Jan2023
Per Diem Level 1 Acute Rehab/Ventilator Care
Level 1
NA
NA
NA
NA
NA
NA
NA
750
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
750
750
Jan2023
Per Diem Level 1 Acute Medical/Surgical Care
Level 1
NA
NA
NA
NA
1200
1400
1350
NA
NA
NA
NA
1500
1225
1400
1150
1200
1300
1210
1300
1304
NA
NA
1150
1500
Jan2023
Per Diem Level 1 Acute Rehabilitation
Level 1
NA
NA
NA
800
NA
NA
NA
NA
750
NA
1000
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
750
1000
Jan2023
Per Diem Level 1 Sub-Acute Care
Level 1
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
583.5
NA
583.5
583.5
Jan2023
Per Diem Level 1 Telemetry
Level 1
NA
NA
NA
NA
NA
NA
NA
NA
NA
875
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
875
875
875
Jan2023
Per Diem Level 2 Acute Medical/Surgical Care
Level 2
NA
NA
NA
NA
NA
NA
NA
NA
900
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
900
900
Jan2023
Per Diem Level 2 Acute Rehab/Vent/Medically Complex
Level 2
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
800
800
800
Jan2023
Per Diem Level 2 Acute Rehab/Ventilator Care
Level 2
NA
NA
NA
NA
NA
NA
NA
NA
NA
825
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
825
825
Jan2023
Per Diem Level 2 Intensive Care/Vent
Level 2
NA
NA
NA
NA
1400
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1400
1400
Jan2023
Per Diem Level 2 Intensive Care
Level 2
NA
NA
NA
NA
NA
NA
1650
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1650
1650
Jan2023
Per Diem Level 2 Medical/Surgical Care
Level 2
NA
NA
NA
950
NA
NA
NA
NA
NA
NA
1050
NA
NA
NA
NA
NA
NA
NA
NA
NA
1114
NA
950
1114
Jan2023
Per Diem Level 2 Medically Complex/Sub-acute Care
Level 2
NA
NA
NA
NA
NA
NA
NA
630
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
630
630
Jan2023
Per Diem Level 2 Medically Complex/Wounds
Level 2
NA
NA
NA
NA
NA
1600
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1600
1600
Jan2023
Per Diem Level 2 Telemetry
Level 2
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1350
NA
NA
NA
NA
NA
NA
NA
NA
NA
1350
1350
Jan2023
Per Diem Level 3 Acute Rehabilitation
Level 3
NA
NA
NA
NA
900
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
900
900
Jan2023
Per Diem Level 3 Bronchoscopy/ Thoracentesis/Non-tunnelled Vascular Catherization Procedures
Level 3
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1425
NA
NA
NA
NA
NA
NA
NA
NA
NA
1425
1425
Jan2023
Per Diem Level 3 General Rehabilitation
Level 3
NA
NA
NA
NA
NA
NA
NA
550
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
550
550
Jan2023
Per Diem Level 3 IMC, Telemetry
Level 3
NA
NA
NA
NA
NA
NA
NA
NA
1200
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1200
1200
Jan2023
Per Diem Level 3 Intermediate Intensive Care
Level 3
NA
NA
NA
1150
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1150
1150
Jan2023
Per Diem Level 3 Intermediate Care
Level 3
NA
NA
NA
NA
NA
NA
NA
NA
NA
1365
NA
NA
NA
NA
NA
NA
NA
NA
NA
1379
NA
1365
1379
Jan2023
Per Diem Level 3 Medically Complex with Rehab Component
Level 3
NA
NA
NA
NA
NA
NA
NA
NA
NA
730
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
725
725
730
Jan2023
Per Diem Level 3 Pulmonary Mgmt,
Vent Weaning, Vent Support
Level 3
NA
NA
NA
NA
NA
1850
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1850
1850
Jan2023
Per Diem Level 4 General Rehab
w/No Underlying Medical Problems
Level 4
NA
NA
NA
NA
NA
NA
NA
NA
NA
620
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
650
620
650
Jan2023
Per Diem Level 4 Intensive Care
Level 4
NA
NA
NA
1300
NA
NA
NA
NA
1400
NA
1560
NA
2400
NA
NA
NA
NA
NA
NA
NA
1538
NA
1300
2400
Jan2023
Per Diem Level 4 Skilled Nursing
Level 4
NA
NA
NA
NA
550
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
550
550
Jan2023
Per Diem Level 5 Bronchoscopy/ Thoracentesis/Non-tunnelled Vascular Catherization Procedures
Level 5
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
2400
NA
NA
2400
2400
Jan2023
Per Diem Level 6 Tracheostomy Procedure
Level 6
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
3800
NA
NA
3800
3800
Jan2023
Extracorporeal membrane oxygen or Tracheostomy with Mechanical Ventilation greater than 96 hours
DRG 3
NA
NA
3305.75972450419
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
3305.75972450419
3305.75972450419
Jan2023
Tracheostomy with Mechanical Ventilation greater than 96 hours
DRG 4
NA
NA
3299.23948836118
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
3299.23948836118
3299.23948836118
Jan2023
Peripharal or Cranian nerve or other nervous system procedures
DRG 40
NA
NA
2048.9058325849
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
2048.9058325849
2048.9058325849
Jan2023
Spinal disorders with comorbities
DRG 52
NA
NA
1820.38533436061
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1820.38533436061
1820.38533436061
Jan2023
Nervous system disorders
DRG 56
NA
NA
1784.10047600139
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1784.10047600139
1784.10047600139
Jan2023
Brain hemorrhages
DRG 64
NA
NA
1861.05687087405
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1861.05687087405
1861.05687087405
Jan2023
Brain hemorrhages
DRG 65
NA
NA
1519.83906671732
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1519.83906671732
1519.83906671732
Jan2023
Nonspecific Cerebrovascular Disorders with Major Complication or Comorbidity
DRG 70
NA
NA
1818.34344946189
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1818.34344946189
1818.34344946189
Jan2023
Cerebrovascular disorders
DRG 71
NA
NA
1523.79735446122
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1523.79735446122
1523.79735446122
Jan2023
Brain and peripheral nerve disorders
DRG 73
NA
NA
1899.70552389712
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1899.70552389712
1899.70552389712
Jan2023
Viral Meningitis with comorbities/major complications
DRG 75
NA
NA
1692.2333191474
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1692.2333191474
1692.2333191474
Jan2023
Traumatic stupor and coma for greater that 1 hour
DRG 82
NA
NA
1826.85025338172
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1826.85025338172
1826.85025338172
Jan2023
Traumatic stupor and coma for less than 1 hour
DRG 85
NA
NA
1988.08
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1988.08
1988.08
Jan2023
General disorders of nervous system
DRG 91
NA
NA
1935.16
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1935.16
1935.16
Jan2023
Bacterial and Tuberculous infections
DRG 94
NA
NA
2049.91
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
2049.91
2049.91
Jan2023
Bacterial and Tuberculous infections
DRG 95
NA
NA
1666.02
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1666.02
1666.02
Jan2023
Non-bacterial infections of nervous system
DRG 97
NA
NA
1863.08
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1863.08
1863.08
Jan2023
Seizures with major complication
DRG 100
NA
NA
1899.71
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1899.71
1899.71
Jan2023
Ear, Nose, Mouth and Throat cancers
DRG 146
NA
NA
2168.27596768877
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
2168.27596768877
2168.27596768877
Jan2023
Respiratory system procedure
DRG 166
NA
NA
3167.95528376793
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
3167.95528376793
3167.95528376793
Jan2023
Pulmonary embolism with major complications
DRG 175
NA
NA
1988.07625952402
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1988.07625952402
1988.07625952402
Jan2023
Respiratory infection with inflammation
DRG 177
NA
NA
1938.31259574248
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1938.31259574248
1938.31259574248
Jan2023
Respiratory infection with inflammation
DRG 178
NA
NA
1708.15195822115
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1708.15195822115
1708.15195822115
Jan2023
Respiratory tumors with major complications
DRG 180
NA
NA
1899.70552389712
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1899.70552389712
1899.70552389712
Jan2023
Respiratory tumors with comorbities
DRG 181
NA
NA
1519.83906671732
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1519.83906671732
1519.83906671732
Jan2023
Respiratory tumers without comorbities or major complications
DRG 182
NA
NA
1519.83906671732
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1519.83906671732
1519.83906671732
Jan2023
Pulmonary edema and respiratory failure
DRG 189
NA
NA
2302.92463459491
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
2302.92463459491
2302.92463459491
Jan2023
Chronic obstructive pulmonary disease
DRG 190
NA
NA
1903.13273516938
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1903.13273516938
1903.13273516938
Jan2023
Chronic obstructive pulmonary disease
DRG 191
NA
NA
1953.19153318916
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1953.19153318916
1953.19153318916
Jan2023
Chronic obstructive pulmonary disease
DRG 192
NA
NA
1519.83906671732
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1519.83906671732
1519.83906671732
Jan2023
Simple Pneumonia and pleurisy with major complications
DRG 193
NA
NA
2205.81517983899
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
2205.81517983899
2205.81517983899
Jan2023
Simple Pneumonia and pleurisy with major complications
DRG 194
NA
NA
1752.8854139718
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1752.8854139718
1752.8854139718
Jan2023
Bronchitis and Asthma with comorbities or major complications
DRG 202
NA
NA
1692.2333191474
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1692.2333191474
1692.2333191474
Jan2023
Respiratory system diagnosis with ventilator greater than 96 hours
DRG 207
NA
NA
3065.53396160532
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
3065.53396160532
3065.53396160532
Jan2023
Respiratory system diagnosis with ventilator less than 96 hours
DRG 208
NA
NA
2635.74111637467
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
2635.74111637467
2635.74111637467
Jan2023
Acute myocardial infarction with major complications
DRG 280
NA
NA
1947.86456101545
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1947.86456101545
1947.86456101545
Jan2023
Acute myocardial infarction with comorbities
DRG 281
NA
NA
1519.83906671732
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1519.83906671732
1519.83906671732
Jan2023
Acute myocardial infarction without comorbities or major complications
DRG 282
NA
NA
1519.83906671732
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1519.83906671732
1519.83906671732
Jan2023
Acute and subacute endocarditis with major complications
DRG 288
NA
NA
2126.44667234058
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
2126.44667234058
2126.44667234058
Jan2023
Heart failure and shock with major complications
DRG 291
NA
NA
2025.74461171298
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
2025.74461171298
2025.74461171298
Jan2023
Heart failure and shock with comorbities
DRG 292
NA
NA
1724.32056991672
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1724.32056991672
1724.32056991672
Jan2023
heart attack with Major complications
DRG 296
NA
NA
2025.74461171298
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
2025.74461171298
2025.74461171298
Jan2023
Peripheral Vascular Disorders with comorbities
DRG 299
NA
NA
2008.14778056884
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
2008.14778056884
2008.14778056884
Jan2023
Peripheral Vascular Disorders with our major complications or comorbities
DRG 300
NA
NA
1692.2333191474
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1692.2333191474
1692.2333191474
Jan2023
Peripheral Vascular Disorders with major complications
DRG 301
NA
NA
1692.2333191474
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1692.2333191474
1692.2333191474
Jan2023
Atherosclerosis with major complications
DRG 302
NA
NA
1988.07625952402
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1988.07625952402
1988.07625952402
Jan2023
Atherosclerosis without major complications
DRG 303
NA
NA
1692.2333191474
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1692.2333191474
1692.2333191474
Jan2023
Cardiac congenital and valve discorders
DRG 307
NA
NA
1519.83906671732
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1519.83906671732
1519.83906671732
Jan2023
Cardiac arrhythmia and conduction disease
DRG 309
NA
NA
1519.83906671732
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1519.83906671732
1519.83906671732
Jan2023
Circulatory system diagnosis with major complications
DRG 314
NA
NA
2159.1327548539
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
2159.1327548539
2159.1327548539
Jan2023
Circulatory system diagnosis with comorbities
DRG 315
NA
NA
1596.458623801
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1596.458623801
1596.458623801
Jan2023
Digestive system procedures
DRG 356
NA
NA
2289.51853664122
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
2289.51853664122
2289.51853664122
Jan2023
Major Gastrointestinal Disorders with major complications
DRG 371
NA
NA
2095.5531357519
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
2095.5531357519
2095.5531357519
Jan2023
Major Gastrointestinal Disorders with comorbities
DRG 372
NA
NA
1865.99843789779
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1865.99843789779
1865.99843789779
Jan2023
Digestive Malignancy with major complications or comorbities
DRG 374
NA
NA
1519.83906671732
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1519.83906671732
1519.83906671732
Jan2023
Digestive Malignancy with complications or comorbities
DRG 375
NA
NA
1519.83906671732
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1519.83906671732
1519.83906671732
Jan2023
GI Hemorrhage with major complications or comorbities
DRG 377
NA
NA
2041.89774076325
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
2041.89774076325
2041.89774076325
Jan2023
Complication Peptic Ulcer with major complications or comorbities
DRG 380
NA
NA
2087.47393284988
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
2087.47393284988
2087.47393284988
Jan2023
GI Obstruction with major complications or comorbities
DRG 388
NA
NA
2281.95753587182
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
2281.95753587182
2281.95753587182
Jan2023
GI Obstruction with complications or comorbities
DRG 389
NA
NA
1899.70552389712
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1899.70552389712
1899.70552389712
Jan2023
Gi Obstruction without complications or comorbities / major complications or comorbities
DRG 390
NA
NA
1899.70552389712
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1899.70552389712
1899.70552389712
Jan2023
Esoghagitis, Gastroenteritis and Misc. Digestive disorders with major complications or comorbities
DRG 391
NA
NA
1937.45061540611
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1937.45061540611
1937.45061540611
Jan2023
Esoghagitis, Gastroenteritis and Misc. Digestive disorders without major complications or comorbities
DRG 392
NA
NA
1818.34219477949
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1818.34219477949
1818.34219477949
Jan2023
Other Digestive System Diagnoses with major complication or comorbidity
DRG 393
NA
NA
1995.50628048049
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1995.50628048049
1995.50628048049
Jan2023
Other Digestive System Diagnoses with complication or comorbidity
DRG 394
NA
NA
2026.62476365961
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
2026.62476365961
2026.62476365961
Jan2023
Cirrhosis and alcoholic hepatitis with major complication or comorbidity
DRG 432
NA
NA
2225.67874450318
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
2225.67874450318
2225.67874450318
Jan2023
Cirrhosis and alcoholic hepatitis with complication or comorbidity
DRG 433
NA
NA
1899.70552389712
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1899.70552389712
1899.70552389712
Jan2023
Malignancy of Hepatobiliary System or Pancreas with Major Complication or Comorbidity
DRG 435
NA
NA
1692.2333191474
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1692.2333191474
1692.2333191474
Jan2023
Malignancy of Hepatobiliary System or Pancreas with Complication or Comorbidity
DRG 436
NA
NA
1519.83906671732
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1519.83906671732
1519.83906671732
Jan2023
Disorders of Pancreas Except Malignancy with Major Complication or Comorbidity
DRG 438
NA
NA
2253.68050141327
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
2253.68050141327
2253.68050141327
Jan2023
Disorders of Pancreas Except Malignancy with Complication or Comorbidity
DRG 439
NA
NA
1692.2333191474
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1692.2333191474
1692.2333191474
Jan2023
Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Major Complication or Comorbidity
DRG 441
NA
NA
1915.20303808494
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1915.20303808494
1915.20303808494
Jan2023
Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Complication or Comorbidity
DRG 442
NA
NA
1519.83906671732
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1519.83906671732
1519.83906671732
Jan2023
Disorders of the Biliary Tract with Major Complication or Comorbidity
DRG 444
NA
NA
2038.14694680509
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
2038.14694680509
2038.14694680509
Jan2023
Disorders of the Biliary Tract with Complication or Comorbidity
DRG 445
NA
NA
1971.50500548364
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1971.50500548364
1971.50500548364
Jan2023
Fractures of Femus with Major Complication or Comorbidity
DRG 533
NA
NA
1692.2333191474
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1692.2333191474
1692.2333191474
Jan2023
Fractures of Hip and Pelvis with Major Complication or Comorbidity
DRG 535
NA
NA
1899.70552389712
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1899.70552389712
1899.70552389712
Jan2023
Fractures of Hip and Pelvis without Major Complication or Comorbidity
DRG 536
NA
NA
1519.83906671732
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1519.83906671732
1519.83906671732
Jan2023
Osteomyelitis with Major Complication or Comorbidity
DRG 539
NA
NA
1838.65113045734
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1838.65113045734
1838.65113045734
Jan2023
Osteomyelitis with Complication or Comorbidity
DRG 540
NA
NA
1622.17324071824
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1622.17324071824
1622.17324071824
Jan2023
Osteomyelitis without Complication or Comorbidity/Major Complication or Comorbidity
DRG 541
NA
NA
1899.70552389712
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1899.70552389712
1899.70552389712
Jan2023
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with Major Complication or Comorbidity
DRG 542
NA
NA
1988.07625952402
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1988.07625952402
1988.07625952402
Jan2023
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with Complication or Comorbidity
DRG 543
NA
NA
1519.83906671732
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1519.83906671732
1519.83906671732
Jan2023
Septic Arthritis with Major Complication or Comorbidity
DRG 548
NA
NA
1842.56792352385
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1842.56792352385
1842.56792352385
Jan2023
Septic Arthritis with Complication or Comorbidity
DRG 549
NA
NA
1842.56792352385
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1842.56792352385
1842.56792352385
Jan2023
Septic Arthritis without Complication or Comorbidity/Major Complication or Comorbidity
DRG 550
NA
NA
1842.56792352385
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1842.56792352385
1842.56792352385
Jan2023
Medical Back Problems with Major Complication or Comorbidity
DRG 551
NA
NA
2145.45727320632
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
2145.45727320632
2145.45727320632
Jan2023
Medical Back Problems without Major Complication or Comorbidity
DRG 552
NA
NA
2098.49759708851
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
2098.49759708851
2098.49759708851
Jan2023
Aftercare, Musculoskeletal System and Connective Tissue with Major Complication or Comorbidity
DRG 559
NA
NA
1870.52067174805
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1870.52067174805
1870.52067174805
Jan2023
Aftercare, Musculoskeletal System and Connective Tissue with Complication or Comorbidity
DRG 560
NA
NA
1646.39082341121
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1646.39082341121
1646.39082341121
Jan2023
Fracture Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh with Major Complication or Comorbidity
DRG 562
NA
NA
1899.70552389712
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1899.70552389712
1899.70552389712
Jan2023
Skin Ulcers with Major Complication or Comorbidity
DRG 592
NA
NA
1887.77208424207
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1887.77208424207
1887.77208424207
Jan2023
Skin Ulcers with Complication or Comorbidity
DRG 593
NA
NA
1619.46684265236
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1619.46684265236
1619.46684265236
Jan2023
Malignant Breast Disorders without Complication or Comorbidity/Major Complication or Comorbidity
DRG 599
NA
NA
1899.70552389712
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1899.70552389712
1899.70552389712
Jan2023
Cellulitis with Major Complication or Comorbidity
DRG 602
NA
NA
1822.64080271779
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1822.64080271779
1822.64080271779
Jan2023
Cellulitis with Major Complication or Comorbidity
DRG 603
NA
NA
1626.30598227346
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1626.30598227346
1626.30598227346
Jan2023
Trauma to the Skin, Subcutaneous Tissue and Breast with Major Complication or Comorbidity
DRG 604
NA
NA
2168.27596768877
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
2168.27596768877
2168.27596768877
Jan2023
Trauma to the Skin, Subcutaneous Tissue and Breast without Major Complication or Comorbidity
DRG 605
NA
NA
1519.83906671732
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1519.83906671732
1519.83906671732
Jan2023
Minor Skin Disorders with Major Complication or Comorbidity
DRG 606
NA
NA
2188.41231512677
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
2188.41231512677
2188.41231512677
Jan2023
Diabetes with Major Complication or Comorbidity
DRG 637
NA
NA
2060.87817937284
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
2060.87817937284
2060.87817937284
Jan2023
Diabetes with Complication or Comorbidity
DRG 638
NA
NA
1660.54574779325
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1660.54574779325
1660.54574779325
Jan2023
Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes with Major Complication or Comorbidity
DRG 640
NA
NA
2031.77436942646
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
2031.77436942646
2031.77436942646
Jan2023
Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes without Major Complication or Comorbidity
DRG 641
NA
NA
1565.5725061678
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1565.5725061678
1565.5725061678
Jan2023
Endocrine Disorders with Major Complication or Comorbidity
DRG 643
NA
NA
1899.70552389712
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1899.70552389712
1899.70552389712
Jan2023
Endocrine Disorders with Complication or Comorbidity
DRG 644
NA
NA
1692.2333191474
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1692.2333191474
1692.2333191474
Jan2023
Renal Failure with Major Complication or Comorbidity
DRG 682
NA
NA
2135.32249226234
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
2135.32249226234
2135.32249226234
Jan2023
Renal Failure with Complication or Comorbidity
DRG 683
NA
NA
1814.781986653
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1814.781986653
1814.781986653
Jan2023
Renal Failure without Complication or Comorbidity/Major Complication or Comorbidity
DRG 684
NA
NA
1692.2333191474
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1692.2333191474
1692.2333191474
Jan2023
Kidney and Urinary Tract Neoplasms with Major Complication or Comorbidity
DRG 686
NA
NA
1519.83906671732
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1519.83906671732
1519.83906671732
Jan2023
Kidney and Urinary Tract Infections with Major Complication or Comorbidity
DRG 689
NA
NA
1680.07780923788
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1680.07780923788
1680.07780923788
Jan2023
Kidney and Urinary Tract Infections without Major Complication or Comorbidity
DRG 690
NA
NA
1553.86878953183
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1553.86878953183
1553.86878953183
Jan2023
Other Kidney and Urinary Tract Diagnoses with Major Complication or Comorbidity
DRG 698
NA
NA
1990.39453873492
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1990.39453873492
1990.39453873492
Jan2023
Other Kidney and Urinary Tract Diagnoses with Complication or Comorbidity
DRG 699
NA
NA
1899.70552389712
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1899.70552389712
1899.70552389712
Jan2023
Benign Prostatic Hypertrophy with Major Complication or Comorbidity
DRG 725
NA
NA
1965.99920569096
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1965.99920569096
1965.99920569096
Jan2023
Inflammation of the Male Reproductive System with Major Complication or Comorbidity
DRG 727
NA
NA
1965.99920569096
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1965.99920569096
1965.99920569096
Jan2023
Malignancy, Female Reproductive System with Major Complication or Comorbidity
DRG 754
NA
NA
1519.83906671732
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1519.83906671732
1519.83906671732
Jan2023
Menstrual and Other Female Reproductive System Disorders with Complication or Comorbidity/Major Complication or Comorbidity
DRG 760
NA
NA
1519.83906671732
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1519.83906671732
1519.83906671732
Jan2023
Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulation Disorders with Major Complication or Comorbidity
DRG 808
NA
NA
1800.94602330358
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1800.94602330358
1800.94602330358
Jan2023
Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulation Disorders with Complication or Comorbidity
DRG 809
NA
NA
1800.94602330358
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1800.94602330358
1800.94602330358
Jan2023
Red Blood Cell Disorders with Major Complication or Comorbidity
DRG 811
NA
NA
1988.07625952402
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1988.07625952402
1988.07625952402
Jan2023
Red Blood Cell Disorders without Major Complication or Comorbidity
DRG 812
NA
NA
1519.83906671732
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1519.83906671732
1519.83906671732
Jan2023
Coagulation Disorders
DRG 813
NA
NA
2168.27596768877
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
2168.27596768877
2168.27596768877
Jan2023
Reticuloendothelial & Immunity Disorders with Major Complication or Comorbidity
DRG 814
NA
NA
1952.10516094987
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1952.10516094987
1952.10516094987
Jan2023
Reticuloendothelial & Immunity Disorders with Complication or Comorbidity
DRG 815
NA
NA
1952.10516094987
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1952.10516094987
1952.10516094987
Jan2023
Lyphoma and Non-Acute Leukemia with Major Complication or Comorbidity
DRG 840
NA
NA
1899.70552389712
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1899.70552389712
1899.70552389712
Jan2023
Infectious and Parasitic Disease with O.R. Procedure with Major Complication or Comorbidity
DRG 853
NA
NA
2467.29432844526
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
2467.29432844526
2467.29432844526
Jan2023
Postoperative and Post-Traumatic Infections with Major Complication or Comorbidity
DRG 862
NA
NA
2056.63745086447
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
2056.63745086447
2056.63745086447
Jan2023
Postoperative and Post-Traumatic Infections without Major Complication or Comorbidity
DRG 863
NA
NA
1596.69076843148
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1596.69076843148
1596.69076843148
Jan2023
Septicemia or Severe Sepsis with Minute Ventilation >96 Hours
DRG 870
NA
NA
3502.58244604138
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
3502.58244604138
3502.58244604138
Jan2023
Septicemia or Severe Sepsis without Minute Ventilation >96 Hours with Major Complication or Comorbidity
DRG 871
NA
NA
2067.75313021528
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
2067.75313021528
2067.75313021528
Jan2023
Septicemia or Severe Sepsis without Minute Ventilation >96 Hours with Major Complication or Comorbidity
DRG 872
NA
NA
1769.27019928294
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1769.27019928294
1769.27019928294
Jan2023
Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy with Major Complication or Comorbidity
DRG 896
NA
NA
1765.61805698308
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1765.61805698308
1765.61805698308
Jan2023
Traumatic Injury with Major Complication or Comorbidity
DRG 913
NA
NA
1692.2333191474
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1692.2333191474
1692.2333191474
Jan2023
Complications of Treatment with Major Complication or Comorbidity
DRG 919
NA
NA
2076.97705721015
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
2076.97705721015
2076.97705721015
Jan2023
Complication of Treatment with Complication or Comorbidity
DRG 920
NA
NA
1747.80123742501
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1747.80123742501
1747.80123742501
Jan2023
Rehabilitation with Complication or Comorbidity/Major Complication or Comorbidity
DRG 945
NA
NA
1656.99288412716
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1656.99288412716
1656.99288412716
Jan2023
Aftercare with Complication or Comorbidity/Major Complication or Comorbidity
DRG 949
NA
NA
1734.41276050657
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1734.41276050657
1734.41276050657
Jan2023
Other Multiple Significant Trauma with Major Complication or Comorbidity
DRG 963
NA
NA
1988.07625952402
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1988.07625952402
1988.07625952402
Jan2023
HIV with Major Related Condition with Major Complication or Comorbidity
DRG 974
NA
NA
2753.31269901912
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
2753.31269901912
2753.31269901912
Jan2023
Extensive O.R. Procedure Unrelated to Principal Diagnosis with Major Complication or Comorbidity
DRG 981
NA
NA
2913.72390346323
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
2913.72390346323
2913.72390346323
Jan2023
Non-Extensive O.R. Procedures Unrelated to Prinicipal Diagnosis with Major Complication or Comorbidity
DRG 987
NA
NA
2836.9143472903
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
2836.9143472903
2836.9143472903
Jan2023
Psychotherapy, 30 min
90832
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
Jan2023
Psychotherapy, 45 min
90834
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
Jan2023
Psychotherapy, 60 min
90837
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
Jan2023
Family psychotherapy, not including patient, 50 min
90846
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
Jan2023
Family psychotherapy, including patient, 50 min
90847
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
Jan2023
Group psychotherapy
90853
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
Jan2023
New patient office or other outpatient visit, typically 30 min
99203
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
Jan2023
New patient office of other outpatient visit, typically 45 min
99204
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
Jan2023
New patient office of other outpatient visit, typically 60 min
99205
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
Jan2023
Patient office consultation, typically 40 min
99243
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
Jan2023
Patient office consultation, typically 60 min
99244
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
Jan2023
Initial new patient preventive medicine evaluation (18-39 years)
99385
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
Jan2023
Initial new patient preventive medicine evaluation (40-64 years)
99386
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
Jan2023
Basic metabolic panel
80048
19.83
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Jan2023
Blood test, comprehensive group of blood chemicals
80053
24.78
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Jan2023
Obstetric blood test panel
80055
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
Jan2023
Blood test, lipids (cholesterol and triglycerides)
80061
40.48
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Jan2023
Kidney function panel test
80069
21.48
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Jan2023
Liver function blood test panel
80076
19
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Jan2023
Manual urinalysis test with examination using microscope
81000 or 81001
8.4
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Jan2023
Automated urinalysis test
81002 or 81003
5.98
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Jan2023
PSA (prostate specific antigen)
84153-84154
126.28
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Jan2023
Blood test, thyroid stimulating hormone (TSH)
84443
88.58
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Jan2023
Complete blood cell count, with differential white blood cells, automated
85025
10.15
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Jan2023
Complete blood count, automated
85027
10.03
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Jan2023
Blood test, clotting time
85610
10.15
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Jan2023
Coagulation assessment blood test
85730
29.25
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Jan2023
CT scan, head or brain, without contrast
70450
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
Jan2023
MRI scan of brain before and after contrast
70553
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
Jan2023
X-Ray, lower back, minimum four views
72110
94.63
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Jan2023
MRI scan of lower spinal canal
72148
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
Jan2023
CT scan, pelvis, with contrast
72193
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
Jan2023
MRI scan of leg joint
73721
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
Jan2023
CT scan of abdomen and pelvis with contrast
74177
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
Jan2023
Ultrasound of abdomen
76700
477.5
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Jan2023
Abdominal ultrasound of pregnant uterus (greater or equal to 14 weeks 0 days) single or first fetus
76805
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
Jan2023
Ultrasound pelvis through vagina
76830
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
Jan2023
Mammography of one breast
77065
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
Jan2023
Mammography of both breasts
77066
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
Jan2023
Mammography, screening, bilateral
77067
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
Jan2023
Cardiac valve and other major cardiothoracic procedures with cardiac catheterization with major complications or comorbidities
DRG 216
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
Jan2023
Spinal fusion except cervical without major comorbid conditions or complications (MCC)
DRG 460
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
Jan2023
Major joint replacement or reattachment of lower extremity without major comorbid conditions or complications (MCC).
DRG 470
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
Jan2023
Cervical spinal fusion without comorbid conditions (CC) or major comorbid conditions or complications (MCC).
DRG 473
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
Jan2023
Uterine and adnexa procedures for non-malignancy without comorbid conditions (CC) or major comorbid conditions or complications (MCC)
DRG 743
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
Jan2023
Removal of 1 or more breast growth, open procedure
19120
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
Jan2023
Shaving of shoulder bone using an endoscope
29826
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
Jan2023
Removal of one knee cartilage using an endoscope
29881
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
Jan2023
Removal of tonsils and adenoid glands patient younger than age 12
42820
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
Jan2023
Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope
43235
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
Jan2023
Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope
43239
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
Jan2023
Diagnostic examination of large bowel using an endoscope
45378
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
Jan2023
Biopsy of large bowel using an endoscope
45380
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
Jan2023
Removal of polyps or growths of large bowel using an endoscope
45385
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
Jan2023
Ultrasound examination of lower large bowel using an endoscope
45391
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
Jan2023
Removal of gallbladder using an endoscope
47562
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
Jan2023
Repair of groin hernia patient age 5 years or older
49505
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
Jan2023
Biopsy of prostate gland
55700
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
Jan2023
Surgical removal of prostate and surrounding lymph nodes using an endoscope
55866
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
Jan2023
Routine obstetric care for vaginal delivery, including pre-and post- delivery care
59400
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
Jan2023
Routine obstetric care for cesarean delivery, including pre-and post- delivery care
59510
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
Jan2023
Routine obstetric care for vaginal delivery after prior cesarean delivery including pre-and post-delivery care
59610
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
Jan2023
Injection of substance into spinal canal of lower back or sacrum using imaging guidance
62322-62323
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
Jan2023
Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance
64483
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
Jan2023
Removal of recurring cataract in lens capsule using laser
66821
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
Jan2023
Removal of cataract with insertion of lens
66984
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
Jan2023
Electrocardiogram, routine, with interpretation and report
93000
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
Jan2023
Insertion of catheter into left heart for diagnosis
93452
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
Jan2023
Sleep study
95810
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
Jan2023
Physical therapy, therapeutic exercise
97110
75
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Jan2023
Fluzone High-Dose
90662
60
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
60
60
Jan2023
Pneu Pcv13 (Prevnar)
90670
300
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
300
300
Jan2023
Pneumonia Vac (Ppsv23)
90732
175
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
175
175
Jan2023
FLU VAC STAND DOSE CCIIV4
90756
60
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
60
60
Jan2023
Room & Board Semi
1201000
1170
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
1170
1170
Jan2023
Room & Board High Obs
1203000
1380
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
1380
1380
Jan2023
Sod Chloride .9%, 1000ml
2581000
2.4
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
2.4
2.4
Jan2023
Sod Chloride .45%, 1000ml
2581001
2.58
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
2.58
2.58
Jan2023
Dextros5%&sod Chlor.45% 1000ml
2581002
2.45
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
2.45
2.45
Jan2023
Dextrose 5%, 1000ml
2581003
2.83
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
2.83
2.83
Jan2023
Dextros5%&sod Chlor.9%, 1000ml
2581004
2.45
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
2.45
2.45
Jan2023
Sod Chloride .9%, 100ml
2581005
2.38
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
2.38
2.38
Jan2023
IV Flush Supply
2581006
4.5
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
4.5
4.5
Jan2023
Mini Bag Sod Chloride .9%, 100
2581007
9.22
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
9.22
9.22
Jan2023
ChestTube Tray bedside
2700020
1025
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
1025
1025
Jan2023
Thorcentesis Tray bedside
2700021
500
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
500
500
Jan2023
Tracheoscopy Tray bedside
2700022
5013
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
5013
5013
Jan2023
Bronchoscopy Tray bedside
2700023
1527
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
1527
1527
Jan2023
Respiratory Services
4101000
2
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
2
2
Jan2023
Respiratory Services
4101000
10
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
10
10
Jan2023
Oxygen
4121000
5
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
5
5
Jan2023
Oxygen Standby
4121001
19
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
19
19
Jan2023
EKG W/Interpretation
7301006
150
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
150
150
Jan2023
Telemetry Daily Charge
7321001
100
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
100
100
Jan2023
Dialysis
8001001
1038.58
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
1038.58
1038.58
Jan2023
Dialysis 2:1
8001002
942.03
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
942.03
942.03
Jan2023
Peritoneal Dialysis
8021000
670.08
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
670.08
670.08
Jan2023
V.a.c. Ats Therapy Unit
9471000
65
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
65
65
Jan2023
Vac Freedom
9471002
65
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
65
65
Jan2023
Ventilator
9471003
91
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
91
91
Jan2023
Bipap
9471005
20.6
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
20.6
20.6
Jan2023
Base Rental Kit Invia Liberty
9471007
97.5
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
97.5
97.5
Jan2023
Nput Ex (N2000) Wnd
9471008
50
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
50
50
Jan2023
Prospera Pro-I Pump Wnd
9471009
50
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
50
50
Jan2023
Stat 2 Lal/Ap
9471010
5
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
5
5
Jan2023
Stat 4 Ap
9471011
13.75
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
13.75
13.75
Jan2023
Stat Mattress Hd
9471012
30
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
30
30
Jan2023
Rc Dvt
9471013
40
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
40
40
Jan2023
Rc1000ub Bed W Bari Recovurn 3
9471014
162.5
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
162.5
162.5
Jan2023
Rc750 W Air Mattress
9471015
90.2
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
90.2
90.2
Jan2023
Rc 750 Bed Recovair 3000 Mat B
9471016
90.2
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
90.2
90.2
Jan2023
Rc Bed-Scale Recoverair 3000 M
9471017
96.35
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
96.35
96.35
Jan2023
Rc 1000 Bed Scale Rc 3000 Mat
9471018
212.5
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
212.5
212.5
Jan2023
Rc 1000 Ultra Bed W/Ra3000b
9471019
300
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
300
300
Jan2023
Statguard 2 Lal/Ap
9471020
23.75
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
23.75
23.75
Jan2023
Recoverair 250 Mattress
9471024
15
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
15
15
Jan2023
Recoverair 3000 Mattress
9471025
23.75
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
23.75
23.75
Jan2023
Recoverair 3000 Mattress Bari
9471026
41
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
41
41
Jan2023
Recoverair 3500 Mattress
9471027
55
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
55
55
Jan2023
Recoverair 3500 Mattress Bari
9471028
41
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
41
41
Jan2023
Recoverair 5000 Caremedx Matt
9471029
41
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
41
41
Jan2023
Recoverair A1a Mattress
9471030
98.4
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
98.4
98.4
Jan2023
Recoverair Auto Vector
9471031
122.5
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
122.5
122.5
Jan2023
Recoverturn 2500 Mattress
9471032
41
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
41
41
Jan2023
Recoverturn 3000
9471033
37.5
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
37.5
37.5
Jan2023
Recoverturn 3000 Bariatric
9471034
120
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
120
120
Jan2023
Stat 4000
9471035
62.5
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
62.5
62.5
Jan2023
Scd Machine
9471036
12.5
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
12.5
12.5
Jan2023
Prime Air Mattress
9471037
50
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
50
50
Jan2023
Eclipse/Synergy Mattress
9471038
60.5
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
60.5
60.5
Jan2023
Clinitron Bed Ii
9471039
175
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
175
175
Jan2023
Accumax Mattress
9471040
60.5
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
60.5
60.5
Jan2023
Total Care Bed
9471041
337.5
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
337.5
337.5
Jan2023
Extended Care Bed
9471042
200
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
200
200
Jan2023
The Vest
9471043
40
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
40
40
Jan2023
Electric Percussor
9471044
3
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
3
3
Jan2023
Bariatric
9471045
120
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
120
120
Jan2023
Bariatric Total Care
9471046
275
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
275
275
Jan2023
Clinitron Ritehite
9471047
175
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
175
175
Jan2023
Versacare Bed & Aft Matt
9471048
120
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
120
120
Jan2023
Acuair
9471049
45
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
45
45
Jan2023
Synergy Air Elite
9471050
60.5
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
60.5
60.5
Jan2023
Magnum Ii
9471051
262.5
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
262.5
262.5
Jan2023
Zone Aire
9471052
50
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
50
50
Jan2023
Synergy Pulse
9471053
36.68
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
36.68
36.68
Jan2023
Sb3000 Stenbaur
9471054
77
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
77
77
Jan2023
Select Air Maxx
9471055
40
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
40
40
Jan2023
Flexicare Eclipse
9471056
87.5
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
87.5
87.5
Jan2023
Dolphin Bed
9471057
98.4
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
98.4
98.4
Jan2023
Roho Overlay
9471058
25
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
25
25
Jan2023
IV Pump Rental
9471059
5.6
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
5.6
5.6
Jan2023
IV Pump Dual Chamber Rental
9471060
96.25
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
96.25
96.25
Jan2023
Sizewise Pulsate Mattress 35"
9471061
105
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
105
105
Jan2023
Sizewise Rehab Platform Bed
9471062
175
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
175
175
Jan2023
Sizewise Big Turn 39" Mattress
9471063
100
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
100
100
Jan2023
Sizewise Bariatric Percussion
9471064
125
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
125
125
Jan2023
Sizewise Mighty Air 48" Mattre
9471065
100
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
100
100
Jan2023
Sizewise Big Turn 48" Mattress
9471066
125
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
125
125
Jan2023
Sizewise Sapphire Pulse 35" Ma
9471067
52.5
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
52.5
52.5
Jan2023
Excel Care Therapy Tz-Air Bed
9471068
406.6
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
406.6
406.6
Jan2023
ImtÂ statguard Mattress
9471069
31.18
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
31.18
31.18
Jan2023
Hillrom Advanta2 Bed
9471070
182.5
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
182.5
182.5
Jan2023
Rc Bari Lowair Loss W/ ALT Pre
9471071
35.83
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
35.83
35.83
Jan2023
Uhs Stg 4,bari Mattress
9471072
25
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
25
25
Jan2023
Uhs Stg 4,2000 Ap/Lal Matt
9471073
15
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
15
15
Jan2023
Uhs-Dolphin 10" Mattress
9471074
87.5
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
87.5
87.5
Jan2023
Uhs-Dolphin 8" Matt W/ 2"foam
9471075
100
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
100
100
Jan2023
Uhs-Air/Pulsate Mattress
9471076
30
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
30
30
Jan2023
Tc Bariatric + W/Air
9471077
362.5
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
362.5
362.5
Jan2023
Vac Ulta Therapy Unit Us
9471078
151.25
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
151.25
151.25
Jan2023
Vapotherm Precision Flow Humid
9471079
48
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
48
48
Jan2023
Hi Flow O2
9471080
72.5
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
72.5
72.5
Jan2023
Dermafloat 36x80 Lairl Mattres
9471081
19.88
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
19.88
19.88
Jan2023
Dermafloat Apl Matt Sys
9471082
24.88
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
24.88
24.88
Jan2023
Uc Xt-Ucxt System
9471083
70
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
70
70
Jan2023
Wave Air Mattress
9471084
57.03
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
57.03
57.03
Jan2023
Bari10a System W/Lal Mattress
9471085
162.5
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
162.5
162.5
Jan2023
Txcair 36x80 Mattress System
9471086
19.88
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
19.88
19.88
Jan2023
Stat 3 Lal
9471087
17.9
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
17.9
17.9
Jan2023
Statguard 3 Lal
9471088
24.48
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
24.48
24.48
Jan2023
Arise 1000 Ex Mattress System
9471089
49.75
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
49.75
49.75
Jan2023
Dermafloat Lal 42x80
9471090
36.75
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
36.75
36.75
Jan2023
Mattress Ap/Lal 36 X 80 Val+
9471091
31.25
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
31.25
31.25
Jan2023
UCXT 36X84 BED W/ AST DEV W/ F
9471092
31.25
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
31.25
31.25
Jan2023
Freedom Comfort IV Blower Matt
9471093
68.43
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
68.43
68.43
Jan2023
'Dermafloat LR 36x80 SYS
9471094
42.38
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
42.38
42.38
Jan2023
RECOVERAIR SAFETY 3000 Mattres
9471095
24.48
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
24.48
24.48
Jan2023
Bipap Own
9472000
20.6
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
20.6
20.6
Jan2023
Ventilator Own
9472001
91
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
91
91
Jan2023
IV Pump Own
9472003
5.6
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
5.6
5.6
Jan2023
IV Pump Dual Chamber Own
9472004
38.5
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
38.5
38.5
Jan2023
Panacea Air Max Own
9472005
28
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
28
28
Jan2023
Venipuncture (Lab Draw)
30036415
10
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
10
10
Jan2023
Panel Basic Metabolic Calc Ion
30080047
19.83
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
19.83
19.83
Jan2023
Panel Basic Metabolic Calc to
30080048
19.83
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
19.83
19.83
Jan2023
Panel Electrolyte
30080051
21.95
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
21.95
21.95
Jan2023
Panel Comprehensive Metabolic
30080053
24.78
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
24.78
24.78
Jan2023
Lipid Panel
30080061
40.48
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
40.48
40.48
Jan2023
Renal Function PNL
30080069
21.48
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
21.48
21.48
Jan2023
Panel Acute Hepatitis
30080074
556.9
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
556.9
556.9
Jan2023
Hepatic Function PNL
30080076
19
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
19
19
Jan2023
Drug Screen, Single
30080101
262.43
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
262.43
262.43
Jan2023
Amikacin
30080150
123.83
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
123.83
123.83
Jan2023
Carbamazepine (Tegretol)
30080156
84.83
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
84.83
84.83
Jan2023
Digoxin
30080162
53.95
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
53.95
53.95
Jan2023
Valproic Acid (Dipropylacetic)
30080164
84.83
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
84.83
84.83
Jan2023
Dipropylacetic acid free
30080165
141.28
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
141.28
141.28
Jan2023
Gentamicin
30080170
123.83
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
123.83
123.83
Jan2023
LAMOTRIGINE
30080175
208.85
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
208.85
208.85
Jan2023
Drug Scrn Levetiracetam
30080177
106.03
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
106.03
106.03
Jan2023
Lithium
30080178
40.8
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
40.8
40.8
Jan2023
Phenobarbital
30080184
81.1
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
81.1
81.1
Jan2023
Phenytoin Total
30080185
57.53
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
57.53
57.53
Jan2023
Theophylline
30080198
60.63
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
60.63
60.63
Jan2023
Tobramycin Level (see comments
30080200
124
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
124
124
Jan2023
Vancomycin Level
30080202
37.15
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
37.15
37.15
Jan2023
Quantitative Assay, Drug
30080299
106.03
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
106.03
106.03
Jan2023
DAP 10-50+ETOH
30080307
1560.3
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
1560.3
1560.3
Jan2023
UA COMPLETE
30081001
8.4
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
8.4
8.4
Jan2023
Urinalysis Reflex
30081003
5.98
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
5.98
5.98
Jan2023
UA, Microscopic
30081015
34.78
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
34.78
34.78
Jan2023
Urinalysis Volume Measure
30081050
6.68
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
6.68
6.68
Jan2023
Hla I Typing 1 Allele Hr
30081381
766.23
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
766.23
766.23
Jan2023
Mopath Procedure Level 2
30081401
482.38
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
482.38
482.38
Jan2023
Acetone/Ketone (Semi-Quant)
30082009
16.25
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
16.25
16.25
Jan2023
Albumin
30082040
14.45
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
14.45
14.45
Jan2023
Albumin, Pleural
30082042
89.18
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
89.18
89.18
Jan2023
Microalbumin, Random
30082043
104.5
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
104.5
104.5
Jan2023
Aldolase
30082085
71.03
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
71.03
71.03
Jan2023
Aldosterone
30082088
289.25
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
289.25
289.25
Jan2023
Alpha-1-Antitrypsin
30082103
86.13
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
86.13
86.13
Jan2023
Alpha-Fetoprotein Serum (Afp),
30082105
100.1
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
100.1
100.1
Jan2023
Ammonia
30082140
39.95
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
39.95
39.95
Jan2023
Amylase
30082150
27.95
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
27.95
27.95
Jan2023
Assay of Barbiturates
30082205
172.38
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
172.38
172.38
Jan2023
Beta-2-Protein
30082232
151.13
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
151.13
151.13
Jan2023
Bilirubin, Total
30082247
19.5
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
19.5
19.5
Jan2023
Bilirubin, Direct
30082248
19.5
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
19.5
19.5
Jan2023
Occult Blood Feces
30082270
20
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
20
20
Jan2023
Occult Blood, Other Sources
30082271
20.98
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
20.98
20.98
Jan2023
Occult Blood Feces (1-3 Tests)
30082272
60
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
60
60
Jan2023
Fecal Immunochem
30082274
97.5
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
97.5
97.5
Jan2023
Vit D,25-OH, Total, IA
30082306
316.88
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
316.88
316.88
Jan2023
Assay of Calcitonin
30082308
273.85
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
273.85
273.85
Jan2023
PTH, Intact and Calcium
30082310
14.45
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
14.45
14.45
Jan2023
Calcuim Ionized
30082330
81.25
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
81.25
81.25
Jan2023
Calcium 24 HR (U)
30082340
18.88
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
18.88
18.88
Jan2023
Carbon Dioxide (Co2)
30082374
14.45
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
14.45
14.45
Jan2023
Carcinoembryonic Antigen (CEA)
30082378
107.03
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
107.03
107.03
Jan2023
CARNITINE, LC/MS/MS
30082379
465.3
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
465.3
465.3
Jan2023
Catecholamines Fractionated
30082384
210.38
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
210.38
210.38
Jan2023
Ceruloplasmin
30082390
88.58
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
88.58
88.58
Jan2023
Chemiluminescent Assay
30082397
272.38
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
272.38
272.38
Jan2023
Chloride Blood
30082435
14.45
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
14.45
14.45
Jan2023
Chromotography Quant Mult
30082492
311.1
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
311.1
311.1
Jan2023
Assay of Copper
30082525
132.53
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
132.53
132.53
Jan2023
Cortisol, Free
30082530
225.88
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
225.88
225.88
Jan2023
Cortisol, Total
30082533
99.45
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
99.45
99.45
Jan2023
CK,TOTAL
30082550
37.88
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
37.88
37.88
Jan2023
Assay of CPK In Blood
30082552
160.88
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
160.88
160.88
Jan2023
CK-MB (CK-2)
30082553
55.75
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
55.75
55.75
Jan2023
Creatinine, Serum
30082565
14.4
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
14.4
14.4
Jan2023
CREATININE (U)
30082570
129.28
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
129.28
129.28
Jan2023
Creatinine Clearance
30082575
62.4
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
62.4
62.4
Jan2023
Cryoglobulin, Qualitative
30082595
30.23
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
30.23
30.23
Jan2023
Vitamin B12
30082607
170.63
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
170.63
170.63
Jan2023
Cystatin C
30082610
186.18
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
186.18
186.18
Jan2023
Vitamin D,1,25-Dihydroxy
30082652
368.88
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
368.88
368.88
Jan2023
Ferritin
30082728
86.13
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
86.13
86.13
Jan2023
Folate, Serum
30082746
92.63
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
92.63
92.63
Jan2023
IGE
30082785
97.5
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
97.5
97.5
Jan2023
Blood Gases W/O2 Saturation
30082805
152.75
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
152.75
152.75
Jan2023
Glucose, Serum Quant
30082947
17.4
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
17.4
17.4
Jan2023
G6pd Enzyme
30082955
110.5
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
110.5
110.5
Jan2023
Glucose Testing
30082962
1
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
1
1
Jan2023
GGT
30082977
14.45
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
14.45
14.45
Jan2023
FSH (Gonadotropin)
30083001
112.53
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
112.53
112.53
Jan2023
Haptoglobin, Quant
30083010
105.95
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
105.95
105.95
Jan2023
Hemoglobin Chromotography
30083021
102.38
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
102.38
102.38
Jan2023
Hemoglobin A1C
30083036
76.38
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
76.38
76.38
Jan2023
Homocystine
30083090
135.03
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
135.03
135.03
Jan2023
Assay of Corticosteroids 17
30083491
109.68
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
109.68
109.68
Jan2023
Nonantibody Immunoassy
30083516
112.13
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
112.13
112.13
Jan2023
Pth-Related Protein
30083519
317.18
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
317.18
317.18
Jan2023
Anti-Mitochondrial Ab
30083520
97.83
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
97.83
97.83
Jan2023
Insulin
30083525
119.13
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
119.13
119.13
Jan2023
Iron, Total & IBC
30083540
30.23
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
30.23
30.23
Jan2023
Total Iron Binding Tibc
30083550
20.33
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
20.33
20.33
Jan2023
Lactic Acid, (P)
30083605
82.88
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
82.88
82.88
Jan2023
LDH Total
30083615
14.45
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
14.45
14.45
Jan2023
Lactoferrin Fecal (Qual)
30083630
66.78
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
66.78
66.78
Jan2023
Lipase
30083690
67.78
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
67.78
67.78
Jan2023
Lipoprotein Blood
30083721
23.73
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
23.73
23.73
Jan2023
Magnesium
30083735
17.15
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
17.15
17.15
Jan2023
Metanephrines
30083835
193.38
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
193.38
193.38
Jan2023
BNP
30083880
202.88
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
202.88
202.88
Jan2023
Kappa/Lambda L Chain
30083883
195
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
195
195
Jan2023
Molecular Isolate Nucleic
30083891
84.5
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
84.5
84.5
Jan2023
Molecule Nucleic Ampli Each
30083898
84.5
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
84.5
84.5
Jan2023
Nucleic Acid High Resolute
30083909
84.5
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
84.5
84.5
Jan2023
Molecular Diagnostics Genetic
30083912
84.5
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
84.5
84.5
Jan2023
Mutation Ident Ola/Sbce/Aspe
30083914
84.5
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
84.5
84.5
Jan2023
Methylmalonic, Orgic Acid Sgl
30083921
230.75
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
230.75
230.75
Jan2023
Osmolality, Blood
30083930
8.78
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
8.78
8.78
Jan2023
Osmolality, Urine
30083935
54.6
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
54.6
54.6
Jan2023
Assay of Oxalate
30083945
166.78
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
166.78
166.78
Jan2023
PTH, Intact w/o CAL
30083970
276.25
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
276.25
276.25
Jan2023
Alkaline Phosphatase
30084075
14.45
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
14.45
14.45
Jan2023
Alkaline Phosphatases
30084080
125.13
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
125.13
125.13
Jan2023
Phosphate, (As Phos)
30084100
14.45
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
14.45
14.45
Jan2023
Potassium, Serum
30084132
14.45
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
14.45
14.45
Jan2023
Potassium, Urine
30084133
17.73
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
17.73
17.73
Jan2023
Prealbumin
30084134
105.48
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
105.48
105.48
Jan2023
Progesterone
30084144
129.45
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
129.45
129.45
Jan2023
Psa, Total
30084153
126.28
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
126.28
126.28
Jan2023
Protein, Serum
30084155
14.45
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
14.45
14.45
Jan2023
Protein, Total
30084156
46.1
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
46.1
46.1
Jan2023
Protein E-Phoresis Serum
30084165
74.75
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
74.75
74.75
Jan2023
Protein E-Phoresis/Urine/Csf
30084166
85.73
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
85.73
85.73
Jan2023
Soluble Transferrin
30084238
308.75
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
308.75
308.75
Jan2023
Assay of Renin
30084244
146.25
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
146.25
146.25
Jan2023
Assay of Vitamin B-2
30084252
57.33
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
57.33
57.33
Jan2023
Assay of Selenium
30084255
262.1
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
262.1
262.1
Jan2023
Assay Serotonin
30084260
316.58
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
316.58
316.58
Jan2023
Sodium, Serum
30084295
14.45
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
14.45
14.45
Jan2023
IGF-1 ELECTROCHE
30084305
251.88
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
251.88
251.88
Jan2023
Spectrophotometry
30084311
587.5
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
587.5
587.5
Jan2023
Testosterone, Free
30084402
152.38
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
152.38
152.38
Jan2023
Testosterone, Total
30084403
172.4
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
172.4
172.4
Jan2023
Vitamin B1, LCMSMS, P
30084425
192.65
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
192.65
192.65
Jan2023
T4 (Thyroxine)
30084436
31.2
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
31.2
31.2
Jan2023
T4, Free
30084439
81.1
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
81.1
81.1
Jan2023
Tsh, Thyroid Stim Hormone
30084443
88.58
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
88.58
88.58
Jan2023
VITAMIN E
30084446
231.28
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
231.28
231.28
Jan2023
Transferase (AST) (Sgot)
30084450
14.45
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
14.45
14.45
Jan2023
Alanine Amino (ALT) (Sgpt)
30084460
14.45
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
14.45
14.45
Jan2023
Thyroid (T3 or T4)
30084479
22.28
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
22.28
22.28
Jan2023
Triiodothyronine (T3)
30084480
70.85
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
70.85
70.85
Jan2023
T3, Free
30084481
156.9
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
156.9
156.9
Jan2023
T3 Reverse
30084482
299.95
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
299.95
299.95
Jan2023
Troponin- 1
30084484
169
NA
Inclusive
Inclusive
Inclusive
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Inclusive
169
169
Jan2023
BUN (Urea Nitrogen)
30084520
14.45
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
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Inclusive
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Inclusive
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Inclusive
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Inclusive
14.45
14.45
Jan2023
Blood/Uric Acid
30084550
14.45
NA
Inclusive
Inclusive
Inclusive
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Inclusive
Inclusive
Inclusive
Inclusive
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Inclusive
Inclusive
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Inclusive
Inclusive
Inclusive
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14.45
14.45
Jan2023
Assay of Vitamin A
30084590
295.48
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
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295.48
295.48
Jan2023
Assay of Nos Vitamin
30084591
296.5
NA
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
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Inclusive
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Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
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296.5
296.5
Jan2023
C-Peptide
30084681
259.85
NA
Inclusive
Inclusive
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259.85
259.85
Jan2023
Chorionic Gonadotropin Test
30084702
162.5
NA
Inclusive
Inclusive
Inclusive
Inclusive
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162.5
162.5
Jan2023
Hcg, Chorionic Gonadotropin
30084703
21.63
NA
Inclusive
Inclusive
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21.63
21.63
Jan2023
Bleeding Time
30085002
14.3
NA
Inclusive
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14.3
14.3
Jan2023
Automated Diff WBC Count
30085004
10.03
NA
Inclusive
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Inclusive
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10.03
10.03
Jan2023
Hematocrit
30085014
9.53
NA
Inclusive
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9.53
9.53
Jan2023
Hemoglobin
30085018
9.53
NA
Inclusive
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9.53
9.53
Jan2023
Complete CBC W/Auto Diff WBC
30085025
10.15
NA
Inclusive
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Inclusive
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Inclusive
Inclusive
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10.15
10.15
Jan2023
Complete CBC Automated
30085027
10.03
NA
Inclusive
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Inclusive
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10.03
10.03
Jan2023
Automated Rbc Count
30085041
9.53
NA
Inclusive
Inclusive
Inclusive
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Inclusive
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9.53
9.53
Jan2023
Reticulocyte Count
30085045
22.6
NA
Inclusive
Inclusive
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22.6
22.6
Jan2023
Leukocyte Count Automated
30085048
20.98
NA
Inclusive
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20.98
20.98
Jan2023
Platelet Count Automated
30085049
9.53
NA
Inclusive
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Inclusive
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Inclusive
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9.53
9.53
Jan2023
Blood Smear Periph Interp by P
30085060
24.88
NA
Inclusive
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Inclusive
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Inclusive
24.88
24.88
Jan2023
Factor Inhibitor Test
30085335
388.73
NA
Inclusive
Inclusive
Inclusive
Inclusive
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Inclusive
Inclusive
Inclusive
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Inclusive
Inclusive
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Inclusive
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Inclusive
388.73
388.73
Jan2023
D-Dimer QN
30085379
89.55
NA
Inclusive
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89.55
89.55
Jan2023
Fibrinogen QN
30085384
35.28
NA
Inclusive
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35.28
35.28
Jan2023
Clotting Funct Activity
30085397
388.73
NA
Inclusive
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Inclusive
388.73
388.73
Jan2023
Hexagnal Phosph Pltlt Neutrl
30085598
180.23
NA
Inclusive
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Inclusive
Inclusive
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Inclusive
180.23
180.23
Jan2023
PRO TIME WITH INR
30085610
10.15
NA
Inclusive
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Inclusive
Inclusive
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Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
10.15
10.15
Jan2023
Russell Viper Venom Diluted
30085613
95.38
NA
Inclusive
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Inclusive