.95000000000005 |
451.49999999999994 |
193.5 |
586.95000000000005 |
464.4 |
548.25 |
Carle Eureka Hospital |
1334070493 |
XRAY INJ PROC VENOGRAPHY |
36005 |
0361 |
840 |
840 |
252 |
764.4 |
588 |
252 |
764.4 |
604.79999999999995 |
714 |
Carle Eureka Hospital |
1334070499 |
XRAY KNEE 1 OR 2 VIEWS LEFT |
73560LT |
0320 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
1334070500 |
XRAY KNEE 1 OR 2 VIEWS RIGHT |
73560RT |
0320 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
1334070501 |
XRAY KNEE W OBL PATELLA TUN LT |
73564LT |
0320 |
505 |
505 |
151.5 |
459.55 |
353.5 |
151.5 |
459.55 |
363.59999999999997 |
429.25 |
Carle Eureka Hospital |
1334070502 |
XRAY KNEE W OBL PATELLA TUN RT |
73564RT |
0320 |
505 |
505 |
151.5 |
459.55 |
353.5 |
151.5 |
459.55 |
363.59999999999997 |
429.25 |
Carle Eureka Hospital |
1334070503 |
XRAY KNEE W OBLIQUES LEFT |
73564LT |
0320 |
505 |
505 |
151.5 |
459.55 |
353.5 |
151.5 |
459.55 |
363.59999999999997 |
429.25 |
Carle Eureka Hospital |
1334070504 |
XRAY KNEE W OBLIQUES RIGHT |
73564RT |
0320 |
505 |
505 |
151.5 |
459.55 |
353.5 |
151.5 |
459.55 |
363.59999999999997 |
429.25 |
Carle Eureka Hospital |
1334070507 |
XR SPINE LUMBAR BENDING 2-3 V |
72120 |
0320 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
1334070508 |
XR SPINE LUMBAR W BEND MIN 6V |
72114 |
0320 |
505 |
505 |
151.5 |
459.55 |
353.5 |
151.5 |
459.55 |
363.59999999999997 |
429.25 |
Carle Eureka Hospital |
1334070509 |
XRAY LUMBAR SPINE 2 OR 3 VIEWS |
72100 |
0320 |
505 |
505 |
151.5 |
459.55 |
353.5 |
151.5 |
459.55 |
363.59999999999997 |
429.25 |
Carle Eureka Hospital |
1334070510 |
XRAY LUMBAR SPINE W OBLIQUES |
72110 |
0320 |
505 |
505 |
151.5 |
459.55 |
353.5 |
151.5 |
459.55 |
363.59999999999997 |
429.25 |
Carle Eureka Hospital |
1334070511 |
XRAY LWR EXTREMITY INFANT LEFT |
73592LT |
0320 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
1334070512 |
XRAY LWR EXTREMITY INFANT RIGH |
73592RT |
0320 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
1334070516 |
MA MAMMOGRAM SCREEN BIL IBCCP |
77067 |
0403 |
148.27000000000001 |
148.27000000000001 |
44.481000000000002 |
134.92570000000001 |
103.789 |
44.481000000000002 |
134.92570000000001 |
106.7544 |
126.0295 |
Carle Eureka Hospital |
1334070517 |
MA MAMMOGRAM DIAGNOST BI IBCCP |
77066 |
0401 |
173.54 |
173.54 |
52.061999999999998 |
157.92140000000001 |
121.47799999999998 |
52.061999999999998 |
157.92140000000001 |
124.94879999999999 |
147.50899999999999 |
Carle Eureka Hospital |
1334070518 |
MA MAMMOGRAM DIAGNOS UNI IBCCP |
77065 |
0401 |
141.88 |
141.88 |
42.564 |
129.11080000000001 |
99.315999999999988 |
42.564 |
129.11080000000001 |
102.1536 |
120.598 |
Carle Eureka Hospital |
1334070523 |
XRAY MAMMOGRAM UNI ADD VIEW |
77065 |
0401 |
235 |
235 |
70.5 |
213.85 |
164.5 |
70.5 |
213.85 |
169.2 |
199.75 |
Carle Eureka Hospital |
1334070525 |
XRAY MANDIBLE COMPLETE |
70110 |
0320 |
505 |
505 |
151.5 |
459.55 |
353.5 |
151.5 |
459.55 |
363.59999999999997 |
429.25 |
Carle Eureka Hospital |
1334070528 |
XRAY MASTOIDS COMPLETE |
70130 |
0320 |
615 |
615 |
184.5 |
559.65 |
430.5 |
184.5 |
559.65 |
442.8 |
522.75 |
Carle Eureka Hospital |
1334070534 |
XRAY NASAL BONES COMPLETE |
70160 |
0320 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
1334070539 |
XRAY NECK SOFT TISS AP LAT |
70360 |
0320 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
1334070543 |
XRAY NOSE/RECT FB CHILD 1VIEW |
76010 |
0320 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
1334070544 |
XRAY ORBITS COMPLETE |
70200 |
0320 |
620 |
620 |
186 |
564.20000000000005 |
434 |
186 |
564.20000000000005 |
446.4 |
527 |
Carle Eureka Hospital |
1334070548 |
XRAY PELVIS 1 OR 2 VIEWS |
72170 |
0320 |
490 |
490 |
147 |
445.90000000000003 |
343 |
147 |
445.90000000000003 |
352.8 |
416.5 |
Carle Eureka Hospital |
1334070549 |
XRAY PELVIS THREE VIEWS |
72190 |
0320 |
505 |
505 |
151.5 |
459.55 |
353.5 |
151.5 |
459.55 |
363.59999999999997 |
429.25 |
Carle Eureka Hospital |
1334070561 |
XRAY RIBS BILATERAL |
71110 |
0320 |
505 |
505 |
151.5 |
459.55 |
353.5 |
151.5 |
459.55 |
363.59999999999997 |
429.25 |
Carle Eureka Hospital |
1334070562 |
XRAY RIBS UNILATERAL |
71100 |
0320 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
1334070563 |
XRAY SACROILIAC JOINTS |
72202 |
0320 |
415 |
415 |
124.5 |
377.65000000000003 |
290.5 |
124.5 |
377.65000000000003 |
298.8 |
352.75 |
Carle Eureka Hospital |
1334070564 |
XRAY SACRUM OR COCCYX |
72220 |
0320 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
1334070566 |
XRAY SCAPULA RIGHT |
73010RT |
0320 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
1334070567 |
XRAY SCAPULA LEFT |
73010LT |
0320 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
1334070569 |
XRAY SELLA TURCICA |
70240 |
0320 |
300 |
300 |
90 |
273 |
210 |
90 |
273 |
216 |
255 |
Carle Eureka Hospital |
1334070570 |
XRAY SHOULDER COMPLETE RIGHT |
73030RT |
0320 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
1334070571 |
XRAY SHOULDER COMPLETE LEFT |
73030LT |
0320 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
1334070572 |
XRAY SHOULDER ONE VIEW LEFT |
73020LT |
0320 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
1334070573 |
XRAY SHOULDER ONE VIEW RIGHT |
73020RT |
0320 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
1334070577 |
XRAY SINUSES COMPLETE |
70220 |
0320 |
295 |
295 |
88.5 |
268.45 |
206.5 |
88.5 |
268.45 |
212.4 |
250.75 |
Carle Eureka Hospital |
1334070578 |
XRAY SKULL COMPLETE |
70260 |
0320 |
620 |
620 |
186 |
564.20000000000005 |
434 |
186 |
564.20000000000005 |
446.4 |
527 |
Carle Eureka Hospital |
1334070580 |
XRAY SMALL BOWEL ONLY |
74250 |
0320 |
505 |
505 |
151.5 |
459.55 |
353.5 |
151.5 |
459.55 |
363.59999999999997 |
429.25 |
Carle Eureka Hospital |
1334070582 |
XRAY SPINE SINGLE VIEW |
72020 |
0320 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
1334070583 |
XRAY STERNOCLAVICULAR JOINTS |
71130 |
0320 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
1334070584 |
XRAY STERNUM |
71120 |
0320 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
1334070585 |
XRAY SWALLOWING FUNCTION VIDEO |
7423059 |
0320 |
620 |
620 |
186 |
564.20000000000005 |
434 |
186 |
564.20000000000005 |
446.4 |
527 |
Carle Eureka Hospital |
1334070586 |
XRAY THORACIC SPINE 2 VIEWS |
72070 |
0320 |
495 |
495 |
148.5 |
450.45 |
346.5 |
148.5 |
450.45 |
356.4 |
420.75 |
Carle Eureka Hospital |
1334070587 |
XRAY THORACIC SPINE 3 VIEWS |
72072 |
0320 |
560 |
560 |
168 |
509.6 |
392 |
168 |
509.6 |
403.2 |
476 |
Carle Eureka Hospital |
1334070588 |
XRAY THORACIC SPINE W OBL |
72074 |
0320 |
565 |
565 |
169.5 |
514.15 |
395.5 |
169.5 |
514.15 |
406.8 |
480.25 |
Carle Eureka Hospital |
1334070589 |
XRAY THUMB LEFT |
73140FA |
0320 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
1334070590 |
XRAY THUMB RIGHT |
73140F5 |
0320 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
1334070591 |
XRAY TIBIA AND FIBULA LEFT |
73590LT |
0320 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
1334070592 |
XRAY TIBIA AND FIBULA RIGHT |
73590RT |
0320 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
1334070593 |
XRAY TMJ BIL |
70330 |
0320 |
280 |
280 |
84 |
254.8 |
196 |
84 |
254.8 |
201.6 |
238 |
Carle Eureka Hospital |
1334070594 |
XRAY TOE FIFTH LEFT |
73660T4 |
0320 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
1334070595 |
XRAY TOE FIFTH RIGHT |
73660T9 |
0320 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
1334070596 |
XRAY TOE FOURTH LEFT |
73660T3 |
0320 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
1334070597 |
XRAY TOE FOURTH RIGHT |
73660T8 |
0320 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
1334070598 |
XRAY TOE GREAT LEFT |
73660TA |
0320 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
1334070599 |
XRAY TOE GREAT RIGHT |
73660T5 |
0320 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
1334070600 |
XRAY TOE SECOND LEFT |
73660T1 |
0320 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
1334070601 |
XRAY TOE SECOND RIGHT |
73660T6 |
0320 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
1334070602 |
XRAY TOE THIRD LEFT |
73660T2 |
0320 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
1334070603 |
XRAY TOE THIRD RIGHT |
73660T7 |
0320 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
1334070604 |
XRAY TOMOGRAPHY |
76100 |
0320 |
565 |
565 |
169.5 |
514.15 |
395.5 |
169.5 |
514.15 |
406.8 |
480.25 |
Carle Eureka Hospital |
1334070606 |
XRAY UGI SINGLE CONTRAST STUDY |
74240 |
0320 |
645 |
645 |
193.5 |
586.95000000000005 |
451.49999999999994 |
193.5 |
586.95000000000005 |
464.4 |
548.25 |
Carle Eureka Hospital |
1334070609 |
XRAY UPR EXTREMITY INFANT LEFT |
73092LT |
0320 |
335 |
335 |
100.5 |
304.85000000000002 |
234.49999999999997 |
100.5 |
304.85000000000002 |
241.2 |
284.75 |
Carle Eureka Hospital |
1334070610 |
XRAY UPR EXTREMITY INFANT RIGH |
73092RT |
0320 |
335 |
335 |
100.5 |
304.85000000000002 |
234.49999999999997 |
100.5 |
304.85000000000002 |
241.2 |
284.75 |
Carle Eureka Hospital |
1334070612 |
XRAY UROGRAPHY INTRAVENOUS |
74400 |
0320 |
1130 |
1130 |
339 |
1028.3 |
791 |
339 |
1028.3 |
813.6 |
960.5 |
Carle Eureka Hospital |
1334070614 |
XRAY UROGRAPHY RETROGRADE |
74420 |
0320 |
1355 |
1355 |
406.5 |
1233.05 |
948.49999999999989 |
406.5 |
1233.05 |
975.59999999999991 |
1151.75 |
Carle Eureka Hospital |
1334070617 |
XRAY VENOGRAM EXTREMITY UNI |
75820 |
0320 |
3265 |
3265 |
979.5 |
2971.15 |
2285.5 |
979.5 |
2971.15 |
2350.7999999999997 |
2775.25 |
Carle Eureka Hospital |
1334070618 |
XRAY WRIST COMPLETE LEFT |
73110LT |
0320 |
205 |
205 |
61.5 |
186.55 |
143.5 |
61.5 |
186.55 |
147.6 |
174.25 |
Carle Eureka Hospital |
1334070619 |
XRAY WRIST COMPLETE RIGHT |
73110RT |
0320 |
360 |
360 |
108 |
327.60000000000002 |
251.99999999999997 |
108 |
327.60000000000002 |
259.2 |
306 |
Carle Eureka Hospital |
1334070620 |
XRAY WRIST TWO VIEWS LEFT |
73100LT |
0320 |
240 |
240 |
72 |
218.4 |
168 |
72 |
218.4 |
172.79999999999998 |
204 |
Carle Eureka Hospital |
1334070621 |
XRAY WRIST TWO VIEWS RIGHT |
73100RT |
0320 |
240 |
240 |
72 |
218.4 |
168 |
72 |
218.4 |
172.79999999999998 |
204 |
Carle Eureka Hospital |
1334070645 |
FLUORO FOR PICC/CENTRAL LINE |
77001 |
0320 |
600 |
600 |
180 |
546 |
420 |
180 |
546 |
432 |
510 |
Carle Eureka Hospital |
1334070652 |
KNEE 3 VIEWS RIGHT |
73562RT |
0320 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
1334070653 |
KNEE 3 VIEWS LEFT |
73562LT |
0320 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
1334070659 |
XRAY KNEE, BI STD 1 VIEW |
73565 |
0320 |
300 |
300 |
90 |
273 |
210 |
90 |
273 |
216 |
255 |
Carle Eureka Hospital |
1334070669 |
BILAT ADD VIEWS |
77066 |
0401 |
275 |
275 |
82.5 |
250.25 |
192.5 |
82.5 |
250.25 |
198 |
233.75 |
Carle Eureka Hospital |
1334070672 |
LOOPOGRAM |
74425 |
0320 |
1410 |
1410 |
423 |
1283.1000000000001 |
986.99999999999989 |
423 |
1283.1000000000001 |
1015.1999999999999 |
1198.5 |
Carle Eureka Hospital |
1334070852 |
DIGITAL SCREENING UNILAT MAMMO |
7706752 |
0403 |
425 |
425 |
127.5 |
386.75 |
297.5 |
127.5 |
386.75 |
306 |
361.25 |
Carle Eureka Hospital |
1334070855 |
REPLC DUO/JEJU TUBE PERC W FLU |
49451 |
0361 |
1400 |
1400 |
420 |
1274 |
979.99999999999989 |
420 |
1274 |
1008 |
1190 |
Carle Eureka Hospital |
1334070858 |
JOINT SURVEY HAND/WRIST 1 VIEW |
77077 |
0320 |
505 |
505 |
151.5 |
459.55 |
353.5 |
151.5 |
459.55 |
363.59999999999997 |
429.25 |
Carle Eureka Hospital |
1334070893 |
INJECT CONT IN DEV W/FLOURO |
36598 |
0361 |
595 |
595 |
178.5 |
541.45000000000005 |
416.5 |
178.5 |
541.45000000000005 |
428.4 |
505.75 |
Carle Eureka Hospital |
1334070894 |
DECLOT PERM CATH W THROMBO |
36593 |
0361 |
760 |
760 |
228 |
691.6 |
532 |
228 |
691.6 |
547.19999999999993 |
646 |
Carle Eureka Hospital |
1334070913 |
ISOVUE M 300 PER ML |
Q9967 |
0636 |
3.58 |
3.58 |
1.0740000000000001 |
3.2578 |
2.5059999999999998 |
1.0740000000000001 |
3.2578 |
2.5775999999999999 |
3.0430000000000001 |
Carle Eureka Hospital |
1334070915 |
SINOGRAFIN PER ML |
Q9961 |
0636 |
13 |
13 |
3.9 |
11.83 |
9.1 |
3.9 |
11.83 |
9.36 |
11.049999999999999 |
Carle Eureka Hospital |
1334070917 |
CYSTOCONRAY PER ML |
Q9962 |
0636 |
2.0499999999999998 |
2.0499999999999998 |
0.61499999999999988 |
1.8654999999999999 |
1.4349999999999998 |
0.61499999999999988 |
1.8654999999999999 |
1.4759999999999998 |
1.7424999999999997 |
Carle Eureka Hospital |
1334070922 |
XRAY ENDO CATH PANC DUCT SYST |
74329 |
0320 |
885 |
885 |
265.5 |
805.35 |
619.5 |
265.5 |
805.35 |
637.19999999999993 |
752.25 |
Carle Eureka Hospital |
1334070923 |
XRAY ENDO CATH BILIARY DUC SYS |
74328 |
0320 |
810 |
810 |
243 |
737.1 |
567 |
243 |
737.1 |
583.19999999999993 |
688.5 |
Carle Eureka Hospital |
1334070927 |
DIGITAL DIAG MAMMO UNILATERAL |
77065 |
0401 |
525 |
525 |
157.5 |
477.75 |
367.5 |
157.5 |
477.75 |
378 |
446.25 |
Carle Eureka Hospital |
1334070928 |
DIGITAL DIAG MAMMO BILATERAL |
77066 |
0401 |
525 |
525 |
157.5 |
477.75 |
367.5 |
157.5 |
477.75 |
378 |
446.25 |
Carle Eureka Hospital |
1334070931 |
DIGITAL SCREEN BIL MAMMOGRAPHY |
77067 |
0403 |
400 |
400 |
120 |
364 |
280 |
120 |
364 |
288 |
340 |
Carle Eureka Hospital |
1334071036 |
MA MAMMOGRAM SCREEN UNI IBCCP |
7706752 |
0403 |
148.27000000000001 |
148.27000000000001 |
44.481000000000002 |
134.92570000000001 |
103.789 |
44.481000000000002 |
134.92570000000001 |
106.7544 |
126.0295 |
Carle Eureka Hospital |
1334071096 |
XR FOOT BIL MIN 3V |
7363050 |
0320 |
380 |
380 |
114 |
345.8 |
266 |
114 |
345.8 |
273.59999999999997 |
323 |
Carle Eureka Hospital |
1334071097 |
XR HAND BIL MIN 3V |
7313050 |
0320 |
385 |
385 |
115.5 |
350.35 |
269.5 |
115.5 |
350.35 |
277.2 |
327.25 |
Carle Eureka Hospital |
1334071100 |
XR ELBOW BIL MIN 3V |
7308050 |
0320 |
380 |
380 |
114 |
345.8 |
266 |
114 |
345.8 |
273.59999999999997 |
323 |
Carle Eureka Hospital |
1334071101 |
XR FOREARM BIL MIN 2V |
7309050 |
0320 |
380 |
380 |
114 |
345.8 |
266 |
114 |
345.8 |
273.59999999999997 |
323 |
Carle Eureka Hospital |
1334071102 |
XR WRIST BIL MIN 3V |
7311050 |
0320 |
385 |
385 |
115.5 |
350.35 |
269.5 |
115.5 |
350.35 |
277.2 |
327.25 |
Carle Eureka Hospital |
1334071103 |
XR SHOULDER BIL COMPLETE |
7303050 |
0320 |
390 |
390 |
117 |
354.90000000000003 |
273 |
117 |
354.90000000000003 |
280.8 |
331.5 |
Carle Eureka Hospital |
1334071109 |
XRAY TIBIA FIBULA BILAT |
7359050 |
0320 |
370 |
370 |
111 |
336.7 |
259 |
111 |
336.7 |
266.39999999999998 |
314.5 |
Carle Eureka Hospital |
1334071112 |
XRAY HUMERUS BILATERAL |
7306050 |
0320 |
360 |
360 |
108 |
327.60000000000002 |
251.99999999999997 |
108 |
327.60000000000002 |
259.2 |
306 |
Carle Eureka Hospital |
1334071113 |
XRAY KNEES 1 OR 2 VIEW BILAT |
7356050 |
0320 |
360 |
360 |
108 |
327.60000000000002 |
251.99999999999997 |
108 |
327.60000000000002 |
259.2 |
306 |
Carle Eureka Hospital |
1334071115 |
XRAY ANKLE 3 VIEW COMPLETE BIL |
7361050 |
0320 |
344 |
344 |
103.2 |
313.04000000000002 |
240.79999999999998 |
103.2 |
313.04000000000002 |
247.67999999999998 |
292.39999999999998 |
Carle Eureka Hospital |
1334071296 |
CHEST INSPIRATION EXPIRAT 2V |
71046 |
0324 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
1334071297 |
XRAY CHEST THREE VIEWS |
71047 |
0324 |
300 |
300 |
90 |
273 |
210 |
90 |
273 |
216 |
255 |
Carle Eureka Hospital |
1334071309 |
XR UGI DOUBLE CONTRAST |
74246 |
0320 |
745 |
745 |
223.5 |
677.95 |
521.5 |
223.5 |
677.95 |
536.4 |
633.25 |
Carle Eureka Hospital |
1334071310 |
XR SM BOWEL FOLLOW THRU |
74248 |
0320 |
500 |
500 |
150 |
455 |
350 |
150 |
455 |
360 |
425 |
Carle Eureka Hospital |
1334077119 |
MAS 3D TOMOSYNTHESIS DIAG BIL |
G0279 |
0401 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
1334077120 |
MAS 3D TOMOSYNTHESIS SCREEN BI |
77063 |
0403 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
1334077193 |
MAS 3D TOMOSYNTHESIS DIAG UNI |
G0279 |
0401 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
1334077194 |
MAS 3D TOMOSYNTHESIS SCRN UNI |
7706352 |
0403 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
1334077232 |
XR SPINE SCOLIOSIS STUDY 2-3 V |
72082 |
0320 |
620 |
620 |
186 |
564.20000000000005 |
434 |
186 |
564.20000000000005 |
446.4 |
527 |
Carle Eureka Hospital |
1334077233 |
XR FEMUR LT MIN 2V |
73552LT |
0320 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
1334077234 |
XR FEMUR RT MIN 2V |
73552RT |
0320 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
1334077235 |
XR FEMUR BIL MIN 2V |
7355250 |
0320 |
495 |
495 |
148.5 |
450.45 |
346.5 |
148.5 |
450.45 |
356.4 |
420.75 |
Carle Eureka Hospital |
1334077236 |
XR HIP LT 1V |
73501 |
0320 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
1334077237 |
XR HIP RT 1V |
73501 |
0320 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
1334077238 |
XR HIPS BIL 1V EA HIP |
73521 |
0320 |
620 |
620 |
186 |
564.20000000000005 |
434 |
186 |
564.20000000000005 |
446.4 |
527 |
Carle Eureka Hospital |
1334077239 |
XR HIP LT 2V |
73502 |
0320 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
1334077240 |
XR HIP RT 2V |
73502 |
0320 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
1334077241 |
XR HIPS BIL 2V EA HIP |
73522 |
0320 |
605 |
605 |
181.5 |
550.55000000000007 |
423.5 |
181.5 |
550.55000000000007 |
435.59999999999997 |
514.25 |
Carle Eureka Hospital |
1334077242 |
XR HIP LT 2V W PELVIS |
73502 |
0320 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
1334077243 |
XR HIP RT 2V W PELVIS |
73502 |
0320 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
1334077244 |
XR HIPS BIL 2V E HIP WPELVS 1V |
73523 |
0320 |
1050 |
1050 |
315 |
955.5 |
735 |
315 |
955.5 |
756 |
892.5 |
Carle Eureka Hospital |
1334077256 |
XR HIP LT 1V W PELVIS |
73501 |
0320 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
1334077257 |
XR HIP RT 1V W PELVIS |
73501 |
0320 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
1334080651 |
XRAY NASAL BONES COMPLETE MITS |
70160 |
0320 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
1336070178 |
NM BONE IMAGING 3 PHASE |
78315 |
0341 |
1215 |
1215 |
364.5 |
1105.6500000000001 |
850.5 |
364.5 |
1105.6500000000001 |
874.8 |
1032.75 |
Carle Eureka Hospital |
1336070179 |
NM BONE IMAGING LIMITED |
78300 |
0341 |
1505 |
1505 |
451.5 |
1369.55 |
1053.5 |
451.5 |
1369.55 |
1083.5999999999999 |
1279.25 |
Carle Eureka Hospital |
1336070181 |
NM BONE IMAGING WHOLE BODY |
78306 |
0341 |
1130 |
1130 |
339 |
1028.3 |
791 |
339 |
1028.3 |
813.6 |
960.5 |
Carle Eureka Hospital |
1336070188 |
NM CARDIAC BLOOD POOL MUGA |
78472 |
0341 |
1480 |
1480 |
444 |
1346.8 |
1036 |
444 |
1346.8 |
1065.5999999999999 |
1258 |
Carle Eureka Hospital |
1336070194 |
NM GASTRIC EMPTYING STUDY |
78264 |
0341 |
1360 |
1360 |
408 |
1237.6000000000001 |
951.99999999999989 |
408 |
1237.6000000000001 |
979.19999999999993 |
1156 |
Carle Eureka Hospital |
1336070196 |
NM GI BLOOD LOSS IMAGING |
78278 |
0341 |
705 |
705 |
211.5 |
641.55000000000007 |
493.49999999999994 |
211.5 |
641.55000000000007 |
507.59999999999997 |
599.25 |
Carle Eureka Hospital |
1336070201 |
NM LIVER SPLEEN IMAGING |
78215 |
0341 |
1535 |
1535 |
460.5 |
1396.8500000000001 |
1074.5 |
460.5 |
1396.8500000000001 |
1105.2 |
1304.75 |
Carle Eureka Hospital |
1336070203 |
NM LOCALIZATION TUMOR SPECT |
78803 |
0341 |
2635 |
2635 |
790.5 |
2397.85 |
1844.4999999999998 |
790.5 |
2397.85 |
1897.1999999999998 |
2239.75 |
Carle Eureka Hospital |
1336070207 |
NM LUNG VENT AND PERF IMAGING |
78582 |
0341 |
1560 |
1560 |
468 |
1419.6000000000001 |
1092 |
468 |
1419.6000000000001 |
1123.2 |
1326 |
Carle Eureka Hospital |
1336070208 |
NM LUNG PERFUSION IMAGING |
78580 |
0341 |
1850 |
1850 |
555 |
1683.5 |
1295 |
555 |
1683.5 |
1332 |
1572.5 |
Carle Eureka Hospital |
1336070209 |
NM LUNG VENT IMAGING |
78579 |
0341 |
1370 |
1370 |
411 |
1246.7 |
958.99999999999989 |
411 |
1246.7 |
986.4 |
1164.5 |
Carle Eureka Hospital |
1336070218 |
NM PARATHYROID IMAGING |
78070 |
0341 |
865 |
865 |
259.5 |
787.15 |
605.5 |
259.5 |
787.15 |
622.79999999999995 |
735.25 |
Carle Eureka Hospital |
1336070221 |
NM RENAL SPECT IMAGING |
78710 |
0341 |
1510 |
1510 |
453 |
1374.1000000000001 |
1057 |
453 |
1374.1000000000001 |
1087.2 |
1283.5 |
Carle Eureka Hospital |
1336070224 |
NM RENOGRAM KIDNEY IMAGING |
78707 |
0341 |
2215 |
2215 |
664.5 |
2015.65 |
1550.5 |
664.5 |
2015.65 |
1594.8 |
1882.75 |
Carle Eureka Hospital |
1336070228 |
NM THALLIUM REST SCAN |
78451 |
0341 |
2240 |
2240 |
672 |
2038.4 |
1568 |
672 |
2038.4 |
1612.8 |
1904 |
Carle Eureka Hospital |
1336070229 |
NM THALLIUM REST/STRESS SCAN |
78452 |
0341 |
3390 |
3390 |
1017 |
3084.9 |
2373 |
1017 |
3084.9 |
2440.7999999999997 |
2881.5 |
Carle Eureka Hospital |
1336070239 |
NM URETERAL REFLUX STUDY |
78740 |
0341 |
1610 |
1610 |
483 |
1465.1000000000001 |
1127 |
483 |
1465.1000000000001 |
1159.2 |
1368.5 |
Carle Eureka Hospital |
1336070273 |
RADPHA I123 DIAG PER 100 UCI |
A9516 |
0343 |
135 |
135 |
40.5 |
122.85000000000001 |
94.5 |
40.5 |
122.85000000000001 |
97.2 |
114.75 |
Carle Eureka Hospital |
1336070287 |
RADPHA TCSC 1 DOSE |
A9541 |
0343 |
97 |
97 |
29.099999999999998 |
88.27 |
67.899999999999991 |
29.099999999999998 |
88.27 |
69.84 |
82.45 |
Carle Eureka Hospital |
1336070289 |
TC99M ALBUMIN AGGREGATEMAA PER |
A9540 |
0343 |
86 |
86 |
25.8 |
78.260000000000005 |
60.199999999999996 |
25.8 |
78.260000000000005 |
61.919999999999995 |
73.099999999999994 |
Carle Eureka Hospital |
1336070294 |
TC99M DISOFENIN PER DOSE |
A9510 |
0343 |
383 |
383 |
114.89999999999999 |
348.53000000000003 |
268.09999999999997 |
114.89999999999999 |
348.53000000000003 |
275.76 |
325.55 |
Carle Eureka Hospital |
1336070298 |
TC99M MEDRONATE MDP PER DOSE |
A9503 |
0343 |
108 |
108 |
32.4 |
98.28 |
75.599999999999994 |
32.4 |
98.28 |
77.759999999999991 |
91.8 |
Carle Eureka Hospital |
1336070300 |
TC99M MERTIATIDE MAG3 PER MCI |
A9562 |
0343 |
255 |
255 |
76.5 |
232.05 |
178.5 |
76.5 |
232.05 |
183.6 |
216.75 |
Carle Eureka Hospital |
1336070302 |
TC99M MUGA 1 DOSE |
A9560 |
0343 |
76 |
76 |
22.8 |
69.16 |
53.199999999999996 |
22.8 |
69.16 |
54.72 |
64.599999999999994 |
Carle Eureka Hospital |
1336070303 |
TC99M PENTETATE DTPA PER DOSE |
A9567 |
0636 |
242 |
242 |
72.599999999999994 |
220.22 |
169.39999999999998 |
72.599999999999994 |
220.22 |
174.23999999999998 |
205.7 |
Carle Eureka Hospital |
1336070304 |
TC99M SESTAMIBI SUPPLY |
A9500 |
0343 |
304 |
304 |
91.2 |
276.64 |
212.79999999999998 |
91.2 |
276.64 |
218.88 |
258.39999999999998 |
Carle Eureka Hospital |
1336070861 |
NM MYOCARDIAL PERF REST/STRESS |
78452 |
0341 |
3390 |
3390 |
1017 |
3084.9 |
2373 |
1017 |
3084.9 |
2440.7999999999997 |
2881.5 |
Carle Eureka Hospital |
1336070862 |
NM MYOCARDIAL PERF SINGLE |
78451 |
0341 |
2240 |
2240 |
672 |
2038.4 |
1568 |
672 |
2038.4 |
1612.8 |
1904 |
Carle Eureka Hospital |
1336070924 |
NM HEPATOBILIARY IMAGE WO PHAR |
78226 |
0341 |
2085 |
2085 |
625.5 |
1897.3500000000001 |
1459.5 |
625.5 |
1897.3500000000001 |
1501.2 |
1772.25 |
Carle Eureka Hospital |
1336070925 |
NM HEPATOBILIARY IMAGE W PHARM |
78227 |
0341 |
1635 |
1635 |
490.5 |
1487.8500000000001 |
1144.5 |
490.5 |
1487.8500000000001 |
1177.2 |
1389.75 |
Carle Eureka Hospital |
1336570374 |
ELPAS ANKLE 3VIEW/COMPLETE LT |
73610LT |
0320 |
172 |
172 |
51.6 |
156.52000000000001 |
120.39999999999999 |
51.6 |
156.52000000000001 |
123.83999999999999 |
146.19999999999999 |
Carle Eureka Hospital |
1336570375 |
ELPAS ANKLE 3 VIEW/COMPLETE RT |
73610RT |
0320 |
172 |
172 |
51.6 |
156.52000000000001 |
120.39999999999999 |
51.6 |
156.52000000000001 |
123.83999999999999 |
146.19999999999999 |
Carle Eureka Hospital |
1336570391 |
ELPASO BONE DENSITY STUDY |
77080 |
0320 |
364 |
364 |
109.2 |
331.24 |
254.79999999999998 |
109.2 |
331.24 |
262.08 |
309.39999999999998 |
Carle Eureka Hospital |
1336570398 |
EL PAS CERV SPINE 2 OR 3 VIEWS |
72040 |
0320 |
211 |
211 |
63.3 |
192.01000000000002 |
147.69999999999999 |
63.3 |
192.01000000000002 |
151.91999999999999 |
179.35 |
Carle Eureka Hospital |
1336570399 |
ELPAS CERVICAL SPINE 4-5 VIEWS |
72050 |
0320 |
264 |
264 |
79.2 |
240.24 |
184.79999999999998 |
79.2 |
240.24 |
190.07999999999998 |
224.4 |
Carle Eureka Hospital |
1336570403 |
EL PASO CHEST TWO VIEWS |
71046 |
0324 |
167 |
167 |
50.1 |
151.97 |
116.89999999999999 |
50.1 |
151.97 |
120.24 |
141.94999999999999 |
Carle Eureka Hospital |
1336570414 |
ELPASO CLAVICLE LEFT |
73000LT |
0320 |
191 |
191 |
57.3 |
173.81 |
133.69999999999999 |
57.3 |
173.81 |
137.51999999999998 |
162.35 |
Carle Eureka Hospital |
1336570415 |
ELPASO CLAVICLE RIGHT |
73000RT |
0320 |
191 |
191 |
57.3 |
173.81 |
133.69999999999999 |
57.3 |
173.81 |
137.51999999999998 |
162.35 |
Carle Eureka Hospital |
1336570429 |
ELPAS ELBOW 3VIEW/COMPLETE LFT |
73080LT |
0320 |
189 |
189 |
56.699999999999996 |
171.99 |
132.29999999999998 |
56.699999999999996 |
171.99 |
136.07999999999998 |
160.65 |
Carle Eureka Hospital |
1336570430 |
ELPAS ELBOW 3 VIEW COMPLETE RT |
73080RT |
0320 |
189 |
189 |
56.699999999999996 |
171.99 |
132.29999999999998 |
56.699999999999996 |
171.99 |
136.07999999999998 |
160.65 |
Carle Eureka Hospital |
1336570431 |
ELPASO ELBOW TWO VIEWS LEFT |
73070LT |
0320 |
179 |
179 |
53.699999999999996 |
162.89000000000001 |
125.3 |
53.699999999999996 |
162.89000000000001 |
128.88 |
152.15 |
Carle Eureka Hospital |
1336570432 |
ELPASO ELBOW TWO VIEWS RIGHT |
73070RT |
0320 |
179 |
179 |
53.699999999999996 |
162.89000000000001 |
125.3 |
53.699999999999996 |
162.89000000000001 |
128.88 |
152.15 |
Carle Eureka Hospital |
1336570438 |
ELPASO FINGER FIFTH LEFT |
73140F4 |
0320 |
183 |
183 |
54.9 |
166.53 |
128.1 |
54.9 |
166.53 |
131.76 |
155.54999999999998 |
Carle Eureka Hospital |
1336570439 |
ELPASO FINGER FIFTH RIGHT |
73140F9 |
0320 |
183 |
183 |
54.9 |
166.53 |
128.1 |
54.9 |
166.53 |
131.76 |
155.54999999999998 |
Carle Eureka Hospital |
1336570440 |
ELPASO FINGER FOURTH LEFT |
73140F3 |
0320 |
183 |
183 |
54.9 |
166.53 |
128.1 |
54.9 |
166.53 |
131.76 |
155.54999999999998 |
Carle Eureka Hospital |
1336570441 |
ELPASO FINGER FOURTH RIGHT |
73140F8 |
0320 |
183 |
183 |
54.9 |
166.53 |
128.1 |
54.9 |
166.53 |
131.76 |
155.54999999999998 |
Carle Eureka Hospital |
1336570442 |
ELPASO FINGER SECOND LEFT |
73140F1 |
0320 |
183 |
183 |
54.9 |
166.53 |
128.1 |
54.9 |
166.53 |
131.76 |
155.54999999999998 |
Carle Eureka Hospital |
1336570443 |
ELPASO FINGER SECOND RIGHT |
73140F6 |
0320 |
183 |
183 |
54.9 |
166.53 |
128.1 |
54.9 |
166.53 |
131.76 |
155.54999999999998 |
Carle Eureka Hospital |
1336570444 |
ELPASO FINGER THIRD LEFT |
73140F2 |
0320 |
183 |
183 |
54.9 |
166.53 |
128.1 |
54.9 |
166.53 |
131.76 |
155.54999999999998 |
Carle Eureka Hospital |
1336570445 |
ELPASO FINGER THIRD RIGHT |
73140F7 |
0320 |
183 |
183 |
54.9 |
166.53 |
128.1 |
54.9 |
166.53 |
131.76 |
155.54999999999998 |
Carle Eureka Hospital |
1336570453 |
ELPA FOOT 3 VIEW/COMPLETE LEFT |
73630LT |
0320 |
189 |
189 |
56.699999999999996 |
171.99 |
132.29999999999998 |
56.699999999999996 |
171.99 |
136.07999999999998 |
160.65 |
Carle Eureka Hospital |
1336570454 |
ELPASO FOOT 3 VIEW/COMPLETE RT |
73630RT |
0320 |
189 |
189 |
56.699999999999996 |
171.99 |
132.29999999999998 |
56.699999999999996 |
171.99 |
136.07999999999998 |
160.65 |
Carle Eureka Hospital |
1336570457 |
ELPASO FOREARM LEFT |
73090LT |
0320 |
189 |
189 |
56.699999999999996 |
171.99 |
132.29999999999998 |
56.699999999999996 |
171.99 |
136.07999999999998 |
160.65 |
Carle Eureka Hospital |
1336570458 |
ELPASO FOREARM RIGHT |
73090RT |
0320 |
189 |
189 |
56.699999999999996 |
171.99 |
132.29999999999998 |
56.699999999999996 |
171.99 |
136.07999999999998 |
160.65 |
Carle Eureka Hospital |
1336570462 |
ELPAS HAND 3 VIEW/COMPLETE LT |
73130LT |
0320 |
172 |
172 |
51.6 |
156.52000000000001 |
120.39999999999999 |
51.6 |
156.52000000000001 |
123.83999999999999 |
146.19999999999999 |
Carle Eureka Hospital |
1336570463 |
ELPASO HAND 3 VIEW/COMPLETE RT |
73130RT |
0320 |
172 |
172 |
51.6 |
156.52000000000001 |
120.39999999999999 |
51.6 |
156.52000000000001 |
123.83999999999999 |
146.19999999999999 |
Carle Eureka Hospital |
1336570465 |
ELPASO HEEL LEFT |
73650LT |
0320 |
177 |
177 |
53.1 |
161.07 |
123.89999999999999 |
53.1 |
161.07 |
127.44 |
150.44999999999999 |
Carle Eureka Hospital |
1336570466 |
ELPASO HEEL RIGHT |
73650RT |
0320 |
177 |
177 |
53.1 |
161.07 |
123.89999999999999 |
53.1 |
161.07 |
127.44 |
150.44999999999999 |
Carle Eureka Hospital |
1336570472 |
ELPASO HUMERUS LEFT |
73060LT |
0320 |
177 |
177 |
53.1 |
161.07 |
123.89999999999999 |
53.1 |
161.07 |
127.44 |
150.44999999999999 |
Carle Eureka Hospital |
1336570473 |
ELPASO HUMERUS RIGHT |
73060RT |
0320 |
177 |
177 |
53.1 |
161.07 |
123.89999999999999 |
53.1 |
161.07 |
127.44 |
150.44999999999999 |
Carle Eureka Hospital |
1336570499 |
ELPASO KNEE 1 OR 2 VIEWS LEFT |
73560LT |
0320 |
177 |
177 |
53.1 |
161.07 |
123.89999999999999 |
53.1 |
161.07 |
127.44 |
150.44999999999999 |
Carle Eureka Hospital |
1336570500 |
ELPASO KNEE 1 OR 2 VIEWS RIGHT |
73560RT |
0320 |
177 |
177 |
53.1 |
161.07 |
123.89999999999999 |
53.1 |
161.07 |
127.44 |
150.44999999999999 |
Carle Eureka Hospital |
1336570501 |
ELPA KNEE W OBL PATELLA TUN LT |
73564LT |
0320 |
291 |
291 |
87.3 |
264.81 |
203.7 |
87.3 |
264.81 |
209.51999999999998 |
247.35 |
Carle Eureka Hospital |
1336570502 |
ELPA KNEE W OBL PATELLA TUN RT |
73564RT |
0320 |
291 |
291 |
87.3 |
264.81 |
203.7 |
87.3 |
264.81 |
209.51999999999998 |
247.35 |
Carle Eureka Hospital |
1336570503 |
ELPASO KNEE W OBLIQUES LEFT |
73564LT |
0320 |
291 |
291 |
87.3 |
264.81 |
203.7 |
87.3 |
264.81 |
209.51999999999998 |
247.35 |
Carle Eureka Hospital |
1336570504 |
ELPASO KNEE W OBLIQUES RIGHT |
73564RT |
0320 |
291 |
291 |
87.3 |
264.81 |
203.7 |
87.3 |
264.81 |
209.51999999999998 |
247.35 |
Carle Eureka Hospital |
1336570509 |
ELPASO LUMBAR SPINE 2OR3 VIEWS |
72100 |
0320 |
240 |
240 |
72 |
218.4 |
168 |
72 |
218.4 |
172.79999999999998 |
204 |
Carle Eureka Hospital |
1336570510 |
ELPASO LUMBAR SPINE W OBLIQUES |
72110 |
0320 |
288 |
288 |
86.399999999999991 |
262.08 |
201.6 |
86.399999999999991 |
262.08 |
207.35999999999999 |
244.79999999999998 |
Carle Eureka Hospital |
1336570511 |
ELPA LWR EXTREMITY INFANT LEFT |
73592LT |
0320 |
187 |
187 |
56.1 |
170.17000000000002 |
130.9 |
56.1 |
170.17000000000002 |
134.63999999999999 |
158.94999999999999 |
Carle Eureka Hospital |
1336570512 |
ELPA LWR EXTREMITY INFANT RIGH |
73592RT |
0320 |
187 |
187 |
56.1 |
170.17000000000002 |
130.9 |
56.1 |
170.17000000000002 |
134.63999999999999 |
158.94999999999999 |
Carle Eureka Hospital |
1336570539 |
ELPASO NECK SOFT TISS AP LAT |
70360 |
0320 |
242 |
242 |
72.599999999999994 |
220.22 |
169.39999999999998 |
72.599999999999994 |
220.22 |
174.23999999999998 |
205.7 |
Carle Eureka Hospital |
1336570548 |
ELPASO PELVIS 1 OR 2 VIEWS |
72170 |
0320 |
210 |
210 |
63 |
191.1 |
147 |
63 |
191.1 |
151.19999999999999 |
178.5 |
Carle Eureka Hospital |
1336570561 |
EL PASO RIBS BILATERAL |
71110 |
0320 |
275 |
275 |
82.5 |
250.25 |
192.5 |
82.5 |
250.25 |
198 |
233.75 |
Carle Eureka Hospital |
1336570562 |
EL PASO RIBS UNILATERAL |
71100 |
0320 |
237 |
237 |
71.099999999999994 |
215.67000000000002 |
165.89999999999998 |
71.099999999999994 |
215.67000000000002 |
170.64 |
201.45 |
Carle Eureka Hospital |
1336570564 |
ELPASO SACRUM OR COCCYX |
72220 |
0320 |
194 |
194 |
58.199999999999996 |
176.54 |
135.79999999999998 |
58.199999999999996 |
176.54 |
139.68 |
164.9 |
Carle Eureka Hospital |
1336570566 |
ELPASO SCAPULA RIGHT |
73010RT |
0320 |
179 |
179 |
53.699999999999996 |
162.89000000000001 |
125.3 |
53.699999999999996 |
162.89000000000001 |
128.88 |
152.15 |
Carle Eureka Hospital |
1336570567 |
ELPASO SCAPULA LEFT |
73010LT |
0320 |
179 |
179 |
53.699999999999996 |
162.89000000000001 |
125.3 |
53.699999999999996 |
162.89000000000001 |
128.88 |
152.15 |
Carle Eureka Hospital |
1336570570 |
ELPASO SHOULDER COMPLETE RIGHT |
73030RT |
0320 |
193 |
193 |
57.9 |
175.63 |
135.1 |
57.9 |
175.63 |
138.96 |
164.04999999999998 |
Carle Eureka Hospital |
1336570571 |
ELPASO SHOULDER COMPLETE LEFT |
73030LT |
0320 |
193 |
193 |
57.9 |
175.63 |
135.1 |
57.9 |
175.63 |
138.96 |
164.04999999999998 |
Carle Eureka Hospital |
1336570572 |
ELPASO SHOULDER ONE VIEW LEFT |
73020LT |
0320 |
165 |
165 |
49.5 |
150.15 |
115.49999999999999 |
49.5 |
150.15 |
118.8 |
140.25 |
Carle Eureka Hospital |
1336570573 |
ELPASO SHOULDER ONE VIEW RIGHT |
73020RT |
0320 |
165 |
165 |
49.5 |
150.15 |
115.49999999999999 |
49.5 |
150.15 |
118.8 |
140.25 |
Carle Eureka Hospital |
1336570583 |
ELPASO STERNOCLAVICULAR JOINTS |
71130 |
0320 |
195 |
195 |
58.5 |
177.45000000000002 |
136.5 |
58.5 |
177.45000000000002 |
140.4 |
165.75 |
Carle Eureka Hospital |
1336570584 |
EL PASO STERNUM |
71120 |
0320 |
179 |
179 |
53.699999999999996 |
162.89000000000001 |
125.3 |
53.699999999999996 |
162.89000000000001 |
128.88 |
152.15 |
Carle Eureka Hospital |
1336570586 |
ELPASO THORACIC SPINE 2 VIEWS |
72070 |
0320 |
213 |
213 |
63.9 |
193.83 |
149.1 |
63.9 |
193.83 |
153.35999999999999 |
181.04999999999998 |
Carle Eureka Hospital |
1336570587 |
ELPASO THORACIC SPINE 3 VIEWS |
72072 |
0320 |
240 |
240 |
72 |
218.4 |
168 |
72 |
218.4 |
172.79999999999998 |
204 |
Carle Eureka Hospital |
1336570589 |
ELPASO THUMB LEFT |
73140FA |
0320 |
183 |
183 |
54.9 |
166.53 |
128.1 |
54.9 |
166.53 |
131.76 |
155.54999999999998 |
Carle Eureka Hospital |
1336570590 |
ELPASO THUMB RIGHT |
73140F5 |
0320 |
183 |
183 |
54.9 |
166.53 |
128.1 |
54.9 |
166.53 |
131.76 |
155.54999999999998 |
Carle Eureka Hospital |
1336570591 |
ELPASO TIBIA AND FIBULA LEFT |
73590LT |
0320 |
194 |
194 |
58.199999999999996 |
176.54 |
135.79999999999998 |
58.199999999999996 |
176.54 |
139.68 |
164.9 |
Carle Eureka Hospital |
1336570592 |
ELPASO TIBIA AND FIBULA RIGHT |
73590RT |
0320 |
194 |
194 |
58.199999999999996 |
176.54 |
135.79999999999998 |
58.199999999999996 |
176.54 |
139.68 |
164.9 |
Carle Eureka Hospital |
1336570594 |
ELPASO TOE FIFTH LEFT |
73660T4 |
0320 |
179 |
179 |
53.699999999999996 |
162.89000000000001 |
125.3 |
53.699999999999996 |
162.89000000000001 |
128.88 |
152.15 |
Carle Eureka Hospital |
1336570595 |
ELPASO TOE FIFTH RIGHT |
73660T9 |
0320 |
179 |
179 |
53.699999999999996 |
162.89000000000001 |
125.3 |
53.699999999999996 |
162.89000000000001 |
128.88 |
152.15 |
Carle Eureka Hospital |
1336570596 |
ELPASO TOE FOURTH LEFT |
73660T3 |
0320 |
179 |
179 |
53.699999999999996 |
162.89000000000001 |
125.3 |
53.699999999999996 |
162.89000000000001 |
128.88 |
152.15 |
Carle Eureka Hospital |
1336570597 |
ELPASO TOE FOURTH RIGHT |
73660T8 |
0320 |
179 |
179 |
53.699999999999996 |
162.89000000000001 |
125.3 |
53.699999999999996 |
162.89000000000001 |
128.88 |
152.15 |
Carle Eureka Hospital |
1336570598 |
ELPASO TOE GREAT LEFT |
73660TA |
0320 |
179 |
179 |
53.699999999999996 |
162.89000000000001 |
125.3 |
53.699999999999996 |
162.89000000000001 |
128.88 |
152.15 |
Carle Eureka Hospital |
1336570599 |
ELPASO TOE GREAT RIGHT |
73660T5 |
0320 |
179 |
179 |
53.699999999999996 |
162.89000000000001 |
125.3 |
53.699999999999996 |
162.89000000000001 |
128.88 |
152.15 |
Carle Eureka Hospital |
1336570600 |
ELPASO TOE SECOND LEFT |
73660T1 |
0320 |
179 |
179 |
53.699999999999996 |
162.89000000000001 |
125.3 |
53.699999999999996 |
162.89000000000001 |
128.88 |
152.15 |
Carle Eureka Hospital |
1336570601 |
ELPASO TOE SECOND RIGHT |
73660T6 |
0320 |
179 |
179 |
53.699999999999996 |
162.89000000000001 |
125.3 |
53.699999999999996 |
162.89000000000001 |
128.88 |
152.15 |
Carle Eureka Hospital |
1336570602 |
ELPASO TOE THIRD LEFT |
73660T2 |
0320 |
179 |
179 |
53.699999999999996 |
162.89000000000001 |
125.3 |
53.699999999999996 |
162.89000000000001 |
128.88 |
152.15 |
Carle Eureka Hospital |
1336570603 |
ELPASO TOE THIRD RIGHT |
73660T7 |
0320 |
179 |
179 |
53.699999999999996 |
162.89000000000001 |
125.3 |
53.699999999999996 |
162.89000000000001 |
128.88 |
152.15 |
Carle Eureka Hospital |
1336570618 |
ELPASO WRIST COMPLETE LEFT |
73110LT |
0320 |
177 |
177 |
53.1 |
161.07 |
123.89999999999999 |
53.1 |
161.07 |
127.44 |
150.44999999999999 |
Carle Eureka Hospital |
1336570619 |
ELPASO WRIST COMPLETE RIGHT |
73110RT |
0320 |
177 |
177 |
53.1 |
161.07 |
123.89999999999999 |
53.1 |
161.07 |
127.44 |
150.44999999999999 |
Carle Eureka Hospital |
1336570652 |
ELPASO KNEE 3 VIEWS RIGHT |
73562RT |
0320 |
237 |
237 |
71.099999999999994 |
215.67000000000002 |
165.89999999999998 |
71.099999999999994 |
215.67000000000002 |
170.64 |
201.45 |
Carle Eureka Hospital |
1336570653 |
ELPASO KNEE 3 VIEWS LEFT |
73562LT |
0320 |
237 |
237 |
71.099999999999994 |
215.67000000000002 |
165.89999999999998 |
71.099999999999994 |
215.67000000000002 |
170.64 |
201.45 |
Carle Eureka Hospital |
1336570659 |
ELPASO KNEE BI STD 1 VIEW |
73565 |
0320 |
195 |
195 |
58.5 |
177.45000000000002 |
136.5 |
58.5 |
177.45000000000002 |
140.4 |
165.75 |
Carle Eureka Hospital |
1336571113 |
ELPASO KNEES 1 OR 2 VIEW BILAT |
7356050 |
0320 |
266 |
266 |
79.8 |
242.06 |
186.2 |
79.8 |
242.06 |
191.51999999999998 |
226.1 |
Carle Eureka Hospital |
1336577233 |
ELPASO FEMUR LT MIN 2V |
73552LT |
0320 |
219 |
219 |
65.7 |
199.29000000000002 |
153.29999999999998 |
65.7 |
199.29000000000002 |
157.68 |
186.15 |
Carle Eureka Hospital |
1336577234 |
ELPASO FEMUR RT MIN 2V |
73552RT |
0320 |
219 |
219 |
65.7 |
199.29000000000002 |
153.29999999999998 |
65.7 |
199.29000000000002 |
157.68 |
186.15 |
Carle Eureka Hospital |
1336577239 |
ELPASO HIP LT 2V |
73502 |
0320 |
231 |
231 |
69.3 |
210.21 |
161.69999999999999 |
69.3 |
210.21 |
166.32 |
196.35 |
Carle Eureka Hospital |
1336577240 |
ELPASO HIP RT 2V |
73502 |
0320 |
231 |
231 |
69.3 |
210.21 |
161.69999999999999 |
69.3 |
210.21 |
166.32 |
196.35 |
Carle Eureka Hospital |
1336577241 |
ELPASO HIPS BIL 2V EA HIP |
73522 |
0320 |
450 |
450 |
135 |
409.5 |
315 |
135 |
409.5 |
324 |
382.5 |
Carle Eureka Hospital |
1336577242 |
ELPASO HIP LT 2V W PELVIS |
73502 |
0320 |
231 |
231 |
69.3 |
210.21 |
161.69999999999999 |
69.3 |
210.21 |
166.32 |
196.35 |
Carle Eureka Hospital |
1336577243 |
ELPASO HIP RT 2V W PELVIS |
73502 |
0320 |
231 |
231 |
69.3 |
210.21 |
161.69999999999999 |
69.3 |
210.21 |
166.32 |
196.35 |
Carle Eureka Hospital |
1336577244 |
ELP HIPS BIL 2V HIP WPELVS 1V |
73523 |
0320 |
450 |
450 |
135 |
409.5 |
315 |
135 |
409.5 |
324 |
382.5 |
Carle Eureka Hospital |
1336577256 |
ELPASO HIP LT 1V W PELVIS |
73501 |
0320 |
125 |
125 |
37.5 |
113.75 |
87.5 |
37.5 |
113.75 |
90 |
106.25 |
Carle Eureka Hospital |
1336577257 |
ELPASO HIP RT 1V W PELVIS |
73501 |
0320 |
125 |
125 |
37.5 |
113.75 |
87.5 |
37.5 |
113.75 |
90 |
106.25 |
Carle Eureka Hospital |
1337080012 |
ACETAM 650MG SUPPOSITORY |
0637 |
4.46 |
4.46 |
1.3379999999999999 |
4.0586000000000002 |
3.1219999999999999 |
1.3379999999999999 |
4.0586000000000002 |
3.2111999999999998 |
3.7909999999999999 |
Carle Eureka Hospital |
1337080015 |
ACETAM ELIX 120ML BTL |
0637 |
30.11 |
30.11 |
9.0329999999999995 |
27.400100000000002 |
21.076999999999998 |
9.0329999999999995 |
27.400100000000002 |
21.679199999999998 |
25.593499999999999 |
Carle Eureka Hospital |
1337080018 |
ACETAM ELIX 320MG UD CUP |
0637 |
2.66 |
2.66 |
0.79800000000000004 |
2.4206000000000003 |
1.8619999999999999 |
0.79800000000000004 |
2.4206000000000003 |
1.9152 |
2.2610000000000001 |
Carle Eureka Hospital |
1337080024 |
ACETAM W COD 300/30MG |
0637 |
2.17 |
2.17 |
0.65099999999999991 |
1.9746999999999999 |
1.5189999999999999 |
0.65099999999999991 |
1.9746999999999999 |
1.5623999999999998 |
1.8444999999999998 |
Carle Eureka Hospital |
1337080028 |
ACETAMIN 325MG TAB |
0637 |
0.34 |
0.34 |
0.10200000000000001 |
0.30940000000000001 |
0.23799999999999999 |
0.10200000000000001 |
0.30940000000000001 |
0.24480000000000002 |
0.28900000000000003 |
Carle Eureka Hospital |
1337080083 |
ALBUTEROL INH SOLN 0.5ML |
0637 |
3.03 |
3.03 |
0.90899999999999992 |
2.7572999999999999 |
2.1209999999999996 |
0.90899999999999992 |
2.7572999999999999 |
2.1816 |
2.5754999999999999 |
Carle Eureka Hospital |
1337080086 |
ALBUTEROL SULF 17GM INH |
0637 |
241.68 |
241.68 |
72.504000000000005 |
219.92880000000002 |
169.17599999999999 |
72.504000000000005 |
219.92880000000002 |
174.00960000000001 |
205.428 |
Carle Eureka Hospital |
1337080113 |
ALPROZOLAM 0.500MG TAB |
0637 |
6.53 |
6.53 |
1.9590000000000001 |
5.9423000000000004 |
4.5709999999999997 |
1.9590000000000001 |
5.9423000000000004 |
4.7016 |
5.5505000000000004 |
Carle Eureka Hospital |
1337080120 |
ALUM/MAG/HYDROX 30ML UDCUP |
0637 |
2.5499999999999998 |
2.5499999999999998 |
0.7649999999999999 |
2.3205 |
1.7849999999999997 |
0.7649999999999999 |
2.3205 |
1.8359999999999999 |
2.1675 |
Carle Eureka Hospital |
1337080121 |
ALUM/MAG/HYDROX/SIMETH 30ML UD |
0637 |
2.6 |
2.6 |
0.78 |
2.3660000000000001 |
1.8199999999999998 |
0.78 |
2.3660000000000001 |
1.8719999999999999 |
2.21 |
Carle Eureka Hospital |
1337080155 |
AMMONIA INH 0.330ML AMP |
0637 |
15.9 |
15.9 |
4.7699999999999996 |
14.469000000000001 |
11.129999999999999 |
4.7699999999999996 |
14.469000000000001 |
11.448 |
13.515000000000001 |
Carle Eureka Hospital |
1337080167 |
AMOXICILLIN 500MG CAP |
0637 |
3.45 |
3.45 |
1.0349999999999999 |
3.1395000000000004 |
2.415 |
1.0349999999999999 |
3.1395000000000004 |
2.484 |
2.9325000000000001 |
Carle Eureka Hospital |
1337080183 |
AMRINONE LACTATE 100MG/20ML |
0250 |
457.5 |
457.5 |
137.25 |
416.32499999999999 |
320.25 |
137.25 |
416.32499999999999 |
329.4 |
388.875 |
Carle Eureka Hospital |
1337080223 |
ASPRIN 325MG TAB |
0637 |
0.11 |
0.11 |
3.3000000000000002E-2 |
0.10010000000000001 |
7.6999999999999999E-2 |
3.3000000000000002E-2 |
0.10010000000000001 |
7.9199999999999993E-2 |
9.35E-2 |
Carle Eureka Hospital |
1337080236 |
ATROPINE 0.3MG/ML |
0250 |
13.99 |
13.99 |
4.1970000000000001 |
12.7309 |
9.7929999999999993 |
4.1970000000000001 |
12.7309 |
10.072799999999999 |
11.891500000000001 |
Carle Eureka Hospital |
1337080237 |
ATROPINE 0.4MG/VIAL |
J0461 |
0636 |
13.99 |
13.99 |
4.1970000000000001 |
12.7309 |
9.7929999999999993 |
4.1970000000000001 |
12.7309 |
10.072799999999999 |
11.891500000000001 |
Carle Eureka Hospital |
1337080285 |
BAYER EC 81MG TAB |
0637 |
0.65 |
0.65 |
0.19500000000000001 |
0.59150000000000003 |
0.45499999999999996 |
0.19500000000000001 |
0.59150000000000003 |
0.46799999999999997 |
0.55249999999999999 |
Carle Eureka Hospital |
1337080295 |
BENADRYL 50MG CAP |
0637 |
1.7 |
1.7 |
0.51 |
1.5469999999999999 |
1.19 |
0.51 |
1.5469999999999999 |
1.224 |
1.4449999999999998 |
Carle Eureka Hospital |
1337080342 |
BICITRA LIQ 30ML UDCUP |
0637 |
8.09 |
8.09 |
2.427 |
7.3619000000000003 |
5.6629999999999994 |
2.427 |
7.3619000000000003 |
5.8247999999999998 |
6.8765000000000001 |
Carle Eureka Hospital |
1337080360 |
BRETYLIUM 500MG/10ML |
0637 |
245.59 |
245.59 |
73.676999999999992 |
223.48690000000002 |
171.91299999999998 |
73.676999999999992 |
223.48690000000002 |
176.82479999999998 |
208.75149999999999 |
Carle Eureka Hospital |
1337080377 |
BUPIVA 0.25% 30ML STPK |
0250 |
31.48 |
31.48 |
9.4439999999999991 |
28.646800000000002 |
22.035999999999998 |
9.4439999999999991 |
28.646800000000002 |
22.665599999999998 |
26.757999999999999 |
Carle Eureka Hospital |
1337080383 |
BUPIVA 0.5% 50ML VIAL |
0250 |
73.47 |
73.47 |
22.041 |
66.857700000000008 |
51.428999999999995 |
22.041 |
66.857700000000008 |
52.898399999999995 |
62.4495 |
Carle Eureka Hospital |
1337080387 |
BUPIVACAINE 0.25% 10ML |
0250 |
22.09 |
22.09 |
6.6269999999999998 |
20.101900000000001 |
15.462999999999999 |
6.6269999999999998 |
20.101900000000001 |
15.9048 |
18.776499999999999 |
Carle Eureka Hospital |
1337080388 |
BUPIVACAINE 0.5% 30ML VIAL |
0250 |
31.99 |
31.99 |
9.5969999999999995 |
29.110900000000001 |
22.392999999999997 |
9.5969999999999995 |
29.110900000000001 |
23.032799999999998 |
27.191499999999998 |
Carle Eureka Hospital |
1337080389 |
BUPIVACAINE 0.5& 10ML SDV |
0250 |
32.619999999999997 |
32.619999999999997 |
9.7859999999999996 |
29.684199999999997 |
22.833999999999996 |
9.7859999999999996 |
29.684199999999997 |
23.486399999999996 |
27.726999999999997 |
Carle Eureka Hospital |
1337080399 |
BUTORPHANOL 2MG/ML VIAL |
0250 |
49.26 |
49.26 |
14.777999999999999 |
44.826599999999999 |
34.481999999999999 |
14.777999999999999 |
44.826599999999999 |
35.467199999999998 |
41.870999999999995 |
Carle Eureka Hospital |
1337080428 |
CAP W/COD 15ML UD CUP |
0637 |
5.09 |
5.09 |
1.5269999999999999 |
4.6318999999999999 |
3.5629999999999997 |
1.5269999999999999 |
4.6318999999999999 |
3.6647999999999996 |
4.3264999999999993 |
Carle Eureka Hospital |
1337080496 |
CEPACOL LOZ SINGLE DOSE |
0637 |
0.64 |
0.64 |
0.192 |
0.58240000000000003 |
0.44799999999999995 |
0.192 |
0.58240000000000003 |
0.46079999999999999 |
0.54400000000000004 |
Carle Eureka Hospital |
1337080498 |
CEPASTAT LOZ 3 TAB PACK |
0637 |
1.93 |
1.93 |
0.57899999999999996 |
1.7563 |
1.351 |
0.57899999999999996 |
1.7563 |
1.3895999999999999 |
1.6404999999999998 |
Carle Eureka Hospital |
1337080502 |
CEPHALEXIN 500MG CAP |
0637 |
14.54 |
14.54 |
4.3619999999999992 |
13.231399999999999 |
10.177999999999999 |
4.3619999999999992 |
13.231399999999999 |
10.4688 |
12.358999999999998 |
Carle Eureka Hospital |
1337080526 |
CHLORASEP LOZ 3 PAK |
0637 |
2.27 |
2.27 |
0.68099999999999994 |
2.0657000000000001 |
1.589 |
0.68099999999999994 |
2.0657000000000001 |
1.6343999999999999 |
1.9295 |
Carle Eureka Hospital |
1337080550 |
CHLORPROMAZINE 50MG/2ML |
J3230 |
0636 |
71.430000000000007 |
71.430000000000007 |
21.429000000000002 |
65.001300000000015 |
50.001000000000005 |
21.429000000000002 |
65.001300000000015 |
51.429600000000001 |
60.715500000000006 |
Carle Eureka Hospital |
1337080599 |
CLINDAMYCIN 150MG CAP |
0637 |
12.36 |
12.36 |
3.7079999999999997 |
11.2476 |
8.6519999999999992 |
3.7079999999999997 |
11.2476 |
8.8991999999999987 |
10.505999999999998 |
Carle Eureka Hospital |
1337080635 |
CODEINE 30MG/ML |
J0745 |
0636 |
20.73 |
20.73 |
6.2190000000000003 |
18.8643 |
14.510999999999999 |
6.2190000000000003 |
18.8643 |
14.925599999999999 |
17.6205 |
Carle Eureka Hospital |
1337080746 |
DEPO-MEDROL 40MG VIAL |
J1030 |
0636 |
40.369999999999997 |
40.369999999999997 |
12.110999999999999 |
36.736699999999999 |
28.258999999999997 |
12.110999999999999 |
36.736699999999999 |
29.066399999999998 |
34.314499999999995 |
Carle Eureka Hospital |
1337080748 |
DEPO-MEDROL 80MG VIAL |
J1040 |
0636 |
65.72 |
65.72 |
19.715999999999998 |
59.805199999999999 |
46.003999999999998 |
19.715999999999998 |
59.805199999999999 |
47.318399999999997 |
55.861999999999995 |
Carle Eureka Hospital |
1337080810 |
DEXAMETH 10MG/ML |
J1100 |
0636 |
38.33 |
38.33 |
11.498999999999999 |
34.880299999999998 |
26.830999999999996 |
11.498999999999999 |
34.880299999999998 |
27.597599999999996 |
32.580500000000001 |
Carle Eureka Hospital |
1337080812 |
DEXAMETH 4MG/ML |
J1100 |
0636 |
13.99 |
13.99 |
4.1970000000000001 |
12.7309 |
9.7929999999999993 |
4.1970000000000001 |
12.7309 |
10.072799999999999 |
11.891500000000001 |
Carle Eureka Hospital |
1337080835 |
DIAZEPAM 10MG/2ML |
J3360 |
0636 |
40.549999999999997 |
40.549999999999997 |
12.164999999999999 |
36.900500000000001 |
28.384999999999994 |
12.164999999999999 |
36.900500000000001 |
29.195999999999998 |
34.467499999999994 |
Carle Eureka Hospital |
1337080837 |
DIAZEPAM 5MG TAB |
0637 |
3.29 |
3.29 |
0.98699999999999999 |
2.9939 |
2.3029999999999999 |
0.98699999999999999 |
2.9939 |
2.3687999999999998 |
2.7965 |
Carle Eureka Hospital |
1337080860 |
DIGOXIN 0.250MG/ML |
0250 |
32.450000000000003 |
32.450000000000003 |
9.7350000000000012 |
29.529500000000002 |
22.715 |
9.7350000000000012 |
29.529500000000002 |
23.364000000000001 |
27.582500000000003 |
Carle Eureka Hospital |
1337080873 |
DILTIAZEM 50MG INJ |
0250 |
163.71 |
163.71 |
49.113 |
148.9761 |
114.59699999999999 |
49.113 |
148.9761 |
117.8712 |
139.15350000000001 |
Carle Eureka Hospital |
1337080885 |
DIMENHYDRINATE 50MG/ML |
0637 |
39.64 |
39.64 |
11.891999999999999 |
36.072400000000002 |
27.747999999999998 |
11.891999999999999 |
36.072400000000002 |
28.540800000000001 |
33.694000000000003 |
Carle Eureka Hospital |
1337080951 |
DOXAPRAM 400MG/20ML |
0250 |
482.96 |
482.96 |
144.88799999999998 |
439.49360000000001 |
338.07199999999995 |
144.88799999999998 |
439.49360000000001 |
347.73119999999994 |
410.51599999999996 |
Carle Eureka Hospital |
1337080972 |
DROPERIDOL 5MG/2ML VIAL |
0637 |
33.979999999999997 |
33.979999999999997 |
10.193999999999999 |
30.921799999999998 |
23.785999999999998 |
10.193999999999999 |
30.921799999999998 |
24.465599999999998 |
28.882999999999996 |
Carle Eureka Hospital |
1337080973 |
DULCOLAX 10MG SUPP |
0637 |
2.33 |
2.33 |
0.69899999999999995 |
2.1203000000000003 |
1.631 |
0.69899999999999995 |
2.1203000000000003 |
1.6776 |
1.9804999999999999 |
Carle Eureka Hospital |
1337080989 |
EIS ANESTH DRUGS |
0250 |
86.57 |
86.57 |
25.970999999999997 |
78.778700000000001 |
60.59899999999999 |
25.970999999999997 |
78.778700000000001 |
62.33039999999999 |
73.584499999999991 |
Carle Eureka Hospital |
1337080995 |
EMLA 2.5% CREAM 5GM |
0637 |
48.68 |
48.68 |
14.603999999999999 |
44.2988 |
34.076000000000001 |
14.603999999999999 |
44.2988 |
35.049599999999998 |
41.378 |
Carle Eureka Hospital |
1337081017 |
EPHEDRINE SULFATE 50MG/ML |
0250 |
13.99 |
13.99 |
4.1970000000000001 |
12.7309 |
9.7929999999999993 |
4.1970000000000001 |
12.7309 |
10.072799999999999 |
11.891500000000001 |
Carle Eureka Hospital |
1337081021 |
EPINEPH TOP SOL 30ML BTL |
0637 |
106.11 |
106.11 |
31.832999999999998 |
96.560100000000006 |
74.277000000000001 |
31.832999999999998 |
96.560100000000006 |
76.399199999999993 |
90.1935 |
Carle Eureka Hospital |
1337081025 |
EPINEPHRINE 1:1000 1MG/ML AMP |
J0171 |
0636 |
57.45 |
57.45 |
17.234999999999999 |
52.279500000000006 |
40.214999999999996 |
17.234999999999999 |
52.279500000000006 |
41.363999999999997 |
48.832500000000003 |
Carle Eureka Hospital |
1337081036 |
EPTIFIBATIDE 0.75MG/ML 100ML |
J1327 |
0636 |
443.69 |
443.69 |
133.107 |
403.75790000000001 |
310.58299999999997 |
133.107 |
403.75790000000001 |
319.45679999999999 |
377.13650000000001 |
Carle Eureka Hospital |
1337081037 |
EPTIFIBATIDE 2MG/ML 10ML |
J1327 |
0636 |
324.97000000000003 |
324.97000000000003 |
97.491 |
295.72270000000003 |
227.47900000000001 |
97.491 |
295.72270000000003 |
233.97840000000002 |
276.22450000000003 |
Carle Eureka Hospital |
1337081104 |
FENTANYL 100MCG/2ML AMP |
J3010 |
0636 |
47.92 |
47.92 |
14.375999999999999 |
43.607200000000006 |
33.543999999999997 |
14.375999999999999 |
43.607200000000006 |
34.502400000000002 |
40.731999999999999 |
Carle Eureka Hospital |
1337081195 |
FUROSEMIDE 20MG/2ML VIAL |
J1940 |
0636 |
18.420000000000002 |
18.420000000000002 |
5.5260000000000007 |
16.762200000000004 |
12.894 |
5.5260000000000007 |
16.762200000000004 |
13.262400000000001 |
15.657000000000002 |
Carle Eureka Hospital |
1337081197 |
FUROSEMIDE 40MG/4ML VIAL |
J1940 |
0636 |
30.58 |
30.58 |
9.1739999999999995 |
27.8278 |
21.405999999999999 |
9.1739999999999995 |
27.8278 |
22.017599999999998 |
25.992999999999999 |
Carle Eureka Hospital |
1337081200 |
FUROSEMIDE INJ 100MG/10ML VIAL |
J1940 |
0636 |
69.91 |
69.91 |
20.972999999999999 |
63.618099999999998 |
48.936999999999998 |
20.972999999999999 |
63.618099999999998 |
50.335199999999993 |
59.423499999999997 |
Carle Eureka Hospital |
1337081216 |
GENTAMICIN 80MG/2ML |
J1580 |
0636 |
16.98 |
16.98 |
5.0940000000000003 |
15.4518 |
11.885999999999999 |
5.0940000000000003 |
15.4518 |
12.2256 |
14.433 |
Carle Eureka Hospital |
1337081228 |
GLUCAGON INJ 1MG/1ML KIT |
J1610 |
0636 |
389.93 |
389.93 |
116.979 |
354.83629999999999 |
272.95099999999996 |
116.979 |
354.83629999999999 |
280.74959999999999 |
331.44049999999999 |
Carle Eureka Hospital |
1337081233 |
GLUCOSE TABS 6/BOX |
0637 |
7.15 |
7.15 |
2.145 |
6.5065000000000008 |
5.0049999999999999 |
2.145 |
6.5065000000000008 |
5.1479999999999997 |
6.0775000000000006 |
Carle Eureka Hospital |
1337081245 |
GLYCOPYROLATE 0.2MG/ML 5ML |
0250 |
22.81 |
22.81 |
6.8429999999999991 |
20.757100000000001 |
15.966999999999999 |
6.8429999999999991 |
20.757100000000001 |
16.423199999999998 |
19.388499999999997 |
Carle Eureka Hospital |
1337081298 |
HEPARIN BEEF 1000U/ML 1 |
0250 |
61.31 |
61.31 |
18.393000000000001 |
55.792100000000005 |
42.917000000000002 |
18.393000000000001 |
55.792100000000005 |
44.1432 |
52.113500000000002 |
Carle Eureka Hospital |
1337081302 |
HEPARIN FLUSH KIT 10U/ML |
0250 |
14.57 |
14.57 |
4.3709999999999996 |
13.258700000000001 |
10.199 |
4.3709999999999996 |
13.258700000000001 |
10.490399999999999 |
12.384499999999999 |
Carle Eureka Hospital |
1337081305 |
HEPARIN SOD 10000U/10M |
0250 |
16.829999999999998 |
16.829999999999998 |
5.0489999999999995 |
15.315299999999999 |
11.780999999999999 |
5.0489999999999995 |
15.315299999999999 |
12.117599999999998 |
14.305499999999999 |
Carle Eureka Hospital |
1337081306 |
HEPARIN SOD 1000U/VIAL |
J1644 |
0636 |
13.99 |
13.99 |
4.1970000000000001 |
12.7309 |
9.7929999999999993 |
4.1970000000000001 |
12.7309 |
10.072799999999999 |
11.891500000000001 |
Carle Eureka Hospital |
1337081331 |
HYDRALAZINE 20MG/ML |
J0360 |
0636 |
107.65 |
107.65 |
32.295000000000002 |
97.961500000000015 |
75.355000000000004 |
32.295000000000002 |
97.961500000000015 |
77.507999999999996 |
91.502499999999998 |
Carle Eureka Hospital |
1337081338 |
HYDROCO/ACET 5/500MG |
0637 |
3.56 |
3.56 |
1.0680000000000001 |
3.2396000000000003 |
2.492 |
1.0680000000000001 |
3.2396000000000003 |
2.5632000000000001 |
3.0259999999999998 |
Carle Eureka Hospital |
1337081342 |
HYDROCORT 100MG/2ML |
J1720 |
0636 |
21.02 |
21.02 |
6.306 |
19.1282 |
14.713999999999999 |
6.306 |
19.1282 |
15.134399999999999 |
17.867000000000001 |
Carle Eureka Hospital |
1337081373 |
HYDROXYZINE 50MG/ML |
0250 |
13.99 |
13.99 |
4.1970000000000001 |
12.7309 |
9.7929999999999993 |
4.1970000000000001 |
12.7309 |
10.072799999999999 |
11.891500000000001 |
Carle Eureka Hospital |
1337081383 |
HYPERTONIC NS/EPI SOLN FOR OPM |
0637 |
48.78 |
48.78 |
14.634 |
44.389800000000001 |
34.146000000000001 |
14.634 |
44.389800000000001 |
35.121600000000001 |
41.463000000000001 |
Carle Eureka Hospital |
1337081388 |
IBU SUSP 100MG/5ML UD |
0637 |
6.35 |
6.35 |
1.9049999999999998 |
5.7785000000000002 |
4.4449999999999994 |
1.9049999999999998 |
5.7785000000000002 |
4.5719999999999992 |
5.3975 |
Carle Eureka Hospital |
1337081389 |
IBU SUSP 120ML |
0637 |
0.5 |
0.5 |
0.15 |
0.45500000000000002 |
0.35 |
0.15 |
0.45500000000000002 |
0.36 |
0.42499999999999999 |
Carle Eureka Hospital |
1337081392 |
IBUPROFEN 200MG TAB |
0637 |
0.85 |
0.85 |
0.255 |
0.77349999999999997 |
0.59499999999999997 |
0.255 |
0.77349999999999997 |
0.61199999999999999 |
0.72249999999999992 |
Carle Eureka Hospital |
1337081395 |
IBUPROFEN 800MG TAB |
0637 |
2.3199999999999998 |
2.3199999999999998 |
0.69599999999999995 |
2.1111999999999997 |
1.6239999999999999 |
0.69599999999999995 |
2.1111999999999997 |
1.6703999999999999 |
1.9719999999999998 |
Carle Eureka Hospital |
1337081429 |
INFLUENZA 0.5ML (36mo AND UP) |
90686 |
0636 |
24 |
24 |
7.1999999999999993 |
21.84 |
16.799999999999997 |
7.1999999999999993 |
21.84 |
17.28 |
20.399999999999999 |
Carle Eureka Hospital |
1337081433 |
INSTA-CHAR CHERRY 120 ML |
0637 |
9.6999999999999993 |
9.6999999999999993 |
2.9099999999999997 |
8.827 |
6.7899999999999991 |
2.9099999999999997 |
8.827 |
6.9839999999999991 |
8.2449999999999992 |
Carle Eureka Hospital |
1337081434 |
INSTA-CHAR CHERRY W/SORB 120ML |
0637 |
8.4499999999999993 |
8.4499999999999993 |
2.5349999999999997 |
7.6894999999999998 |
5.9149999999999991 |
2.5349999999999997 |
7.6894999999999998 |
6.0839999999999996 |
7.1824999999999992 |
Carle Eureka Hospital |
1337081435 |
INSTA-GLUC 40% 30GM TUBE |
0637 |
25.36 |
25.36 |
7.6079999999999997 |
23.0776 |
17.751999999999999 |
7.6079999999999997 |
23.0776 |
18.2592 |
21.555999999999997 |
Carle Eureka Hospital |
1337081455 |
IOPIDINE OP 2 PACK |
0637 |
108.24 |
108.24 |
32.471999999999994 |
98.498400000000004 |
75.767999999999986 |
32.471999999999994 |
98.498400000000004 |
77.9328 |
92.003999999999991 |
Carle Eureka Hospital |
1337081466 |
ISOPROTER 1MG/5ML SYRINGE |
0637 |
90.84 |
90.84 |
27.251999999999999 |
82.664400000000001 |
63.588000000000001 |
27.251999999999999 |
82.664400000000001 |
65.404799999999994 |
77.213999999999999 |
Carle Eureka Hospital |
1337081485 |
KETOROLAC 10MG TAB |
0637 |
7.27 |
7.27 |
2.1809999999999996 |
6.6156999999999995 |
5.0889999999999995 |
2.1809999999999996 |
6.6156999999999995 |
5.2343999999999999 |
6.1794999999999991 |
Carle Eureka Hospital |
1337081488 |
KETOROLAC 30MG VIAL |
J1885 |
0636 |
38.06 |
38.06 |
11.418000000000001 |
34.634600000000006 |
26.641999999999999 |
11.418000000000001 |
34.634600000000006 |
27.403200000000002 |
32.350999999999999 |
Carle Eureka Hospital |
1337081563 |
LIDO 2% W/EPI DENT 1.8ML |
0637 |
13.99 |
13.99 |
4.1970000000000001 |
12.7309 |
9.7929999999999993 |
4.1970000000000001 |
12.7309 |
10.072799999999999 |
11.891500000000001 |
Carle Eureka Hospital |
1337081568 |
LIDO JELLY 2% 30GM TUBE |
0637 |
101.4 |
101.4 |
30.42 |
92.274000000000015 |
70.98 |
30.42 |
92.274000000000015 |
73.007999999999996 |
86.19 |
Carle Eureka Hospital |
1337081572 |
LIDO URO-JET 2% 10ML |
0250 |
55.99 |
55.99 |
16.797000000000001 |
50.950900000000004 |
39.192999999999998 |
16.797000000000001 |
50.950900000000004 |
40.312800000000003 |
47.591500000000003 |
Carle Eureka Hospital |
1337081581 |
LIDOCAINE 1% 20ML MDV |
0250 |
16.940000000000001 |
16.940000000000001 |
5.0819999999999999 |
15.415400000000002 |
11.858000000000001 |
5.0819999999999999 |
15.415400000000002 |
12.1968 |
14.399000000000001 |
Carle Eureka Hospital |
1337081582 |
LIDOCAINE 1% 2ML/AMP |
0250 |
13.99 |
13.99 |
4.1970000000000001 |
12.7309 |
9.7929999999999993 |
4.1970000000000001 |
12.7309 |
10.072799999999999 |
11.891500000000001 |
Carle Eureka Hospital |
1337081583 |
LIDOCAINE 1% 30ML SDV |
0250 |
45.18 |
45.18 |
13.554 |
41.113799999999998 |
31.625999999999998 |
13.554 |
41.113799999999998 |
32.529600000000002 |
38.402999999999999 |
Carle Eureka Hospital |
1337081584 |
LIDOCAINE 1% 50ML MDV |
0250 |
20.79 |
20.79 |
6.2369999999999992 |
18.918900000000001 |
14.552999999999999 |
6.2369999999999992 |
18.918900000000001 |
14.968799999999998 |
17.671499999999998 |
Carle Eureka Hospital |
1337081585 |
LIDOCAINE 1% 5ML TEARTOP |
0250 |
13.99 |
13.99 |
4.1970000000000001 |
12.7309 |
9.7929999999999993 |
4.1970000000000001 |
12.7309 |
10.072799999999999 |
11.891500000000001 |
Carle Eureka Hospital |
1337081588 |
LIDOCAINE 2% 50ML MDV |
0250 |
23.73 |
23.73 |
7.1189999999999998 |
21.5943 |
16.611000000000001 |
7.1189999999999998 |
21.5943 |
17.085599999999999 |
20.170500000000001 |
Carle Eureka Hospital |
1337081589 |
LIDOCAINE 2% 5ML SDV |
0250 |
13.99 |
13.99 |
4.1970000000000001 |
12.7309 |
9.7929999999999993 |
4.1970000000000001 |
12.7309 |
10.072799999999999 |
11.891500000000001 |
Carle Eureka Hospital |
1337081591 |
LIDOCAINE 4% 5ML/AMP |
0250 |
34.880000000000003 |
34.880000000000003 |
10.464 |
31.740800000000004 |
24.416 |
10.464 |
31.740800000000004 |
25.113600000000002 |
29.648 |
Carle Eureka Hospital |
1337081592 |
LIDOCAINE 4% ANESTH CRM 56M |
0250 |
43.07 |
43.07 |
12.920999999999999 |
39.1937 |
30.148999999999997 |
12.920999999999999 |
39.1937 |
31.010400000000001 |
36.609499999999997 |
Carle Eureka Hospital |
1337081626 |
LORAZEPAM 2MG/ML |
J2060 |
0636 |
80.5 |
80.5 |
24.15 |
73.254999999999995 |
56.349999999999994 |
24.15 |
73.254999999999995 |
57.96 |
68.424999999999997 |
Carle Eureka Hospital |
1337081656 |
LYMPHAZURIN 1% 5ML VIAL |
0250 |
532.07000000000005 |
532.07000000000005 |
159.62100000000001 |
484.18370000000004 |
372.44900000000001 |
159.62100000000001 |
484.18370000000004 |
383.09040000000005 |
452.2595 |
Carle Eureka Hospital |
1337081670 |
MAG SULF 50% 8.12MEQ/2M |
J3475 |
0636 |
13.99 |
13.99 |
4.1970000000000001 |
12.7309 |
9.7929999999999993 |
4.1970000000000001 |
12.7309 |
10.072799999999999 |
11.891500000000001 |
Carle Eureka Hospital |
1337081690 |
MECLIZINE 25MG TAB |
0637 |
3.29 |
3.29 |
0.98699999999999999 |
2.9939 |
2.3029999999999999 |
0.98699999999999999 |
2.9939 |
2.3687999999999998 |
2.7965 |
Carle Eureka Hospital |
1337081699 |
MEPENZOLATE 25MG TAB |
0637 |
5 |
5 |
1.5 |
4.55 |
3.5 |
1.5 |
4.55 |
3.5999999999999996 |
4.25 |
Carle Eureka Hospital |
1337081702 |
MEPERIDINE 100MG/ML |
J2175 |
0636 |
20.73 |
20.73 |
6.2190000000000003 |
18.8643 |
14.510999999999999 |
6.2190000000000003 |
18.8643 |
14.925599999999999 |
17.6205 |
Carle Eureka Hospital |
1337081705 |
MEPERIDINE 50MG/ML |
J2175 |
0250 |
20.73 |
20.73 |
6.2190000000000003 |
18.8643 |
14.510999999999999 |
6.2190000000000003 |
18.8643 |
14.925599999999999 |
17.6205 |
Carle Eureka Hospital |
1337081706 |
MEPERIDINE 75MG/ML |
0250 |
20.73 |
20.73 |
6.2190000000000003 |
18.8643 |
14.510999999999999 |
6.2190000000000003 |
18.8643 |
14.925599999999999 |
17.6205 |
Carle Eureka Hospital |
1337081708 |
MEPIRACAINE |
0250 |
70.14 |
70.14 |
21.041999999999998 |
63.827400000000004 |
49.097999999999999 |
21.041999999999998 |
63.827400000000004 |
50.500799999999998 |
59.619 |
Carle Eureka Hospital |
1337081739 |
METHERGINE 0.2MG ML |
0637 |
23.57 |
23.57 |
7.0709999999999997 |
21.448700000000002 |
16.498999999999999 |
7.0709999999999997 |
21.448700000000002 |
16.970399999999998 |
20.034500000000001 |
Carle Eureka Hospital |
1337081758 |
METHYLPRED 125MG VIAL |
J2930 |
0636 |
34.43 |
34.43 |
10.328999999999999 |
31.331300000000002 |
24.100999999999999 |
10.328999999999999 |
31.331300000000002 |
24.7896 |
29.265499999999999 |
Carle Eureka Hospital |
1337081764 |
METHYLPRED 500MG VIAL |
J2930 |
0636 |
121.85 |
121.85 |
36.555 |
110.8835 |
85.294999999999987 |
36.555 |
110.8835 |
87.731999999999999 |
103.57249999999999 |
Carle Eureka Hospital |
1337081768 |
METOCLOPRAMIDE 10MG TAB |
0637 |
4.3499999999999996 |
4.3499999999999996 |
1.3049999999999999 |
3.9584999999999999 |
3.0449999999999995 |
1.3049999999999999 |
3.9584999999999999 |
3.1319999999999997 |
3.6974999999999998 |
Carle Eureka Hospital |
1337081783 |
METRONIDAZOLE 500MG VIAL |
0250 |
128.24 |
128.24 |
38.472000000000001 |
116.69840000000001 |
89.768000000000001 |
38.472000000000001 |
116.69840000000001 |
92.332800000000006 |
109.004 |
Carle Eureka Hospital |
1337081798 |
MIDAZOLAM 10MG/2ML |
0250 |
142.28 |
142.28 |
42.683999999999997 |
129.47480000000002 |
99.595999999999989 |
42.683999999999997 |
129.47480000000002 |
102.44159999999999 |
120.938 |
Carle Eureka Hospital |
1337081800 |
MIDAZOLAM 2MG/2ML |
0250 |
64.709999999999994 |
64.709999999999994 |
19.412999999999997 |
58.886099999999999 |
45.29699999999999 |
19.412999999999997 |
58.886099999999999 |
46.591199999999994 |
55.003499999999995 |
Carle Eureka Hospital |
1337081802 |
MIDAZOLAM 5MG/5ML |
0250 |
74.930000000000007 |
74.930000000000007 |
22.479000000000003 |
68.186300000000003 |
52.451000000000001 |
22.479000000000003 |
68.186300000000003 |
53.949600000000004 |
63.690500000000007 |
Carle Eureka Hospital |
1337081827 |
MOM CONC 10ML=30ML |
0637 |
2.09 |
2.09 |
0.62699999999999989 |
1.9018999999999999 |
1.4629999999999999 |
0.62699999999999989 |
1.9018999999999999 |
1.5047999999999999 |
1.7764999999999997 |
Carle Eureka Hospital |
1337081839 |
MORPHINE 10MG/ML TUBEX |
J2270 |
0636 |
20.73 |
20.73 |
6.2190000000000003 |
18.8643 |
14.510999999999999 |
6.2190000000000003 |
18.8643 |
14.925599999999999 |
17.6205 |
Carle Eureka Hospital |
1337081841 |
MORPHINE 15MG/ML TUBEX |
0250 |
6.06 |
6.06 |
1.8179999999999998 |
5.5145999999999997 |
4.2419999999999991 |
1.8179999999999998 |
5.5145999999999997 |
4.3632 |
5.1509999999999998 |
Carle Eureka Hospital |
1337081849 |
MORPHINE 4MG/ML TUBEX |
J2270 |
0636 |
4.97 |
4.97 |
1.4909999999999999 |
4.5226999999999995 |
3.4789999999999996 |
1.4909999999999999 |
4.5226999999999995 |
3.5783999999999998 |
4.2244999999999999 |
Carle Eureka Hospital |
1337081851 |
MORPHINE 5MG/10ML A |
0250 |
60.98 |
60.98 |
18.293999999999997 |
55.491799999999998 |
42.685999999999993 |
18.293999999999997 |
55.491799999999998 |
43.905599999999993 |
51.832999999999998 |
Carle Eureka Hospital |
1337081856 |
MOTRIN 50MG CHEWTAB |
0637 |
0.61 |
0.61 |
0.183 |
0.55510000000000004 |
0.42699999999999999 |
0.183 |
0.55510000000000004 |
0.43919999999999998 |
0.51849999999999996 |
Carle Eureka Hospital |
1337081892 |
NALBUPHINE 20MG/ML AMP |
J2300 |
0636 |
19.149999999999999 |
19.149999999999999 |
5.7449999999999992 |
17.426500000000001 |
13.404999999999998 |
5.7449999999999992 |
17.426500000000001 |
13.787999999999998 |
16.2775 |
Carle Eureka Hospital |
1337081904 |
NALOXONE 1MG/ML 2ML AMP |
J2310 |
0636 |
44.66 |
44.66 |
13.397999999999998 |
40.640599999999999 |
31.261999999999997 |
13.397999999999998 |
40.640599999999999 |
32.155199999999994 |
37.960999999999999 |
Carle Eureka Hospital |
1337081937 |
NEOSTIG 1:2000 0.5MG/ML |
J2710 |
0636 |
24.24 |
24.24 |
7.2719999999999994 |
22.058399999999999 |
16.967999999999996 |
7.2719999999999994 |
22.058399999999999 |
17.4528 |
20.603999999999999 |
Carle Eureka Hospital |
1337081962 |
NIFEDIPINE 10MG CAP |
0637 |
6.51 |
6.51 |
1.9529999999999998 |
5.9241000000000001 |
4.5569999999999995 |
1.9529999999999998 |
5.9241000000000001 |
4.6871999999999998 |
5.5335000000000001 |
Carle Eureka Hospital |
1337081970 |
NIPRIDE 50MG/ VIAL |
0250 |
92.82 |
92.82 |
27.845999999999997 |
84.466200000000001 |
64.97399999999999 |
27.845999999999997 |
84.466200000000001 |
66.830399999999997 |
78.896999999999991 |
Carle Eureka Hospital |
1337082007 |
NORMODYNE 20MG/4ML SYR |
0250 |
107.02 |
107.02 |
32.105999999999995 |
97.388199999999998 |
74.913999999999987 |
32.105999999999995 |
97.388199999999998 |
77.054400000000001 |
90.966999999999999 |
Carle Eureka Hospital |
1337082099 |
OXYTOCIN 10U/ML VIAL |
J2590 |
0636 |
13.99 |
13.99 |
4.1970000000000001 |
12.7309 |
9.7929999999999993 |
4.1970000000000001 |
12.7309 |
10.072799999999999 |
11.891500000000001 |
Carle Eureka Hospital |
1337082142 |
PERCODAN 1 TAB |
0637 |
7.49 |
7.49 |
2.2469999999999999 |
6.8159000000000001 |
5.2429999999999994 |
2.2469999999999999 |
6.8159000000000001 |
5.3928000000000003 |
6.3665000000000003 |
Carle Eureka Hospital |
1337082153 |
PHENAZOPYRIDINE 100MG TAB |
0637 |
2.5499999999999998 |
2.5499999999999998 |
0.7649999999999999 |
2.3205 |
1.7849999999999997 |
0.7649999999999999 |
2.3205 |
1.8359999999999999 |
2.1675 |
Carle Eureka Hospital |
1337082154 |
PHENAZOPYRIDINE 200MG TAB |
0637 |
4.6900000000000004 |
4.6900000000000004 |
1.407 |
4.2679000000000009 |
3.2829999999999999 |
1.407 |
4.2679000000000009 |
3.3768000000000002 |
3.9865000000000004 |
Carle Eureka Hospital |
1337082159 |
PHENOBARBITAL 130MG/ML |
0637 |
20.51 |
20.51 |
6.1530000000000005 |
18.664100000000001 |
14.356999999999999 |
6.1530000000000005 |
18.664100000000001 |
14.767200000000001 |
17.433500000000002 |
Carle Eureka Hospital |
1337082176 |
PHENYLEPHRINE 10MG/ML AMP |
J2370 |
0636 |
47.9 |
47.9 |
14.37 |
43.588999999999999 |
33.529999999999994 |
14.37 |
43.588999999999999 |
34.488 |
40.714999999999996 |
Carle Eureka Hospital |
1337082188 |
PHYSOSTIGMINE 2MG/2ML AM |
0637 |
53.95 |
53.95 |
16.184999999999999 |
49.094500000000004 |
37.765000000000001 |
16.184999999999999 |
49.094500000000004 |
38.844000000000001 |
45.857500000000002 |
Carle Eureka Hospital |
1337082189 |
PHYTONADIONE 10MG/ML AMP |
J3430 |
0636 |
35.5 |
35.5 |
10.65 |
32.305 |
24.849999999999998 |
10.65 |
32.305 |
25.56 |
30.175000000000001 |
Carle Eureka Hospital |
1337082216 |
PLAVIX 75MG TAB |
0637 |
16.36 |
16.36 |
4.9079999999999995 |
14.887600000000001 |
11.451999999999998 |
4.9079999999999995 |
14.887600000000001 |
11.779199999999999 |
13.905999999999999 |
Carle Eureka Hospital |
1337082218 |
PNEUMOCOCCAL VACC 0.500ML/ML |
90732 |
0636 |
74 |
74 |
22.2 |
67.34 |
51.8 |
22.2 |
67.34 |
53.28 |
62.9 |
Carle Eureka Hospital |
1337082239 |
POTAS CHL 20MEQ/10ML VIAL |
J3480 |
0636 |
50.55 |
50.55 |
15.164999999999999 |
46.000500000000002 |
35.384999999999998 |
15.164999999999999 |
46.000500000000002 |
36.395999999999994 |
42.967499999999994 |
Carle Eureka Hospital |
1337082240 |
POTAS CHL 40MEQ/20ML VIAL |
J3480 |
0636 |
50.44 |
50.44 |
15.131999999999998 |
45.900399999999998 |
35.307999999999993 |
15.131999999999998 |
45.900399999999998 |
36.316799999999994 |
42.873999999999995 |
Carle Eureka Hospital |
1337082289 |
PROCAIN 1000MG/10ML |
J2690 |
0636 |
284.18 |
284.18 |
85.254000000000005 |
258.60380000000004 |
198.92599999999999 |
85.254000000000005 |
258.60380000000004 |
204.6096 |
241.553 |
Carle Eureka Hospital |
1337082299 |
PROCHLORPER 10MG TAB |
0637 |
5.72 |
5.72 |
1.716 |
5.2051999999999996 |
4.0039999999999996 |
1.716 |
5.2051999999999996 |
4.1183999999999994 |
4.8620000000000001 |
Carle Eureka Hospital |
1337082300 |
PROCHLORPER 10MG/2ML |
J0780 |
0636 |
53.33 |
53.33 |
15.998999999999999 |
48.530299999999997 |
37.330999999999996 |
15.998999999999999 |
48.530299999999997 |
38.397599999999997 |
45.330500000000001 |
Carle Eureka Hospital |
1337082322 |
PROMETHAZINE 25MG/ML |
J2550 |
0636 |
18.25 |
18.25 |
5.4749999999999996 |
16.607500000000002 |
12.774999999999999 |
5.4749999999999996 |
16.607500000000002 |
13.139999999999999 |
15.512499999999999 |
Carle Eureka Hospital |
1337082324 |
PROMETHAZINE 50MG/ML |
J2550 |
0636 |
21.36 |
21.36 |
6.4079999999999995 |
19.4376 |
14.951999999999998 |
6.4079999999999995 |
19.4376 |
15.379199999999999 |
18.155999999999999 |
Carle Eureka Hospital |
1337082335 |
PROPRANOLOL 1MG/ML AMP |
J1800 |
0636 |
106.57 |
106.57 |
31.970999999999997 |
96.978700000000003 |
74.59899999999999 |
31.970999999999997 |
96.978700000000003 |
76.730399999999989 |
90.584499999999991 |
Carle Eureka Hospital |
1337082350 |
PROTAMINE 10MG/ML 5ML |
J2720 |
0636 |
139.05000000000001 |
139.05000000000001 |
41.715000000000003 |
126.53550000000001 |
97.335000000000008 |
41.715000000000003 |
126.53550000000001 |
100.116 |
118.19250000000001 |
Carle Eureka Hospital |
1337082398 |
RANITIDINE HCL 150MG TAB |
0637 |
9.49 |
9.49 |
2.847 |
8.6359000000000012 |
6.6429999999999998 |
2.847 |
8.6359000000000012 |
6.8327999999999998 |
8.0664999999999996 |
Carle Eureka Hospital |
1337082409 |
REOPRO 10MG/5ML |
J0130 |
0636 |
1154.3800000000001 |
1154.3800000000001 |
346.31400000000002 |
1050.4858000000002 |
808.06600000000003 |
346.31400000000002 |
1050.4858000000002 |
831.1536000000001 |
981.22300000000007 |
Carle Eureka Hospital |
1337082458 |
SCOPOLAMINE 0.3MG/ML |
0250 |
15.02 |
15.02 |
4.5059999999999993 |
13.668200000000001 |
10.513999999999999 |
4.5059999999999993 |
13.668200000000001 |
10.814399999999999 |
12.766999999999999 |
Carle Eureka Hospital |
1337082486 |
SILVER SULFA 1% 20GM TUBE |
0637 |
32.549999999999997 |
32.549999999999997 |
9.7649999999999988 |
29.6205 |
22.784999999999997 |
9.7649999999999988 |
29.6205 |
23.435999999999996 |
27.667499999999997 |
Carle Eureka Hospital |
1337082504 |
SOD BICARB 8.4% 50ML SYR |
0637 |
14.57 |
14.57 |
4.3709999999999996 |
13.258700000000001 |
10.199 |
4.3709999999999996 |
13.258700000000001 |
10.490399999999999 |
12.384499999999999 |
Carle Eureka Hospital |
1337082506 |
SOD CHL 0.9% 10ML/ML |
0250 |
2.97 |
2.97 |
0.89100000000000001 |
2.7027000000000001 |
2.0790000000000002 |
0.89100000000000001 |
2.7027000000000001 |
2.1383999999999999 |
2.5245000000000002 |
Carle Eureka Hospital |
1337082509 |
SOD CHL 0.9% 30ML/VIAL |
0250 |
1.03 |
1.03 |
0.309 |
0.93730000000000002 |
0.72099999999999997 |
0.309 |
0.93730000000000002 |
0.74160000000000004 |
0.87549999999999994 |
Carle Eureka Hospital |
1337082517 |
SOD TETRADECYL 2ML/VIAL |
0250 |
147.26 |
147.26 |
44.177999999999997 |
134.00659999999999 |
103.08199999999999 |
44.177999999999997 |
134.00659999999999 |
106.02719999999999 |
125.17099999999999 |
Carle Eureka Hospital |
1337082603 |
TENSILON 10MG/ML AMP |
0250 |
28.03 |
28.03 |
8.4090000000000007 |
25.507300000000001 |
19.620999999999999 |
8.4090000000000007 |
25.507300000000001 |
20.1816 |
23.825500000000002 |
Carle Eureka Hospital |
1337082681 |
TNKASE 50MG VIAL |
J3101 |
0636 |
5872.19 |
5872.19 |
1761.6569999999999 |
5343.6929 |
4110.5329999999994 |
1761.6569999999999 |
5343.6929 |
4227.9767999999995 |
4991.3615 |
Carle Eureka Hospital |
1337082724 |
TRIAMCIN PASTE 0.1% 15GM TUBE |
0637 |
101.18 |
101.18 |
30.353999999999999 |
92.073800000000006 |
70.825999999999993 |
30.353999999999999 |
92.073800000000006 |
72.849599999999995 |
86.003 |
Carle Eureka Hospital |
1337082726 |
TRIAMCINOLONE 200MG/5ML |
0637 |
130.79 |
130.79 |
39.236999999999995 |
119.0189 |
91.552999999999983 |
39.236999999999995 |
119.0189 |
94.16879999999999 |
111.17149999999999 |
Carle Eureka Hospital |
1337082729 |
TRIAMCINOLONE 40MG/ML |
J3301 |
0636 |
45.92 |
45.92 |
13.776 |
41.787200000000006 |
32.143999999999998 |
13.776 |
41.787200000000006 |
33.062399999999997 |
39.032000000000004 |
Carle Eureka Hospital |
1337082741 |
TRIGGER POINT INJ FOR OPM |
0250 |
41.33 |
41.33 |
12.398999999999999 |
37.610300000000002 |
28.930999999999997 |
12.398999999999999 |
37.610300000000002 |
29.757599999999996 |
35.130499999999998 |
Carle Eureka Hospital |
1337082751 |
TRIMETHOBEN 200MG/2ML |
J3250 |
0636 |
30.3 |
30.3 |
9.09 |
27.573 |
21.21 |
9.09 |
27.573 |
21.815999999999999 |
25.754999999999999 |
Carle Eureka Hospital |
1337082766 |
TUBERCULIN 0.500ML/ML |
0250 |
25.65 |
25.65 |
7.6949999999999994 |
23.3415 |
17.954999999999998 |
7.6949999999999994 |
23.3415 |
18.468 |
21.802499999999998 |
Carle Eureka Hospital |
1337082803 |
VECURONIUM 100MG/10ML |
0250 |
150.25 |
150.25 |
45.074999999999996 |
136.72749999999999 |
105.175 |
45.074999999999996 |
136.72749999999999 |
108.17999999999999 |
127.71249999999999 |
Carle Eureka Hospital |
1337082822 |
VICODIN ES 7.5/750MG |
0637 |
3.93 |
3.93 |
1.179 |
3.5763000000000003 |
2.7509999999999999 |
1.179 |
3.5763000000000003 |
2.8296000000000001 |
3.3405 |
Carle Eureka Hospital |
1337082867 |
WATER 10ML |
0250 |
2.66 |
2.66 |
0.79800000000000004 |
2.4206000000000003 |
1.8619999999999999 |
0.79800000000000004 |
2.4206000000000003 |
1.9152 |
2.2610000000000001 |
Carle Eureka Hospital |
1337082899 |
ZOFRAN 4MG/2ML INJ VIAL |
J2405 |
0636 |
140.79 |
140.79 |
42.236999999999995 |
128.1189 |
98.552999999999983 |
42.236999999999995 |
128.1189 |
101.36879999999999 |
119.67149999999999 |
Carle Eureka Hospital |
1337082912 |
ACTIQ 200 MCG LOLLIPOP |
0637 |
7.43 |
7.43 |
2.2289999999999996 |
6.7613000000000003 |
5.2009999999999996 |
2.2289999999999996 |
6.7613000000000003 |
5.3495999999999997 |
6.3154999999999992 |
Carle Eureka Hospital |
1337083050 |
PITOCIN BAG (LR W PITOCIN 10 U |
0258 |
82.5 |
82.5 |
24.75 |
75.075000000000003 |
57.749999999999993 |
24.75 |
75.075000000000003 |
59.4 |
70.125 |
Carle Eureka Hospital |
1337084534 |
WELLNESS FAIR TETNUS INJ W ADM |
0250 |
50 |
50 |
15 |
45.5 |
35 |
15 |
45.5 |
36 |
42.5 |
Carle Eureka Hospital |
1337520067 |
BAG LIFECARE FLEX 1000ML |
0272 |
112 |
112 |
33.6 |
101.92 |
78.399999999999991 |
33.6 |
101.92 |
80.64 |
95.2 |
Carle Eureka Hospital |
1337520068 |
BAG LIFECARE FLEX 250ML |
0272 |
84 |
84 |
25.2 |
76.44 |
58.8 |
25.2 |
76.44 |
60.48 |
71.399999999999991 |
Carle Eureka Hospital |
1337520069 |
BAG LIFECARE FLEX 500ML |
0272 |
111 |
111 |
33.299999999999997 |
101.01 |
77.699999999999989 |
33.299999999999997 |
101.01 |
79.92 |
94.35 |
Carle Eureka Hospital |
1337520430 |
BOTTLE EMPTY EVAC 250ML |
0272 |
102 |
102 |
30.599999999999998 |
92.820000000000007 |
71.399999999999991 |
30.599999999999998 |
92.820000000000007 |
73.44 |
86.7 |
Carle Eureka Hospital |
1337520523 |
FREEAMINE HBC 6.9% 1000ML |
0272 |
67 |
67 |
20.099999999999998 |
60.97 |
46.9 |
20.099999999999998 |
60.97 |
48.239999999999995 |
56.949999999999996 |
Carle Eureka Hospital |
1337520726 |
LIFECARE 2000ML W/Y TRANS 3000 |
0272 |
423 |
423 |
126.89999999999999 |
384.93 |
296.09999999999997 |
126.89999999999999 |
384.93 |
304.56 |
359.55 |
Carle Eureka Hospital |
1337520919 |
CARTRIDGE PCA |
0272 |
86 |
86 |
25.8 |
78.260000000000005 |
60.199999999999996 |
25.8 |
78.260000000000005 |
61.919999999999995 |
73.099999999999994 |
Carle Eureka Hospital |
1337580059 |
ADVANTAGE D5W 100ML |
0258 |
88 |
88 |
26.4 |
80.08 |
61.599999999999994 |
26.4 |
80.08 |
63.36 |
74.8 |
Carle Eureka Hospital |
1337580060 |
ADVANTAGE D5W 250ML |
0258 |
106 |
106 |
31.799999999999997 |
96.460000000000008 |
74.199999999999989 |
31.799999999999997 |
96.460000000000008 |
76.319999999999993 |
90.1 |
Carle Eureka Hospital |
1337580061 |
ADVANTAGE D5W 50ML |
0258 |
71 |
71 |
21.3 |
64.61 |
49.699999999999996 |
21.3 |
64.61 |
51.12 |
60.35 |
Carle Eureka Hospital |
1337580062 |
ADVANTAGE NS 100ML |
0258 |
88 |
88 |
26.4 |
80.08 |
61.599999999999994 |
26.4 |
80.08 |
63.36 |
74.8 |
Carle Eureka Hospital |
1337580063 |
ADVANTAGE NS 50ML |
0258 |
93 |
93 |
27.9 |
84.63000000000001 |
65.099999999999994 |
27.9 |
84.63000000000001 |
66.959999999999994 |
79.05 |
Carle Eureka Hospital |
1337580064 |
ADVANTAGE SODIUM CHL 0.9% 250M |
0258 |
112 |
112 |
33.6 |
101.92 |
78.399999999999991 |
33.6 |
101.92 |
80.64 |
95.2 |
Carle Eureka Hospital |
1337580088 |
ALCOHOL 10% & DEXTROSE 5% 100M |
0258 |
158 |
158 |
47.4 |
143.78 |
110.6 |
47.4 |
143.78 |
113.75999999999999 |
134.29999999999998 |
Carle Eureka Hospital |
1337580091 |
ALCOHOL 5% IN DEX 5% 1000ML |
0258 |
139 |
139 |
41.699999999999996 |
126.49000000000001 |
97.3 |
41.699999999999996 |
126.49000000000001 |
100.08 |
118.14999999999999 |
Carle Eureka Hospital |
1337580092 |
ALCOHOL 5% IN WATER 1000 ML |
0258 |
139 |
139 |
41.699999999999996 |
126.49000000000001 |
97.3 |
41.699999999999996 |
126.49000000000001 |
100.08 |
118.14999999999999 |
Carle Eureka Hospital |
1337580136 |
AMINOSYN 10% 500ML BOTT |
0258 |
334 |
334 |
100.2 |
303.94 |
233.79999999999998 |
100.2 |
303.94 |
240.48 |
283.89999999999998 |
Carle Eureka Hospital |
1337580137 |
AMINOSYN 3.5% 1000ML IVB |
0258 |
224 |
224 |
67.2 |
203.84 |
156.79999999999998 |
67.2 |
203.84 |
161.28 |
190.4 |
Carle Eureka Hospital |
1337580138 |
AMINOSYN 7% 500ML BOTT |
0258 |
276 |
276 |
82.8 |
251.16 |
193.2 |
82.8 |
251.16 |
198.72 |
234.6 |
Carle Eureka Hospital |
1337580139 |
AMINOSYN 8.5% 500ML BOTT |
0258 |
307 |
307 |
92.1 |
279.37 |
214.89999999999998 |
92.1 |
279.37 |
221.04 |
260.95 |
Carle Eureka Hospital |
1337580361 |
BRETYLIUM TOSYLATE/DEXTRO 5% |
0258 |
462 |
462 |
138.6 |
420.42 |
323.39999999999998 |
138.6 |
420.42 |
332.64 |
392.7 |
Carle Eureka Hospital |
1337580571 |
CIPRO 200MG/D5W 100ML |
0258 |
96 |
96 |
28.799999999999997 |
87.36 |
67.199999999999989 |
28.799999999999997 |
87.36 |
69.12 |
81.599999999999994 |
Carle Eureka Hospital |
1337580573 |
CIPRO 400MG/D5W 200ML |
0258 |
188 |
188 |
56.4 |
171.08 |
131.6 |
56.4 |
171.08 |
135.35999999999999 |
159.79999999999998 |
Carle Eureka Hospital |
1337580707 |
DEX 5% 50ML BTL |
0258 |
133 |
133 |
39.9 |
121.03 |
93.1 |
39.9 |
121.03 |
95.759999999999991 |
113.05 |
Carle Eureka Hospital |
1337580770 |
DEX 10% 1000ML BTL |
0258 |
100 |
100 |
30 |
91 |
70 |
30 |
91 |
72 |
85 |
Carle Eureka Hospital |
1337580771 |
DEX 10% 500ML BTL |
0258 |
106 |
106 |
31.799999999999997 |
96.460000000000008 |
74.199999999999989 |
31.799999999999997 |
96.460000000000008 |
76.319999999999993 |
90.1 |
Carle Eureka Hospital |
1337580772 |
DEX 10% PART FILL 1000ML BAG |
0258 |
106 |
106 |
31.799999999999997 |
96.460000000000008 |
74.199999999999989 |
31.799999999999997 |
96.460000000000008 |
76.319999999999993 |
90.1 |
Carle Eureka Hospital |
1337580773 |
DEX 2.5% 0.45 NS 1000 ML |
0258 |
45 |
45 |
13.5 |
40.950000000000003 |
31.499999999999996 |
13.5 |
40.950000000000003 |
32.4 |
38.25 |
Carle Eureka Hospital |
1337580774 |
DEX 20% / WATER 500ML |
0258 |
130 |
130 |
39 |
118.3 |
91 |
39 |
118.3 |
93.6 |
110.5 |
Carle Eureka Hospital |
1337580775 |
DEX 20% 500ML BTL |
0258 |
130 |
130 |
39 |
118.3 |
91 |
39 |
118.3 |
93.6 |
110.5 |
Carle Eureka Hospital |
1337580777 |
DEX 5% 0.225 NS 250 ML BTL |
0258 |
84 |
84 |
25.2 |
76.44 |
58.8 |
25.2 |
76.44 |
60.48 |
71.399999999999991 |
Carle Eureka Hospital |
1337580778 |
DEX 5% 1000ML BAG |
0258 |
73 |
73 |
21.9 |
66.430000000000007 |
51.099999999999994 |
21.9 |
66.430000000000007 |
52.559999999999995 |
62.05 |
Carle Eureka Hospital |
1337580779 |
DEX 5% 100ML BAG |
0258 |
91 |
91 |
27.3 |
82.81 |
63.699999999999996 |
27.3 |
82.81 |
65.52 |
77.349999999999994 |
Carle Eureka Hospital |
1337580780 |
DEX 5% 250ML BAG |
J7060 |
0258 |
73 |
73 |
21.9 |
66.430000000000007 |
51.099999999999994 |
21.9 |
66.430000000000007 |
52.559999999999995 |
62.05 |
Carle Eureka Hospital |
1337580781 |
DEX 5% 250ML BTL |
J7060 |
0258 |
83 |
83 |
24.9 |
75.53 |
58.099999999999994 |
24.9 |
75.53 |
59.76 |
70.55 |
Carle Eureka Hospital |
1337580782 |
DEX 5% 500ML BAG |
0258 |
91 |
91 |
27.3 |
82.81 |
63.699999999999996 |
27.3 |
82.81 |
65.52 |
77.349999999999994 |
Carle Eureka Hospital |
1337580784 |
DEX 5% 50ML BAG |
J7060 |
0258 |
94 |
94 |
28.2 |
85.54 |
65.8 |
28.2 |
85.54 |
67.679999999999993 |
79.899999999999991 |
Carle Eureka Hospital |
1337580785 |
DEX 5% 0.225 NS 1000ML BAG |
0258 |
100 |
100 |
30 |
91 |
70 |
30 |
91 |
72 |
85 |
Carle Eureka Hospital |
1337580786 |
DEX 5% 0.225% NS 250ML BAG |
0258 |
84 |
84 |
25.2 |
76.44 |
58.8 |
25.2 |
76.44 |
60.48 |
71.399999999999991 |
Carle Eureka Hospital |
1337580787 |
DEX 5% IN 0.225% NS 500ML BAG |
0258 |
85 |
85 |
25.5 |
77.350000000000009 |
59.499999999999993 |
25.5 |
77.350000000000009 |
61.199999999999996 |
72.25 |
Carle Eureka Hospital |
1337580788 |
DEX 5% IN 0.45% NS 1000ML BAG |
0258 |
94 |
94 |
28.2 |
85.54 |
65.8 |
28.2 |
85.54 |
67.679999999999993 |
79.899999999999991 |
Carle Eureka Hospital |
1337580789 |
DEX 5% IN 0.45% NS 500ML BAG |
0258 |
85 |
85 |
25.5 |
77.350000000000009 |
59.499999999999993 |
25.5 |
77.350000000000009 |
61.199999999999996 |
72.25 |
Carle Eureka Hospital |
1337580790 |
DEX 5% KCL 20MEQ 1000ML BAG |
0258 |
117 |
117 |
35.1 |
106.47 |
81.899999999999991 |
35.1 |
106.47 |
84.24 |
99.45 |
Carle Eureka Hospital |
1337580791 |
DEX 5% LACTATED RING 1000ML BA |
0258 |
114 |
114 |
34.199999999999996 |
103.74000000000001 |
79.8 |
34.199999999999996 |
103.74000000000001 |
82.08 |
96.899999999999991 |
Carle Eureka Hospital |
1337580792 |
DEX 5% LACTATED RING 500ML BAG |
0258 |
95 |
95 |
28.5 |
86.45 |
66.5 |
28.5 |
86.45 |
68.399999999999991 |
80.75 |
Carle Eureka Hospital |
1337580793 |
DEX 5% NS 0.9% 1000ML BAG |
0258 |
91 |
91 |
27.3 |
82.81 |
63.699999999999996 |
27.3 |
82.81 |
65.52 |
77.349999999999994 |
Carle Eureka Hospital |
1337580794 |
DEX 5% NS 0.9% 500ML BAG |
0258 |
77 |
77 |
23.099999999999998 |
70.070000000000007 |
53.9 |
23.099999999999998 |
70.070000000000007 |
55.44 |
65.45 |
Carle Eureka Hospital |
1337580795 |
DEX 5% 1/4 NS W/K 10mEq 1000ML |
0258 |
143 |
143 |
42.9 |
130.13 |
100.1 |
42.9 |
130.13 |
102.96 |
121.55 |
Carle Eureka Hospital |
1337580796 |
DEX 5%-0.225%NS W/KCL 20M 1000 |
0258 |
143 |
143 |
42.9 |
130.13 |
100.1 |
42.9 |
130.13 |
102.96 |
121.55 |
Carle Eureka Hospital |
1337580797 |
DEX 5%-0.225%NS W/KCL 30M 1000 |
0258 |
143 |
143 |
42.9 |
130.13 |
100.1 |
42.9 |
130.13 |
102.96 |
121.55 |
Carle Eureka Hospital |
1337580798 |
DEX 5%-0.225%NS W/KCL 40 1000 |
0258 |
143 |
143 |
42.9 |
130.13 |
100.1 |
42.9 |
130.13 |
102.96 |
121.55 |
Carle Eureka Hospital |
1337580799 |
DEX 5%-0.45%NS W/KCL 10ME 1000 |
0258 |
143 |
143 |
42.9 |
130.13 |
100.1 |
42.9 |
130.13 |
102.96 |
121.55 |
Carle Eureka Hospital |
1337580800 |
DEX 5%-0.45%NS W/KCL 20ME 1000 |
0258 |
135 |
135 |
40.5 |
122.85000000000001 |
94.5 |
40.5 |
122.85000000000001 |
97.2 |
114.75 |
Carle Eureka Hospital |
1337580801 |
DEX 5%-0.45%NS W/KCL 30ME 1000 |
0258 |
135 |
135 |
40.5 |
122.85000000000001 |
94.5 |
40.5 |
122.85000000000001 |
97.2 |
114.75 |
Carle Eureka Hospital |
1337580802 |
DEX 5%-0.45%NS W/KCL 40ME 1000 |
0258 |
109 |
109 |
32.699999999999996 |
99.19 |
76.3 |
32.699999999999996 |
99.19 |
78.48 |
92.649999999999991 |
Carle Eureka Hospital |
1337580803 |
DEX 5%-0.9%NS W/KCL 20MEQ 1000 |
0258 |
187 |
187 |
56.1 |
170.17000000000002 |
130.9 |
56.1 |
170.17000000000002 |
134.63999999999999 |
158.94999999999999 |
Carle Eureka Hospital |
1337580804 |
DEX 5%-LR W/KCL 20MEQ 1000 |
0258 |
203 |
203 |
60.9 |
184.73000000000002 |
142.1 |
60.9 |
184.73000000000002 |
146.16 |
172.54999999999998 |
Carle Eureka Hospital |
1337580805 |
DEX 50% 500ML BOTT |
0258 |
239 |
239 |
71.7 |
217.49 |
167.29999999999998 |
71.7 |
217.49 |
172.07999999999998 |
203.15 |
Carle Eureka Hospital |
1337580806 |
DEX 50% PART FILL 500ML BAG |
0258 |
239 |
239 |
71.7 |
217.49 |
167.29999999999998 |
71.7 |
217.49 |
172.07999999999998 |
203.15 |
Carle Eureka Hospital |
1337580807 |
DEX 70% 250ML BOTT |
0258 |
241 |
241 |
72.3 |
219.31 |
168.7 |
72.3 |
219.31 |
173.51999999999998 |
204.85 |
Carle Eureka Hospital |
1337580808 |
DEX 70% PART FILL 500ML IVBA |
0258 |
371 |
371 |
111.3 |
337.61 |
259.7 |
111.3 |
337.61 |
267.12 |
315.34999999999997 |
Carle Eureka Hospital |
1337580851 |
DIFLUCAN 200MG/NS 100ML |
0258 |
459 |
459 |
137.69999999999999 |
417.69 |
321.29999999999995 |
137.69999999999999 |
417.69 |
330.47999999999996 |
390.15 |
Carle Eureka Hospital |
1337580852 |
DIFLUCAN 400MG/NS 200ML |
0258 |
418 |
418 |
125.39999999999999 |
380.38 |
292.59999999999997 |
125.39999999999999 |
380.38 |
300.95999999999998 |
355.3 |
Carle Eureka Hospital |
1337580945 |
DOPAMINE 400MG/500ML D5W BAG |
0258 |
252 |
252 |
75.599999999999994 |
229.32000000000002 |
176.39999999999998 |
75.599999999999994 |
229.32000000000002 |
181.44 |
214.2 |
Carle Eureka Hospital |
1337580947 |
DOPAMINE PREMIX 400MG/250ML |
0258 |
221 |
221 |
66.3 |
201.11 |
154.69999999999999 |
66.3 |
201.11 |
159.12 |
187.85 |
Carle Eureka Hospital |
1337580948 |
DOPAMINE PREMIX 800MG/250ML |
0258 |
361 |
361 |
108.3 |
328.51 |
252.7 |
108.3 |
328.51 |
259.92 |
306.84999999999997 |
Carle Eureka Hospital |
1337581128 |
FLAGYL 500MG/NS 100ML |
0258 |
72 |
72 |
21.599999999999998 |
65.52 |
50.4 |
21.599999999999998 |
65.52 |
51.839999999999996 |
61.199999999999996 |
Carle Eureka Hospital |
1337581188 |
FREAMINE HBC 6.9% 750ML BOTT |
0258 |
615 |
615 |
184.5 |
559.65 |
430.5 |
184.5 |
559.65 |
442.8 |
522.75 |
Carle Eureka Hospital |
1337581189 |
FREAMINE III 8.5% 500ML BOTT |
0258 |
533 |
533 |
159.9 |
485.03000000000003 |
373.09999999999997 |
159.9 |
485.03000000000003 |
383.76 |
453.05 |
Carle Eureka Hospital |
1337581293 |
HEPARIN 1000U/NS 500ML PRE-MIX |
0258 |
81 |
81 |
24.3 |
73.710000000000008 |
56.699999999999996 |
24.3 |
73.710000000000008 |
58.32 |
68.849999999999994 |
Carle Eureka Hospital |
1337581294 |
HEPARIN 25,000 U /0.45% NS 250 |
0258 |
91 |
91 |
27.3 |
82.81 |
63.699999999999996 |
27.3 |
82.81 |
65.52 |
77.349999999999994 |
Carle Eureka Hospital |
1337581310 |
HEPATAMINE 8% 500ML BAG |
0258 |
361 |
361 |
108.3 |
328.51 |
252.7 |
108.3 |
328.51 |
259.92 |
306.84999999999997 |
Carle Eureka Hospital |
1337581312 |
HESPAN 6000MG /0.9% NS 500ML B |
0258 |
467 |
467 |
140.1 |
424.97 |
326.89999999999998 |
140.1 |
424.97 |
336.24 |
396.95 |
Carle Eureka Hospital |
1337581416 |
IMPERSOL W/DEX 4.25% 2000 ML |
0258 |
24 |
24 |
7.1999999999999993 |
21.84 |
16.799999999999997 |
7.1999999999999993 |
21.84 |
17.28 |
20.399999999999999 |
Carle Eureka Hospital |
1337581432 |
INPERSOL W/DEX 1.5% 1000 ML |
0258 |
26 |
26 |
7.8 |
23.66 |
18.2 |
7.8 |
23.66 |
18.72 |
22.099999999999998 |
Carle Eureka Hospital |
1337581453 |
IONOSOL B IN D5 1000 L |
0258 |
19 |
19 |
5.7 |
17.29 |
13.299999999999999 |
5.7 |
17.29 |
13.68 |
16.149999999999999 |
Carle Eureka Hospital |
1337581454 |
IONOSOL G INVERT SUGAR 10% 100 |
0258 |
19 |
19 |
5.7 |
17.29 |
13.299999999999999 |
5.7 |
17.29 |
13.68 |
16.149999999999999 |
Carle Eureka Hospital |
1337581503 |
LACTATED RINGERS 1000 INJ GLAS |
0258 |
9 |
9 |
2.6999999999999997 |
8.19 |
6.3 |
2.6999999999999997 |
8.19 |
6.4799999999999995 |
7.6499999999999995 |
Carle Eureka Hospital |
1337581504 |
LACTATED RINGERS 1000ML BAG |
0258 |
100 |
100 |
30 |
91 |
70 |
30 |
91 |
72 |
85 |
Carle Eureka Hospital |
1337581505 |
LACTATED RINGERS 1000ML IRR |
0258 |
113 |
113 |
33.9 |
102.83 |
79.099999999999994 |
33.9 |
102.83 |
81.36 |
96.05 |
Carle Eureka Hospital |
1337581506 |
LACTATED RINGERS 500ML BAG |
0258 |
93 |
93 |
27.9 |
84.63000000000001 |
65.099999999999994 |
27.9 |
84.63000000000001 |
66.959999999999994 |
79.05 |
Carle Eureka Hospital |
1337581528 |
LEVAQUIN 500MG/100ML |
J1956 |
0636 |
201 |
201 |
60.3 |
182.91 |
140.69999999999999 |
60.3 |
182.91 |
144.72 |
170.85 |
Carle Eureka Hospital |
1337581578 |
LIDOCAINE 0.4% D5W 250ML BOTT |
0258 |
121 |
121 |
36.299999999999997 |
110.11 |
84.699999999999989 |
36.299999999999997 |
110.11 |
87.11999999999999 |
102.85 |
Carle Eureka Hospital |
1337581603 |
LIPOSYN II 20% 200ML BOTT |
0258 |
481 |
481 |
144.29999999999998 |
437.71000000000004 |
336.7 |
144.29999999999998 |
437.71000000000004 |
346.32 |
408.84999999999997 |
Carle Eureka Hospital |
1337581604 |
LIPOSYN II 20% 500ML BOTT |
0258 |
655 |
655 |
196.5 |
596.05000000000007 |
458.49999999999994 |
196.5 |
596.05000000000007 |
471.59999999999997 |
556.75 |
Carle Eureka Hospital |
1337581613 |
LMD 10% DEX 5% 500ML BOTT |
J7100 |
0636 |
469 |
469 |
140.69999999999999 |
426.79 |
328.29999999999995 |
140.69999999999999 |
426.79 |
337.68 |
398.65 |
Carle Eureka Hospital |
1337581614 |
LMD 10% IN NS 500ML |
0258 |
480 |
480 |
144 |
436.8 |
336 |
144 |
436.8 |
345.59999999999997 |
408 |
Carle Eureka Hospital |
1337581665 |
MAG SULF 1GM/D5W 100ML |
0258 |
45 |
45 |
13.5 |
40.950000000000003 |
31.499999999999996 |
13.5 |
40.950000000000003 |
32.4 |
38.25 |
Carle Eureka Hospital |
1337581666 |
MAG SULF 40GM/1000ML VIA |
0258 |
66 |
66 |
19.8 |
60.06 |
46.199999999999996 |
19.8 |
60.06 |
47.519999999999996 |
56.1 |
Carle Eureka Hospital |
1337581667 |
MAG SULF 4GM BOLUS 50ML |
0258 |
47 |
47 |
14.1 |
42.77 |
32.9 |
14.1 |
42.77 |
33.839999999999996 |
39.949999999999996 |
Carle Eureka Hospital |
1337581677 |
MANNITOL 10% 1000ML BAG |
0258 |
590 |
590 |
177 |
536.9 |
413 |
177 |
536.9 |
424.8 |
501.5 |
Carle Eureka Hospital |
1337581678 |
MANNITOL 20% 500ML IVBT |
0258 |
593 |
593 |
177.9 |
539.63 |
415.09999999999997 |
177.9 |
539.63 |
426.96 |
504.05 |
Carle Eureka Hospital |
1337581945 |
NEPHRAMINE 5.4% 250 ML |
0258 |
58 |
58 |
17.399999999999999 |
52.78 |
40.599999999999994 |
17.399999999999999 |
52.78 |
41.76 |
49.3 |
Carle Eureka Hospital |
1337581946 |
NEPHRAMINE 5.4% 250ML |
0258 |
547 |
547 |
164.1 |
497.77000000000004 |
382.9 |
164.1 |
497.77000000000004 |
393.84 |
464.95 |
Carle Eureka Hospital |
1337581979 |
NITRO 50MG DEX 5% 500ML BOTT |
0258 |
113 |
113 |
33.9 |
102.83 |
79.099999999999994 |
33.9 |
102.83 |
81.36 |
96.05 |
Carle Eureka Hospital |
1337581983 |
NITRO QUAD STR 100MG/250ML |
0258 |
166 |
166 |
49.8 |
151.06 |
116.19999999999999 |
49.8 |
151.06 |
119.52 |
141.1 |
Carle Eureka Hospital |
1337582008 |
NORMOSOL R PH7.4 1000ML |
0258 |
98 |
98 |
29.4 |
89.18 |
68.599999999999994 |
29.4 |
89.18 |
70.56 |
83.3 |
Carle Eureka Hospital |
1337582009 |
NORMOSOL-M/DEX 5% 1000ML BOT |
0258 |
164 |
164 |
49.199999999999996 |
149.24 |
114.8 |
49.199999999999996 |
149.24 |
118.08 |
139.4 |
Carle Eureka Hospital |
1337582010 |
NORMOSOL-M/DEX 5% 500ML BAG |
0258 |
141 |
141 |
42.3 |
128.31 |
98.699999999999989 |
42.3 |
128.31 |
101.52 |
119.85 |
Carle Eureka Hospital |
1337582011 |
NORMOSOL-R 1000ML BAG |
0258 |
164 |
164 |
49.199999999999996 |
149.24 |
114.8 |
49.199999999999996 |
149.24 |
118.08 |
139.4 |
Carle Eureka Hospital |
1337582012 |
NORMOSOL-R/DEX 5% 1000ML BAG |
0258 |
164 |
164 |
49.199999999999996 |
149.24 |
114.8 |
49.199999999999996 |
149.24 |
118.08 |
139.4 |
Carle Eureka Hospital |
1337582021 |
NS 0.45% 1000ML BAG |
0258 |
88 |
88 |
26.4 |
80.08 |
61.599999999999994 |
26.4 |
80.08 |
63.36 |
74.8 |
Carle Eureka Hospital |
1337582022 |
NS 0.45% 2000ML |
0258 |
7 |
7 |
2.1 |
6.37 |
4.8999999999999995 |
2.1 |
6.37 |
5.04 |
5.95 |
Carle Eureka Hospital |
1337582023 |
NS 0.9 1000 IRRIG |
0250 |
74 |
74 |
22.2 |
67.34 |
51.8 |
22.2 |
67.34 |
53.28 |
62.9 |
Carle Eureka Hospital |
1337582024 |
NS 0.9 250 IRRIG |
0250 |
93 |
93 |
27.9 |
84.63000000000001 |
65.099999999999994 |
27.9 |
84.63000000000001 |
66.959999999999994 |
79.05 |
Carle Eureka Hospital |
1337582025 |
NS 0.9% 1000ML BAG |
0258 |
88 |
88 |
26.4 |
80.08 |
61.599999999999994 |
26.4 |
80.08 |
63.36 |
74.8 |
Carle Eureka Hospital |
1337582026 |
NS 0.9% 100ML BAG |
0258 |
59 |
59 |
17.7 |
53.690000000000005 |
41.3 |
17.7 |
53.690000000000005 |
42.48 |
50.15 |
Carle Eureka Hospital |
1337582027 |
NS 0.9% 250ML BAG |
0258 |
77 |
77 |
23.099999999999998 |
70.070000000000007 |
53.9 |
23.099999999999998 |
70.070000000000007 |
55.44 |
65.45 |
Carle Eureka Hospital |
1337582028 |
NS 0.9% 250ML IVBT |
0258 |
82 |
82 |
24.599999999999998 |
74.62 |
57.4 |
24.599999999999998 |
74.62 |
59.04 |
69.7 |
Carle Eureka Hospital |
1337582029 |
NS 0.9% 500ML BAG |
J7040 |
0636 |
90 |
90 |
27 |
81.900000000000006 |
62.999999999999993 |
27 |
81.900000000000006 |
64.8 |
76.5 |
Carle Eureka Hospital |
1337582030 |
NS 0.9% 50ML BAG |
0258 |
59 |
59 |
17.7 |
53.690000000000005 |
41.3 |
17.7 |
53.690000000000005 |
42.48 |
50.15 |
Carle Eureka Hospital |
1337582031 |
NS 0.9% IRRIG 1000ML |
0258 |
58 |
58 |
17.399999999999999 |
52.78 |
40.599999999999994 |
17.399999999999999 |
52.78 |
41.76 |
49.3 |
Carle Eureka Hospital |
1337582032 |
NS 0.9% IRRIG 250ML |
0250 |
93 |
93 |
27.9 |
84.63000000000001 |
65.099999999999994 |
27.9 |
84.63000000000001 |
66.959999999999994 |
79.05 |
Carle Eureka Hospital |
1337582033 |
NS 0.9% IRRIG 3000ML IVG |
0250 |
139 |
139 |
41.699999999999996 |
126.49000000000001 |
97.3 |
41.699999999999996 |
126.49000000000001 |
100.08 |
118.14999999999999 |
Carle Eureka Hospital |
1337582034 |
NS 0.9% IRRIG 500ML IVBT |
0250 |
101 |
101 |
30.299999999999997 |
91.91 |
70.699999999999989 |
30.299999999999997 |
91.91 |
72.72 |
85.85 |
Carle Eureka Hospital |
1337582035 |
NS 0.9% W/KCL 20 1000ML BAG |
0258 |
192 |
192 |
57.599999999999994 |
174.72 |
134.39999999999998 |
57.599999999999994 |
174.72 |
138.24 |
163.19999999999999 |
Carle Eureka Hospital |
1337582036 |
NS 3% 500ML IVBT |
0258 |
72 |
72 |
21.599999999999998 |
65.52 |
50.4 |
21.599999999999998 |
65.52 |
51.839999999999996 |
61.199999999999996 |
Carle Eureka Hospital |
1337582037 |
NS 5% 500 GLASS INJ |
0258 |
96 |
96 |
28.799999999999997 |
87.36 |
67.199999999999989 |
28.799999999999997 |
87.36 |
69.12 |
81.599999999999994 |
Carle Eureka Hospital |
1337582038 |
NS IRRIG 1500ML |
0250 |
123 |
123 |
36.9 |
111.93 |
86.1 |
36.9 |
111.93 |
88.56 |
104.55 |
Carle Eureka Hospital |
1337582283 |
PRIMACOR 20MG/D5W 100ML |
J2260 |
0636 |
448 |
448 |
134.4 |
407.68 |
313.59999999999997 |
134.4 |
407.68 |
322.56 |
380.8 |
Carle Eureka Hospital |
1337582521 |
SODIUM CHLORIDE 0.45 1000CC |
0258 |
93 |
93 |
27.9 |
84.63000000000001 |
65.099999999999994 |
27.9 |
84.63000000000001 |
66.959999999999994 |
79.05 |
Carle Eureka Hospital |
1337582523 |
SODIUM LAC 1/6 MOLAR 1000 GLAS |
0258 |
115 |
115 |
34.5 |
104.65 |
80.5 |
34.5 |
104.65 |
82.8 |
97.75 |
Carle Eureka Hospital |
1337582544 |
STERILE WATER 250ML IRRIG |
0250 |
76 |
76 |
22.8 |
69.16 |
53.199999999999996 |
22.8 |
69.16 |
54.72 |
64.599999999999994 |
Carle Eureka Hospital |
1337582545 |
STERILE WATER 500ML IRRIG |
0250 |
70 |
70 |
21 |
63.7 |
49 |
21 |
63.7 |
50.4 |
59.5 |
Carle Eureka Hospital |
1337582868 |
WATER FOR INJ 250ML IVBT |
0258 |
81 |
81 |
24.3 |
73.710000000000008 |
56.699999999999996 |
24.3 |
73.710000000000008 |
58.32 |
68.849999999999994 |
Carle Eureka Hospital |
1337582869 |
WATER FOR INJ 500ML IVBT |
0258 |
98 |
98 |
29.4 |
89.18 |
68.599999999999994 |
29.4 |
89.18 |
70.56 |
83.3 |
Carle Eureka Hospital |
1337582871 |
WATER FOR IRRIG 1000ML IVB |
0250 |
115 |
115 |
34.5 |
104.65 |
80.5 |
34.5 |
104.65 |
82.8 |
97.75 |
Carle Eureka Hospital |
1337582874 |
WATER STERILE 1000ML IV |
0258 |
96 |
96 |
28.799999999999997 |
87.36 |
67.199999999999989 |
28.799999999999997 |
87.36 |
69.12 |
81.599999999999994 |
Carle Eureka Hospital |
1337582875 |
WATER STERILE 1500ML IRRIG |
0250 |
77 |
77 |
23.099999999999998 |
70.070000000000007 |
53.9 |
23.099999999999998 |
70.070000000000007 |
55.44 |
65.45 |
Carle Eureka Hospital |
1337582876 |
WATER STERILE 2000ML IRRIG |
0250 |
82 |
82 |
24.599999999999998 |
74.62 |
57.4 |
24.599999999999998 |
74.62 |
59.04 |
69.7 |
Carle Eureka Hospital |
1337582877 |
WATER TOPICAL IRRIG 1500 |
0250 |
77 |
77 |
23.099999999999998 |
70.070000000000007 |
53.9 |
23.099999999999998 |
70.070000000000007 |
55.44 |
65.45 |
Carle Eureka Hospital |
1337582883 |
ZANTAC PRE-MIX 50MG/50ML |
0258 |
40 |
40 |
12 |
36.4 |
28 |
12 |
36.4 |
28.799999999999997 |
34 |
Carle Eureka Hospital |
1338000504 |
ANESTHESIA GENERAL EA. MIN. |
0964 |
18 |
18 |
5.3999999999999995 |
16.38 |
12.6 |
5.3999999999999995 |
16.38 |
12.959999999999999 |
15.299999999999999 |
Carle Eureka Hospital |
1338000505 |
ANESTHESIA IV SED EA MIN |
0964 |
15 |
15 |
4.5 |
13.65 |
10.5 |
4.5 |
13.65 |
10.799999999999999 |
12.75 |
Carle Eureka Hospital |
1338000506 |
ANESTHESIA REGIONAL PER MIN |
0964 |
19 |
19 |
5.7 |
17.29 |
13.299999999999999 |
5.7 |
17.29 |
13.68 |
16.149999999999999 |
Carle Eureka Hospital |
1338000510 |
DIAGNOSTIC LUMBAR PUNCTURE |
62270 |
0964 |
275 |
275 |
82.5 |
250.25 |
192.5 |
82.5 |
250.25 |
198 |
233.75 |
Carle Eureka Hospital |
1338000523 |
EPIDURAL BLOOD PATCH PF |
62273 |
0964 |
370 |
370 |
111 |
336.7 |
259 |
111 |
336.7 |
266.39999999999998 |
314.5 |
Carle Eureka Hospital |
1338000525 |
ER INTUBATION |
31500 |
0964 |
787 |
787 |
236.1 |
716.17000000000007 |
550.9 |
236.1 |
716.17000000000007 |
566.64 |
668.94999999999993 |
Carle Eureka Hospital |
1338000559 |
INSERT PICC LINE CENTR PC |
0964 |
483 |
483 |
144.9 |
439.53000000000003 |
338.09999999999997 |
144.9 |
439.53000000000003 |
347.76 |
410.55 |
Carle Eureka Hospital |
1338000680 |
ANESTHESIA MAC EA MIN PF |
0964 |
15 |
15 |
4.5 |
13.65 |
10.5 |
4.5 |
13.65 |
10.799999999999999 |
12.75 |
Carle Eureka Hospital |
1338000687 |
PF PREOP REGIONAL ANES BLOCK |
0964 |
700 |
700 |
210 |
637 |
489.99999999999994 |
210 |
637 |
504 |
595 |
Carle Eureka Hospital |
1338010002 |
1000CC 5% D/LACT RINGERS |
0258 |
88 |
88 |
26.4 |
80.08 |
61.599999999999994 |
26.4 |
80.08 |
63.36 |
74.8 |
Carle Eureka Hospital |
1338010004 |
5% D/LACT RINGERS 500CC |
0370 |
69 |
69 |
20.7 |
62.79 |
48.3 |
20.7 |
62.79 |
49.68 |
58.65 |
Carle Eureka Hospital |
1338010024 |
ANES GENERAL CHG 1ST HR |
0370 |
455 |
455 |
136.5 |
414.05 |
318.5 |
136.5 |
414.05 |
327.59999999999997 |
386.75 |
Carle Eureka Hospital |
1338010025 |
ANES GENERAL EA ADD 1/2 HR |
0370 |
165 |
165 |
49.5 |
150.15 |
115.49999999999999 |
49.5 |
150.15 |
118.8 |
140.25 |
Carle Eureka Hospital |
1338010026 |
ANES REGIONAL 1ST HR |
0370 |
620 |
620 |
186 |
564.20000000000005 |
434 |
186 |
564.20000000000005 |
446.4 |
527 |
Carle Eureka Hospital |
1338010027 |
ANES REGIONAL EA ADD 1/2 HR |
0370 |
325 |
325 |
97.5 |
295.75 |
227.49999999999997 |
97.5 |
295.75 |
234 |
276.25 |
Carle Eureka Hospital |
1338010218 |
HEMODYNAMIC MONITORING/MIN |
0370 |
7 |
7 |
2.1 |
6.37 |
4.8999999999999995 |
2.1 |
6.37 |
5.04 |
5.95 |
Carle Eureka Hospital |
1338010254 |
LACTATED RINGERS 1000 CC |
0258 |
68 |
68 |
20.399999999999999 |
61.88 |
47.599999999999994 |
20.399999999999999 |
61.88 |
48.96 |
57.8 |
Carle Eureka Hospital |
1338010255 |
LACTATED RINGERS 500CC IV |
0258 |
119 |
119 |
35.699999999999996 |
108.29 |
83.3 |
35.699999999999996 |
108.29 |
85.679999999999993 |
101.14999999999999 |
Carle Eureka Hospital |
1338010283 |
MONITORED ANES 1ST HR |
0370 |
290 |
290 |
87 |
263.90000000000003 |
203 |
87 |
263.90000000000003 |
208.79999999999998 |
246.5 |
Carle Eureka Hospital |
1338010284 |
MONITORED ANES EA ADD 1/2 HR |
0370 |
140 |
140 |
42 |
127.4 |
98 |
42 |
127.4 |
100.8 |
119 |
Carle Eureka Hospital |
1338010290 |
NACL 1000CC IV |
0258 |
95 |
95 |
28.5 |
86.45 |
66.5 |
28.5 |
86.45 |
68.399999999999991 |
80.75 |
Carle Eureka Hospital |
1338010468 |
WARMING BLANKET |
0270 |
24 |
24 |
7.1999999999999993 |
21.84 |
16.799999999999997 |
7.1999999999999993 |
21.84 |
17.28 |
20.399999999999999 |
Carle Eureka Hospital |
1338020349 |
TRANSDUCER CVP SETUP |
0272 |
206 |
206 |
61.8 |
187.46 |
144.19999999999999 |
61.8 |
187.46 |
148.32 |
175.1 |
Carle Eureka Hospital |
1338020487 |
TUBES ET ALL SIZES |
0272 |
37 |
37 |
11.1 |
33.67 |
25.9 |
11.1 |
33.67 |
26.64 |
31.45 |
Carle Eureka Hospital |
1338020935 |
SUPPLIES PICC LINE |
0272 |
322 |
322 |
96.6 |
293.02 |
225.39999999999998 |
96.6 |
293.02 |
231.84 |
273.7 |
Carle Eureka Hospital |
1338021044 |
TUBE SALEM SUMP |
0272 |
20 |
20 |
6 |
18.2 |
14 |
6 |
18.2 |
14.399999999999999 |
17 |
Carle Eureka Hospital |
1338021389 |
TRAY EPIDURAL CATHETER |
0272 |
79 |
79 |
23.7 |
71.89 |
55.3 |
23.7 |
71.89 |
56.879999999999995 |
67.149999999999991 |
Carle Eureka Hospital |
1338021394 |
TRAY LUMBAR PUNCTURE |
0272 |
32 |
32 |
9.6 |
29.12 |
22.4 |
9.6 |
29.12 |
23.04 |
27.2 |
Carle Eureka Hospital |
1338021480 |
TRAY PIC |
0272 |
223 |
223 |
66.899999999999991 |
202.93 |
156.1 |
66.899999999999991 |
202.93 |
160.56 |
189.54999999999998 |
Carle Eureka Hospital |
1338040609 |
PHASE I RECOVERY FIRST 30 MIN |
0710 |
340 |
340 |
102 |
309.40000000000003 |
237.99999999999997 |
102 |
309.40000000000003 |
244.79999999999998 |
289 |
Carle Eureka Hospital |
1338040610 |
PHASE I RECOVERY EA ADD 30 MIN |
0710 |
175 |
175 |
52.5 |
159.25 |
122.49999999999999 |
52.5 |
159.25 |
126 |
148.75 |
Carle Eureka Hospital |
1338050480 |
INSERT PICC >=AGE 5 WO IMAGE |
36569 |
0361 |
1845 |
1845 |
553.5 |
1678.95 |
1291.5 |
553.5 |
1678.95 |
1328.3999999999999 |
1568.25 |
Carle Eureka Hospital |
1338061311 |
INSERT PICC >=AGE 5 W IMAGE |
36573 |
0361 |
2242 |
2242 |
672.6 |
2040.22 |
1569.3999999999999 |
672.6 |
2040.22 |
1614.24 |
1905.7 |
Carle Eureka Hospital |
1338902011 |
WCSE PTA SERVICE |
0420 |
37.5 |
37.5 |
11.25 |
34.125 |
26.25 |
11.25 |
34.125 |
27 |
31.875 |
Carle Eureka Hospital |
1338902012 |
WCSE PT SERVICE |
0420 |
62 |
62 |
18.599999999999998 |
56.42 |
43.4 |
18.599999999999998 |
56.42 |
44.64 |
52.699999999999996 |
Carle Eureka Hospital |
1338902024 |
TREMONT PTA SERVICE |
0420 |
39.799999999999997 |
39.799999999999997 |
11.94 |
36.217999999999996 |
27.859999999999996 |
11.94 |
36.217999999999996 |
28.655999999999995 |
33.83 |
Carle Eureka Hospital |
1338902025 |
TREMONT PT SERVICE |
0420 |
62 |
62 |
18.599999999999998 |
56.42 |
43.4 |
18.599999999999998 |
56.42 |
44.64 |
52.699999999999996 |
Carle Eureka Hospital |
1338902104 |
MORTON SCHOOL PTA SERVICE |
0420 |
39.799999999999997 |
39.799999999999997 |
11.94 |
36.217999999999996 |
27.859999999999996 |
11.94 |
36.217999999999996 |
28.655999999999995 |
33.83 |
Carle Eureka Hospital |
1338902106 |
MORTON SCHOOL DIST PT SERVICE |
0420 |
59.4 |
59.4 |
17.82 |
54.054000000000002 |
41.58 |
17.82 |
54.054000000000002 |
42.768000000000001 |
50.489999999999995 |
Carle Eureka Hospital |
1338902108 |
MISC PT |
0420 |
62 |
62 |
18.599999999999998 |
56.42 |
43.4 |
18.599999999999998 |
56.42 |
44.64 |
52.699999999999996 |
Carle Eureka Hospital |
1338902115 |
MACKINAW PTA SERVICE |
0420 |
39.799999999999997 |
39.799999999999997 |
11.94 |
36.217999999999996 |
27.859999999999996 |
11.94 |
36.217999999999996 |
28.655999999999995 |
33.83 |
Carle Eureka Hospital |
1338902116 |
MACKINAW PT SERVICE |
0420 |
59.4 |
59.4 |
17.82 |
54.054000000000002 |
41.58 |
17.82 |
54.054000000000002 |
42.768000000000001 |
50.489999999999995 |
Carle Eureka Hospital |
1338902118 |
MACKINAW COTA SERVICE |
0430 |
39 |
39 |
11.7 |
35.49 |
27.299999999999997 |
11.7 |
35.49 |
28.08 |
33.15 |
Carle Eureka Hospital |
1338902190 |
COTA SERVICES - 504 |
0430 |
39 |
39 |
11.7 |
35.49 |
27.299999999999997 |
11.7 |
35.49 |
28.08 |
33.15 |
Carle Eureka Hospital |
1338902217 |
504 PTA SERVICE |
0420 |
39.799999999999997 |
39.799999999999997 |
11.94 |
36.217999999999996 |
27.859999999999996 |
11.94 |
36.217999999999996 |
28.655999999999995 |
33.83 |
Carle Eureka Hospital |
1338902218 |
504 PT SERVICE |
0420 |
62 |
62 |
18.599999999999998 |
56.42 |
43.4 |
18.599999999999998 |
56.42 |
44.64 |
52.699999999999996 |
Carle Eureka Hospital |
1338902267 |
PT INDIVIDUAL THERAPY ON-SITE |
0420 |
47 |
47 |
14.1 |
42.77 |
32.9 |
14.1 |
42.77 |
33.839999999999996 |
39.949999999999996 |
Carle Eureka Hospital |
1338910222 |
WASH TOWNSHIP COTA SERVICE |
0430 |
39.020000000000003 |
39.020000000000003 |
11.706000000000001 |
35.508200000000002 |
27.314 |
11.706000000000001 |
35.508200000000002 |
28.0944 |
33.167000000000002 |
Carle Eureka Hospital |
1338920285 |
MORTON SCHOOL COTA SERVICE |
0430 |
39 |
39 |
11.7 |
35.49 |
27.299999999999997 |
11.7 |
35.49 |
28.08 |
33.15 |
Carle Eureka Hospital |
1339102003 |
WORK HARDENING INITIAL 2HRS OM |
97545 |
0420 |
4.0999999999999996 |
4.0999999999999996 |
1.2299999999999998 |
3.7309999999999999 |
2.8699999999999997 |
1.2299999999999998 |
3.7309999999999999 |
2.9519999999999995 |
3.4849999999999994 |
Carle Eureka Hospital |
1339102004 |
WORK HARDENING EACH ADDL PT OM |
97546 |
0420 |
4.0999999999999996 |
4.0999999999999996 |
1.2299999999999998 |
3.7309999999999999 |
2.8699999999999997 |
1.2299999999999998 |
3.7309999999999999 |
2.9519999999999995 |
3.4849999999999994 |
Carle Eureka Hospital |
1339102009 |
WHIRLPOOL |
97022 |
0420 |
100 |
100 |
30 |
91 |
70 |
30 |
91 |
72 |
85 |
Carle Eureka Hospital |
1339102010 |
WHEELCHAIR MANAGEMENT 15 MIN |
97542 |
0420 |
115 |
115 |
34.5 |
104.65 |
80.5 |
34.5 |
104.65 |
82.8 |
97.75 |
Carle Eureka Hospital |
1339102021 |
ULTRASOUND 15 MIN |
97035 |
0420 |
71 |
71 |
21.3 |
64.61 |
49.699999999999996 |
21.3 |
64.61 |
51.12 |
60.35 |
Carle Eureka Hospital |
1339102029 |
TRANSFER TRAINING |
97530 |
0420 |
130 |
130 |
39 |
118.3 |
91 |
39 |
118.3 |
93.6 |
110.5 |
Carle Eureka Hospital |
1339102030 |
TRAINING ADL 15 MIN |
97535 |
0420 |
135 |
135 |
40.5 |
122.85000000000001 |
94.5 |
40.5 |
122.85000000000001 |
97.2 |
114.75 |
Carle Eureka Hospital |
1339102032 |
THERAPEUTIC EXERCISE |
97110 |
0420 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
1339102053 |
RE-EVALUATION PT |
97164 |
0420 |
215 |
215 |
64.5 |
195.65 |
150.5 |
64.5 |
195.65 |
154.79999999999998 |
182.75 |
Carle Eureka Hospital |
1339102061 |
PROSTHETIC FIT INITIAL 15 MIN |
97761 |
0420 |
125 |
125 |
37.5 |
113.75 |
87.5 |
37.5 |
113.75 |
90 |
106.25 |
Carle Eureka Hospital |
1339102071 |
PHONOPHORESIS EACH 15 MIN |
97035 |
0420 |
71 |
71 |
21.3 |
64.61 |
49.699999999999996 |
21.3 |
64.61 |
51.12 |
60.35 |
Carle Eureka Hospital |
1339102073 |
PARAFFIN TREATMENT |
97018 |
0420 |
74 |
74 |
22.2 |
67.34 |
51.8 |
22.2 |
67.34 |
53.28 |
62.9 |
Carle Eureka Hospital |
1339102087 |
ORTHOTICS/PROSTHET SUBSEQ 15MI |
97763 |
0420 |
125 |
125 |
37.5 |
113.75 |
87.5 |
37.5 |
113.75 |
90 |
106.25 |
Carle Eureka Hospital |
1339102089 |
ORTHOTIC FIT INITIAL 15 MIN |
97760 |
0420 |
180 |
180 |
54 |
163.80000000000001 |
125.99999999999999 |
54 |
163.80000000000001 |
129.6 |
153 |
Carle Eureka Hospital |
1339102111 |
MECHANICAL TRACTION |
97012 |
0420 |
76 |
76 |
22.8 |
69.16 |
53.199999999999996 |
22.8 |
69.16 |
54.72 |
64.599999999999994 |
Carle Eureka Hospital |
1339102114 |
MANUAL THERAPY 15 MIN |
97140 |
0420 |
140 |
140 |
42 |
127.4 |
98 |
42 |
127.4 |
100.8 |
119 |
Carle Eureka Hospital |
1339102133 |
IONTOPHORESIS 15 MIN |
97033 |
0420 |
83 |
83 |
24.9 |
75.53 |
58.099999999999994 |
24.9 |
75.53 |
59.76 |
70.55 |
Carle Eureka Hospital |
1339102135 |
IFSP PT DEVELP ONSITE |
99499 |
0420 |
14.53 |
14.53 |
4.359 |
13.222300000000001 |
10.170999999999999 |
4.359 |
13.222300000000001 |
10.461599999999999 |
12.350499999999998 |
Carle Eureka Hospital |
1339102139 |
HVGS/US COMBO 15 MIN |
97032 |
0420 |
93 |
93 |
27.9 |
84.63000000000001 |
65.099999999999994 |
27.9 |
84.63000000000001 |
66.959999999999994 |
79.05 |
Carle Eureka Hospital |
1339102147 |
HIGH VOLT GALVANIC STIM |
97014 |
0420 |
61 |
61 |
18.3 |
55.510000000000005 |
42.699999999999996 |
18.3 |
55.510000000000005 |
43.92 |
51.85 |
Carle Eureka Hospital |
1339102150 |
GROUP THERAPY |
97150 |
0420 |
93 |
93 |
27.9 |
84.63000000000001 |
65.099999999999994 |
27.9 |
84.63000000000001 |
66.959999999999994 |
79.05 |
Carle Eureka Hospital |
1339102152 |
GAIT TRAINING |
97116 |
0420 |
105 |
105 |
31.5 |
95.55 |
73.5 |
31.5 |
95.55 |
75.599999999999994 |
89.25 |
Carle Eureka Hospital |
1339102156 |
FUNCTION CAPACITY EVAL/15 MIN |
97750 |
0420 |
140 |
140 |
42 |
127.4 |
98 |
42 |
127.4 |
100.8 |
119 |
Carle Eureka Hospital |
1339102169 |
ESTIM ATTENDED/POINT STIM |
97032 |
0420 |
93 |
93 |
27.9 |
84.63000000000001 |
65.099999999999994 |
27.9 |
84.63000000000001 |
66.959999999999994 |
79.05 |
Carle Eureka Hospital |
1339102178 |
ELECTRICAL STIMULATION |
97014 |
0420 |
61 |
61 |
18.3 |
55.510000000000005 |
42.699999999999996 |
18.3 |
55.510000000000005 |
43.92 |
51.85 |
Carle Eureka Hospital |
1339102206 |
BALANCE/NEUROMUSCULAR RE-ED |
97112 |
0420 |
130 |
130 |
39 |
118.3 |
91 |
39 |
118.3 |
93.6 |
110.5 |
Carle Eureka Hospital |
1339102207 |
POST OFFER BACK SCREEN ECH |
97750 |
0420 |
4.6500000000000004 |
4.6500000000000004 |
1.395 |
4.2315000000000005 |
3.2549999999999999 |
1.395 |
4.2315000000000005 |
3.3480000000000003 |
3.9525000000000001 |
Carle Eureka Hospital |
1339102219 |
EI PT THERAPY INDIV OFFSITE |
97110 |
0420 |
47 |
47 |
14.1 |
42.77 |
32.9 |
14.1 |
42.77 |
33.839999999999996 |
39.949999999999996 |
Carle Eureka Hospital |
1339102244 |
THERAPEUTIC ACTIVITY PT |
97530 |
0420 |
130 |
130 |
39 |
118.3 |
91 |
39 |
118.3 |
93.6 |
110.5 |
Carle Eureka Hospital |
1339120294 |
EVALUATION PT LOW COMPLEXITY |
97161 |
0420 |
380 |
380 |
114 |
345.8 |
266 |
114 |
345.8 |
273.59999999999997 |
323 |
Carle Eureka Hospital |
1339120295 |
EVALUATION PT MOD COMPLEXITY |
97162 |
0420 |
380 |
380 |
114 |
345.8 |
266 |
114 |
345.8 |
273.59999999999997 |
323 |
Carle Eureka Hospital |
1339120296 |
EVALUATION PT HIGH COMPLEXITY |
97163 |
0420 |
380 |
380 |
114 |
345.8 |
266 |
114 |
345.8 |
273.59999999999997 |
323 |
Carle Eureka Hospital |
1339120302 |
EI PEDS DEVELOPMENT TESTING 15 |
96112 |
0420 |
18.13 |
18.13 |
5.4389999999999992 |
16.4983 |
12.690999999999999 |
5.4389999999999992 |
16.4983 |
13.053599999999999 |
15.410499999999999 |
Carle Eureka Hospital |
1339150994 |
EI IFSP PT DEVELP OFFSITE |
99499 |
0420 |
18.13 |
18.13 |
5.4389999999999992 |
16.4983 |
12.690999999999999 |
5.4389999999999992 |
16.4983 |
13.053599999999999 |
15.410499999999999 |
Carle Eureka Hospital |
1339161165 |
CANALITH REPOSITIONING PROC |
95992 |
0420 |
120 |
120 |
36 |
109.2 |
84 |
36 |
109.2 |
86.399999999999991 |
102 |
Carle Eureka Hospital |
1339202010 |
WHEELCHAIR MANAGEMENT 15 MIN |
97542 |
0430 |
145 |
145 |
43.5 |
131.95000000000002 |
101.5 |
43.5 |
131.95000000000002 |
104.39999999999999 |
123.25 |
Carle Eureka Hospital |
1339202021 |
ULTRASOUND 15 MIN |
97035 |
0430 |
71 |
71 |
21.3 |
64.61 |
49.699999999999996 |
21.3 |
64.61 |
51.12 |
60.35 |
Carle Eureka Hospital |
1339202029 |
TRANSFER TRAINING |
97530 |
0430 |
130 |
130 |
39 |
118.3 |
91 |
39 |
118.3 |
93.6 |
110.5 |
Carle Eureka Hospital |
1339202030 |
TRAINING ADL 15 MIN |
97535 |
0430 |
135 |
135 |
40.5 |
122.85000000000001 |
94.5 |
40.5 |
122.85000000000001 |
97.2 |
114.75 |
Carle Eureka Hospital |
1339202032 |
THERAPEUTIC EXERCISE |
97110 |
0430 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
1339202054 |
RE-EVALUATION OT |
97168 |
0430 |
275 |
275 |
82.5 |
250.25 |
192.5 |
82.5 |
250.25 |
198 |
233.75 |
Carle Eureka Hospital |
1339202073 |
PARAFFIN TREATMENT |
97018 |
0430 |
74 |
74 |
22.2 |
67.34 |
51.8 |
22.2 |
67.34 |
53.28 |
62.9 |
Carle Eureka Hospital |
1339202089 |
ORTHOTIC FIT INITIAL 15 MIN |
97760 |
0430 |
180 |
180 |
54 |
163.80000000000001 |
125.99999999999999 |
54 |
163.80000000000001 |
129.6 |
153 |
Carle Eureka Hospital |
1339202114 |
MANUAL THERAPY 15 MIN |
97140 |
0430 |
140 |
140 |
42 |
127.4 |
98 |
42 |
127.4 |
100.8 |
119 |
Carle Eureka Hospital |
1339202133 |
IONTOPHORESIS 15 MIN |
97033 |
0430 |
83 |
83 |
24.9 |
75.53 |
58.099999999999994 |
24.9 |
75.53 |
59.76 |
70.55 |
Carle Eureka Hospital |
1339202144 |
TRAINING ADL 15 MIN |
97535 |
0430 |
135 |
135 |
40.5 |
122.85000000000001 |
94.5 |
40.5 |
122.85000000000001 |
97.2 |
114.75 |
Carle Eureka Hospital |
1339202178 |
ELECTRICAL STIMULATION 15 MIN |
97032 |
0430 |
93 |
93 |
27.9 |
84.63000000000001 |
65.099999999999994 |
27.9 |
84.63000000000001 |
66.959999999999994 |
79.05 |
Carle Eureka Hospital |
1339202234 |
U/E TREATMENT 15 MIN |
97110 |
0430 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
1339220297 |
EVALUATION OT LOW COMPLEXITY |
97165 |
0430 |
380 |
380 |
114 |
345.8 |
266 |
114 |
345.8 |
273.59999999999997 |
323 |
Carle Eureka Hospital |
1339220298 |
EVALUATION OT MOD COMPLEXITY |
97166 |
0430 |
380 |
380 |
114 |
345.8 |
266 |
114 |
345.8 |
273.59999999999997 |
323 |
Carle Eureka Hospital |
1339220299 |
EVALUATION OT HIGH COMPLEXITY |
97167 |
0430 |
360 |
360 |
108 |
327.60000000000002 |
251.99999999999997 |
108 |
327.60000000000002 |
259.2 |
306 |
Carle Eureka Hospital |
1339220305 |
OT THER INT COG FC INIT 15M |
97129 |
0430 |
185 |
185 |
55.5 |
168.35 |
129.5 |
55.5 |
168.35 |
133.19999999999999 |
157.25 |
Carle Eureka Hospital |
1339220306 |
OT THER INT COG FC EA AD 15M |
97130 |
0430 |
185 |
185 |
55.5 |
168.35 |
129.5 |
55.5 |
168.35 |
133.19999999999999 |
157.25 |
Carle Eureka Hospital |
1339302019 |
VIDEO FLUOROSCOPY |
92611 |
0440 |
410 |
410 |
123 |
373.1 |
287 |
123 |
373.1 |
295.2 |
348.5 |
Carle Eureka Hospital |
1339302023 |
TYMPANOMETRY |
92567 |
0471 |
94 |
94 |
28.2 |
85.54 |
65.8 |
28.2 |
85.54 |
67.679999999999993 |
79.899999999999991 |
Carle Eureka Hospital |
1339302028 |
TREATMENT SWALLOW DYSFUNTION |
92526 |
0440 |
325 |
325 |
97.5 |
295.75 |
227.49999999999997 |
97.5 |
295.75 |
234 |
276.25 |
Carle Eureka Hospital |
1339302033 |
PURETONE SCREENING TEST AIR |
92551 |
0471 |
23 |
23 |
6.8999999999999995 |
20.93 |
16.099999999999998 |
6.8999999999999995 |
20.93 |
16.559999999999999 |
19.55 |
Carle Eureka Hospital |
1339302038 |
SPEECH THERAPY SESSION |
92507 |
0440 |
360 |
360 |
108 |
327.60000000000002 |
251.99999999999997 |
108 |
327.60000000000002 |
259.2 |
306 |
Carle Eureka Hospital |
1339302161 |
EVALUATION OF SWALLOWING |
92610 |
0440 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
1339302193 |
CONDITIONING PLAY AUDIOMETRY |
92582 |
0471 |
266 |
266 |
79.8 |
242.06 |
186.2 |
79.8 |
242.06 |
191.51999999999998 |
226.1 |
Carle Eureka Hospital |
1339302194 |
COMPREHENSIVE AUDIO EVAL |
92557 |
0471 |
420 |
420 |
126 |
382.2 |
294 |
126 |
382.2 |
302.39999999999998 |
357 |
Carle Eureka Hospital |
1339302208 |
ASSESSMENT APHASIA |
96105 |
0440 |
410 |
410 |
123 |
373.1 |
287 |
123 |
373.1 |
295.2 |
348.5 |
Carle Eureka Hospital |
1339320288 |
ST EVALUATION FLUENCY |
92521 |
0440 |
135 |
135 |
40.5 |
122.85000000000001 |
94.5 |
40.5 |
122.85000000000001 |
97.2 |
114.75 |
Carle Eureka Hospital |
1339320289 |
ST EVALUATION SOUND PRODUCTION |
92522 |
0440 |
130 |
130 |
39 |
118.3 |
91 |
39 |
118.3 |
93.6 |
110.5 |
Carle Eureka Hospital |
1339320290 |
ST EVAL SOUND PROD/COMPREHENSN |
92523 |
0440 |
355 |
355 |
106.5 |
323.05 |
248.49999999999997 |
106.5 |
323.05 |
255.6 |
301.75 |
Carle Eureka Hospital |
1339320291 |
ST ANALYSIS VOICE/RESONONANCE |
92524 |
0440 |
195 |
195 |
58.5 |
177.45000000000002 |
136.5 |
58.5 |
177.45000000000002 |
140.4 |
165.75 |
Carle Eureka Hospital |
1339320300 |
HEARING AID EXAM SELECT MON |
92590 |
0470 |
168 |
168 |
50.4 |
152.88 |
117.6 |
50.4 |
152.88 |
120.96 |
142.79999999999998 |
Carle Eureka Hospital |
1339320301 |
HEARING AID EXAM SELECT BIN |
92591 |
0470 |
200 |
200 |
60 |
182 |
140 |
60 |
182 |
144 |
170 |
Carle Eureka Hospital |
1339320305 |
ST THER INT COG FC INIT 15M |
97129 |
0440 |
185 |
185 |
55.5 |
168.35 |
129.5 |
55.5 |
168.35 |
133.19999999999999 |
157.25 |
Carle Eureka Hospital |
1339320306 |
ST THER INT COG FC EA AD 15M |
97130 |
0440 |
185 |
185 |
55.5 |
168.35 |
129.5 |
55.5 |
168.35 |
133.19999999999999 |
157.25 |
Carle Eureka Hospital |
1339320610 |
HEARING AID FITTING ADV BINAUR |
V5160 |
0470 |
153 |
153 |
45.9 |
139.23000000000002 |
107.1 |
45.9 |
139.23000000000002 |
110.16 |
130.04999999999998 |
Carle Eureka Hospital |
1339320611 |
HEARING AID FITTING ADV MONO |
V5241 |
0271 |
143 |
143 |
42.9 |
130.13 |
100.1 |
42.9 |
130.13 |
102.96 |
121.55 |
Carle Eureka Hospital |
1339322818 |
HEARING AID CHARGER |
V5267 |
0272 |
400 |
400 |
120 |
364 |
280 |
120 |
364 |
288 |
340 |
Carle Eureka Hospital |
1339361165 |
CANALITH REPOSITIONING PROC |
95992 |
0472 |
120 |
120 |
36 |
109.2 |
84 |
36 |
109.2 |
86.399999999999991 |
102 |
Carle Eureka Hospital |
1525710481 |
SCHOOL NURSE HOURS |
0990 |
23 |
23 |
6.8999999999999995 |
20.93 |
16.099999999999998 |
6.8999999999999995 |
20.93 |
16.559999999999999 |
19.55 |
Carle Eureka Hospital |
1525710482 |
BENEFITS PER HOUR |
0990 |
3.5 |
3.5 |
1.05 |
3.1850000000000001 |
2.4499999999999997 |
1.05 |
3.1850000000000001 |
2.52 |
2.9750000000000001 |
Carle Eureka Hospital |
20610 |
ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US |
20610 |
0521 |
280 |
280 |
84 |
254.8 |
196 |
84 |
254.8 |
201.6 |
238 |
Carle Eureka Hospital |
21555 |
EXC TUMOR SOFT TISSUE NECK/ANT THORAX SUBQ <3CM |
21555 |
0521 |
1920 |
1920 |
576 |
1747.2 |
1344 |
576 |
1747.2 |
1382.3999999999999 |
1632 |
Carle Eureka Hospital |
21930 |
EXCISION TUMOR SOFT TISSUE BACK/FLANK SUBQ <3CM |
21930 |
0521 |
2220 |
2220 |
666 |
2020.2 |
1554 |
666 |
2020.2 |
1598.3999999999999 |
1887 |
Carle Eureka Hospital |
23500 |
CLOSED RX CLAVICLE FRACTURE |
23500 |
0521 |
990 |
990 |
297 |
900.9 |
693 |
297 |
900.9 |
712.8 |
841.5 |
Carle Eureka Hospital |
23600 |
CLOSED RX PROX HUMERUS FRACTURE |
23600 |
0521 |
1480 |
1480 |
444 |
1346.8 |
1036 |
444 |
1346.8 |
1065.5999999999999 |
1258 |
Carle Eureka Hospital |
23650 |
CLOSED RX SHLDR DISLOCATION |
23650 |
0521 |
1450 |
1450 |
435 |
1319.5 |
1014.9999999999999 |
435 |
1319.5 |
1044 |
1232.5 |
Carle Eureka Hospital |
24075 |
EXC TUMOR SOFT TISS UPPER ARM/ELBOW SUBQ <3CM |
24075 |
0521 |
2320 |
2320 |
696 |
2111.2000000000003 |
1624 |
696 |
2111.2000000000003 |
1670.3999999999999 |
1972 |
Carle Eureka Hospital |
24640 |
CLOSED RX RADIAL HEAD DISLOC,CHILD |
24640 |
0521 |
455 |
455 |
136.5 |
414.05 |
318.5 |
136.5 |
414.05 |
327.59999999999997 |
386.75 |
Carle Eureka Hospital |
24650 |
CLOSED RX RADIAL HEAD/NECK FX |
24650 |
0521 |
1170 |
1170 |
351 |
1064.7 |
819 |
351 |
1064.7 |
842.4 |
994.5 |
Carle Eureka Hospital |
25075 |
EXC TUMOR SOFT TISSUE FOREARM &/WRIST SUBQ <3CM |
25075 |
0521 |
2250 |
2250 |
675 |
2047.5 |
1575 |
675 |
2047.5 |
1620 |
1912.5 |
Carle Eureka Hospital |
11043 |
PR DEBRIDEMENT, SKIN, SUB-Q TISSUE |
11043 |
0521 |
1050 |
1050 |
315 |
955.5 |
735 |
315 |
955.5 |
756 |
892.5 |
Carle Eureka Hospital |
25600 |
CLOSED RX DIST RAD/ULNA FX |
25600 |
0521 |
1480 |
1480 |
444 |
1346.8 |
1036 |
444 |
1346.8 |
1065.5999999999999 |
1258 |
Carle Eureka Hospital |
26010 |
DRAIN FINGER ABSCESS,SIMPLE |
26010 |
0521 |
1320 |
1320 |
396 |
1201.2 |
923.99999999999989 |
396 |
1201.2 |
950.4 |
1122 |
Carle Eureka Hospital |
26600 |
CLOSED RX METACARPAL FX |
26600 |
0521 |
1330 |
1330 |
399 |
1210.3 |
930.99999999999989 |
399 |
1210.3 |
957.59999999999991 |
1130.5 |
Carle Eureka Hospital |
26720 |
CLOSE RX PROX/MID FING SHFT FX |
26720 |
0521 |
890 |
890 |
267 |
809.9 |
623 |
267 |
809.9 |
640.79999999999995 |
756.5 |
Carle Eureka Hospital |
26750 |
CLOSE RX DIST FINGR FX |
26750 |
0521 |
840 |
840 |
252 |
764.4 |
588 |
252 |
764.4 |
604.79999999999995 |
714 |
Carle Eureka Hospital |
26770 |
CLOSED RX IP JT DISLOCATION |
26770 |
0521 |
1280 |
1280 |
384 |
1164.8 |
896 |
384 |
1164.8 |
921.59999999999991 |
1088 |
Carle Eureka Hospital |
27220 |
CLOSED RX ACETABULAR FX |
27220 |
0521 |
1970 |
1970 |
591 |
1792.7 |
1379 |
591 |
1792.7 |
1418.3999999999999 |
1674.5 |
Carle Eureka Hospital |
27238 |
CLOSED RX INTER/SUBTROCH FEMUR FX |
27238 |
0521 |
2130 |
2130 |
639 |
1938.3 |
1491 |
639 |
1938.3 |
1533.6 |
1810.5 |
Carle Eureka Hospital |
27327 |
EXCISION TUMOR SOFT TISSUE THIGH/KNEE SUBQ <3CM |
27327 |
0521 |
2170 |
2170 |
651 |
1974.7 |
1519 |
651 |
1974.7 |
1562.3999999999999 |
1844.5 |
Carle Eureka Hospital |
27520 |
CLOSED RX PATELLA FX |
27520 |
0521 |
1450 |
1450 |
435 |
1319.5 |
1014.9999999999999 |
435 |
1319.5 |
1044 |
1232.5 |
Carle Eureka Hospital |
11044 |
PR DEBRIDEMENT, SKIN, SUB-Q TISSUE |
11044 |
0521 |
1420 |
1420 |
426 |
1292.2 |
993.99999999999989 |
426 |
1292.2 |
1022.4 |
1207 |
Carle Eureka Hospital |
27760 |
CLOSED RX MED MALLEOLUS FX |
27760 |
0521 |
1500 |
1500 |
450 |
1365 |
1050 |
450 |
1365 |
1080 |
1275 |
Carle Eureka Hospital |
27786 |
CLOSED RX DIST FIBULA FX |
27786 |
0521 |
1410 |
1410 |
423 |
1283.1000000000001 |
986.99999999999989 |
423 |
1283.1000000000001 |
1015.1999999999999 |
1198.5 |
Carle Eureka Hospital |
28470 |
CLOSED RX METATARSAL FX |
28470 |
0521 |
980 |
980 |
294 |
891.80000000000007 |
686 |
294 |
891.80000000000007 |
705.6 |
833 |
Carle Eureka Hospital |
28490 |
CLOSED RX BIG TOE FRACTURE |
28490 |
0521 |
630 |
630 |
189 |
573.30000000000007 |
441 |
189 |
573.30000000000007 |
453.59999999999997 |
535.5 |
Carle Eureka Hospital |
28510 |
CLOSED RX TOE FX |
28510 |
0521 |
540 |
540 |
162 |
491.40000000000003 |
378 |
162 |
491.40000000000003 |
388.8 |
459 |
Carle Eureka Hospital |
29065 |
APPLY LONG ARM CAST |
29065 |
0521 |
425 |
425 |
127.5 |
386.75 |
297.5 |
127.5 |
386.75 |
306 |
361.25 |
Carle Eureka Hospital |
29075 |
APPLY FOREARM CAST |
29075 |
0521 |
380 |
380 |
114 |
345.8 |
266 |
114 |
345.8 |
273.59999999999997 |
323 |
Carle Eureka Hospital |
29085 |
APPLY HAND/WRIST CAST |
29085 |
0521 |
420 |
420 |
126 |
382.2 |
294 |
126 |
382.2 |
302.39999999999998 |
357 |
Carle Eureka Hospital |
29105 |
APPLY LONG ARM SPLINT |
29105 |
0521 |
365 |
365 |
109.5 |
332.15000000000003 |
255.49999999999997 |
109.5 |
332.15000000000003 |
262.8 |
310.25 |
Carle Eureka Hospital |
29125 |
APPLY FOREARM SPLINT,STATIC |
29125 |
0521 |
285 |
285 |
85.5 |
259.35000000000002 |
199.5 |
85.5 |
259.35000000000002 |
205.2 |
242.25 |
Carle Eureka Hospital |
11200 |
REMOVAL OF SKIN TAGS, UP TO 15 |
11200 |
0521 |
395 |
395 |
118.5 |
359.45 |
276.5 |
118.5 |
359.45 |
284.39999999999998 |
335.75 |
Carle Eureka Hospital |
29345 |
APPLY LONG LEG CAST |
29345 |
0521 |
610 |
610 |
183 |
555.1 |
427 |
183 |
555.1 |
439.2 |
518.5 |
Carle Eureka Hospital |
29405 |
APPLY SHORT LEG CAST |
29405 |
0521 |
355 |
355 |
106.5 |
323.05 |
248.49999999999997 |
106.5 |
323.05 |
255.6 |
301.75 |
Carle Eureka Hospital |
29505 |
APPLY LONG LEG SPLINT |
29505 |
0521 |
375 |
375 |
112.5 |
341.25 |
262.5 |
112.5 |
341.25 |
270 |
318.75 |
Carle Eureka Hospital |
29515 |
APPLY LOWER LEG SPLINT |
29515 |
0521 |
315 |
315 |
94.5 |
286.65000000000003 |
220.5 |
94.5 |
286.65000000000003 |
226.79999999999998 |
267.75 |
Carle Eureka Hospital |
29540 |
STRAPPING; ANKLE &/OR FOOT |
29540 |
0521 |
130 |
130 |
39 |
118.3 |
91 |
39 |
118.3 |
93.6 |
110.5 |
Carle Eureka Hospital |
29550 |
STRAPPING OF TOES |
29550 |
0521 |
85 |
85 |
25.5 |
77.350000000000009 |
59.499999999999993 |
25.5 |
77.350000000000009 |
61.199999999999996 |
72.25 |
Carle Eureka Hospital |
30300 |
REMOVE NASAL FOREIGN BODY |
30300 |
0521 |
830 |
830 |
249 |
755.30000000000007 |
581 |
249 |
755.30000000000007 |
597.6 |
705.5 |
Carle Eureka Hospital |
30901 |
CTRL NOSEBLEED,ANTER,SIMPLE |
30901 |
0521 |
640 |
640 |
192 |
582.4 |
448 |
192 |
582.4 |
460.79999999999995 |
544 |
Carle Eureka Hospital |
31500 |
INSERT EMERGENCY ENDOTRACH AIRWAY |
31500 |
0521 |
680 |
680 |
204 |
618.80000000000007 |
475.99999999999994 |
204 |
618.80000000000007 |
489.59999999999997 |
578 |
Carle Eureka Hospital |
31646 |
BRONCHOSCOPY W/THER ASPIR TRACHBRNCL TREE SBSQ |
31646 |
0521 |
660 |
660 |
198 |
600.6 |
461.99999999999994 |
198 |
600.6 |
475.2 |
561 |
Carle Eureka Hospital |
11201 |
REMOVAL OF SKIN TAGS, EACH ADD 10 |
11201 |
0521 |
85 |
85 |
25.5 |
77.350000000000009 |
59.499999999999993 |
25.5 |
77.350000000000009 |
61.199999999999996 |
72.25 |
Carle Eureka Hospital |
36410 |
VNPNXR 3 YEARS/> PHYS/QHP SKILL |
36410 |
0521 |
77 |
77 |
23.099999999999998 |
70.070000000000007 |
53.9 |
23.099999999999998 |
70.070000000000007 |
55.44 |
65.45 |
Carle Eureka Hospital |
36415 |
COLLECTION VENOUS BLOOD,VENIPUNCTURE |
36415 |
0300 |
14 |
14 |
4.2 |
12.74 |
9.7999999999999989 |
4.2 |
12.74 |
10.08 |
11.9 |
Carle Eureka Hospital |
36430 |
BLOOD TRANSFUSION SERVICE |
36430 |
0521 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
36620 |
INSERT CATH,ART,PERCUT,SHORTTERM |
36620 |
0521 |
210 |
210 |
63 |
191.1 |
147 |
63 |
191.1 |
151.19999999999999 |
178.5 |
Carle Eureka Hospital |
41010 |
INCISION OF TONGUE FOLD |
41010 |
0521 |
920 |
920 |
276 |
837.2 |
644 |
276 |
837.2 |
662.4 |
782 |
Carle Eureka Hospital |
43235 |
ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC |
43235 |
0521 |
1230 |
1230 |
369 |
1119.3 |
861 |
369 |
1119.3 |
885.6 |
1045.5 |
Carle Eureka Hospital |
43239 |
EDG TRANSORAL BIOPSY SINGLE/MULTIPLE |
43239 |
0521 |
1630 |
1630 |
489 |
1483.3 |
1141 |
489 |
1483.3 |
1173.5999999999999 |
1385.5 |
Carle Eureka Hospital |
43249 |
EDG BALLOON DILATION ESOPHAGUS <30 MM DIAM |
43249 |
0521 |
4670 |
4670 |
1401 |
4249.7 |
3269 |
1401 |
4249.7 |
3362.4 |
3969.5 |
Carle Eureka Hospital |
45330 |
SIGMOIDOSCOPY FLX DX W/COLLJ SPEC BR/WA IF PFRMD |
45330 |
0521 |
760 |
760 |
228 |
691.6 |
532 |
228 |
691.6 |
547.19999999999993 |
646 |
Carle Eureka Hospital |
45331 |
SIGMOIDOSCOPY,BIOPSY |
45331 |
0521 |
1190 |
1190 |
357 |
1082.9000000000001 |
833 |
357 |
1082.9000000000001 |
856.8 |
1011.5 |
Carle Eureka Hospital |
11300 |
SHAV SKIN LES < 0.5 CM TRUNK,ARM,LEG |
11300 |
0521 |
435 |
435 |
130.5 |
395.85 |
304.5 |
130.5 |
395.85 |
313.2 |
369.75 |
Carle Eureka Hospital |
45378 |
COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD |
45378 |
0521 |
1470 |
1470 |
441 |
1337.7 |
1029 |
441 |
1337.7 |
1058.3999999999999 |
1249.5 |
Carle Eureka Hospital |
45380 |
COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE |
45380 |
0521 |
1880 |
1880 |
564 |
1710.8 |
1316 |
564 |
1710.8 |
1353.6 |
1598 |
Carle Eureka Hospital |
45385 |
COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ |
45385 |
0521 |
1980 |
1980 |
594 |
1801.8 |
1386 |
594 |
1801.8 |
1425.6 |
1683 |
Carle Eureka Hospital |
46050 |
I&D PERIANAL ABSCESS,SUPERFICIAL |
46050 |
0521 |
970 |
970 |
291 |
882.7 |
679 |
291 |
882.7 |
698.4 |
824.5 |
Carle Eureka Hospital |
46600 |
ANOSCOPY DX W/COLLJ SPEC BR/WA SPX WHEN PRFRMD |
46600 |
0521 |
450 |
450 |
135 |
409.5 |
315 |
135 |
409.5 |
324 |
382.5 |
Carle Eureka Hospital |
51700 |
IRRIGATION OF BLADDER |
51700 |
0521 |
335 |
335 |
100.5 |
304.85000000000002 |
234.49999999999997 |
100.5 |
304.85000000000002 |
241.2 |
284.75 |
Carle Eureka Hospital |
51741 |
COMPLEX UROFLOWMETRY |
51741 |
0521 |
65 |
65 |
19.5 |
59.15 |
45.5 |
19.5 |
59.15 |
46.8 |
55.25 |
Carle Eureka Hospital |
52000 |
CYSTOURETHROSCOPY |
52000 |
0521 |
930 |
930 |
279 |
846.30000000000007 |
651 |
279 |
846.30000000000007 |
669.6 |
790.5 |
Carle Eureka Hospital |
54056 |
DESTR PENIS LESN,SIMPL,CRYOSURG |
54056 |
0521 |
620 |
620 |
186 |
564.20000000000005 |
434 |
186 |
564.20000000000005 |
446.4 |
527 |
Carle Eureka Hospital |
54150 |
CIRCUMCISION,CLAMP,NEWBORN |
54150 |
0521 |
700 |
700 |
210 |
637 |
489.99999999999994 |
210 |
637 |
504 |
595 |
Carle Eureka Hospital |
11301 |
SHAV SKIN LES 0.6-1.0 CM TRUNK,ARM,LEG |
11301 |
0521 |
530 |
530 |
159 |
482.3 |
371 |
159 |
482.3 |
381.59999999999997 |
450.5 |
Carle Eureka Hospital |
55250 |
REMOVAL OF SPERM DUCT(S) |
55250 |
0521 |
1600 |
1600 |
480 |
1456 |
1120 |
480 |
1456 |
1152 |
1360 |
Carle Eureka Hospital |
56405 |
I&D OF VULVA/PERINEUM ABSCESS |
56405 |
0521 |
590 |
590 |
177 |
536.9 |
413 |
177 |
536.9 |
424.8 |
501.5 |
Carle Eureka Hospital |
56420 |
I&D BARTHOLIN GLAND ABSCESS |
56420 |
0521 |
700 |
700 |
210 |
637 |
489.99999999999994 |
210 |
637 |
504 |
595 |
Carle Eureka Hospital |
56501 |
DESTRUCTION,LESION(S),VULVA,SIMPLE |
56501 |
0521 |
740 |
740 |
222 |
673.4 |
518 |
222 |
673.4 |
532.79999999999995 |
629 |
Carle Eureka Hospital |
56515 |
DESTRUCTION,LESION(S),VULVA;EXTENSIVE |
56515 |
0521 |
1150 |
1150 |
345 |
1046.5 |
805 |
345 |
1046.5 |
828 |
977.5 |
Carle Eureka Hospital |
56605 |
BIOPSY VULVA/PERINEUM,ONE LESN |
56605 |
0521 |
410 |
410 |
123 |
373.1 |
287 |
123 |
373.1 |
295.2 |
348.5 |
Carle Eureka Hospital |
56606 |
BX,VULVA/PERINEUM,ADDL LESION |
56606 |
0521 |
180 |
180 |
54 |
163.80000000000001 |
125.99999999999999 |
54 |
163.80000000000001 |
129.6 |
153 |
Carle Eureka Hospital |
57100 |
BIOPSY OF VAGINA,SIMPLE |
57100 |
0521 |
440 |
440 |
132 |
400.40000000000003 |
308 |
132 |
400.40000000000003 |
316.8 |
374 |
Carle Eureka Hospital |
57160 |
FIT/INSERT INTRAVAG SUPPORT DEVICE |
57160 |
0521 |
310 |
310 |
93 |
282.10000000000002 |
217 |
93 |
282.10000000000002 |
223.2 |
263.5 |
Carle Eureka Hospital |
57452 |
COLPOSCOPY,CERVIX W/ADJ VAGINA |
57452 |
0521 |
550 |
550 |
165 |
500.5 |
385 |
165 |
500.5 |
396 |
467.5 |
Carle Eureka Hospital |
11302 |
SHAV SKIN LES 1.1-2.0 CM TRUNK,ARM,LEG |
11302 |
0521 |
620 |
620 |
186 |
564.20000000000005 |
434 |
186 |
564.20000000000005 |
446.4 |
527 |
Carle Eureka Hospital |
57454 |
COLPOSC,CERVIX W/ADJ VAG,W/BX & CURRETAG |
57454 |
0521 |
750 |
750 |
225 |
682.5 |
525 |
225 |
682.5 |
540 |
637.5 |
Carle Eureka Hospital |
57500 |
BIOPSY CERVIX, 1 OR MORE, OR EXCISION OF LESION |
57500 |
0521 |
640 |
640 |
192 |
582.4 |
448 |
192 |
582.4 |
460.79999999999995 |
544 |
Carle Eureka Hospital |
57505 |
ENDOCERVICAL CURETTAGE |
57505 |
0521 |
580 |
580 |
174 |
527.80000000000007 |
406 |
174 |
527.80000000000007 |
417.59999999999997 |
493 |
Carle Eureka Hospital |
57522 |
CONIZATION CERVIX,LOOP ELECTRD |
57522 |
0521 |
1310 |
1310 |
393 |
1192.1000000000001 |
916.99999999999989 |
393 |
1192.1000000000001 |
943.19999999999993 |
1113.5 |
Carle Eureka Hospital |
58100 |
BIOPSY OF UTERUS LINING |
58100 |
0521 |
445 |
445 |
133.5 |
404.95 |
311.5 |
133.5 |
404.95 |
320.39999999999998 |
378.25 |
Carle Eureka Hospital |
58300 |
INSERT INTRAUTERINE DEVICE |
58300 |
0521 |
405 |
405 |
121.5 |
368.55 |
283.5 |
121.5 |
368.55 |
291.59999999999997 |
344.25 |
Carle Eureka Hospital |
58301 |
REMOVE INTRAUTERINE DEVICE |
58301 |
0521 |
460 |
460 |
138 |
418.6 |
322 |
138 |
418.6 |
331.2 |
391 |
Carle Eureka Hospital |
58322 |
ARTIF INSEMINATION,INTRA-UTERINE |
58322 |
0521 |
405 |
405 |
121.5 |
368.55 |
283.5 |
121.5 |
368.55 |
291.59999999999997 |
344.25 |
Carle Eureka Hospital |
58340 |
CATH/INJECT HYSTEROSALPINGOGRAM |
58340 |
0521 |
850 |
850 |
255 |
773.5 |
595 |
255 |
773.5 |
612 |
722.5 |
Carle Eureka Hospital |
58611 |
LIGATION,FALLOPIAN TUBE W/C-SECTION |
58611 |
0521 |
365 |
365 |
109.5 |
332.15000000000003 |
255.49999999999997 |
109.5 |
332.15000000000003 |
262.8 |
310.25 |
Carle Eureka Hospital |
11305 |
SHAV SKIN LES <0.5 CM REMAINDER BODY |
11305 |
0521 |
460 |
460 |
138 |
418.6 |
322 |
138 |
418.6 |
331.2 |
391 |
Carle Eureka Hospital |
59000 |
AMNIOCENTESIS,DIAGNOSTIC |
59000 |
0521 |
550 |
550 |
165 |
500.5 |
385 |
165 |
500.5 |
396 |
467.5 |
Carle Eureka Hospital |
59025 |
FETAL NON-STRESS TEST |
59025 |
0521 |
220 |
220 |
66 |
200.20000000000002 |
154 |
66 |
200.20000000000002 |
158.4 |
187 |
Carle Eureka Hospital |
59160 |
D&C AFTER DELIVERY |
59160 |
0521 |
1110 |
1110 |
333 |
1010.1 |
777 |
333 |
1010.1 |
799.19999999999993 |
943.5 |
Carle Eureka Hospital |
59200 |
INSERT CERVICAL DILATOR |
59200 |
0521 |
405 |
405 |
121.5 |
368.55 |
283.5 |
121.5 |
368.55 |
291.59999999999997 |
344.25 |
Carle Eureka Hospital |
59320 |
REVISION CERVIX W PREG,VAG APPRCH |
59320 |
0521 |
720 |
720 |
216 |
655.20000000000005 |
503.99999999999994 |
216 |
655.20000000000005 |
518.4 |
612 |
Carle Eureka Hospital |
59400 |
FULL ROUT OBSTE CARE,VAGINAL DELIV |
59400 |
0521 |
9970 |
9970 |
2991 |
9072.7000000000007 |
6979 |
2991 |
9072.7000000000007 |
7178.4 |
8474.5 |
Carle Eureka Hospital |
59409 |
OBSTETRICAL CARE,VAG DELIV ONLY |
59409 |
0521 |
3860 |
3860 |
1158 |
3512.6 |
2702 |
1158 |
3512.6 |
2779.2 |
3281 |
Carle Eureka Hospital |
59410 |
OBSTE CARE,VAG DELIV+POSTPARTUM |
59410 |
0521 |
4960 |
4960 |
1488 |
4513.6000000000004 |
3472 |
1488 |
4513.6000000000004 |
3571.2 |
4216 |
Carle Eureka Hospital |
59412 |
ANTEPARTUM HEAD MANIPULATION |
59412 |
0521 |
495 |
495 |
148.5 |
450.45 |
346.5 |
148.5 |
450.45 |
356.4 |
420.75 |
Carle Eureka Hospital |
59414 |
DELIVER PLACENTA |
59414 |
0521 |
440 |
440 |
132 |
400.40000000000003 |
308 |
132 |
400.40000000000003 |
316.8 |
374 |
Carle Eureka Hospital |
11310 |
SHAV SKIN LES <0.5 CM FACE,FACIAL |
11310 |
0521 |
510 |
510 |
153 |
464.1 |
357 |
153 |
464.1 |
367.2 |
433.5 |
Carle Eureka Hospital |
59425 |
ANTEPARTUM CARE ONLY, 4-6 VISITS |
59425 |
0521 |
2170 |
2170 |
651 |
1974.7 |
1519 |
651 |
1974.7 |
1562.3999999999999 |
1844.5 |
Carle Eureka Hospital |
59426 |
ANTEPARTUM CARE ONLY, >7 VISITS |
59426 |
0521 |
3860 |
3860 |
1158 |
3512.6 |
2702 |
1158 |
3512.6 |
2779.2 |
3281 |
Carle Eureka Hospital |
59510 |
FULL ROUT OBSTE CARE,CESAREAN DELIV |
59510 |
0521 |
11080 |
11080 |
3324 |
10082.800000000001 |
7755.9999999999991 |
3324 |
10082.800000000001 |
7977.5999999999995 |
9418 |
Carle Eureka Hospital |
59514 |
CESAREAN DELIVERY ONLY |
59514 |
0521 |
4380 |
4380 |
1314 |
3985.8 |
3066 |
1314 |
3985.8 |
3153.6 |
3723 |
Carle Eureka Hospital |
59515 |
CESAREAN DELIVERY+POSTPARTUM CARE |
59515 |
0521 |
6050 |
6050 |
1815 |
5505.5 |
4235 |
1815 |
5505.5 |
4356 |
5142.5 |
Carle Eureka Hospital |
59610 |
ROUT OB CARE,VAG DELIV,PREV C-SEC |
59610 |
0521 |
10520 |
10520 |
3156 |
9573.2000000000007 |
7363.9999999999991 |
3156 |
9573.2000000000007 |
7574.4 |
8942 |
Carle Eureka Hospital |
59812 |
SURG RX INCOMPLETE ABORTN |
59812 |
0521 |
1590 |
1590 |
477 |
1446.9 |
1113 |
477 |
1446.9 |
1144.8 |
1351.5 |
Carle Eureka Hospital |
59820 |
SURG RX MISSED ABORTN,1ST TRI |
59820 |
0521 |
1900 |
1900 |
570 |
1729 |
1330 |
570 |
1729 |
1368 |
1615 |
Carle Eureka Hospital |
61210 |
BURR HOLE IMPLANT CATH/DEVICE |
61210 |
0521 |
1770 |
1770 |
531 |
1610.7 |
1239 |
531 |
1610.7 |
1274.3999999999999 |
1504.5 |
Carle Eureka Hospital |
62270 |
SPINAL PUNCTURE,LUMBAR,DIAGNOSTIC |
62270 |
0521 |
620 |
620 |
186 |
564.20000000000005 |
434 |
186 |
564.20000000000005 |
446.4 |
527 |
Carle Eureka Hospital |
11311 |
SHAV SKIN LES 0.6-1.0 CM FACE,FACIAL |
11311 |
0521 |
610 |
610 |
183 |
555.1 |
427 |
183 |
555.1 |
439.2 |
518.5 |
Carle Eureka Hospital |
10060 |
DRAIN SKIN ABSCESS SIMPLE |
10060 |
0521 |
540 |
540 |
162 |
491.40000000000003 |
378 |
162 |
491.40000000000003 |
388.8 |
459 |
Carle Eureka Hospital |
64405 |
INJECT NERV BLCK,GREAT OCCIPTL |
64405 |
0521 |
335 |
335 |
100.5 |
304.85000000000002 |
234.49999999999997 |
100.5 |
304.85000000000002 |
241.2 |
284.75 |
Carle Eureka Hospital |
64450 |
INJECT NERV BLCK,OTHR PERIPH NERV |
64450 |
0521 |
340 |
340 |
102 |
309.40000000000003 |
237.99999999999997 |
102 |
309.40000000000003 |
244.79999999999998 |
289 |
Carle Eureka Hospital |
64612 |
CHEMODNRVTJ MUSC MUSC INNERVATED FACIAL NRV UNIL |
64612 |
0521 |
600 |
600 |
180 |
546 |
420 |
180 |
546 |
432 |
510 |
Carle Eureka Hospital |
64721 |
REVISE MEDIAN N/CARPAL TUNNEL SURG |
64721 |
0521 |
1980 |
1980 |
594 |
1801.8 |
1386 |
594 |
1801.8 |
1425.6 |
1683 |
Carle Eureka Hospital |
65205 |
REMV F.B.,EYE,SUPERF CONJUNC |
65205 |
0521 |
170 |
170 |
51 |
154.70000000000002 |
118.99999999999999 |
51 |
154.70000000000002 |
122.39999999999999 |
144.5 |
Carle Eureka Hospital |
65220 |
REMV F.B.,EYE,CORNEA,NO SLIT |
65220 |
0521 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
69200 |
REMV EXT CANAL FOREIGN BODY |
69200 |
0521 |
360 |
360 |
108 |
327.60000000000002 |
251.99999999999997 |
108 |
327.60000000000002 |
259.2 |
306 |
Carle Eureka Hospital |
69210 |
REMOVAL IMPACTED CERUMEN INSTRUMENTATION UNILAT |
69210 |
0521 |
215 |
215 |
64.5 |
195.65 |
150.5 |
64.5 |
195.65 |
154.79999999999998 |
182.75 |
Carle Eureka Hospital |
69610 |
REPAIR TYMPANIC MEMBRANE |
69610 |
0521 |
1690 |
1690 |
507 |
1537.9 |
1183 |
507 |
1537.9 |
1216.8 |
1436.5 |
Carle Eureka Hospital |
74740 |
X-RAY HYSTEROSALPINGOGRAM |
74740 |
0972 |
385 |
385 |
115.5 |
350.35 |
269.5 |
115.5 |
350.35 |
277.2 |
327.25 |
Carle Eureka Hospital |
11312 |
SHAV SKIN LES 1.1-2.0 CM FACE,FACIAL |
11312 |
0521 |
700 |
700 |
210 |
637 |
489.99999999999994 |
210 |
637 |
504 |
595 |
Carle Eureka Hospital |
76815 |
US,PREGNANT UTERUS,LIMITED, 1/> FETUSES |
76815 |
0972 |
365 |
365 |
109.5 |
332.15000000000003 |
255.49999999999997 |
109.5 |
332.15000000000003 |
262.8 |
310.25 |
Carle Eureka Hospital |
76857 |
SONO PELVIS LIMITED |
76857 |
0972 |
215 |
215 |
64.5 |
195.65 |
150.5 |
64.5 |
195.65 |
154.79999999999998 |
182.75 |
Carle Eureka Hospital |
76946 |
SONO GUIDE AMNIOCENTESIS |
76946 |
0972 |
145 |
145 |
43.5 |
131.95000000000002 |
101.5 |
43.5 |
131.95000000000002 |
104.39999999999999 |
123.25 |
Carle Eureka Hospital |
82565 |
ASSAY OF CREATININE |
82565 |
0301 |
41 |
41 |
12.299999999999999 |
37.31 |
28.7 |
12.299999999999999 |
37.31 |
29.52 |
34.85 |
Carle Eureka Hospital |
82947 |
ASSAY QUANTITATIVE,BLOOD GLUCOSE |
82947 |
0301 |
18 |
18 |
5.3999999999999995 |
16.38 |
12.6 |
5.3999999999999995 |
16.38 |
12.959999999999999 |
15.299999999999999 |
Carle Eureka Hospital |
82962 |
GLUCOSE BLOOD TEST |
82962 |
0300 |
15 |
15 |
4.5 |
13.65 |
10.5 |
4.5 |
13.65 |
10.799999999999999 |
12.75 |
Carle Eureka Hospital |
84132 |
ASSAY OF SERUM POTASSIUM |
84132 |
0301 |
27 |
27 |
8.1 |
24.57 |
18.899999999999999 |
8.1 |
24.57 |
19.439999999999998 |
22.95 |
Carle Eureka Hospital |
85014 |
HEMATOCRIT |
85014 |
0305 |
15 |
15 |
4.5 |
13.65 |
10.5 |
4.5 |
13.65 |
10.799999999999999 |
12.75 |
Carle Eureka Hospital |
85025 |
COMPLETE CBC & AUTO DIFF WBC |
85025 |
|
35 |
35 |
10.5 |
31.85 |
24.5 |
10.5 |
31.85 |
25.2 |
29.75 |
Carle Eureka Hospital |
85060 |
BLOOD SMEAR INTERPRETATION |
85060 |
0971 |
115 |
115 |
34.5 |
104.65 |
80.5 |
34.5 |
104.65 |
82.8 |
97.75 |
Carle Eureka Hospital |
11400 |
EXC SKIN BENIG <0.5 CM TRUNK,ARM,LEG |
11400 |
0521 |
550 |
550 |
165 |
500.5 |
385 |
165 |
500.5 |
396 |
467.5 |
Carle Eureka Hospital |
85610 |
PROTHROMBIN TIME |
85610 |
0300 |
20 |
20 |
6 |
18.2 |
14 |
6 |
18.2 |
14.399999999999999 |
17 |
Carle Eureka Hospital |
88307 |
SURG PATH,LEVEL V |
88307 |
0971 |
1190 |
1190 |
357 |
1082.9000000000001 |
833 |
357 |
1082.9000000000001 |
856.8 |
1011.5 |
Carle Eureka Hospital |
90846 |
MEDICAL SERVICE |
90846 |
|
260 |
260 |
78 |
236.6 |
182 |
78 |
236.6 |
187.2 |
221 |
Carle Eureka Hospital |
90847 |
MEDICAL SERVICE |
90847 |
0916 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
90853 |
MEDICAL SERVICE |
90853 |
0915 |
70 |
70 |
21 |
63.7 |
49 |
21 |
63.7 |
50.4 |
59.5 |
Carle Eureka Hospital |
90870 |
MEDICAL SERVICE |
90870 |
|
790 |
790 |
237 |
718.9 |
553 |
237 |
718.9 |
568.79999999999995 |
671.5 |
Carle Eureka Hospital |
90935 |
HEMODIALYSIS PROCEDURE W/ PHYS/QHP EVALUATION |
90935 |
|
335 |
335 |
100.5 |
304.85000000000002 |
234.49999999999997 |
100.5 |
304.85000000000002 |
241.2 |
284.75 |
Carle Eureka Hospital |
91065 |
BREATH HYDROGEN/METHANE TEST |
91065 |
|
340 |
340 |
102 |
309.40000000000003 |
237.99999999999997 |
102 |
309.40000000000003 |
244.79999999999998 |
289 |
Carle Eureka Hospital |
92002 |
EYE EXAM, NEW PATIENT,INTERMED |
92002 |
|
370 |
370 |
111 |
336.7 |
259 |
111 |
336.7 |
266.39999999999998 |
314.5 |
Carle Eureka Hospital |
92004 |
EYE EXAM, NEW PATIENT,COMPREHESV |
92004 |
|
660 |
660 |
198 |
600.6 |
461.99999999999994 |
198 |
600.6 |
475.2 |
561 |
Carle Eureka Hospital |
11401 |
EXC SKIN BENIG 0.6-1 CM TRUNK,ARM,LEG |
11401 |
0521 |
680 |
680 |
204 |
618.80000000000007 |
475.99999999999994 |
204 |
618.80000000000007 |
489.59999999999997 |
578 |
Carle Eureka Hospital |
92012 |
EYE EXAM, EST PATIENT,INTERMED |
92012 |
0521 |
385 |
385 |
115.5 |
350.35 |
269.5 |
115.5 |
350.35 |
277.2 |
327.25 |
Carle Eureka Hospital |
92014 |
EYE EXAM, EST PATIENT,COMPREHESV |
92014 |
0521 |
550 |
550 |
165 |
500.5 |
385 |
165 |
500.5 |
396 |
467.5 |
Carle Eureka Hospital |
92511 |
NASOPHARYNGOSCOPY |
92511 |
|
485 |
485 |
145.5 |
441.35 |
339.5 |
145.5 |
441.35 |
349.2 |
412.25 |
Carle Eureka Hospital |
92551 |
PURE TONE HEARING TEST, AIR |
92551 |
0521 |
50 |
50 |
15 |
45.5 |
35 |
15 |
45.5 |
36 |
42.5 |
Carle Eureka Hospital |
92552 |
PURE TONE AUDIOMETRY, AIR |
92552 |
0521 |
135 |
135 |
40.5 |
122.85000000000001 |
94.5 |
40.5 |
122.85000000000001 |
97.2 |
114.75 |
Carle Eureka Hospital |
92557 |
COMPREHENSIVE HEARING TEST |
92557 |
|
175 |
175 |
52.5 |
159.25 |
122.49999999999999 |
52.5 |
159.25 |
126 |
148.75 |
Carle Eureka Hospital |
92567 |
TYMPANOMETRY |
92567 |
0471 |
71 |
71 |
21.3 |
64.61 |
49.699999999999996 |
21.3 |
64.61 |
51.12 |
60.35 |
Carle Eureka Hospital |
92950 |
HEART/LUNG RESUSCITATION (CPR) |
92950 |
0521 |
1440 |
1440 |
432 |
1310.4000000000001 |
1007.9999999999999 |
432 |
1310.4000000000001 |
1036.8 |
1224 |
Carle Eureka Hospital |
92960 |
CARDIOVERSION, ELECTIVE;EXTERN |
92960 |
|
710 |
710 |
213 |
646.1 |
496.99999999999994 |
213 |
646.1 |
511.2 |
603.5 |
Carle Eureka Hospital |
94010 |
BREATHING CAPACITY TEST |
94010 |
0960 |
155 |
155 |
46.5 |
141.05000000000001 |
108.5 |
46.5 |
141.05000000000001 |
111.6 |
131.75 |
Carle Eureka Hospital |
11402 |
EXC SKIN BENIG 1.1-2 CM TRUNK,ARM,LEG |
11402 |
0521 |
750 |
750 |
225 |
682.5 |
525 |
225 |
682.5 |
540 |
637.5 |
Carle Eureka Hospital |
94060 |
EVAL OF BRONCHOSPASM |
94060 |
0960 |
255 |
255 |
76.5 |
232.05 |
178.5 |
76.5 |
232.05 |
183.6 |
216.75 |
Carle Eureka Hospital |
94070 |
EVAL OF BRONCHOSPASM,PROLONGED |
94070 |
|
260 |
260 |
78 |
236.6 |
182 |
78 |
236.6 |
187.2 |
221 |
Carle Eureka Hospital |
94640 |
PRESSURIZED/NONPRESSURIZED INHALATION TREATMENT |
94640 |
0410 |
75 |
75 |
22.5 |
68.25 |
52.5 |
22.5 |
68.25 |
54 |
63.75 |
Carle Eureka Hospital |
95004 |
PERCUTANEOUS TESTS W/ALLERGENIC EXTRACTS |
95004 |
0924 |
19 |
19 |
5.7 |
17.29 |
13.299999999999999 |
5.7 |
17.29 |
13.68 |
16.149999999999999 |
Carle Eureka Hospital |
95024 |
INTRACUTANEOUS TESTS W/ALLERGENIC EXTRACTS |
95024 |
0924 |
35 |
35 |
10.5 |
31.85 |
24.5 |
10.5 |
31.85 |
25.2 |
29.75 |
Carle Eureka Hospital |
95044 |
ALLERGY PATCH TESTS |
95044 |
|
23 |
23 |
6.8999999999999995 |
20.93 |
16.099999999999998 |
6.8999999999999995 |
20.93 |
16.559999999999999 |
19.55 |
Carle Eureka Hospital |
95115 |
IMMUNOTHERAPY, ONE INJECTION |
95115 |
0521 |
40 |
40 |
12 |
36.4 |
28 |
12 |
36.4 |
28.799999999999997 |
34 |
Carle Eureka Hospital |
95117 |
IMMUNOTHERAPY, 2+ INJECTIONS |
95117 |
0521 |
46 |
46 |
13.799999999999999 |
41.86 |
32.199999999999996 |
13.799999999999999 |
41.86 |
33.119999999999997 |
39.1 |
Carle Eureka Hospital |
95145 |
PROFES SVC,IMMUNOTHERAPY,1 INSECT VENOM |
95145 |
|
135 |
135 |
40.5 |
122.85000000000001 |
94.5 |
40.5 |
122.85000000000001 |
97.2 |
114.75 |
Carle Eureka Hospital |
95146 |
ANTIGEN RX SERV,INSECT,2 VENOMS |
95146 |
0510 |
240 |
240 |
72 |
218.4 |
168 |
72 |
218.4 |
172.79999999999998 |
204 |
Carle Eureka Hospital |
11403 |
EXC SKIN BENIG 2.1-3 CM TRUNK,ARM,LEG |
11403 |
0521 |
870 |
870 |
261 |
791.7 |
609 |
261 |
791.7 |
626.4 |
739.5 |
Carle Eureka Hospital |
95147 |
ANTIGEN RX SERV,INSECT,3 VENOMS |
95147 |
|
245 |
245 |
73.5 |
222.95000000000002 |
171.5 |
73.5 |
222.95000000000002 |
176.4 |
208.25 |
Carle Eureka Hospital |
95165 |
PROFES SVC,IMMUNOTHER,SINGLE/MULT AGS |
95165 |
|
63 |
63 |
18.899999999999999 |
57.330000000000005 |
44.099999999999994 |
18.899999999999999 |
57.330000000000005 |
45.36 |
53.55 |
Carle Eureka Hospital |
95180 |
RAPID DESENSITIZATION PROC,EACH HOUR |
95180 |
|
610 |
610 |
183 |
555.1 |
427 |
183 |
555.1 |
439.2 |
518.5 |
Carle Eureka Hospital |
96110 |
DEVELOPMENTAL SCREEN W/SCORING & DOC STD INSTRM |
96110 |
0918 |
43 |
43 |
12.9 |
39.130000000000003 |
30.099999999999998 |
12.9 |
39.130000000000003 |
30.959999999999997 |
36.549999999999997 |
Carle Eureka Hospital |
98925 |
OSTEOPATHIC MANIP,1-2 BODY REGN |
98925 |
0530 |
145 |
145 |
43.5 |
131.95000000000002 |
101.5 |
43.5 |
131.95000000000002 |
104.39999999999999 |
123.25 |
Carle Eureka Hospital |
98926 |
OSTEOPATHIC MANIP,3-4 BODY REGN |
98926 |
0530 |
205 |
205 |
61.5 |
186.55 |
143.5 |
61.5 |
186.55 |
147.6 |
174.25 |
Carle Eureka Hospital |
98927 |
OSTEOPATHIC MANIP,5-6 BODY REGN |
98927 |
0530 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
98928 |
OSTEOPATHIC MANIP,7-8 BODY REGN |
98928 |
0530 |
325 |
325 |
97.5 |
295.75 |
227.49999999999997 |
97.5 |
295.75 |
234 |
276.25 |
Carle Eureka Hospital |
99195 |
PHLEBOTOMY |
99195 |
0940 |
430 |
430 |
129 |
391.3 |
301 |
129 |
391.3 |
309.59999999999997 |
365.5 |
Carle Eureka Hospital |
99201 |
OFFICE OUTPATIENT NEW LEVEL 1 |
99201 |
0521 |
115 |
115 |
34.5 |
104.65 |
80.5 |
34.5 |
104.65 |
82.8 |
97.75 |
Carle Eureka Hospital |
11404 |
EXC SKIN BENIG 3.1-4 CM TRUNK,ARM,LEG |
11404 |
0521 |
990 |
990 |
297 |
900.9 |
693 |
297 |
900.9 |
712.8 |
841.5 |
Carle Eureka Hospital |
99202 |
OFFICE OUTPATIENT NEW LEVEL 2 |
99202 |
0521 |
190 |
190 |
57 |
172.9 |
133 |
57 |
172.9 |
136.79999999999998 |
161.5 |
Carle Eureka Hospital |
99203 |
OFFICE OUTPATIENT NEW LEVEL 3 |
99203 |
0521 |
265 |
265 |
79.5 |
241.15 |
185.5 |
79.5 |
241.15 |
190.79999999999998 |
225.25 |
Carle Eureka Hospital |
99204 |
OFFICE OUTPATIENT NEW LEVEL 4 |
99204 |
0521 |
410 |
410 |
123 |
373.1 |
287 |
123 |
373.1 |
295.2 |
348.5 |
Carle Eureka Hospital |
99205 |
OFFICE OUTPATIENT NEW LEVEL 5 |
99205 |
0521 |
520 |
520 |
156 |
473.2 |
364 |
156 |
473.2 |
374.4 |
442 |
Carle Eureka Hospital |
99211 |
OFFICE OUTPATIENT VISIT LEVEL 1 |
99211 |
0521 |
56 |
56 |
16.8 |
50.96 |
39.199999999999996 |
16.8 |
50.96 |
40.32 |
47.6 |
Carle Eureka Hospital |
99212 |
OFFICE OUTPATIENT VISIT LEVEL 2 |
99212 |
0521 |
115 |
115 |
34.5 |
104.65 |
80.5 |
34.5 |
104.65 |
82.8 |
97.75 |
Carle Eureka Hospital |
99213 |
OFFICE OUTPATIENT VISIT LEVEL 3 |
99213 |
0521 |
185 |
185 |
55.5 |
168.35 |
129.5 |
55.5 |
168.35 |
133.19999999999999 |
157.25 |
Carle Eureka Hospital |
99214 |
OFFICE OUTPATIENT VISIT LEVEL 4 |
99214 |
0521 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
99215 |
OFFICE OUTPATIENT VISIT LEVEL 5 |
99215 |
0521 |
360 |
360 |
108 |
327.60000000000002 |
251.99999999999997 |
108 |
327.60000000000002 |
259.2 |
306 |
Carle Eureka Hospital |
99217 |
OBSERVATION CARE DISCHARGE MANAGEMENT |
99217 |
0987 |
185 |
185 |
55.5 |
168.35 |
129.5 |
55.5 |
168.35 |
133.19999999999999 |
157.25 |
Carle Eureka Hospital |
11406 |
EXC SKIN BENIG >4 CM TRUNK,ARM,LEG |
11406 |
0521 |
1430 |
1430 |
429 |
1301.3 |
1000.9999999999999 |
429 |
1301.3 |
1029.5999999999999 |
1215.5 |
Carle Eureka Hospital |
99218 |
INITIAL OBSERVATION CARE/DAY LEVEL 1 |
99218 |
0987 |
255 |
255 |
76.5 |
232.05 |
178.5 |
76.5 |
232.05 |
183.6 |
216.75 |
Carle Eureka Hospital |
99219 |
INITIAL OBSERVATION CARE/DAY LEVEL 2 |
99219 |
0987 |
345 |
345 |
103.5 |
313.95 |
241.49999999999997 |
103.5 |
313.95 |
248.39999999999998 |
293.25 |
Carle Eureka Hospital |
99220 |
INITIAL OBSERVATION CARE/DAY LEVEL 3 |
99220 |
0987 |
465 |
465 |
139.5 |
423.15000000000003 |
325.5 |
139.5 |
423.15000000000003 |
334.8 |
395.25 |
Carle Eureka Hospital |
99221 |
INITIAL HOSPITAL CARE/DAY LEVEL 1 |
99221 |
0987 |
260 |
260 |
78 |
236.6 |
182 |
78 |
236.6 |
187.2 |
221 |
Carle Eureka Hospital |
99222 |
INITIAL HOSPITAL CARE/DAY LEVEL 2 |
99222 |
0987 |
350 |
350 |
105 |
318.5 |
244.99999999999997 |
105 |
318.5 |
252 |
297.5 |
Carle Eureka Hospital |
99223 |
INITIAL HOSPITAL CARE/DAY LEVEL 3 |
99223 |
0987 |
510 |
510 |
153 |
464.1 |
357 |
153 |
464.1 |
367.2 |
433.5 |
Carle Eureka Hospital |
99231 |
SBSQ HOSPITAL CARE/DAY LEVEL 1 |
99231 |
0987 |
100 |
100 |
30 |
91 |
70 |
30 |
91 |
72 |
85 |
Carle Eureka Hospital |
99232 |
SBSQ HOSPITAL CARE/DAY LEVEL 2 |
99232 |
0987 |
185 |
185 |
55.5 |
168.35 |
129.5 |
55.5 |
168.35 |
133.19999999999999 |
157.25 |
Carle Eureka Hospital |
99233 |
SBSQ HOSPITAL CARE/DAY LEVEL 3 |
99233 |
0987 |
265 |
265 |
79.5 |
241.15 |
185.5 |
79.5 |
241.15 |
190.79999999999998 |
225.25 |
Carle Eureka Hospital |
99238 |
HOSPITAL DISCHARGE DAY,<30 MIN |
99238 |
0987 |
185 |
185 |
55.5 |
168.35 |
129.5 |
55.5 |
168.35 |
133.19999999999999 |
157.25 |
Carle Eureka Hospital |
11420 |
EXC SKIN BENIG <0.5 CM REMAINDER BODY |
11420 |
0521 |
560 |
560 |
168 |
509.6 |
392 |
168 |
509.6 |
403.2 |
476 |
Carle Eureka Hospital |
99239 |
HOSPITAL DISCHARGE DAY,>30 MIN |
99239 |
0987 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
99241 |
OFFICE CONSULTATION NEW/ESTAB PATIENT LEVEL 1 |
99241 |
0521 |
120 |
120 |
36 |
109.2 |
84 |
36 |
109.2 |
86.399999999999991 |
102 |
Carle Eureka Hospital |
99242 |
OFFICE CONSULTATION NEW/ESTAB PATIENT LEVEL 2 |
99242 |
0521 |
225 |
225 |
67.5 |
204.75 |
157.5 |
67.5 |
204.75 |
162 |
191.25 |
Carle Eureka Hospital |
99243 |
OFFICE CONSULTATION NEW/ESTAB PATIENT LEVEL 3 |
99243 |
0521 |
310 |
310 |
93 |
282.10000000000002 |
217 |
93 |
282.10000000000002 |
223.2 |
263.5 |
Carle Eureka Hospital |
99244 |
OFFICE CONSULTATION NEW/ESTAB PATIENT LEVEL 4 |
99244 |
0521 |
465 |
465 |
139.5 |
423.15000000000003 |
325.5 |
139.5 |
423.15000000000003 |
334.8 |
395.25 |
Carle Eureka Hospital |
99245 |
OFFICE CONSULTATION NEW/ESTAB PATIENT LEVEL 5 |
99245 |
0521 |
570 |
570 |
171 |
518.70000000000005 |
399 |
171 |
518.70000000000005 |
410.4 |
484.5 |
Carle Eureka Hospital |
99251 |
PR INITL INPATIENT CONSULT NEW/ESTAB PT LEVEL 1 |
99251 |
0987 |
130 |
130 |
39 |
118.3 |
91 |
39 |
118.3 |
93.6 |
110.5 |
Carle Eureka Hospital |
99252 |
PR INITL INPATIENT CONSULT NEW/ESTAB PT LEVEL 2 |
99252 |
0987 |
195 |
195 |
58.5 |
177.45000000000002 |
136.5 |
58.5 |
177.45000000000002 |
140.4 |
165.75 |
Carle Eureka Hospital |
99253 |
PR INITL INPATIENT CONSULT NEW/ESTAB PT LEVEL 3 |
99253 |
0987 |
295 |
295 |
88.5 |
268.45 |
206.5 |
88.5 |
268.45 |
212.4 |
250.75 |
Carle Eureka Hospital |
99254 |
PR INITL INPATIENT CONSULT NEW/ESTAB PT LEVEL 4 |
99254 |
0987 |
430 |
430 |
129 |
391.3 |
301 |
129 |
391.3 |
309.59999999999997 |
365.5 |
Carle Eureka Hospital |
11421 |
EXC SKIN BENIG 0.6-1 CM REMAINDR BODY |
11421 |
0521 |
710 |
710 |
213 |
646.1 |
496.99999999999994 |
213 |
646.1 |
511.2 |
603.5 |
Carle Eureka Hospital |
99255 |
PR INITIAL INPATIENT CONSULT NEW/ESTAB PT LEVEL 5 |
99255 |
0987 |
520 |
520 |
156 |
473.2 |
364 |
156 |
473.2 |
374.4 |
442 |
Carle Eureka Hospital |
99281 |
EMERGENCY DEPARTMENT VISIT LIMITED/MINOR PROB |
99281 |
0981 |
58 |
58 |
17.399999999999999 |
52.78 |
40.599999999999994 |
17.399999999999999 |
52.78 |
41.76 |
49.3 |
Carle Eureka Hospital |
99282 |
EMERGENCY DEPARTMENT VISIT LOW/MODER SEVERITY |
99282 |
0981 |
115 |
115 |
34.5 |
104.65 |
80.5 |
34.5 |
104.65 |
82.8 |
97.75 |
Carle Eureka Hospital |
99283 |
EMERGENCY DEPARTMENT VISIT MODERATE SEVERITY |
99283 |
0981 |
170 |
170 |
51 |
154.70000000000002 |
118.99999999999999 |
51 |
154.70000000000002 |
122.39999999999999 |
144.5 |
Carle Eureka Hospital |
99284 |
EMERGENCY DEPARTMENT VISIT HIGH/URGENT SEVERITY |
99284 |
0981 |
310 |
310 |
93 |
282.10000000000002 |
217 |
93 |
282.10000000000002 |
223.2 |
263.5 |
Carle Eureka Hospital |
99285 |
EMERGENCY DEPT VISIT HIGH SEVERITY&THREAT FUNCJ |
99285 |
0981 |
445 |
445 |
133.5 |
404.95 |
311.5 |
133.5 |
404.95 |
320.39999999999998 |
378.25 |
Carle Eureka Hospital |
99291 |
CRITICAL CARE, E/M 30-74 MINUTES |
99291 |
0521 |
700 |
700 |
210 |
637 |
489.99999999999994 |
210 |
637 |
504 |
595 |
Carle Eureka Hospital |
99292 |
CRITICAL CARE, ADDL 30 MIN |
99292 |
0521 |
315 |
315 |
94.5 |
286.65000000000003 |
220.5 |
94.5 |
286.65000000000003 |
226.79999999999998 |
267.75 |
Carle Eureka Hospital |
99342 |
HOME VISIT NEW PATIENT LEVEL 2 |
99342 |
0522 |
200 |
200 |
60 |
182 |
140 |
60 |
182 |
144 |
170 |
Carle Eureka Hospital |
99354 |
PROLNG E&M/PSYCTX SVC OFFICE O/P DIR CON 1ST HR |
99354 |
0521 |
325 |
325 |
97.5 |
295.75 |
227.49999999999997 |
97.5 |
295.75 |
234 |
276.25 |
Carle Eureka Hospital |
11422 |
EXC SKIN BENIG 1.1-2 CM REMAINDR BODY |
11422 |
0521 |
800 |
800 |
240 |
728 |
560 |
240 |
728 |
576 |
680 |
Carle Eureka Hospital |
10061 |
DRAIN SKIN ABSCESS COMPLIC |
10061 |
0521 |
940 |
940 |
282 |
855.4 |
658 |
282 |
855.4 |
676.8 |
799 |
Carle Eureka Hospital |
99355 |
PROLNG E&M/PSYCTX SVC OFFICE O/P DIR CON ADDL 30 |
99355 |
0521 |
250 |
250 |
75 |
227.5 |
175 |
75 |
227.5 |
180 |
212.5 |
Carle Eureka Hospital |
99356 |
PROLONGED SERVICE I/P REQ UNIT/FLOOR TIME 1ST HR |
99356 |
0987 |
235 |
235 |
70.5 |
213.85 |
164.5 |
70.5 |
213.85 |
169.2 |
199.75 |
Carle Eureka Hospital |
99357 |
PROLONGED SVC I/P REQ UNIT/FLOOR TIME EA 30 MIN |
99357 |
0987 |
235 |
235 |
70.5 |
213.85 |
164.5 |
70.5 |
213.85 |
169.2 |
199.75 |
Carle Eureka Hospital |
99358 |
PROLNG E/M SVC BEFORE&/AFTER DIR PT CARE 1ST HR |
99358 |
0521 |
280 |
280 |
84 |
254.8 |
196 |
84 |
254.8 |
201.6 |
238 |
Carle Eureka Hospital |
99381 |
PREVENTIVE VISIT,NEW,INFANT < 1 YR |
99381 |
0521 |
275 |
275 |
82.5 |
250.25 |
192.5 |
82.5 |
250.25 |
198 |
233.75 |
Carle Eureka Hospital |
99382 |
PREVENTIVE VISIT,NEW,AGE 1-4 |
99382 |
0521 |
290 |
290 |
87 |
263.90000000000003 |
203 |
87 |
263.90000000000003 |
208.79999999999998 |
246.5 |
Carle Eureka Hospital |
99383 |
PREVENTIVE VISIT,NEW,AGE5-11 |
99383 |
0521 |
300 |
300 |
90 |
273 |
210 |
90 |
273 |
216 |
255 |
Carle Eureka Hospital |
99384 |
PREVENTIVE VISIT,NEW,12-17 |
99384 |
0521 |
340 |
340 |
102 |
309.40000000000003 |
237.99999999999997 |
102 |
309.40000000000003 |
244.79999999999998 |
289 |
Carle Eureka Hospital |
99385 |
PREVENTIVE VISIT,NEW,18-39 |
99385 |
0521 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
99386 |
PREVENTIVE VISIT,NEW,40-64 |
99386 |
0521 |
385 |
385 |
115.5 |
350.35 |
269.5 |
115.5 |
350.35 |
277.2 |
327.25 |
Carle Eureka Hospital |
11423 |
EXC SKIN BENIG 2.1-3 CM REMAINDR BODY |
11423 |
0521 |
910 |
910 |
273 |
828.1 |
637 |
273 |
828.1 |
655.19999999999993 |
773.5 |
Carle Eureka Hospital |
99387 |
PREVENTIVE VISIT,NEW,65 & OVER |
99387 |
0521 |
415 |
415 |
124.5 |
377.65000000000003 |
290.5 |
124.5 |
377.65000000000003 |
298.8 |
352.75 |
Carle Eureka Hospital |
99391 |
PREVENTIVE VISIT,EST, INFANT < 1 YR |
99391 |
0521 |
250 |
250 |
75 |
227.5 |
175 |
75 |
227.5 |
180 |
212.5 |
Carle Eureka Hospital |
99392 |
PREVENTIVE VISIT,EST,AGE 1-4 |
99392 |
0521 |
265 |
265 |
79.5 |
241.15 |
185.5 |
79.5 |
241.15 |
190.79999999999998 |
225.25 |
Carle Eureka Hospital |
99393 |
PREVENTIVE VISIT,EST,AGE5-11 |
99393 |
0521 |
265 |
265 |
79.5 |
241.15 |
185.5 |
79.5 |
241.15 |
190.79999999999998 |
225.25 |
Carle Eureka Hospital |
99394 |
PREVENTIVE VISIT,EST,12-17 |
99394 |
0521 |
290 |
290 |
87 |
263.90000000000003 |
203 |
87 |
263.90000000000003 |
208.79999999999998 |
246.5 |
Carle Eureka Hospital |
99395 |
PREVENTIVE VISIT,EST,18-39 |
99395 |
0521 |
300 |
300 |
90 |
273 |
210 |
90 |
273 |
216 |
255 |
Carle Eureka Hospital |
99396 |
PREVENTIVE VISIT,EST,40-64 |
99396 |
0521 |
320 |
320 |
96 |
291.2 |
224 |
96 |
291.2 |
230.39999999999998 |
272 |
Carle Eureka Hospital |
99397 |
PREVENTIVE VISIT,EST,65 & OVER |
99397 |
0521 |
340 |
340 |
102 |
309.40000000000003 |
237.99999999999997 |
102 |
309.40000000000003 |
244.79999999999998 |
289 |
Carle Eureka Hospital |
99412 |
PREVENT COUNSEL,GROUP,60 MIN |
99412 |
|
62 |
62 |
18.599999999999998 |
56.42 |
43.4 |
18.599999999999998 |
56.42 |
44.64 |
52.699999999999996 |
Carle Eureka Hospital |
99450 |
LIFE/DISABILITY EVALUATION |
99450 |
0521 |
145 |
145 |
43.5 |
131.95000000000002 |
101.5 |
43.5 |
131.95000000000002 |
104.39999999999999 |
123.25 |
Carle Eureka Hospital |
11424 |
EXC SKIN BENIG 3.1-4 CM REMAINDR BODY |
11424 |
0521 |
1050 |
1050 |
315 |
955.5 |
735 |
315 |
955.5 |
756 |
892.5 |
Carle Eureka Hospital |
A4565 |
Slings |
A4565 |
0274 |
19 |
19 |
5.7 |
17.29 |
13.299999999999999 |
5.7 |
17.29 |
13.68 |
16.149999999999999 |
Carle Eureka Hospital |
E0110 |
Crutch forearm pair |
E0110 |
|
130 |
130 |
39 |
118.3 |
91 |
39 |
118.3 |
93.6 |
110.5 |
Carle Eureka Hospital |
E0114 |
Crutch underarm pair no wood |
E0114 |
0292 |
78 |
78 |
23.4 |
70.98 |
54.599999999999994 |
23.4 |
70.98 |
56.16 |
66.3 |
Carle Eureka Hospital |
L1830 |
Ko immob canvas long pre ots |
L1830 |
0274 |
155 |
155 |
46.5 |
141.05000000000001 |
108.5 |
46.5 |
141.05000000000001 |
111.6 |
131.75 |
Carle Eureka Hospital |
L1902 |
Afo ankle gauntlet pre ots |
L1902 |
0274 |
120 |
120 |
36 |
109.2 |
84 |
36 |
109.2 |
86.399999999999991 |
102 |
Carle Eureka Hospital |
L3260 |
Ambulatory surgical boot eac |
L3260 |
0274 |
56 |
56 |
16.8 |
50.96 |
39.199999999999996 |
16.8 |
50.96 |
40.32 |
47.6 |
Carle Eureka Hospital |
L4350 |
Ankle control ortho pre ots |
L4350 |
0274 |
180 |
180 |
54 |
163.80000000000001 |
125.99999999999999 |
54 |
163.80000000000001 |
129.6 |
153 |
Carle Eureka Hospital |
Q0091 |
Obtaining screen pap smear |
Q0091 |
0521 |
190 |
190 |
57 |
172.9 |
133 |
57 |
172.9 |
136.79999999999998 |
161.5 |
Carle Eureka Hospital |
Q0111 |
Wet mounts/ w preparations |
Q0111 |
0310 |
25 |
25 |
7.5 |
22.75 |
17.5 |
7.5 |
22.75 |
18 |
21.25 |
Carle Eureka Hospital |
Q0112 |
Potassium hydroxide preps |
Q0112 |
0306 |
24 |
24 |
7.1999999999999993 |
21.84 |
16.799999999999997 |
7.1999999999999993 |
21.84 |
17.28 |
20.399999999999999 |
Carle Eureka Hospital |
11426 |
EXC SKIN BENIG >4 CM REMAINDR BODY |
11426 |
0521 |
1520 |
1520 |
456 |
1383.2 |
1064 |
456 |
1383.2 |
1094.3999999999999 |
1292 |
Carle Eureka Hospital |
11720 |
DEBRIDEMENT OF NAIL(S), 1-5 |
11720 |
0521 |
145 |
145 |
43.5 |
131.95000000000002 |
101.5 |
43.5 |
131.95000000000002 |
104.39999999999999 |
123.25 |
Carle Eureka Hospital |
11721 |
DEBRIDEMENT OF NAILS, 6 OR MORE |
11721 |
0521 |
205 |
205 |
61.5 |
186.55 |
143.5 |
61.5 |
186.55 |
147.6 |
174.25 |
Carle Eureka Hospital |
84484 |
ASSAY OF TROPONIN, QUANT |
84484 |
|
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
11055 |
TRIM HYPERKERATOTIC SKIN LESION, ONE |
11055 |
0521 |
275 |
275 |
82.5 |
250.25 |
192.5 |
82.5 |
250.25 |
198 |
233.75 |
Carle Eureka Hospital |
11056 |
TRIM BENIGN HYPERKERATOTIC SKIN LESION,2-4 |
11056 |
0521 |
325 |
325 |
97.5 |
295.75 |
227.49999999999997 |
97.5 |
295.75 |
234 |
276.25 |
Carle Eureka Hospital |
11057 |
TRIM BENIGN HYPERKERATOTIC SKIN LESION,>4 |
11057 |
0521 |
355 |
355 |
106.5 |
323.05 |
248.49999999999997 |
106.5 |
323.05 |
255.6 |
301.75 |
Carle Eureka Hospital |
11719 |
TRIM NAIL(S) |
11719 |
0521 |
63 |
63 |
18.899999999999999 |
57.330000000000005 |
44.099999999999994 |
18.899999999999999 |
57.330000000000005 |
45.36 |
53.55 |
Carle Eureka Hospital |
17003 |
DSTRCTN PREMALG 2-14 EACH |
17003 |
0521 |
26 |
26 |
7.8 |
23.66 |
18.2 |
7.8 |
23.66 |
18.72 |
22.099999999999998 |
Carle Eureka Hospital |
17004 |
DSTRCTN PREMALG 15+ LSNS |
17004 |
0521 |
700 |
700 |
210 |
637 |
489.99999999999994 |
210 |
637 |
504 |
595 |
Carle Eureka Hospital |
17111 |
DESTRUCTION BENIGN LESIONS 15 OR MORE |
17111 |
0521 |
580 |
580 |
174 |
527.80000000000007 |
406 |
174 |
527.80000000000007 |
417.59999999999997 |
493 |
Carle Eureka Hospital |
11440 |
EXC SKIN BENIG <0.5 CM FACE,FACIAL |
11440 |
0521 |
610 |
610 |
183 |
555.1 |
427 |
183 |
555.1 |
439.2 |
518.5 |
Carle Eureka Hospital |
59871 |
REMOVE CERCLAGE SUTURE |
59871 |
0521 |
630 |
630 |
189 |
573.30000000000007 |
441 |
189 |
573.30000000000007 |
453.59999999999997 |
535.5 |
Carle Eureka Hospital |
76831 |
SONO EXAM, HYSTEROSONOGRAPHY |
76831 |
0972 |
520 |
520 |
156 |
473.2 |
364 |
156 |
473.2 |
374.4 |
442 |
Carle Eureka Hospital |
99234 |
OBSERVATION/INPATIENT HOSPITAL CARE LEVEL 1 |
99234 |
0987 |
340 |
340 |
102 |
309.40000000000003 |
237.99999999999997 |
102 |
309.40000000000003 |
244.79999999999998 |
289 |
Carle Eureka Hospital |
99235 |
OBSERVATION/INPATIENT HOSPITAL CARE LEVEL 2 |
99235 |
0987 |
425 |
425 |
127.5 |
386.75 |
297.5 |
127.5 |
386.75 |
306 |
361.25 |
Carle Eureka Hospital |
99236 |
OBSERVATION/INPATIENT HOSPITAL CARE LEVEL 3 |
99236 |
0987 |
550 |
550 |
165 |
500.5 |
385 |
165 |
500.5 |
396 |
467.5 |
Carle Eureka Hospital |
99315 |
NURSING FAC DISCHRGE DAY,1-30 MIN |
99315 |
0524 |
185 |
185 |
55.5 |
168.35 |
129.5 |
55.5 |
168.35 |
133.19999999999999 |
157.25 |
Carle Eureka Hospital |
99316 |
NURSING FAC DISCHRGE DAY,MORE 30 MIN |
99316 |
0524 |
265 |
265 |
79.5 |
241.15 |
185.5 |
79.5 |
241.15 |
190.79999999999998 |
225.25 |
Carle Eureka Hospital |
99344 |
HOME VISIT NEW PATIENT LEVEL 4 |
99344 |
0522 |
460 |
460 |
138 |
418.6 |
322 |
138 |
418.6 |
331.2 |
391 |
Carle Eureka Hospital |
99348 |
HOME VISIT EST PT LEVEL 2 |
99348 |
0522 |
210 |
210 |
63 |
191.1 |
147 |
63 |
191.1 |
151.19999999999999 |
178.5 |
Carle Eureka Hospital |
99349 |
HOME VISIT EST PT LEVEL 3 |
99349 |
0522 |
325 |
325 |
97.5 |
295.75 |
227.49999999999997 |
97.5 |
295.75 |
234 |
276.25 |
Carle Eureka Hospital |
11441 |
EXC SKIN BENIG 0.6-1 CM FACE,FACIAL |
11441 |
0521 |
760 |
760 |
228 |
691.6 |
532 |
228 |
691.6 |
547.19999999999993 |
646 |
Carle Eureka Hospital |
99350 |
HOME VST EST PT LEVEL 4 |
99350 |
0522 |
450 |
450 |
135 |
409.5 |
315 |
135 |
409.5 |
324 |
382.5 |
Carle Eureka Hospital |
G0101 |
CA screen;pelvic/breast exam |
G0101 |
0521 |
99 |
99 |
29.7 |
90.09 |
69.3 |
29.7 |
90.09 |
71.28 |
84.149999999999991 |
Carle Eureka Hospital |
G0105 |
Colorectal scrn; hi risk ind |
G0105 |
0982 |
1470 |
1470 |
441 |
1337.7 |
1029 |
441 |
1337.7 |
1058.3999999999999 |
1249.5 |
Carle Eureka Hospital |
G0121 |
Colon ca scrn not hi rsk ind |
G0121 |
0982 |
1470 |
1470 |
441 |
1337.7 |
1029 |
441 |
1337.7 |
1058.3999999999999 |
1249.5 |
Carle Eureka Hospital |
G0108 |
Diab manage trn per indiv |
G0108 |
0942 |
250 |
250 |
75 |
227.5 |
175 |
75 |
227.5 |
180 |
212.5 |
Carle Eureka Hospital |
G0109 |
Diab manage trn ind/group |
G0109 |
|
70 |
70 |
21 |
63.7 |
49 |
21 |
63.7 |
50.4 |
59.5 |
Carle Eureka Hospital |
G0127 |
Trim nail(s) |
G0127 |
0521 |
105 |
105 |
31.5 |
95.55 |
73.5 |
31.5 |
95.55 |
75.599999999999994 |
89.25 |
Carle Eureka Hospital |
10021 |
FINE NEEDLE ASP;W/O IMAGING GUIDANCE |
10021 |
0521 |
440 |
440 |
132 |
400.40000000000003 |
308 |
132 |
400.40000000000003 |
316.8 |
374 |
Carle Eureka Hospital |
11980 |
IMPLANT,HORMONE,SUBCUTANEOUS |
11980 |
0521 |
425 |
425 |
127.5 |
386.75 |
297.5 |
127.5 |
386.75 |
306 |
361.25 |
Carle Eureka Hospital |
11981 |
INSERTION DRUG IMPLANT DEVICE |
11981 |
0521 |
470 |
470 |
141 |
427.7 |
329 |
141 |
427.7 |
338.4 |
399.5 |
Carle Eureka Hospital |
11442 |
EXC SKIN BENIG 1.1-2 CM FACE,FACIAL |
11442 |
0521 |
850 |
850 |
255 |
773.5 |
595 |
255 |
773.5 |
612 |
722.5 |
Carle Eureka Hospital |
11982 |
REMOVAL DRUG IMPLANT DEVICE |
11982 |
0521 |
530 |
530 |
159 |
482.3 |
371 |
159 |
482.3 |
381.59999999999997 |
450.5 |
Carle Eureka Hospital |
11983 |
REMOVAL W/ REINSERT DRUG IMPLANT DEVICE |
11983 |
0521 |
660 |
660 |
198 |
600.6 |
461.99999999999994 |
198 |
600.6 |
475.2 |
561 |
Carle Eureka Hospital |
13102 |
REP,SKIN,TRUNK,CMPLX,+5 CM/< |
13102 |
0521 |
540 |
540 |
162 |
491.40000000000003 |
378 |
162 |
491.40000000000003 |
388.8 |
459 |
Carle Eureka Hospital |
13122 |
REP,SKIN,SCALP/EXTREM+5 CM/< |
13122 |
0521 |
590 |
590 |
177 |
536.9 |
413 |
177 |
536.9 |
424.8 |
501.5 |
Carle Eureka Hospital |
13133 |
REPR,FACE,GENITAL,HAND,FT+5 CMCM/< |
13133 |
0521 |
790 |
790 |
237 |
718.9 |
553 |
237 |
718.9 |
568.79999999999995 |
671.5 |
Carle Eureka Hospital |
20526 |
INJECT CARPAL TUNNEL |
20526 |
0521 |
355 |
355 |
106.5 |
323.05 |
248.49999999999997 |
106.5 |
323.05 |
255.6 |
301.75 |
Carle Eureka Hospital |
20551 |
INJECT TENDON ORIGIN/INSERT |
20551 |
0521 |
255 |
255 |
76.5 |
232.05 |
178.5 |
76.5 |
232.05 |
183.6 |
216.75 |
Carle Eureka Hospital |
20552 |
INJECT TRIGGER POINT, 1 OR 2 |
20552 |
0521 |
250 |
250 |
75 |
227.5 |
175 |
75 |
227.5 |
180 |
212.5 |
Carle Eureka Hospital |
20553 |
INJECT TRIGGER POINTS, > 3 |
20553 |
0521 |
290 |
290 |
87 |
263.90000000000003 |
203 |
87 |
263.90000000000003 |
208.79999999999998 |
246.5 |
Carle Eureka Hospital |
20612 |
ASPIRAT/INJECTION GANGLION CYST(S) |
20612 |
0521 |
280 |
280 |
84 |
254.8 |
196 |
84 |
254.8 |
201.6 |
238 |
Carle Eureka Hospital |
11443 |
EXC SKIN BENIG 2.1-3 CM FACE,FACIAL |
11443 |
0521 |
1010 |
1010 |
303 |
919.1 |
707 |
303 |
919.1 |
727.19999999999993 |
858.5 |
Carle Eureka Hospital |
36556 |
INSERT NON-TUNNEL CV CATH |
36556 |
0521 |
940 |
940 |
282 |
855.4 |
658 |
282 |
855.4 |
676.8 |
799 |
Carle Eureka Hospital |
36569 |
INSERT PICC W/O SUB-Q PORT |
36569 |
0521 |
445 |
445 |
133.5 |
404.95 |
311.5 |
133.5 |
404.95 |
320.39999999999998 |
378.25 |
Carle Eureka Hospital |
38220 |
DIAGNOSTIC BONE MARROW ASPIRATIONS |
38220 |
0521 |
740 |
740 |
222 |
673.4 |
518 |
222 |
673.4 |
532.79999999999995 |
629 |
Carle Eureka Hospital |
38221 |
DIAGNOSTIC BONE MARROW BIOPSIES |
38221 |
0521 |
690 |
690 |
207 |
627.9 |
482.99999999999994 |
207 |
627.9 |
496.79999999999995 |
586.5 |
Carle Eureka Hospital |
51701 |
INSERT,NON-INDWELLING BLADDER CATHETER |
51701 |
0521 |
205 |
205 |
61.5 |
186.55 |
143.5 |
61.5 |
186.55 |
147.6 |
174.25 |
Carle Eureka Hospital |
51702 |
INSERT,TEMP INDWELLING BLAD CATH,SIMPLE |
51702 |
0521 |
270 |
270 |
81 |
245.70000000000002 |
189 |
81 |
245.70000000000002 |
194.4 |
229.5 |
Carle Eureka Hospital |
51798 |
MEAS,POST-VOID RES,US,NON-IMAGING |
51798 |
0521 |
44 |
44 |
13.2 |
40.04 |
30.799999999999997 |
13.2 |
40.04 |
31.68 |
37.4 |
Carle Eureka Hospital |
54162 |
LYSIS/EXCIS,PENILE POSTCIRCUM ADHESIONS |
54162 |
0521 |
1170 |
1170 |
351 |
1064.7 |
819 |
351 |
1064.7 |
842.4 |
994.5 |
Carle Eureka Hospital |
57420 |
COLPOSCOPY,ENTIRE VAGINA |
57420 |
0521 |
580 |
580 |
174 |
527.80000000000007 |
406 |
174 |
527.80000000000007 |
417.59999999999997 |
493 |
Carle Eureka Hospital |
57421 |
COLPOSCOPY,ENTIRE VAGINA,W/BIOPSY(S) |
57421 |
0521 |
770 |
770 |
231 |
700.7 |
539 |
231 |
700.7 |
554.4 |
654.5 |
Carle Eureka Hospital |
11444 |
EXC SKIN BENIG 3.1- 4 CM FACE,FACIAL |
11444 |
0521 |
1270 |
1270 |
381 |
1155.7 |
889 |
381 |
1155.7 |
914.4 |
1079.5 |
Carle Eureka Hospital |
57455 |
COLPOSCOPY,CERVIX W/ADJ VAGINA,W/BX |
57455 |
0521 |
710 |
710 |
213 |
646.1 |
496.99999999999994 |
213 |
646.1 |
511.2 |
603.5 |
Carle Eureka Hospital |
57456 |
COLPOSCOPY,CERVIX W/ADJ VAGINA, CURETTAG |
57456 |
0521 |
660 |
660 |
198 |
600.6 |
461.99999999999994 |
198 |
600.6 |
475.2 |
561 |
Carle Eureka Hospital |
57461 |
COLPOSCOPY,CERVIX W/ADJ VAG,W/LOOP CONIZ |
57461 |
0521 |
1540 |
1540 |
462 |
1401.4 |
1078 |
462 |
1401.4 |
1108.8 |
1309 |
Carle Eureka Hospital |
58555 |
HYSTEROSCOPY,DX,SEP PROC |
58555 |
0521 |
1440 |
1440 |
432 |
1310.4000000000001 |
1007.9999999999999 |
432 |
1310.4000000000001 |
1036.8 |
1224 |
Carle Eureka Hospital |
58558 |
HYSTEROSCOPY,W/ENDO BX |
58558 |
0521 |
5980 |
5980 |
1794 |
5441.8 |
4186 |
1794 |
5441.8 |
4305.5999999999995 |
5083 |
Carle Eureka Hospital |
95250 |
CONT GLUC MNTR PHYSICIAN/QHP PROVIDED EQUIPTMENT |
95250 |
|
3350 |
3350 |
1005 |
3048.5 |
2345 |
1005 |
3048.5 |
2412 |
2847.5 |
Carle Eureka Hospital |
96150 |
MEDICAL SERVICE |
96150 |
|
120 |
120 |
36 |
109.2 |
84 |
36 |
109.2 |
86.399999999999991 |
102 |
Carle Eureka Hospital |
96151 |
MEDICAL SERVICE |
96151 |
|
61 |
61 |
18.3 |
55.510000000000005 |
42.699999999999996 |
18.3 |
55.510000000000005 |
43.92 |
51.85 |
Carle Eureka Hospital |
96152 |
MEDICAL SERVICE |
96152 |
|
50 |
50 |
15 |
45.5 |
35 |
15 |
45.5 |
36 |
42.5 |
Carle Eureka Hospital |
96154 |
MEDICAL SERVICE |
96154 |
|
86 |
86 |
25.8 |
78.260000000000005 |
60.199999999999996 |
25.8 |
78.260000000000005 |
61.919999999999995 |
73.099999999999994 |
Carle Eureka Hospital |
11601 |
EXC SKIN MALIG 0.6-1 CM TRUNK,ARM,LEG |
11601 |
0521 |
1010 |
1010 |
303 |
919.1 |
707 |
303 |
919.1 |
727.19999999999993 |
858.5 |
Carle Eureka Hospital |
97802 |
MED NUTR THER, 1ST, INDIV, EA 15 MIN |
97802 |
0521 |
170 |
170 |
51 |
154.70000000000002 |
118.99999999999999 |
51 |
154.70000000000002 |
122.39999999999999 |
144.5 |
Carle Eureka Hospital |
97803 |
MED NUTR THER, SUBSQ, INDIV, EA 15 MIN |
97803 |
0521 |
145 |
145 |
43.5 |
131.95000000000002 |
101.5 |
43.5 |
131.95000000000002 |
104.39999999999999 |
123.25 |
Carle Eureka Hospital |
97804 |
MED NUTR THER, GROUP, EA 30 MIN |
97804 |
|
76 |
76 |
22.8 |
69.16 |
53.199999999999996 |
22.8 |
69.16 |
54.72 |
64.599999999999994 |
Carle Eureka Hospital |
99173 |
VISUAL SCREENING TEST, BILAT |
99173 |
0920 |
13 |
13 |
3.9 |
11.83 |
9.1 |
3.9 |
11.83 |
9.36 |
11.049999999999999 |
Carle Eureka Hospital |
25608 |
OPEN RX DISTAL RADIUS FX, INTRA-ARTICULAR, 2 FRAG |
25608 |
0521 |
3790 |
3790 |
1137 |
3448.9 |
2653 |
1137 |
3448.9 |
2728.7999999999997 |
3221.5 |
Carle Eureka Hospital |
58110 |
ENDOMET BIOPSY DONE W/COLPOSCOPY |
58110 |
0521 |
235 |
235 |
70.5 |
213.85 |
164.5 |
70.5 |
213.85 |
169.2 |
199.75 |
Carle Eureka Hospital |
77427 |
RADIATION,MANGEMENT,5 TX'S |
77427 |
|
870 |
870 |
261 |
791.7 |
609 |
261 |
791.7 |
626.4 |
739.5 |
Carle Eureka Hospital |
94002 |
VENT MANAGEMENT, INPATIENT, INITIAL DAY |
94002 |
|
430 |
430 |
129 |
391.3 |
301 |
129 |
391.3 |
309.59999999999997 |
365.5 |
Carle Eureka Hospital |
95251 |
CONTINUOUS GLUCOSE MONITORING ANALYSIS I&R |
95251 |
|
165 |
165 |
49.5 |
150.15 |
115.49999999999999 |
49.5 |
150.15 |
118.8 |
140.25 |
Carle Eureka Hospital |
96116 |
MEDICAL SERVICE |
96116 |
0918 |
245 |
245 |
73.5 |
222.95000000000002 |
171.5 |
73.5 |
222.95000000000002 |
176.4 |
208.25 |
Carle Eureka Hospital |
11602 |
EXC SKIN MALIG 1.1-2 CM TRUNK,ARM,LEG |
11602 |
0521 |
1090 |
1090 |
327 |
991.9 |
763 |
327 |
991.9 |
784.8 |
926.5 |
Carle Eureka Hospital |
10080 |
DRAIN PILONIDAL CYST SIMPL |
10080 |
0521 |
920 |
920 |
276 |
837.2 |
644 |
276 |
837.2 |
662.4 |
782 |
Carle Eureka Hospital |
96401 |
CHEMOTHER,NON-HORMONE ANTI-NEOPL, SUB-Q/IM |
96401 |
0331 |
340 |
340 |
102 |
309.40000000000003 |
237.99999999999997 |
102 |
309.40000000000003 |
244.79999999999998 |
289 |
Carle Eureka Hospital |
96402 |
CHEMOTHER HORMON ANTINEOPL SUB-Q/IM |
96402 |
0331 |
140 |
140 |
42 |
127.4 |
98 |
42 |
127.4 |
100.8 |
119 |
Carle Eureka Hospital |
96409 |
CHEMOTHER, IV PUSH, SNGL DRUG |
96409 |
|
465 |
465 |
139.5 |
423.15000000000003 |
325.5 |
139.5 |
423.15000000000003 |
334.8 |
395.25 |
Carle Eureka Hospital |
96411 |
CHEMOTHER, IV PUSH,EA ADD DRUG |
96411 |
|
255 |
255 |
76.5 |
232.05 |
178.5 |
76.5 |
232.05 |
183.6 |
216.75 |
Carle Eureka Hospital |
96413 |
CHEMOTHER, IV INFUSION, 1 HR |
96413 |
|
600 |
600 |
180 |
546 |
420 |
180 |
546 |
432 |
510 |
Carle Eureka Hospital |
96415 |
CHEMOTHER, IV INFUSION, EA ADD HR |
96415 |
|
130 |
130 |
39 |
118.3 |
91 |
39 |
118.3 |
93.6 |
110.5 |
Carle Eureka Hospital |
96416 |
CHEMOTHER PROLONG INFUSE W/PUMP |
96416 |
|
600 |
600 |
180 |
546 |
420 |
180 |
546 |
432 |
510 |
Carle Eureka Hospital |
96417 |
CHEMOTHER, IV INFUSE, EACH SEQU INFUS |
96417 |
|
295 |
295 |
88.5 |
268.45 |
206.5 |
88.5 |
268.45 |
212.4 |
250.75 |
Carle Eureka Hospital |
96523 |
IRRIG IMPLANTED DRUG DELIVERY DEVICE |
96523 |
0510 |
120 |
120 |
36 |
109.2 |
84 |
36 |
109.2 |
86.399999999999991 |
102 |
Carle Eureka Hospital |
97597 |
DEBRIDEMENT OPEN WOUND 20 SQ CM< |
97597 |
0521 |
425 |
425 |
127.5 |
386.75 |
297.5 |
127.5 |
386.75 |
306 |
361.25 |
Carle Eureka Hospital |
11603 |
EXC SKIN MALIG 2.1-3 CM TRUNK,ARM,LEG |
11603 |
0521 |
1250 |
1250 |
375 |
1137.5 |
875 |
375 |
1137.5 |
900 |
1062.5 |
Carle Eureka Hospital |
97605 |
NEGATIVE PRESSURE WOUND THERAPY DME </= 50 SQ CM |
97605 |
|
195 |
195 |
58.5 |
177.45000000000002 |
136.5 |
58.5 |
177.45000000000002 |
140.4 |
165.75 |
Carle Eureka Hospital |
97606 |
NEGATIVE PRESSURE WOUND THERAPY DME >50 SQ CM |
97606 |
|
230 |
230 |
69 |
209.3 |
161 |
69 |
209.3 |
165.6 |
195.5 |
Carle Eureka Hospital |
99304 |
INITIAL NURSING FACILITY CARE/DAY LEVEL 1 |
99304 |
0524 |
230 |
230 |
69 |
209.3 |
161 |
69 |
209.3 |
165.6 |
195.5 |
Carle Eureka Hospital |
99305 |
INITIAL NURSING FACILITY CARE/DAY LEVEL 2 |
99305 |
0524 |
325 |
325 |
97.5 |
295.75 |
227.49999999999997 |
97.5 |
295.75 |
234 |
276.25 |
Carle Eureka Hospital |
99306 |
INITIAL NURSING FACILITY CARE/DAY LEVEL 3 |
99306 |
0524 |
420 |
420 |
126 |
382.2 |
294 |
126 |
382.2 |
302.39999999999998 |
357 |
Carle Eureka Hospital |
99307 |
SBSQ NURSING FACILITY CARE/DAY LEVEL 1 |
99307 |
0524 |
110 |
110 |
33 |
100.10000000000001 |
77 |
33 |
100.10000000000001 |
79.2 |
93.5 |
Carle Eureka Hospital |
99308 |
SBSQ NURSING FACIL CARE/DAY LEVEL 2 |
99308 |
0524 |
175 |
175 |
52.5 |
159.25 |
122.49999999999999 |
52.5 |
159.25 |
126 |
148.75 |
Carle Eureka Hospital |
99309 |
SBSQ NURSING FACIL CARE/DAY LEVEL 3 |
99309 |
0524 |
230 |
230 |
69 |
209.3 |
161 |
69 |
209.3 |
165.6 |
195.5 |
Carle Eureka Hospital |
99310 |
SBSQ NURS FACIL CARE/DAY LEVEL 4 |
99310 |
0524 |
335 |
335 |
100.5 |
304.85000000000002 |
234.49999999999997 |
100.5 |
304.85000000000002 |
241.2 |
284.75 |
Carle Eureka Hospital |
99326 |
DOMICIL/REST HOME NEW PT LEVEL 3 |
99326 |
0522 |
350 |
350 |
105 |
318.5 |
244.99999999999997 |
105 |
318.5 |
252 |
297.5 |
Carle Eureka Hospital |
11604 |
EXC SKIN MALIG 3.1-4 CM TRUNK,ARM,LEG |
11604 |
0521 |
1400 |
1400 |
420 |
1274 |
979.99999999999989 |
420 |
1274 |
1008 |
1190 |
Carle Eureka Hospital |
99334 |
DOM/R-HOME E/M EST PT LEVEL 1 |
99334 |
0522 |
155 |
155 |
46.5 |
141.05000000000001 |
108.5 |
46.5 |
141.05000000000001 |
111.6 |
131.75 |
Carle Eureka Hospital |
99335 |
DOM/R-HOME E/M EST PT LEVEL 2 |
99335 |
0522 |
240 |
240 |
72 |
218.4 |
168 |
72 |
218.4 |
172.79999999999998 |
204 |
Carle Eureka Hospital |
99336 |
DOM/R-HOME E/M EST PT LEVEL 3 |
99336 |
0522 |
340 |
340 |
102 |
309.40000000000003 |
237.99999999999997 |
102 |
309.40000000000003 |
244.79999999999998 |
289 |
Carle Eureka Hospital |
0500F |
INITIAL PRENATAL CARE VISIT |
0500F |
0510 |
230 |
230 |
69 |
209.3 |
161 |
69 |
209.3 |
165.6 |
195.5 |
Carle Eureka Hospital |
0502F |
SUBSEQUENT PRENATAL CARE |
0502F |
0510 |
115 |
115 |
34.5 |
104.65 |
80.5 |
34.5 |
104.65 |
82.8 |
97.75 |
Carle Eureka Hospital |
0503F |
POSTPARTUM CARE VISIT |
0503F |
0510 |
115 |
115 |
34.5 |
104.65 |
80.5 |
34.5 |
104.65 |
82.8 |
97.75 |
Carle Eureka Hospital |
14301 |
ADJ TISS XFER ANY AREA,30.1-60 SQCM |
14301 |
0521 |
4850 |
4850 |
1455 |
4413.5 |
3395 |
1455 |
4413.5 |
3492 |
4122.5 |
Carle Eureka Hospital |
14302 |
ADJ TISS XFER ANY AREA,EA ADD 30.0 SQCM |
14302 |
0521 |
1020 |
1020 |
306 |
928.2 |
714 |
306 |
928.2 |
734.4 |
867 |
Carle Eureka Hospital |
22902 |
EXC TUMOR SOFT TISSUE ABDOMINAL WALL SUBQ <3CM |
22902 |
0521 |
2070 |
2070 |
621 |
1883.7 |
1449 |
621 |
1883.7 |
1490.3999999999999 |
1759.5 |
Carle Eureka Hospital |
36591 |
COLLECT BLOOD FROM IMPLANT VENOUS ACCESS DEVICE |
36591 |
0521 |
105 |
105 |
31.5 |
95.55 |
73.5 |
31.5 |
95.55 |
75.599999999999994 |
89.25 |
Carle Eureka Hospital |
11606 |
EXC SKIN MALIG >4 CM TRUNK,ARM,LEG |
11606 |
0521 |
2010 |
2010 |
603 |
1829.1000000000001 |
1407 |
603 |
1829.1000000000001 |
1447.2 |
1708.5 |
Carle Eureka Hospital |
36592 |
COLLECT BLOOD FROM CATHETER VENOUS NOS |
36592 |
0521 |
120 |
120 |
36 |
109.2 |
84 |
36 |
109.2 |
86.399999999999991 |
102 |
Carle Eureka Hospital |
36593 |
DECLOT BY THROMBOLYTIC AGENT IMPLANT DEVICE/CATH |
36593 |
0521 |
135 |
135 |
40.5 |
122.85000000000001 |
94.5 |
40.5 |
122.85000000000001 |
97.2 |
114.75 |
Carle Eureka Hospital |
90960 |
ESRD RELATED SVC MONTHLY 20&/> YR OLD 4/> VISITS |
90960 |
|
1290 |
1290 |
387 |
1173.9000000000001 |
902.99999999999989 |
387 |
1173.9000000000001 |
928.8 |
1096.5 |
Carle Eureka Hospital |
90961 |
ESRD RELATED SVC MONTHLY 20/>YR OLD 2/3 VISITS |
90961 |
|
1080 |
1080 |
324 |
982.80000000000007 |
756 |
324 |
982.80000000000007 |
777.6 |
918 |
Carle Eureka Hospital |
90962 |
ESRD RELATED SVC MONTHLY 20&/>YR OLD 1 VISIT |
90962 |
|
830 |
830 |
249 |
755.30000000000007 |
581 |
249 |
755.30000000000007 |
597.6 |
705.5 |
Carle Eureka Hospital |
90966 |
ESRD SERVICES, HOME DIALYSIS, PER MONTH, 20+ YR OLD |
90966 |
|
1080 |
1080 |
324 |
982.80000000000007 |
756 |
324 |
982.80000000000007 |
777.6 |
918 |
Carle Eureka Hospital |
96360 |
IV INFUSION, HYDRATION, 31-60 MIN |
96360 |
0260 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
96361 |
IV INFUSION, HYDRATION, EA ADD HOUR |
96361 |
0260 |
59 |
59 |
17.7 |
53.690000000000005 |
41.3 |
17.7 |
53.690000000000005 |
42.48 |
50.15 |
Carle Eureka Hospital |
96365 |
IV INFUSION, THERAP/PROPH/DIAGNOST,INITIAL,1ST HOUR |
96365 |
0260 |
305 |
305 |
91.5 |
277.55 |
213.5 |
91.5 |
277.55 |
219.6 |
259.25 |
Carle Eureka Hospital |
96366 |
IV INFUSION, THERAP/PROPH/DIAGNOST,INITIAL,EA ADD HOUR |
96366 |
0260 |
94 |
94 |
28.2 |
85.54 |
65.8 |
28.2 |
85.54 |
67.679999999999993 |
79.899999999999991 |
Carle Eureka Hospital |
11622 |
EXC SKIN MALIG 1.1-2 CM REMAINDR BODY |
11622 |
0521 |
1130 |
1130 |
339 |
1028.3 |
791 |
339 |
1028.3 |
813.6 |
960.5 |
Carle Eureka Hospital |
96367 |
IV INFUSION THER PROPH ADDL SEQUENTIAL TO 1 HR |
96367 |
|
135 |
135 |
40.5 |
122.85000000000001 |
94.5 |
40.5 |
122.85000000000001 |
97.2 |
114.75 |
Carle Eureka Hospital |
96368 |
IV INFUSION, THERAP/PROPH/DIAGNOST,CONCURRENT INFUSION |
96368 |
|
91 |
91 |
27.3 |
82.81 |
63.699999999999996 |
27.3 |
82.81 |
65.52 |
77.349999999999994 |
Carle Eureka Hospital |
96372 |
INJECTION,THERAP/PROPH/DIAGNOST, IM OR SUBCUT |
96372 |
0521 |
63 |
63 |
18.899999999999999 |
57.330000000000005 |
44.099999999999994 |
18.899999999999999 |
57.330000000000005 |
45.36 |
53.55 |
Carle Eureka Hospital |
96374 |
INJECTION,THERAP/PROPH/DIAGNOST, IV PUSH, INITIAL DRUG |
96374 |
0521 |
170 |
170 |
51 |
154.70000000000002 |
118.99999999999999 |
51 |
154.70000000000002 |
122.39999999999999 |
144.5 |
Carle Eureka Hospital |
96375 |
INJECTION,THERAP/PROPH/DIAGNOST, IV PUSH, EA ADD, NEW DRUG |
96375 |
0521 |
71 |
71 |
21.3 |
64.61 |
49.699999999999996 |
21.3 |
64.61 |
51.12 |
60.35 |
Carle Eureka Hospital |
98968 |
NONPHYSICIAN TELEPHONE ASSESSMENT 21-30 MIN |
98968 |
0521 |
185 |
185 |
55.5 |
168.35 |
129.5 |
55.5 |
168.35 |
133.19999999999999 |
157.25 |
Carle Eureka Hospital |
99406 |
TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES |
99406 |
0521 |
69 |
69 |
20.7 |
62.79 |
48.3 |
20.7 |
62.79 |
49.68 |
58.65 |
Carle Eureka Hospital |
99407 |
TOBACCO USE CESSATION INTENSIVE >10 MINUTES |
99407 |
0521 |
73 |
73 |
21.9 |
66.430000000000007 |
51.099999999999994 |
21.9 |
66.430000000000007 |
52.559999999999995 |
62.05 |
Carle Eureka Hospital |
99441 |
PHYS/QHP TELEPHONE EVALUATION 5-10 MIN |
99441 |
0521 |
36 |
36 |
10.799999999999999 |
32.76 |
25.2 |
10.799999999999999 |
32.76 |
25.919999999999998 |
30.599999999999998 |
Carle Eureka Hospital |
99442 |
PHYS/QHP TELEPHONE EVALUATION 11-20 MIN |
99442 |
0521 |
70 |
70 |
21 |
63.7 |
49 |
21 |
63.7 |
50.4 |
59.5 |
Carle Eureka Hospital |
11623 |
EXC SKIN MALIG 2.1-3 CM REMAINDR BODY |
11623 |
0521 |
1330 |
1330 |
399 |
1210.3 |
930.99999999999989 |
399 |
1210.3 |
957.59999999999991 |
1130.5 |
Carle Eureka Hospital |
99443 |
PHYS/QHP TELEPHONE EVALUATION 21-30 MIN |
99443 |
0521 |
105 |
105 |
31.5 |
95.55 |
73.5 |
31.5 |
95.55 |
75.599999999999994 |
89.25 |
Carle Eureka Hospital |
99460 |
INITIAL NORMAL NEWBORN CARE, HOSPITAL OR BIRTH CENTER |
99460 |
0987 |
245 |
245 |
73.5 |
222.95000000000002 |
171.5 |
73.5 |
222.95000000000002 |
176.4 |
208.25 |
Carle Eureka Hospital |
99462 |
SUBSEQUENT HOSPITAL CARE, NORMAL NEWBORN |
99462 |
0987 |
110 |
110 |
33 |
100.10000000000001 |
77 |
33 |
100.10000000000001 |
79.2 |
93.5 |
Carle Eureka Hospital |
99463 |
INITIAL NORMAL NEWBORN CARE, SAME DAY DISCHARGE |
99463 |
0987 |
280 |
280 |
84 |
254.8 |
196 |
84 |
254.8 |
201.6 |
238 |
Carle Eureka Hospital |
99464 |
ATTN AT DELIVERY 1ST STABILIZATION OF NEWBORN |
99464 |
0987 |
190 |
190 |
57 |
172.9 |
133 |
57 |
172.9 |
136.79999999999998 |
161.5 |
Carle Eureka Hospital |
99465 |
DELIVERY/BIRTHING ROOM RESUSCITATION |
99465 |
0987 |
670 |
670 |
201 |
609.70000000000005 |
468.99999999999994 |
201 |
609.70000000000005 |
482.4 |
569.5 |
Carle Eureka Hospital |
99468 |
INITIAL HOSP NEONATE 28 DAY OR LESS, CRITICALLY ILL |
99468 |
0987 |
2320 |
2320 |
696 |
2111.2000000000003 |
1624 |
696 |
2111.2000000000003 |
1670.3999999999999 |
1972 |
Carle Eureka Hospital |
99469 |
SUBSEQUENT HOSP NEONATE 28 DAY OR LESS, CRITICALLY ILL |
99469 |
|
1010 |
1010 |
303 |
919.1 |
707 |
303 |
919.1 |
727.19999999999993 |
858.5 |
Carle Eureka Hospital |
99471 |
INITIAL PED CRITICAL CARE 29 DAY THRU 24 MO |
99471 |
|
3620 |
3620 |
1086 |
3294.2000000000003 |
2534 |
1086 |
3294.2000000000003 |
2606.4 |
3077 |
Carle Eureka Hospital |
99472 |
SUBSEQUENT PED CRITICAL CARE 29 DAY THRU 24 MO |
99472 |
|
1830 |
1830 |
549 |
1665.3 |
1281 |
549 |
1665.3 |
1317.6 |
1555.5 |
Carle Eureka Hospital |
11626 |
EXC SKIN MALIG >4 CM REMAINDR BODY |
11626 |
0521 |
1840 |
1840 |
552 |
1674.4 |
1288 |
552 |
1674.4 |
1324.8 |
1564 |
Carle Eureka Hospital |
99475 |
INITIAL PED CRITICAL CARE 2 YR THRU 5 YR |
99475 |
|
2550 |
2550 |
765 |
2320.5 |
1785 |
765 |
2320.5 |
1836 |
2167.5 |
Carle Eureka Hospital |
99476 |
SUBSEQUENT PED CRITICAL CARE 2 YR THRU 5 YR |
99476 |
|
1580 |
1580 |
474 |
1437.8 |
1106 |
474 |
1437.8 |
1137.5999999999999 |
1343 |
Carle Eureka Hospital |
99477 |
INITIAL HOSP NEONATE 28 DAY OR LESS, NOT CRITICALLY ILL |
99477 |
|
890 |
890 |
267 |
809.9 |
623 |
267 |
809.9 |
640.79999999999995 |
756.5 |
Carle Eureka Hospital |
99478 |
SUBSEQUENT INTENSIVE CARE INFANT < 1500 GRAMS |
99478 |
|
350 |
350 |
105 |
318.5 |
244.99999999999997 |
105 |
318.5 |
252 |
297.5 |
Carle Eureka Hospital |
99479 |
SUBSEQUENT INTENSIVE CARE INFANT 1500-2500 GRAMS |
99479 |
|
315 |
315 |
94.5 |
286.65000000000003 |
220.5 |
94.5 |
286.65000000000003 |
226.79999999999998 |
267.75 |
Carle Eureka Hospital |
99480 |
SUBSEQUENT INTENSIVE CARE INFANT 2501-5000 GRAMS |
99480 |
|
305 |
305 |
91.5 |
277.55 |
213.5 |
91.5 |
277.55 |
219.6 |
259.25 |
Carle Eureka Hospital |
11642 |
EXC SKIN MALIG 1.1-2 CM FACE,FACIAL |
11642 |
0521 |
1200 |
1200 |
360 |
1092 |
840 |
360 |
1092 |
864 |
1020 |
Carle Eureka Hospital |
A6448 |
Lt compres band <3÷/yd |
A6448 |
0272 |
4 |
4 |
1.2 |
3.64 |
2.8 |
1.2 |
3.64 |
2.88 |
3.4 |
Carle Eureka Hospital |
D1206 |
Topical fluoride varnish |
D1206 |
|
55 |
55 |
16.5 |
50.050000000000004 |
38.5 |
16.5 |
50.050000000000004 |
39.6 |
46.75 |
Carle Eureka Hospital |
G0168 |
Wound closure by adhesive |
G0168 |
0521 |
460 |
460 |
138 |
418.6 |
322 |
138 |
418.6 |
331.2 |
391 |
Carle Eureka Hospital |
G0179 |
MD recertification HHA PT |
G0179 |
0521 |
180 |
180 |
54 |
163.80000000000001 |
125.99999999999999 |
54 |
163.80000000000001 |
129.6 |
153 |
Carle Eureka Hospital |
G0180 |
MD certification HHA patient |
G0180 |
0521 |
235 |
235 |
70.5 |
213.85 |
164.5 |
70.5 |
213.85 |
169.2 |
199.75 |
Carle Eureka Hospital |
G0402 |
Initial preventive exam |
G0402 |
0521 |
410 |
410 |
123 |
373.1 |
287 |
123 |
373.1 |
295.2 |
348.5 |
Carle Eureka Hospital |
Q4022 |
Cast sup sht arm splint fbrg |
Q4022 |
|
62 |
62 |
18.599999999999998 |
56.42 |
43.4 |
18.599999999999998 |
56.42 |
44.64 |
52.699999999999996 |
Carle Eureka Hospital |
Q4049 |
Finger splint, static |
Q4049 |
0270 |
15 |
15 |
4.5 |
13.65 |
10.5 |
4.5 |
13.65 |
10.799999999999999 |
12.75 |
Carle Eureka Hospital |
11643 |
EXC SKIN MALIG 2.1-3 CM FACE,FACIAL |
11643 |
0521 |
1420 |
1420 |
426 |
1292.2 |
993.99999999999989 |
426 |
1292.2 |
1022.4 |
1207 |
Carle Eureka Hospital |
S8431 |
Compression bandage |
S8431 |
|
20 |
20 |
6 |
18.2 |
14 |
6 |
18.2 |
14.399999999999999 |
17 |
Carle Eureka Hospital |
S8450 |
Splint digit |
S8450 |
|
11 |
11 |
3.3 |
10.01 |
7.6999999999999993 |
3.3 |
10.01 |
7.92 |
9.35 |
Carle Eureka Hospital |
11045 |
DEBRIDEMENT, SKIN, SUB-Q TISSUE,EACH ADD 20 SQ CM |
11045 |
0521 |
190 |
190 |
57 |
172.9 |
133 |
57 |
172.9 |
136.79999999999998 |
161.5 |
Carle Eureka Hospital |
11047 |
DEBRIDEMENT, SKIN, SUB-Q TISSUE,MUSCLE,BONE,EACH ADD 20 SQ CM |
11047 |
0521 |
570 |
570 |
171 |
518.70000000000005 |
399 |
171 |
518.70000000000005 |
410.4 |
484.5 |
Carle Eureka Hospital |
87502 |
INFECTIOUS AGENT DNA/RNA INFLUENZA 1ST 2 TYPES |
87502 |
0300 |
235 |
235 |
70.5 |
213.85 |
164.5 |
70.5 |
213.85 |
169.2 |
199.75 |
Carle Eureka Hospital |
99224 |
SBSQ OBSERVATION CARE/DAY LEVEL 1 |
99224 |
0987 |
100 |
100 |
30 |
91 |
70 |
30 |
91 |
72 |
85 |
Carle Eureka Hospital |
99225 |
SBSQ OBSERVATION CARE/DAY LEVEL 2 |
99225 |
0987 |
185 |
185 |
55.5 |
168.35 |
129.5 |
55.5 |
168.35 |
133.19999999999999 |
157.25 |
Carle Eureka Hospital |
99226 |
SBSQ OBSERVATION CARE/DAY LEVEL 3 |
99226 |
0987 |
265 |
265 |
79.5 |
241.15 |
185.5 |
79.5 |
241.15 |
190.79999999999998 |
225.25 |
Carle Eureka Hospital |
15271 |
APP SKN SUB GRFT T/A/L AREA/<100SCM /<1ST 25 SCM |
15271 |
0521 |
670 |
670 |
201 |
609.70000000000005 |
468.99999999999994 |
201 |
609.70000000000005 |
482.4 |
569.5 |
Carle Eureka Hospital |
15272 |
APP SKN SUB GRFT T/A/L AREA/<100SCM EA ADL 25SCM |
15272 |
0521 |
120 |
120 |
36 |
109.2 |
84 |
36 |
109.2 |
86.399999999999991 |
102 |
Carle Eureka Hospital |
11730 |
REMOVAL OF NAIL PLATE |
11730 |
0521 |
490 |
490 |
147 |
445.90000000000003 |
343 |
147 |
445.90000000000003 |
352.8 |
416.5 |
Carle Eureka Hospital |
49082 |
ABDOM PARACENTESIS DX/THER W/O IMAGING GUIDANCE |
49082 |
0521 |
900 |
900 |
270 |
819 |
630 |
270 |
819 |
648 |
765 |
Carle Eureka Hospital |
49083 |
ABDOM PARACENTESIS DX/THER W IMAGING GUIDANCE |
49083 |
0521 |
1310 |
1310 |
393 |
1192.1000000000001 |
916.99999999999989 |
393 |
1192.1000000000001 |
943.19999999999993 |
1113.5 |
Carle Eureka Hospital |
G0438 |
PPPS, initial visit |
G0438 |
0521 |
420 |
420 |
126 |
382.2 |
294 |
126 |
382.2 |
302.39999999999998 |
357 |
Carle Eureka Hospital |
G0439 |
PPPS, subseq visit |
G0439 |
0521 |
285 |
285 |
85.5 |
259.35000000000002 |
199.5 |
85.5 |
259.35000000000002 |
205.2 |
242.25 |
Carle Eureka Hospital |
G0447 |
Behavior counsel obesity 15m |
G0447 |
0521 |
120 |
120 |
36 |
109.2 |
84 |
36 |
109.2 |
86.399999999999991 |
102 |
Carle Eureka Hospital |
32555 |
THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING |
32555 |
|
1360 |
1360 |
408 |
1237.6000000000001 |
951.99999999999989 |
408 |
1237.6000000000001 |
979.19999999999993 |
1156 |
Carle Eureka Hospital |
32557 |
PERQ DRAINAGE PLEURA INSERT CATH W/IMAGING |
32557 |
|
2670 |
2670 |
801 |
2429.7000000000003 |
1868.9999999999998 |
801 |
2429.7000000000003 |
1922.3999999999999 |
2269.5 |
Carle Eureka Hospital |
90785 |
MEDICAL SERVICE |
90785 |
0900 |
39 |
39 |
11.7 |
35.49 |
27.299999999999997 |
11.7 |
35.49 |
28.08 |
33.15 |
Carle Eureka Hospital |
90791 |
MEDICAL SERVICE |
90791 |
0900 |
360 |
360 |
108 |
327.60000000000002 |
251.99999999999997 |
108 |
327.60000000000002 |
259.2 |
306 |
Carle Eureka Hospital |
90792 |
MEDICAL SERVICE |
90792 |
0900 |
400 |
400 |
120 |
364 |
280 |
120 |
364 |
288 |
340 |
Carle Eureka Hospital |
11732 |
REMOVE ADDITIONAL NAIL PLATE |
11732 |
0521 |
150 |
150 |
45 |
136.5 |
105 |
45 |
136.5 |
108 |
127.5 |
Carle Eureka Hospital |
10120 |
REMOVE FOREIGN BODY SIMPLE |
10120 |
0521 |
670 |
670 |
201 |
609.70000000000005 |
468.99999999999994 |
201 |
609.70000000000005 |
482.4 |
569.5 |
Carle Eureka Hospital |
90832 |
MEDICAL SERVICE |
90832 |
0900 |
180 |
180 |
54 |
163.80000000000001 |
125.99999999999999 |
54 |
163.80000000000001 |
129.6 |
153 |
Carle Eureka Hospital |
90833 |
MEDICAL SERVICE |
90833 |
0521 |
180 |
180 |
54 |
163.80000000000001 |
125.99999999999999 |
54 |
163.80000000000001 |
129.6 |
153 |
Carle Eureka Hospital |
90834 |
MEDICAL SERVICE |
90834 |
0900 |
235 |
235 |
70.5 |
213.85 |
164.5 |
70.5 |
213.85 |
169.2 |
199.75 |
Carle Eureka Hospital |
90836 |
MEDICAL SERVICE |
90836 |
0521 |
230 |
230 |
69 |
209.3 |
161 |
69 |
209.3 |
165.6 |
195.5 |
Carle Eureka Hospital |
90837 |
MEDICAL SERVICE |
90837 |
0900 |
350 |
350 |
105 |
318.5 |
244.99999999999997 |
105 |
318.5 |
252 |
297.5 |
Carle Eureka Hospital |
90838 |
MEDICAL SERVICE |
90838 |
0521 |
300 |
300 |
90 |
273 |
210 |
90 |
273 |
216 |
255 |
Carle Eureka Hospital |
90839 |
MEDICAL SERVICE |
90839 |
0900 |
365 |
365 |
109.5 |
332.15000000000003 |
255.49999999999997 |
109.5 |
332.15000000000003 |
262.8 |
310.25 |
Carle Eureka Hospital |
90840 |
MEDICAL SERVICE |
90840 |
0900 |
175 |
175 |
52.5 |
159.25 |
122.49999999999999 |
52.5 |
159.25 |
126 |
148.75 |
Carle Eureka Hospital |
95907 |
MOTOR &/SENS 1-2 NRV CNDJ PRECONF ELTRODE LIMB |
95907 |
|
420 |
420 |
126 |
382.2 |
294 |
126 |
382.2 |
302.39999999999998 |
357 |
Carle Eureka Hospital |
95908 |
MOTOR &/SENS 3-4 NRV CNDJ PRECONF ELTRODE LIMB |
95908 |
|
540 |
540 |
162 |
491.40000000000003 |
378 |
162 |
491.40000000000003 |
388.8 |
459 |
Carle Eureka Hospital |
11740 |
DRAIN BLOOD FROM UNDER NAIL |
11740 |
0521 |
235 |
235 |
70.5 |
213.85 |
164.5 |
70.5 |
213.85 |
169.2 |
199.75 |
Carle Eureka Hospital |
95909 |
MOTOR &/SENS 5-6 NRV CNDJ PRECONF ELTRODE LIMB |
95909 |
|
640 |
640 |
192 |
582.4 |
448 |
192 |
582.4 |
460.79999999999995 |
544 |
Carle Eureka Hospital |
95910 |
MOTOR &/SENS 7-8 NRV CNDJ PRECONF ELTRODE LIMB |
95910 |
|
840 |
840 |
252 |
764.4 |
588 |
252 |
764.4 |
604.79999999999995 |
714 |
Carle Eureka Hospital |
95911 |
MOTOR &/SENS 9-10 NRV CNDJ PRECONF ELTRODE LIMB |
95911 |
|
1010 |
1010 |
303 |
919.1 |
707 |
303 |
919.1 |
727.19999999999993 |
858.5 |
Carle Eureka Hospital |
95912 |
MOTOR &/SENS 11-12 NRV CNDJ PRECONF ELTRODE LIMB |
95912 |
|
1160 |
1160 |
348 |
1055.6000000000001 |
812 |
348 |
1055.6000000000001 |
835.19999999999993 |
986 |
Carle Eureka Hospital |
95913 |
MOTOR &/SENS 13/> NRV CNDJ PRECONF ELTRODE LIMB |
95913 |
|
1340 |
1340 |
402 |
1219.4000000000001 |
937.99999999999989 |
402 |
1219.4000000000001 |
964.8 |
1139 |
Carle Eureka Hospital |
99495 |
TRANSITIONAL CARE MANAGE SERVICE 14 DAY DISCHRGE |
99495 |
0521 |
455 |
455 |
136.5 |
414.05 |
318.5 |
136.5 |
414.05 |
327.59999999999997 |
386.75 |
Carle Eureka Hospital |
99496 |
TRANSITIONAL CARE MANAGE SERVICE 7 DAY DISCHARGE |
99496 |
0521 |
600 |
600 |
180 |
546 |
420 |
180 |
546 |
432 |
510 |
Carle Eureka Hospital |
69209 |
REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT |
69209 |
0521 |
60 |
60 |
18 |
54.6 |
42 |
18 |
54.6 |
43.199999999999996 |
51 |
Carle Eureka Hospital |
99177 |
INSTRUMENT BASED OCULAR SCR BI W/ONSITE ANALYSIS |
99177 |
|
20 |
20 |
6 |
18.2 |
14 |
6 |
18.2 |
14.399999999999999 |
17 |
Carle Eureka Hospital |
G0296 |
Visit to determ ldct elig |
G0296 |
0521 |
135 |
135 |
40.5 |
122.85000000000001 |
94.5 |
40.5 |
122.85000000000001 |
97.2 |
114.75 |
Carle Eureka Hospital |
11750 |
REMOVAL OF NAIL BED |
11750 |
0521 |
690 |
690 |
207 |
627.9 |
482.99999999999994 |
207 |
627.9 |
496.79999999999995 |
586.5 |
Carle Eureka Hospital |
96161 |
CAREGIVER HLTH RISK ASSMT SCORE DOC STND INSTRM |
96161 |
0918 |
11 |
11 |
3.3 |
10.01 |
7.6999999999999993 |
3.3 |
10.01 |
7.92 |
9.35 |
Carle Eureka Hospital |
96377 |
APPL ON-BODY INJECTOR FOR TIMED SUBQ INJECTION |
96377 |
|
87 |
87 |
26.099999999999998 |
79.17 |
60.9 |
26.099999999999998 |
79.17 |
62.64 |
73.95 |
Carle Eureka Hospital |
99152 |
MOD SED SAME PHYS/QHP INITIAL 15 MINS 5/> YRS |
99152 |
|
220 |
220 |
66 |
200.20000000000002 |
154 |
66 |
200.20000000000002 |
158.4 |
187 |
Carle Eureka Hospital |
99153 |
MOD SED SAME PHYS/QHP EACH ADDL 15 MINS |
99153 |
|
46 |
46 |
13.799999999999999 |
41.86 |
32.199999999999996 |
13.799999999999999 |
41.86 |
33.119999999999997 |
39.1 |
Carle Eureka Hospital |
A4467 |
Belt strap sleev grmnt cover |
A4467 |
|
55 |
55 |
16.5 |
50.050000000000004 |
38.5 |
16.5 |
50.050000000000004 |
39.6 |
46.75 |
Carle Eureka Hospital |
G0500 |
Mod sedat endo service >5yrs |
G0500 |
|
245 |
245 |
73.5 |
222.95000000000002 |
171.5 |
73.5 |
222.95000000000002 |
176.4 |
208.25 |
Carle Eureka Hospital |
10030 |
IMAGE-GUIDED CATHETER FLUID COLLECTION DRAINAGE |
10030 |
|
2660 |
2660 |
798 |
2420.6 |
1861.9999999999998 |
798 |
2420.6 |
1915.1999999999998 |
2261 |
Carle Eureka Hospital |
19081 |
BX BREAST W DEVICE 1ST LESION STEREOTACTIC GUIDE |
19081 |
|
2640 |
2640 |
792 |
2402.4 |
1847.9999999999998 |
792 |
2402.4 |
1900.8 |
2244 |
Carle Eureka Hospital |
19083 |
BX BREAST W DEVICE 1ST LESION ULTRASOUND GUIDE |
19083 |
|
2610 |
2610 |
783 |
2375.1 |
1826.9999999999998 |
783 |
2375.1 |
1879.1999999999998 |
2218.5 |
Carle Eureka Hospital |
19084 |
BX BREAST W DEVICE ADDL LESION ULTRASOUND GUIDE |
19084 |
|
2060 |
2060 |
618 |
1874.6000000000001 |
1442 |
618 |
1874.6000000000001 |
1483.2 |
1751 |
Carle Eureka Hospital |
11900 |
INJECTION INTO SKIN LESIONS, UP TO 7 |
11900 |
0521 |
245 |
245 |
73.5 |
222.95000000000002 |
171.5 |
73.5 |
222.95000000000002 |
176.4 |
208.25 |
Carle Eureka Hospital |
19281 |
PERQ DEVICE PLACEMT BREAST LOC 1ST LES W GUIDNCE |
19281 |
|
1080 |
1080 |
324 |
982.80000000000007 |
756 |
324 |
982.80000000000007 |
777.6 |
918 |
Carle Eureka Hospital |
19285 |
PERQ BREAST LOC DEVICE PLACEMT 1ST LESIO US IMAG |
19285 |
|
1970 |
1970 |
591 |
1792.7 |
1379 |
591 |
1792.7 |
1418.3999999999999 |
1674.5 |
Carle Eureka Hospital |
99446 |
INTERPROF PHONE/INTERNET ASSESS/MANAGE 5-10 |
99446 |
|
46 |
46 |
13.799999999999999 |
41.86 |
32.199999999999996 |
13.799999999999999 |
41.86 |
33.119999999999997 |
39.1 |
Carle Eureka Hospital |
99447 |
INTERPROF PHONE/INTERNET ASSESS/MANAGE 11-20 |
99447 |
|
92 |
92 |
27.599999999999998 |
83.72 |
64.399999999999991 |
27.599999999999998 |
83.72 |
66.239999999999995 |
78.2 |
Carle Eureka Hospital |
99448 |
INTERPROF PHONE/INTERNET ASSESS/MANAGE 21-30 |
99448 |
|
140 |
140 |
42 |
127.4 |
98 |
42 |
127.4 |
100.8 |
119 |
Carle Eureka Hospital |
L3809 |
Whfo w/o joints pre ots |
L3809 |
0274 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
L4387 |
Non-pneum walk boot pre ots |
L4387 |
0274 |
250 |
250 |
75 |
227.5 |
175 |
75 |
227.5 |
180 |
212.5 |
Carle Eureka Hospital |
20604 |
ARTHROCNT ASPIR&/INJ SMALL JT/BURSAW/US REC RPRT |
20604 |
|
340 |
340 |
102 |
309.40000000000003 |
237.99999999999997 |
102 |
309.40000000000003 |
244.79999999999998 |
289 |
Carle Eureka Hospital |
20606 |
ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/US |
20606 |
|
380 |
380 |
114 |
345.8 |
266 |
114 |
345.8 |
273.59999999999997 |
323 |
Carle Eureka Hospital |
20611 |
ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/US |
20611 |
0521 |
420 |
420 |
126 |
382.2 |
294 |
126 |
382.2 |
302.39999999999998 |
357 |
Carle Eureka Hospital |
11901 |
INJECTION INTO SKIN LESIONS, 8 OR MORE |
11901 |
0521 |
310 |
310 |
93 |
282.10000000000002 |
217 |
93 |
282.10000000000002 |
223.2 |
263.5 |
Carle Eureka Hospital |
46607 |
ANOSCOPY DX W/HRA &CHEM AGNTS ENHANCEMENT W/BX |
46607 |
|
900 |
900 |
270 |
819 |
630 |
270 |
819 |
648 |
765 |
Carle Eureka Hospital |
52441 |
CYSTO INSERTION TRANSPROSTATIC IMPLANT SINGLE |
52441 |
|
5840 |
5840 |
1752 |
5314.4000000000005 |
4087.9999999999995 |
1752 |
5314.4000000000005 |
4204.8 |
4964 |
Carle Eureka Hospital |
52442 |
CYSTO INSERTION TRANSPROSTATIC IMPLANT EA ADDL |
52442 |
|
4220 |
4220 |
1266 |
3840.2000000000003 |
2954 |
1266 |
3840.2000000000003 |
3038.4 |
3587 |
Carle Eureka Hospital |
96127 |
BEHAV ASSMT W/SCORE & DOCD/STAND INSTRUMENT |
96127 |
0900 |
22 |
22 |
6.6 |
20.02 |
15.399999999999999 |
6.6 |
20.02 |
15.84 |
18.7 |
Carle Eureka Hospital |
99188 |
APPLICATION TOPICAL FLUORIDE VARNISH BY PHS/QHP |
99188 |
|
56 |
56 |
16.8 |
50.96 |
39.199999999999996 |
16.8 |
50.96 |
40.32 |
47.6 |
Carle Eureka Hospital |
99497 |
ADVANCE CARE PLANNING FIRST 30 MINS |
99497 |
0521 |
215 |
215 |
64.5 |
195.65 |
150.5 |
64.5 |
195.65 |
154.79999999999998 |
182.75 |
Carle Eureka Hospital |
10005 |
FINE NEEDLE ASPIRATION BX W/US GDN 1ST LESION |
10005 |
0521 |
580 |
580 |
174 |
527.80000000000007 |
406 |
174 |
527.80000000000007 |
417.59999999999997 |
493 |
Carle Eureka Hospital |
10006 |
FINE NEEDLE ASPIRATION BX W/US GDN EA ADDL |
10006 |
0521 |
275 |
275 |
82.5 |
250.25 |
192.5 |
82.5 |
250.25 |
198 |
233.75 |
Carle Eureka Hospital |
10009 |
FINE NEEDLE ASPIRATION BX W/CT GDN 1ST LESION |
10009 |
0521 |
2030 |
2030 |
609 |
1847.3 |
1421 |
609 |
1847.3 |
1461.6 |
1725.5 |
Carle Eureka Hospital |
11102 |
TANGENTIAL BIOPSY SKIN SINGLE LESION |
11102 |
0521 |
440 |
440 |
132 |
400.40000000000003 |
308 |
132 |
400.40000000000003 |
316.8 |
374 |
Carle Eureka Hospital |
11976 |
REMOVAL OF CONTRACEPTIVE CAPSUL |
11976 |
0521 |
660 |
660 |
198 |
600.6 |
461.99999999999994 |
198 |
600.6 |
475.2 |
561 |
Carle Eureka Hospital |
11103 |
TANGENTIAL BIOPSY SKIN EA SEP/ADDITIONAL LESION |
11103 |
0521 |
235 |
235 |
70.5 |
213.85 |
164.5 |
70.5 |
213.85 |
169.2 |
199.75 |
Carle Eureka Hospital |
11104 |
PUNCH BIOPSY SKIN SINGLE LESION |
11104 |
0521 |
550 |
550 |
165 |
500.5 |
385 |
165 |
500.5 |
396 |
467.5 |
Carle Eureka Hospital |
11105 |
PUNCH BIOPSY SKIN EA SEP/ADDITIONAL LESION |
11105 |
0521 |
265 |
265 |
79.5 |
241.15 |
185.5 |
79.5 |
241.15 |
190.79999999999998 |
225.25 |
Carle Eureka Hospital |
11106 |
INCISIONAL BIOPSY SKIN SINGLE LESION |
11106 |
0521 |
670 |
670 |
201 |
609.70000000000005 |
468.99999999999994 |
201 |
609.70000000000005 |
482.4 |
569.5 |
Carle Eureka Hospital |
11107 |
INCISIONAL BIOPSY SKIN EA SEP/ADDITIONAL LESION |
11107 |
0521 |
315 |
315 |
94.5 |
286.65000000000003 |
220.5 |
94.5 |
286.65000000000003 |
226.79999999999998 |
267.75 |
Carle Eureka Hospital |
43762 |
PERQ REPLACEMENT GTUBE NOT REQ REVJ GSTRST TRC |
43762 |
0521 |
980 |
980 |
294 |
891.80000000000007 |
686 |
294 |
891.80000000000007 |
705.6 |
833 |
Carle Eureka Hospital |
96112 |
DEVELOPMENTAL TST ADMIN PHYS/QHP 1ST HOUR |
96112 |
0918 |
620 |
620 |
186 |
564.20000000000005 |
434 |
186 |
564.20000000000005 |
446.4 |
527 |
Carle Eureka Hospital |
96113 |
DEVELOPMENTAL TST ADMIN PHYS/QHP EA ADDL 30 MIN |
96113 |
0918 |
280 |
280 |
84 |
254.8 |
196 |
84 |
254.8 |
201.6 |
238 |
Carle Eureka Hospital |
96130 |
PSYCHOLOGICAL TST EVAL SVC PHYS/QHP FIRST HOUR |
96130 |
0918 |
305 |
305 |
91.5 |
277.55 |
213.5 |
91.5 |
277.55 |
219.6 |
259.25 |
Carle Eureka Hospital |
96131 |
PSYCHOLOGICAL TST EVAL SVC PHYS/QHP EA ADDL HOUR |
96131 |
0918 |
235 |
235 |
70.5 |
213.85 |
164.5 |
70.5 |
213.85 |
169.2 |
199.75 |
Carle Eureka Hospital |
12001 |
RESUPERF WND BODY <2.5CM |
12001 |
0521 |
405 |
405 |
121.5 |
368.55 |
283.5 |
121.5 |
368.55 |
291.59999999999997 |
344.25 |
Carle Eureka Hospital |
96132 |
NEUROPSYCHOLOGICAL TST EVAL PHYS/QHP 1ST HOUR |
96132 |
0918 |
335 |
335 |
100.5 |
304.85000000000002 |
234.49999999999997 |
100.5 |
304.85000000000002 |
241.2 |
284.75 |
Carle Eureka Hospital |
96133 |
NEUROPSYCHOLOGICAL TST EVAL PHYS/QHP EA ADDL HR |
96133 |
0918 |
255 |
255 |
76.5 |
232.05 |
178.5 |
76.5 |
232.05 |
183.6 |
216.75 |
Carle Eureka Hospital |
96136 |
PSYL/NRPSYCL TST PHYS/QHP 2+ TST 1ST 30 MIN |
96136 |
0918 |
210 |
210 |
63 |
191.1 |
147 |
63 |
191.1 |
151.19999999999999 |
178.5 |
Carle Eureka Hospital |
96137 |
PSYCL/NRPSYCL TST PHYS/QHP 2+ TST EA ADDL 30 MIN |
96137 |
0918 |
190 |
190 |
57 |
172.9 |
133 |
57 |
172.9 |
136.79999999999998 |
161.5 |
Carle Eureka Hospital |
96138 |
PSYCL/NRPSYCL TST TECH 2+ TST 1ST 30 MIN |
96138 |
0918 |
160 |
160 |
48 |
145.6 |
112 |
48 |
145.6 |
115.19999999999999 |
136 |
Carle Eureka Hospital |
96139 |
PSYCL/NRPSYCL TST TECH 2+ TST EA ADDL 30 MIN |
96139 |
0918 |
160 |
160 |
48 |
145.6 |
112 |
48 |
145.6 |
115.19999999999999 |
136 |
Carle Eureka Hospital |
96146 |
PSYCL/NRPSYCL TST ELEC PLATFORM AUTO RESULT |
96146 |
0918 |
10 |
10 |
3 |
9.1 |
7 |
3 |
9.1 |
7.1999999999999993 |
8.5 |
Carle Eureka Hospital |
12002 |
RESUP NPTERF WND BODY 2.6-7.5 CM |
12002 |
0521 |
500 |
500 |
150 |
455 |
350 |
150 |
455 |
360 |
425 |
Carle Eureka Hospital |
12004 |
RESUPERF WND BODY 7.6-12.5 CM |
12004 |
0521 |
590 |
590 |
177 |
536.9 |
413 |
177 |
536.9 |
424.8 |
501.5 |
Carle Eureka Hospital |
12005 |
RESUPERF WND BODY 12.6-20 CM |
12005 |
0521 |
780 |
780 |
234 |
709.80000000000007 |
546 |
234 |
709.80000000000007 |
561.6 |
663 |
Carle Eureka Hospital |
12011 |
RESUPERF WND FACE <2.5 CM |
12011 |
0521 |
495 |
495 |
148.5 |
450.45 |
346.5 |
148.5 |
450.45 |
356.4 |
420.75 |
Carle Eureka Hospital |
10121 |
REMOVE FOREIGN BODY COMPLIC |
10121 |
0521 |
1210 |
1210 |
363 |
1101.1000000000001 |
847 |
363 |
1101.1000000000001 |
871.19999999999993 |
1028.5 |
Carle Eureka Hospital |
12013 |
RESUPERF WND FACE 2.6-5 CM |
12013 |
0521 |
520 |
520 |
156 |
473.2 |
364 |
156 |
473.2 |
374.4 |
442 |
Carle Eureka Hospital |
12014 |
RESUPERF WND FACE 5.1-7.5 CM |
12014 |
0521 |
640 |
640 |
192 |
582.4 |
448 |
192 |
582.4 |
460.79999999999995 |
544 |
Carle Eureka Hospital |
12015 |
RESUPERF WND FACE 7.6-12.5 CM |
12015 |
0521 |
770 |
770 |
231 |
700.7 |
539 |
231 |
700.7 |
554.4 |
654.5 |
Carle Eureka Hospital |
12016 |
RESUPERF WND FACE 12.6-20 CM |
12016 |
0521 |
980 |
980 |
294 |
891.80000000000007 |
686 |
294 |
891.80000000000007 |
705.6 |
833 |
Carle Eureka Hospital |
12031 |
LAYR CLOS WND TRUNK,ARM,LEG <2.5 CM |
12031 |
0521 |
1110 |
1110 |
333 |
1010.1 |
777 |
333 |
1010.1 |
799.19999999999993 |
943.5 |
Carle Eureka Hospital |
12032 |
LAYR CLOS WND TRUNK,ARM,LEG 2.6-7.5 CM |
12032 |
0521 |
1330 |
1330 |
399 |
1210.3 |
930.99999999999989 |
399 |
1210.3 |
957.59999999999991 |
1130.5 |
Carle Eureka Hospital |
12034 |
LAYR CLOS WND TRUNK,ARM,LEG 7.6-12.5 CM |
12034 |
0521 |
1440 |
1440 |
432 |
1310.4000000000001 |
1007.9999999999999 |
432 |
1310.4000000000001 |
1036.8 |
1224 |
Carle Eureka Hospital |
12035 |
LAYR CLOS WND TRUNK,ARM,LEG 12.6-20 CM |
12035 |
0521 |
1720 |
1720 |
516 |
1565.2 |
1204 |
516 |
1565.2 |
1238.3999999999999 |
1462 |
Carle Eureka Hospital |
12036 |
LAYR CLOS WND TRUNK,ARM,LEG 20.1-30 CM |
12036 |
0521 |
1940 |
1940 |
582 |
1765.4 |
1358 |
582 |
1765.4 |
1396.8 |
1649 |
Carle Eureka Hospital |
12041 |
LAYR CLOS WND REST BODY <2.5 CM |
12041 |
0521 |
1120 |
1120 |
336 |
1019.2 |
784 |
336 |
1019.2 |
806.4 |
952 |
Carle Eureka Hospital |
10140 |
DRAINAGE OF HEMATOMA/FLUID |
10140 |
0521 |
760 |
760 |
228 |
691.6 |
532 |
228 |
691.6 |
547.19999999999993 |
646 |
Carle Eureka Hospital |
12042 |
LAYR CLOS WND REST BODY 2.6-7.5 CM |
12042 |
0521 |
1330 |
1330 |
399 |
1210.3 |
930.99999999999989 |
399 |
1210.3 |
957.59999999999991 |
1130.5 |
Carle Eureka Hospital |
12051 |
LAYR CLOS WND FACE,FACIAL <2.5 CM |
12051 |
0521 |
1200 |
1200 |
360 |
1092 |
840 |
360 |
1092 |
864 |
1020 |
Carle Eureka Hospital |
12052 |
LAYR CLOS WND FACE,FACIAL 2.5-5 CM |
12052 |
0521 |
1350 |
1350 |
405 |
1228.5 |
944.99999999999989 |
405 |
1228.5 |
972 |
1147.5 |
Carle Eureka Hospital |
12053 |
LAYR CLOS WND FACE,FACIAL 5.1-7.5 CM |
12053 |
0521 |
1580 |
1580 |
474 |
1437.8 |
1106 |
474 |
1437.8 |
1137.5999999999999 |
1343 |
Carle Eureka Hospital |
13101 |
RECMPL WND TRUNK 2.6-7.5 CM |
13101 |
0521 |
1770 |
1770 |
531 |
1610.7 |
1239 |
531 |
1610.7 |
1274.3999999999999 |
1504.5 |
Carle Eureka Hospital |
13121 |
RECMPL WND SCALP,EXTR 2.6-7.5 CM |
13121 |
0521 |
1900 |
1900 |
570 |
1729 |
1330 |
570 |
1729 |
1368 |
1615 |
Carle Eureka Hospital |
13132 |
RECMPL WND HEAD,FAC,HAND 2.6-7.5 CM |
13132 |
0521 |
2110 |
2110 |
633 |
1920.1000000000001 |
1477 |
633 |
1920.1000000000001 |
1519.2 |
1793.5 |
Carle Eureka Hospital |
13151 |
RECMPL WND LID,NOS,EAR 1.1-2.5 CM |
13151 |
0521 |
1890 |
1890 |
567 |
1719.9 |
1323 |
567 |
1719.9 |
1360.8 |
1606.5 |
Carle Eureka Hospital |
13152 |
RECMPL WND LID,NOS,EAR 2.5-7.5 CM |
13152 |
0521 |
2240 |
2240 |
672 |
2038.4 |
1568 |
672 |
2038.4 |
1612.8 |
1904 |
Carle Eureka Hospital |
14020 |
ADJ TISS XFER SCALP,EXTREM <10 SQCM |
14020 |
0521 |
3090 |
3090 |
927 |
2811.9 |
2163 |
927 |
2811.9 |
2224.7999999999997 |
2626.5 |
Carle Eureka Hospital |
10160 |
PUNCTURE DRAINAGE OF LESION |
10160 |
0521 |
580 |
580 |
174 |
527.80000000000007 |
406 |
174 |
527.80000000000007 |
417.59999999999997 |
493 |
Carle Eureka Hospital |
14021 |
ADJ TISS XFER SCALP,EXTREM 10.1-30 SQCM |
14021 |
0521 |
3860 |
3860 |
1158 |
3512.6 |
2702 |
1158 |
3512.6 |
2779.2 |
3281 |
Carle Eureka Hospital |
14040 |
ADJ TISS XFER HEAD,FAC,HAND <10 SQCM |
14040 |
0521 |
3380 |
3380 |
1014 |
3075.8 |
2366 |
1014 |
3075.8 |
2433.6 |
2873 |
Carle Eureka Hospital |
14041 |
ADJ TISS XFER HEAD,FAC,HAND 10.1-30 SQCM |
14041 |
0521 |
4130 |
4130 |
1239 |
3758.3 |
2891 |
1239 |
3758.3 |
2973.6 |
3510.5 |
Carle Eureka Hospital |
14060 |
ADJ TISS XFER LID,NOS,EAR <10 SQCM |
14060 |
0521 |
3440 |
3440 |
1032 |
3130.4 |
2408 |
1032 |
3130.4 |
2476.7999999999997 |
2924 |
Carle Eureka Hospital |
14061 |
ADJ TISS XFER LID,NOS,EAR 10.1-30 SQCM |
14061 |
0521 |
4440 |
4440 |
1332 |
4040.4 |
3108 |
1332 |
4040.4 |
3196.7999999999997 |
3774 |
Carle Eureka Hospital |
15240 |
FULL THICK GRFT HEAD,FAC,HAND <20SQC |
15240 |
0521 |
4150 |
4150 |
1245 |
3776.5 |
2905 |
1245 |
3776.5 |
2988 |
3527.5 |
Carle Eureka Hospital |
15260 |
FULL THICK GRFT NOS,EAR,LID <20 SQCM |
15260 |
0521 |
4460 |
4460 |
1338 |
4058.6000000000004 |
3122 |
1338 |
4058.6000000000004 |
3211.2 |
3791 |
Carle Eureka Hospital |
15852 |
DRESSING CHANGE,NOT FOR BURN |
15852 |
0521 |
220 |
220 |
66 |
200.20000000000002 |
154 |
66 |
200.20000000000002 |
158.4 |
187 |
Carle Eureka Hospital |
16000 |
INITIAL RX BURN(S) 1ST DEGREE |
16000 |
0521 |
330 |
330 |
99 |
300.3 |
230.99999999999997 |
99 |
300.3 |
237.6 |
280.5 |
Carle Eureka Hospital |
16020 |
DRESS/DEBRID SMALL BURN NO ANES |
16020 |
0521 |
365 |
365 |
109.5 |
332.15000000000003 |
255.49999999999997 |
109.5 |
332.15000000000003 |
262.8 |
310.25 |
Carle Eureka Hospital |
10180 |
COMPLEX DRAINAGE, WOUND |
10180 |
0521 |
1140 |
1140 |
342 |
1037.4000000000001 |
798 |
342 |
1037.4000000000001 |
820.8 |
969 |
Carle Eureka Hospital |
16030 |
DRESS/DEBRID LARGE BURN NO ANESTH |
16030 |
0521 |
870 |
870 |
261 |
791.7 |
609 |
261 |
791.7 |
626.4 |
739.5 |
Carle Eureka Hospital |
17000 |
DESTRUCTION PREMALIGNANT LSN FIRST |
17000 |
0521 |
290 |
290 |
87 |
263.90000000000003 |
203 |
87 |
263.90000000000003 |
208.79999999999998 |
246.5 |
Carle Eureka Hospital |
17110 |
DESTRUCTION BENIGN LESIONS UP TO 14 |
17110 |
0521 |
485 |
485 |
145.5 |
441.35 |
339.5 |
145.5 |
441.35 |
349.2 |
412.25 |
Carle Eureka Hospital |
17250 |
CHEMICAL CAUTERIZATION OF GRANULATION TISSUE |
17250 |
0521 |
375 |
375 |
112.5 |
341.25 |
262.5 |
112.5 |
341.25 |
270 |
318.75 |
Carle Eureka Hospital |
19000 |
PUNC/ASPIR BREAST CYST |
19000 |
0521 |
480 |
480 |
144 |
436.8 |
336 |
144 |
436.8 |
345.59999999999997 |
408 |
Carle Eureka Hospital |
19020 |
EXPLO/DRAIN BREAST ABSCESS |
19020 |
0521 |
2110 |
2110 |
633 |
1920.1000000000001 |
1477 |
633 |
1920.1000000000001 |
1519.2 |
1793.5 |
Carle Eureka Hospital |
20520 |
REMOVAL OF FOREIGN BODY |
20520 |
0521 |
940 |
940 |
282 |
855.4 |
658 |
282 |
855.4 |
676.8 |
799 |
Carle Eureka Hospital |
20550 |
INJECT TENDON SHEATH/LIGAMENT |
20550 |
0521 |
250 |
250 |
75 |
227.5 |
175 |
75 |
227.5 |
180 |
212.5 |
Carle Eureka Hospital |
20600 |
ARTHROCENTESIS ASPIR&/INJ SMALL JT/BURSA W/O US |
20600 |
0521 |
230 |
230 |
69 |
209.3 |
161 |
69 |
209.3 |
165.6 |
195.5 |
Carle Eureka Hospital |
20605 |
ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US |
20605 |
0521 |
240 |
240 |
72 |
218.4 |
168 |
72 |
218.4 |
172.79999999999998 |
204 |
Carle Eureka Hospital |
11042 |
Pr Debridement, Skin, Sub-q Tissue |
11042 |
0521 |
560 |
560 |
168 |
509.6 |
392 |
168 |
509.6 |
403.2 |
476 |
2
2
2
3
2
4
15
False
False