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<br />1 <br />1 <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />86580 <br />93000 <br />80050 <br />94010 <br />86141 <br />86900 <br />86901 <br />86?06 <br />86803 <br />92552 <br />93015 <br />71020 <br />Reading <br />szo7s <br />83015 <br />88172 <br />86316 <br />CPT Code <br />80051 <br />80069 <br />80074 <br />80100 <br />80156 <br />80162 <br />80164 <br />801$;~~ <br />soig4 <br />82131 •~ <br />82140 <br />82150 <br />823 <br />82491 <br />82550 <br />82553 <br />82652 <br />82728 <br />82747 <br />82947 <br />82977 <br />83001 <br />83002 <br />TB Skin Test <br />EKG -interpretation and report <br />General Health Panel <br />Spirometry <br />C Reactive Protein <br />Blood Typing ABO <br />Blood Typing RH <br />Hepatitis B Surface Antigen <br />Hepatitis C AB <br />Audiometry <br />Stress Test , <br />Chest X-ray- 2 view <br />$ 13.00 <br />$ 60.00 <br />$ 15,00 <br />$ 33.00 <br />$ 13.75 <br />$ 6.60 <br />$ G.60 <br />$ 14.25 <br />$ 23.10 <br />$ 22.00 <br />$ 275.00 <br />$ . 35 plus cost for Rad. <br />Breath Alcohol Test ~' ' $ 32.00 <br />::;... <br />Heavy Metal Screen " ~~ $ 103:90 <br />Cytopathvlogy, GYNS,,TP• D4~g (Pap)$;~ X5.00 <br />Bladder Test - NM1?~~ ~' ~-'~ ~ $1=d~;70 <br />Description - " `Cost per Test - •~>"` " <br />? <br />. ,~; <br />Electrolyte Panel ~;~~ ; <br />. <br />$ 4.00 <br />, <br />Renal l~ii~~~tion Panel - $ 7.50 <br /> <br />Hepatiti~'~~~.~lcute <br />~~~ <br />:'t'~ ~" $ <br />90.00 <br />:'i" <br />Drug Abu's. Sirt'~~~Ur~ne ~ $ 32,75 <br />Carbamaze~~ne (T~'~re~ia~) •", . <br />; : $ 15.00 <br />~ <br />~- <br />~:~ z ..,,~;;. <br />><goxin ~~„" : <br />$ 10.00 <br />l~roic Acid'~`il~epakane) ~ $10.00 <br />A~iptyline `t ~ $ 30.00 <br />P~ <br />arbital =Y~" <br />. $ 10.00 <br />~ <br />xZ _ <br />~.,,~ <br />}~•heop:~~,-„tr:° ~ Q <br />$10,00 <br />~~ ~ertensi"ve=brine Dipstk <br />~~ $ 7.70 <br />$ 4.00 <br />~ <br />Hot15i~~~§teine $ 43,35 <br />Amt~bnia $ 13,50 <br />Amylase $ 4.00 <br />Bilirubin, Total $ 4,00 <br />Bilirubin, Direct $ 4.00 <br />Calcium $ 4.00 <br />Stone, Qual, Analysis $ 4.00 <br />Thioridazine $ 53A0 <br />CK $ 10.00 <br />CKMB $ 24.00 <br />Vitamin D, 1,25-Dihydroxy $ 96.90 <br />Ferritin <br />Folates, RBC $ 25,00 <br />Glucose $ 4.00 <br />GGT $ 4.00 <br />Follicle Stimulating Hormone $ 30,00 <br />Lutenizine Hormone <br />F-8 <br />Attachment number 1 <br />Page 247 of 433 <br />