Jan2022
Per Diem Level 1 Acute Rehab/Ventilator Care
Level 1
NA
NA
NA
NA
NA
NA
750
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
750
750
Jan2022
Per Diem Level 1 Acute Medical/Surgical Care
Level 1
NA
NA
NA
1200
1400
1350
NA
NA
NA
NA
1500
1225
1400
1150
1200
1300
1210
1300
1304
NA
NA
1150
1500
Jan2022
Per Diem Level 1 Acute Rehabilitation
Level 1
NA
NA
800
NA
NA
NA
NA
750
NA
1000
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
750
1000
Jan2022
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
583.5
NA
583.5
583.5
Jan2022
Per Diem Level 1 Telemetry
Level 1
NA
NA
NA
NA
NA
NA
NA
NA
875
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
875
875
875
Jan2022
Per Diem Level 2 Acute Medical/Surgical Care
Level 2
NA
NA
NA
NA
NA
NA
NA
900
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
900
900
Jan2022
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
800
800
800
Jan2022
Per Diem Level 2 Acute Rehab/Ventilator Care
Level 2
NA
NA
NA
NA
NA
NA
NA
NA
825
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
825
825
Jan2022
Per Diem Level 2 Intensive Care/Vent
Level 2
NA
NA
NA
1400
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1400
1400
Jan2022
Per Diem Level 2 Intensive Care
Level 2
NA
NA
NA
NA
NA
1650
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1650
1650
Jan2022
Per Diem Level 2 Medical/Surgical Care
Level 2
NA
NA
950
NA
NA
NA
NA
NA
NA
1050
NA
NA
NA
NA
NA
NA
NA
NA
NA
1114
NA
950
1114
Jan2022
Per Diem Level 2 Medically Complex/Sub-acute Care
Level 2
NA
NA
NA
NA
NA
NA
630
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
630
630
Jan2022
Per Diem Level 2 Medically Complex/Wounds
Level 2
NA
NA
NA
NA
1600
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1600
1600
Jan2022
Per Diem Level 2 Telemetry
Level 2
NA
NA
NA
NA
NA
NA
NA
NA
NA
1350
NA
NA
NA
NA
NA
NA
NA
NA
NA
1350
1350
Jan2022
Per Diem Level 3 Acute Rehabilitation
Level 3
NA
NA
NA
900
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
900
900
Jan2022
Per Diem Level 3 Bronchoscopy/Thoracentesis/Non-tunnelled Vascular Catherization Procedures
Level 3
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1425
NA
NA
NA
NA
NA
NA
NA
NA
NA
1425
1425
Jan2022
Per Diem Level 3 General Rehabilitation
Level 3
NA
NA
NA
NA
NA
NA
550
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
550
550
Jan2022
Per Diem Level 3 IMC, Telemetry
Level 3
NA
NA
NA
NA
NA
NA
NA
1200
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1200
1200
Jan2022
Per Diem Level 3 Intermediate Intensive Care
Level 3
NA
NA
1150
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1150
1150
Jan2022
Per Diem Level 3 Intermediate Care
Level 3
NA
NA
NA
NA
NA
NA
NA
NA
1365
NA
NA
NA
NA
NA
NA
NA
NA
NA
1379
NA
1365
1379
Jan2022
Per Diem Level 3 Medically Complex with Rehab Component
Level 3
NA
NA
NA
NA
NA
NA
NA
NA
730
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
725
725
730
Jan2022
Per Diem Level 3 Pulmonary Mgmt,
Vent Weaning, Vent Support
Level 3
NA
NA
NA
NA
1850
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1850
1850
Jan2022
Per Diem Level 4 General Rehab w/No Underlying Medical Problems
Level 4
NA
NA
NA
NA
NA
NA
NA
NA
620
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
650
620
650
Jan2022
Per Diem Level 4 Intensive Care
Level 4
NA
NA
1300
NA
NA
NA
NA
1400
NA
1560
NA
2400
NA
NA
NA
NA
NA
NA
NA
1538
NA
1300
2400
Jan2022
Per Diem Level 4 Skilled Nursing
Level 4
NA
NA
NA
550
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
550
550
Jan2022
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
2400
NA
NA
2400
2400
Jan2022
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
3800
NA
NA
3800
3800
Jan2022
Extracorporeal membrane oxygen or Tracheostomy with Mechanical Ventilation greater than 96 hours
DRG 3
NA
3273.64
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
3273.64
3273.64
Jan2022
Tracheostomy with Mechanical Ventilation greater than 96 hours
DRG 4
NA
3213.46
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
3213.46
3213.46
Jan2022
Peripharal or Cranian nerve or other nervous system procedures
DRG 40
NA
2012.44
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
2012.44
2012.44
Jan2022
Spinal disorders with comorbities
DRG 52
NA
1488.65
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1488.65
1488.65
Jan2022
Nervous system disorders
DRG 56
NA
1755.17
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1755.17
1755.17
Jan2022
Brain hemorrhages
DRG 64
NA
1854.9
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1854.9
1854.9
Jan2022
Brain hemorrhages
DRG 65
NA
1535.63
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1535.63
1535.63
Jan2022
Nonspecific Cerebrovascular Disorders with Major Complication or Comorbidity
DRG 70
NA
1864.88
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1864.88
1864.88
Jan2022
Cerebrovascular disorders
DRG 71
NA
1815.76
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1815.76
1815.76
Jan2022
Brain and peripheral nerve disorders
DRG 73
NA
1859.36
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1859.36
1859.36
Jan2022
Viral Meningitis with comorbities/major complications
DRG 75
NA
1650.47
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1650.47
1650.47
Jan2022
Traumatic stupor and coma for greater that 1 hour
DRG 82
NA
1775.76
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1775.76
1775.76
Jan2022
Traumatic stupor and coma for less than 1 hour
DRG 85
NA
1994.34
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1994.34
1994.34
Jan2022
General disorders of nervous system
DRG 91
NA
1866.88
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1866.88
1866.88
Jan2022
Bacterial and Tuberculous infections
DRG 94
NA
1959.32
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1959.32
1959.32
Jan2022
Bacterial and Tuberculous infections
DRG 95
NA
1836.65
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1836.65
1836.65
Jan2022
Non-bacterial infections of nervous system
DRG 97
NA
2190.92
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
2190.92
2190.92
Jan2022
Seizures with major complication
DRG 100
NA
1681.49
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1681.49
1681.49
Jan2022
Ear, Nose, Mouth and Throat cancers
DRG 146
NA
1810.12
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1810.12
1810.12
Jan2022
Respiratory system procedure
DRG 166
NA
2933.67
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
2933.67
2933.67
Jan2022
Pulmonary embolism with major complications
DRG 175
NA
1758.11
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1758.11
1758.11
Jan2022
Respiratory infection with inflammation
DRG 177
NA
1917.94
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1917.94
1917.94
Jan2022
Respiratory infection with inflammation
DRG 178
NA
1606.19
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1606.19
1606.19
Jan2022
Respiratory tumors with major complications
DRG 180
NA
1810.12
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1810.12
1810.12
Jan2022
Respiratory tumors with comorbities
DRG 181
NA
1535.63
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1535.63
1535.63
Jan2022
Respiratory tumers without comorbities or major complications
DRG 182
NA
1535.63
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1535.63
1535.63
Jan2022
Pulmonary edema and respiratory failure
DRG 189
NA
2216.74
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
2216.74
2216.74
Jan2022
Chronic obstructive pulmonary disease
DRG 190
NA
1930.52
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1930.52
1930.52
Jan2022
Chronic obstructive pulmonary disease
DRG 191
NA
2012.8
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
2012.8
2012.8
Jan2022
Chronic obstructive pulmonary disease
DRG 192
NA
2012.8
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
2012.8
2012.8
Jan2022
Simple Pneumonia and pleurisy with major complications
DRG 193
NA
1858.81
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1858.81
1858.81
Jan2022
Simple Pneumonia and pleurisy with major complications
DRG 194
NA
1719.26
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1719.26
1719.26
Jan2022
Bronchitis and Asthma with comorbities or major complications
DRG 202
NA
2013.28
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
2013.28
2013.28
Jan2022
Respiratory system diagnosis with ventilator greater than 96 hours
DRG 207
NA
2936.04
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
2936.04
2936.04
Jan2022
Respiratory system diagnosis with ventilator less than 96 hours
DRG 208
NA
2578.36
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
2578.36
2578.36
Jan2022
Acute myocardial infarction with major complications
DRG 280
NA
1921.48
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1921.48
1921.48
Jan2022
Acute myocardial infarction with comorbities
DRG 281
NA
1535.63
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1535.63
1535.63
Jan2022
Acute myocardial infarction without comorbities or major complications
DRG 282
NA
1535.63
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1535.63
1535.63
Jan2022
Acute and subacute endocarditis with major complications
DRG 288
NA
2240.65
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
2240.65
2240.65
Jan2022
Heart failure and shock with major complications
DRG 291
NA
2008.16
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
2008.16
2008.16
Jan2022
Heart failure and shock with comorbities
DRG 292
NA
1610.46
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1610.46
1610.46
Jan2022
heart attack with Major complications
DRG 296
NA
1535.63
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1535.63
1535.63
Jan2022
Peripheral Vascular Disorders with comorbities
DRG 299
NA
1870.97
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1870.97
1870.97
Jan2022
Peripheral Vascular Disorders with our major complications or comorbities
DRG 300
NA
1320.85
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1320.85
1320.85
Jan2022
Peripheral Vascular Disorders with major complications
DRG 301
NA
1320.85
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1320.85
1320.85
Jan2022
Atherosclerosis with major complications
DRG 302
NA
2030.44
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
2030.44
2030.44
Jan2022
Atherosclerosis without major complications
DRG 303
NA
1650.47
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1650.47
1650.47
Jan2022
Cardiac congenital and valve discorders
DRG 307
NA
1535.63
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1535.63
1535.63
Jan2022
Cardiac arrhythmia and conduction disease
DRG 309
NA
1781.86
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1781.86
1781.86
Jan2022
Circulatory system diagnosis with major complications
DRG 314
NA
2157.83
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
2157.83
2157.83
Jan2022
Circulatory system diagnosis with comorbities
DRG 315
NA
1556.12
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1556.12
1556.12
Jan2022
Digestive system procedures
DRG 356
NA
2283.81
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
2283.81
2283.81
Jan2022
Major Gastrointestinal Disorders with major complications
DRG 371
NA
2033.11
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
2033.11
2033.11
Jan2022
Major Gastrointestinal Disorders with comorbities
DRG 372
NA
1624.06
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1624.06
1624.06
Jan2022
Digestive Malignancy with major complications or comorbities
DRG 374
NA
2013.28
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
2013.28
2013.28
Jan2022
Digestive Malignancy with complications or comorbities
DRG 375
NA
1650.47
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1650.47
1650.47
Jan2022
GI Hemorrhage with major complications or comorbities
DRG 377
NA
2040.08
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
2040.08
2040.08
Jan2022
Complication Peptic Ulcer with major complications or comorbities
DRG 380
NA
1839.09
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1839.09
1839.09
Jan2022
GI Obstruction with major complications or comorbities
DRG 388
NA
2068.27
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
2068.27
2068.27
Jan2022
GI Obstruction with complications or comorbities
DRG 389
NA
1693.09
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1693.09
1693.09
Jan2022
Gi Obstruction without complications or comorbities / major complications or comorbities
DRG 390
NA
1693.09
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1693.09
1693.09
Jan2022
Esoghagitis, Gastroenteritis and Misc. Digestive disorders with major complications or comorbities
DRG 391
NA
1897.51
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1897.51
1897.51
Jan2022
Esoghagitis, Gastroenteritis and Misc. Digestive disorders without major complications or comorbities
DRG 392
NA
1662.99
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1662.99
1662.99
Jan2022
Other Digestive System Diagnoses with major complication or comorbidity
DRG 393
NA
2097.83
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
2097.83
2097.83
Jan2022
Other Digestive System Diagnoses with complication or comorbidity
DRG 394
NA
1862.85
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1862.85
1862.85
Jan2022
Cirrhosis and alcoholic hepatitis with major complication or comorbidity
DRG 432
NA
1987.77
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1987.77
1987.77
Jan2022
Cirrhosis and alcoholic hepatitis with complication or comorbidity
DRG 433
NA
1987.77
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1987.77
1987.77
Jan2022
Malignancy of Hepatobiliary System or Pancreas with Major Complication or Comorbidity
DRG 435
NA
1810.12
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1810.12
1810.12
Jan2022
Malignancy of Hepatobiliary System or Pancreas with Complication or Comorbidity
DRG 436
NA
1535.63
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1535.63
1535.63
Jan2022
Disorders of Pancreas Except Malignancy with Major Complication or Comorbidity
DRG 438
NA
2206.41
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
2206.41
2206.41
Jan2022
Disorders of Pancreas Except Malignancy with Complication or Comorbidity
DRG 439
NA
1810.12
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1810.12
1810.12
Jan2022
Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Major Complication or Comorbidity
DRG 441
NA
1960.09
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1960.09
1960.09
Jan2022
Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Complication or Comorbidity
DRG 442
NA
1650.47
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1650.47
1650.47
Jan2022
Disorders of the Biliary Tract with Major Complication or Comorbidity
DRG 444
NA
1823.76
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1823.76
1823.76
Jan2022
Disorders of the Biliary Tract with Complication or Comorbidity
DRG 445
NA
1530.67
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1530.67
1530.67
Jan2022
Fractures of Femus with Major Complication or Comorbidity
DRG 533
NA
2013.28
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
2013.28
2013.28
Jan2022
Fractures of Hip and Pelvis with Major Complication or Comorbidity
DRG 535
NA
2013.28
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
2013.28
2013.28
Jan2022
Fractures of Hip and Pelvis without Major Complication or Comorbidity
DRG 536
NA
1535.63
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1535.63
1535.63
Jan2022
Osteomyelitis with Major Complication or Comorbidity
DRG 539
NA
1859.86
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1859.86
1859.86
Jan2022
Osteomyelitis with Complication or Comorbidity
DRG 540
NA
1596.58
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1596.58
1596.58
Jan2022
Osteomyelitis without Complication or Comorbidity/Major Complication or Comorbidity
DRG 541
NA
1650.47
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1650.47
1650.47
Jan2022
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with Major Complication or Comorbidity
DRG 542
NA
2013.28
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
2013.28
2013.28
Jan2022
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with Complication or Comorbidity
DRG 543
NA
1535.63
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1535.63
1535.63
Jan2022
Septic Arthritis with Major Complication or Comorbidity
DRG 548
NA
1995.22
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1995.22
1995.22
Jan2022
Septic Arthritis with Complication or Comorbidity
DRG 549
NA
1552.02
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1552.02
1552.02
Jan2022
Septic Arthritis without Complication or Comorbidity/Major Complication or Comorbidity
DRG 550
NA
1650.47
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1650.47
1650.47
Jan2022
Medical Back Problems with Major Complication or Comorbidity
DRG 551
NA
2081.64
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
2081.64
2081.64
Jan2022
Medical Back Problems without Major Complication or Comorbidity
DRG 552
NA
1650.47
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1650.47
1650.47
Jan2022
Aftercare, Musculoskeletal System and Connective Tissue with Major Complication or Comorbidity
DRG 559
NA
1860.91
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1860.91
1860.91
Jan2022
Aftercare, Musculoskeletal System and Connective Tissue with Complication or Comorbidity
DRG 560
NA
1572.14
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1572.14
1572.14
Jan2022
Fracture Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh with Major Complication or Comorbidity
DRG 562
NA
2013.28
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
2013.28
2013.28
Jan2022
Skin Ulcers with Major Complication or Comorbidity
DRG 592
NA
1811.83
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1811.83
1811.83
Jan2022
Skin Ulcers with Complication or Comorbidity
DRG 593
NA
1512.48
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1512.48
1512.48
Jan2022
Malignant Breast Disorders without Complication or Comorbidity/Major Complication or Comorbidity
DRG 599
NA
1650.47
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1650.47
1650.47
Jan2022
Cellulitis with Major Complication or Comorbidity
DRG 602
NA
1819.85
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1819.85
1819.85
Jan2022
Cellulitis with Major Complication or Comorbidity
DRG 603
NA
1530.45
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1530.45
1530.45
Jan2022
Trauma to the Skin, Subcutaneous Tissue and Breast with Major Complication or Comorbidity
DRG 604
NA
1616.42
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1616.42
1616.42
Jan2022
Trauma to the Skin, Subcutaneous Tissue and Breast without Major Complication or Comorbidity
DRG 605
NA
1650.47
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1650.47
1650.47
Jan2022
Minor Skin Disorders with Major Complication or Comorbidity
DRG 606
NA
2107.01
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
2107.01
2107.01
Jan2022
Diabetes with Major Complication or Comorbidity
DRG 637
NA
1946.68
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1946.68
1946.68
Jan2022
Diabetes with Complication or Comorbidity
DRG 638
NA
1805.27
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1805.27
1805.27
Jan2022
Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes with Major Complication or Comorbidity
DRG 640
NA
1992.49
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1992.49
1992.49
Jan2022
Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes without Major Complication or Comorbidity
DRG 641
NA
1705.44
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1705.44
1705.44
Jan2022
Endocrine Disorders with Major Complication or Comorbidity
DRG 643
NA
1810.12
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1810.12
1810.12
Jan2022
Endocrine Disorders with Complication or Comorbidity
DRG 644
NA
1650.47
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1650.47
1650.47
Jan2022
Renal Failure with Major Complication or Comorbidity
DRG 682
NA
2007.85
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
2007.85
2007.85
Jan2022
Renal Failure with Complication or Comorbidity
DRG 683
NA
1762.41
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1762.41
1762.41
Jan2022
Renal Failure without Complication or Comorbidity/Major Complication or Comorbidity
DRG 684
NA
1650.47
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1650.47
1650.47
Jan2022
Kidney and Urinary Tract Neoplasms with Major Complication or Comorbidity
DRG 686
NA
2013.28
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
2013.28
2013.28
Jan2022
Kidney and Urinary Tract Infections with Major Complication or Comorbidity
DRG 689
NA
1787.29
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1787.29
1787.29
Jan2022
Kidney and Urinary Tract Infections without Major Complication or Comorbidity
DRG 690
NA
1522.12
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1522.12
1522.12
Jan2022
Other Kidney and Urinary Tract Diagnoses with Major Complication or Comorbidity
DRG 698
NA
1930.26
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1930.26
1930.26
Jan2022
Other Kidney and Urinary Tract Diagnoses with Complication or Comorbidity
DRG 699
NA
1536.53
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1536.53
1536.53
Jan2022
Benign Prostatic Hypertrophy with Major Complication or Comorbidity
DRG 725
NA
1535.63
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1535.63
1535.63
Jan2022
Inflammation of the Male Reproductive System with Major Complication or Comorbidity
DRG 727
NA
1726.17
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1726.17
1726.17
Jan2022
Malignancy, Female Reproductive System with Major Complication or Comorbidity
DRG 754
NA
2013.28
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
2013.28
2013.28
Jan2022
Menstrual and Other Female Reproductive System Disorders with Complication or Comorbidity/Major Complication or Comorbidity
DRG 760
NA
1650.47
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1650.47
1650.47
Jan2022
Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulation Disorders with Major Complication or Comorbidity
DRG 808
NA
2013.28
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
2013.28
2013.28
Jan2022
Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulation Disorders with Complication or Comorbidity
DRG 809
NA
1535.63
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1535.63
1535.63
Jan2022
Red Blood Cell Disorders with Major Complication or Comorbidity
DRG 811
NA
1742.96
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1742.96
1742.96
Jan2022
Red Blood Cell Disorders without Major Complication or Comorbidity
DRG 812
NA
1535.63
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1535.63
1535.63
Jan2022
Coagulation Disorders
DRG 813
NA
1650.47
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1650.47
1650.47
Jan2022
Reticuloendothelial & Immunity Disorders with Major Complication or Comorbidity
DRG 814
NA
1810.12
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1810.12
1810.12
Jan2022
Reticuloendothelial & Immunity Disorders with Complication or Comorbidity
DRG 815
NA
1810.12
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1810.12
1810.12
Jan2022
Lyphoma and Non-Acute Leukemia with Major Complication or Comorbidity
DRG 840
NA
2094.66
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
2094.66
2094.66
Jan2022
Infectious and Parasitic Disease with O.R. Procedure with Major Complication or Comorbidity
DRG 853
NA
2345.15
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
2345.15
2345.15
Jan2022
Postoperative and Post-Traumatic Infections with Major Complication or Comorbidity
DRG 862
NA
2098.57
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
2098.57
2098.57
Jan2022
Postoperative and Post-Traumatic Infections without Major Complication or Comorbidity
DRG 863
NA
1690.36
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1690.36
1690.36
Jan2022
Septicemia or Severe Sepsis with Minute Ventilation >96 Hours
DRG 870
NA
3309.75
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
3309.75
3309.75
Jan2022
Septicemia or Severe Sepsis without Minute Ventilation >96 Hours with Major Complication or Comorbidity
DRG 871
NA
2051.84
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
2051.84
2051.84
Jan2022
Septicemia or Severe Sepsis without Minute Ventilation >96 Hours with Major Complication or Comorbidity
DRG 872
NA
1589.16
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1589.16
1589.16
Jan2022
Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy with Major Complication or Comorbidity
DRG 896
NA
1719.89
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1719.89
1719.89
Jan2022
Traumatic Injury with Major Complication or Comorbidity
DRG 913
NA
1810.12
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1810.12
1810.12
Jan2022
Complications of Treatment with Major Complication or Comorbidity
DRG 919
NA
2068.72
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
2068.72
2068.72
Jan2022
Complication of Treatment with Complication or Comorbidity
DRG 920
NA
1759.38
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1759.38
1759.38
Jan2022
Rehabilitation with Complication or Comorbidity/Major Complication or Comorbidity
DRG 945
NA
1614.08
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1614.08
1614.08
Jan2022
Aftercare with Complication or Comorbidity/Major Complication or Comorbidity
DRG 949
NA
1740.61
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1740.61
1740.61
Jan2022
Other Multiple Significant Trauma with Major Complication or Comorbidity
DRG 963
NA
2013.28
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
2013.28
2013.28
Jan2022
HIV with Major Related Condition with Major Complication or Comorbidity
DRG 974
NA
2555.78
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
2555.78
2555.78
Jan2022
Extensive O.R. Procedure Unrelated to Principal Diagnosis with Major Complication or Comorbidity
DRG 981
NA
2805.40
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
2805.40
2805.40
Jan2022
Non-Extensive O.R. Procedures Unrelated to Prinicipal Diagnosis with Major Complication or Comorbidity
DRG 987
NA
2513.02
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
2513.02
2513.02
Jan2022
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
Jan2022
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
Jan2022
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
Jan2022
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
Jan2022
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
Jan2022
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
Jan2022
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
Jan2022
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
Jan2022
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
Jan2022
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
Jan2022
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
Jan2022
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
Jan2022
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
Jan2022
Basic metabolic panel
80048
19.83
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Jan2022
Blood test, comprehensive group of blood chemicals
80053
24.78
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Jan2022
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
Jan2022
Blood test, lipids (cholesterol and triglycerides)
80061
40.48
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Jan2022
Kidney function panel test
80069
21.48
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Jan2022
Liver function blood test panel
80076
19
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Jan2022
Manual urinalysis test with examination using microscope
81000 or 81001
8.4
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Jan2022
Automated urinalysis test
81002 or 81003
5.98
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Jan2022
PSA (prostate specific antigen)
84153-84154
126.28
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Jan2022
Blood test, thyroid stimulating hormone (TSH)
84443
88.58
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Jan2022
Complete blood cell count, with differential white blood cells, automated
85025
10.15
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Jan2022
Complete blood count, automated
85027
10.03
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Jan2022
Blood test, clotting time
85610
10.15
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Jan2022
Coagulation assessment blood test
85730
29.25
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Jan2022
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
Jan2022
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
Jan2022
X-Ray, lower back, minimum four views
72110
94.63
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Jan2022
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
Jan2022
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
Jan2022
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
Jan2022
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
Jan2022
Ultrasound of abdomen
76700
477.5
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Jan2022
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
Jan2022
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
Jan2022
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
Jan2022
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
Jan2022
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
Jan2022
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
Jan2022
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
Jan2022
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
Jan2022
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
Jan2022
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
Jan2022
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
Jan2022
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
Jan2022
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
Jan2022
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
Jan2022
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
Jan2022
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
Jan2022
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
Jan2022
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
Jan2022
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
Jan2022
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
Jan2022
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
Jan2022
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
Jan2022
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
Jan2022
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
Jan2022
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
Jan2022
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
Jan2022
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
Jan2022
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
Jan2022
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
Jan2022
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
Jan2022
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
Jan2022
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
Jan2022
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
Jan2022
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
Jan2022
Physical therapy, therapeutic exercise
97110
75
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Jan2022
Fluzone High-Dose
90662
60
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
60
60
Jan2022
Pneu Pcv13 (Prevnar)
90670
300
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
300
300
Jan2022
Pneumonia Vac (Ppsv23)
90732
175
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
175
175
Jan2022
FLU VAC STAND DOSE CCIIV4
90756
60
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
60
60
Jan2022
Room & Board Semi
1201000
1170
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
1170
1170
Jan2022
Room & Board High Obs
1203000
1380
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
1380
1380
Jan2022
Sod Chloride .9%, 1000ml
2581000
2.4
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
2.4
2.4
Jan2022
Sod Chloride .45%, 1000ml
2581001
2.58
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
2.58
2.58
Jan2022
Dextros5%&sod Chlor.45% 1000ml
2581002
2.45
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
2.45
2.45
Jan2022
Dextrose 5%, 1000ml
2581003
2.83
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
2.83
2.83
Jan2022
Dextros5%&sod Chlor.9%, 1000ml
2581004
2.45
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
2.45
2.45
Jan2022
Sod Chloride .9%, 100ml
2581005
2.38
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
2.38
2.38
Jan2022
IV Flush Supply
2581006
4.5
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
4.5
4.5
Jan2022
Mini Bag Sod Chloride .9%, 100
2581007
9.22
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
9.22
9.22
Jan2022
ChestTube Tray bedside
2700020
1025
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
1025
1025
Jan2022
Thorcentesis Tray bedside
2700021
500
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
500
500
Jan2022
Tracheoscopy Tray bedside
2700022
5013
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
5013
5013
Jan2022
Bronchoscopy Tray bedside
2700023
1527
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
1527
1527
Jan2022
Respiratory Services
4101000
2
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
2
2
Jan2022
Respiratory Services
4101000
10
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
10
10
Jan2022
Oxygen
4121000
5
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
5
5
Jan2022
Oxygen Standby
4121001
19
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
19
19
Jan2022
EKG W/Interpretation
7301006
150
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
150
150
Jan2022
Telemetry Daily Charge
7321001
100
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
100
100
Jan2022
Dialysis
8001001
1038.58
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
1038.58
1038.58
Jan2022
Dialysis 2:1
8001002
942.03
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
942.03
942.03
Jan2022
Peritoneal Dialysis
8021000
670.08
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
670.08
670.08
Jan2022
V.a.c. Ats Therapy Unit
9471000
65
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
65
65
Jan2022
Vac Freedom
9471002
65
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
65
65
Jan2022
Ventilator
9471003
91
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
91
91
Jan2022
Bipap
9471005
20.6
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
20.6
20.6
Jan2022
Base Rental Kit Invia Liberty
9471007
97.5
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
97.5
97.5
Jan2022
Nput Ex (N2000) Wnd
9471008
50
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
50
50
Jan2022
Prospera Pro-I Pump Wnd
9471009
50
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
50
50
Jan2022
Stat 2 Lal/Ap
9471010
5
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
5
5
Jan2022
Stat 4 Ap
9471011
13.75
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
13.75
13.75
Jan2022
Stat Mattress Hd
9471012
30
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
30
30
Jan2022
Rc Dvt
9471013
40
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
40
40
Jan2022
Rc1000ub Bed W Bari Recovurn 3
9471014
162.5
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
162.5
162.5
Jan2022
Rc750 W Air Mattress
9471015
90.2
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
90.2
90.2
Jan2022
Rc 750 Bed Recovair 3000 Mat B
9471016
90.2
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
90.2
90.2
Jan2022
Rc Bed-Scale Recoverair 3000 M
9471017
96.35
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
96.35
96.35
Jan2022
Rc 1000 Bed Scale Rc 3000 Mat
9471018
212.5
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
212.5
212.5
Jan2022
Rc 1000 Ultra Bed W/Ra3000b
9471019
300
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
300
300
Jan2022
Statguard 2 Lal/Ap
9471020
23.75
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
23.75
23.75
Jan2022
Recoverair 250 Mattress
9471024
15
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
15
15
Jan2022
Recoverair 3000 Mattress
9471025
23.75
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
23.75
23.75
Jan2022
Recoverair 3000 Mattress Bari
9471026
41
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
41
41
Jan2022
Recoverair 3500 Mattress
9471027
55
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
55
55
Jan2022
Recoverair 3500 Mattress Bari
9471028
41
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
41
41
Jan2022
Recoverair 5000 Caremedx Matt
9471029
41
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
41
41
Jan2022
Recoverair A1a Mattress
9471030
98.4
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
98.4
98.4
Jan2022
Recoverair Auto Vector
9471031
122.5
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
122.5
122.5
Jan2022
Recoverturn 2500 Mattress
9471032
41
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
41
41
Jan2022
Recoverturn 3000
9471033
37.5
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
37.5
37.5
Jan2022
Recoverturn 3000 Bariatric
9471034
120
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
120
120
Jan2022
Stat 4000
9471035
62.5
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
62.5
62.5
Jan2022
Scd Machine
9471036
12.5
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
12.5
12.5
Jan2022
Prime Air Mattress
9471037
50
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
50
50
Jan2022
Eclipse/Synergy Mattress
9471038
60.5
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
60.5
60.5
Jan2022
Clinitron Bed Ii
9471039
175
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
175
175
Jan2022
Accumax Mattress
9471040
60.5
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
60.5
60.5
Jan2022
Total Care Bed
9471041
337.5
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
337.5
337.5
Jan2022
Extended Care Bed
9471042
200
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
200
200
Jan2022
The Vest
9471043
40
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
40
40
Jan2022
Electric Percussor
9471044
3
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
3
3
Jan2022
Bariatric
9471045
120
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
120
120
Jan2022
Bariatric Total Care
9471046
275
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
275
275
Jan2022
Clinitron Ritehite
9471047
175
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
175
175
Jan2022
Versacare Bed & Aft Matt
9471048
120
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
120
120
Jan2022
Acuair
9471049
45
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
45
45
Jan2022
Synergy Air Elite
9471050
60.5
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
60.5
60.5
Jan2022
Magnum Ii
9471051
262.5
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
262.5
262.5
Jan2022
Zone Aire
9471052
50
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
50
50
Jan2022
Synergy Pulse
9471053
36.68
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
36.68
36.68
Jan2022
Sb3000 Stenbaur
9471054
77
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
77
77
Jan2022
Select Air Maxx
9471055
40
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
40
40
Jan2022
Flexicare Eclipse
9471056
87.5
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
87.5
87.5
Jan2022
Dolphin Bed
9471057
98.4
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
98.4
98.4
Jan2022
Roho Overlay
9471058
25
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
25
25
Jan2022
IV Pump Rental
9471059
5.6
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
5.6
5.6
Jan2022
IV Pump Dual Chamber Rental
9471060
96.25
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
96.25
96.25
Jan2022
Sizewise Pulsate Mattress 35"
9471061
105
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
105
105
Jan2022
Sizewise Rehab Platform Bed
9471062
175
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
175
175
Jan2022
Sizewise Big Turn 39" Mattress
9471063
100
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
100
100
Jan2022
Sizewise Bariatric Percussion
9471064
125
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
125
125
Jan2022
Sizewise Mighty Air 48" Mattre
9471065
100
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
100
100
Jan2022
Sizewise Big Turn 48" Mattress
9471066
125
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
125
125
Jan2022
Sizewise Sapphire Pulse 35" Ma
9471067
52.5
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
52.5
52.5
Jan2022
Excel Care Therapy Tz-Air Bed
9471068
406.6
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
406.6
406.6
Jan2022
ImtÂ statguard Mattress
9471069
31.18
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
31.18
31.18
Jan2022
Hillrom Advanta2 Bed
9471070
182.5
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
182.5
182.5
Jan2022
Rc Bari Lowair Loss W/ ALT Pre
9471071
35.83
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
35.83
35.83
Jan2022
Uhs Stg 4,bari Mattress
9471072
25
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
25
25
Jan2022
Uhs Stg 4,2000 Ap/Lal Matt
9471073
15
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
15
15
Jan2022
Uhs-Dolphin 10" Mattress
9471074
87.5
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
87.5
87.5
Jan2022
Uhs-Dolphin 8" Matt W/ 2"foam
9471075
100
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
100
100
Jan2022
Uhs-Air/Pulsate Mattress
9471076
30
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
30
30
Jan2022
Tc Bariatric + W/Air
9471077
362.5
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
362.5
362.5
Jan2022
Vac Ulta Therapy Unit Us
9471078
151.25
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
151.25
151.25
Jan2022
Vapotherm Precision Flow Humid
9471079
48
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
48
48
Jan2022
Hi Flow O2
9471080
72.5
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
72.5
72.5
Jan2022
Dermafloat 36x80 Lairl Mattres
9471081
19.88
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
19.88
19.88
Jan2022
Dermafloat Apl Matt Sys
9471082
24.88
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
24.88
24.88
Jan2022
Uc Xt-Ucxt System
9471083
70
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
70
70
Jan2022
Wave Air Mattress
9471084
57.03
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
57.03
57.03
Jan2022
Bari10a System W/Lal Mattress
9471085
162.5
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
162.5
162.5
Jan2022
Txcair 36x80 Mattress System
9471086
19.88
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
19.88
19.88
Jan2022
Stat 3 Lal
9471087
17.9
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
17.9
17.9
Jan2022
Statguard 3 Lal
9471088
24.48
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
24.48
24.48
Jan2022
Arise 1000 Ex Mattress System
9471089
49.75
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
49.75
49.75
Jan2022
Dermafloat Lal 42x80
9471090
36.75
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
36.75
36.75
Jan2022
Mattress Ap/Lal 36 X 80 Val+
9471091
31.25
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
31.25
31.25
Jan2022
UCXT 36X84 BED W/ AST DEV W/ F
9471092
31.25
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
31.25
31.25
Jan2022
Freedom Comfort IV Blower Matt
9471093
68.43
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
68.43
68.43
Jan2022
'Dermafloat LR 36x80 SYS
9471094
42.38
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
42.38
42.38
Jan2022
RECOVERAIR SAFETY 3000 Mattres
9471095
24.48
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
24.48
24.48
Jan2022
Bipap Own
9472000
20.6
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
20.6
20.6
Jan2022
Ventilator Own
9472001
91
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
91
91
Jan2022
IV Pump Own
9472003
5.6
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
5.6
5.6
Jan2022
IV Pump Dual Chamber Own
9472004
38.5
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
38.5
38.5
Jan2022
Panacea Air Max Own
9472005
28
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
28
28
Jan2022
Venipuncture (Lab Draw)
30036415
10
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
10
10
Jan2022
Panel Basic Metabolic Calc Ion
30080047
19.83
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
19.83
19.83
Jan2022
Panel Basic Metabolic Calc to
30080048
19.83
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
19.83
19.83
Jan2022
Panel Electrolyte
30080051
21.95
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
21.95
21.95
Jan2022
Panel Comprehensive Metabolic
30080053
24.78
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
24.78
24.78
Jan2022
Lipid Panel
30080061
40.48
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
40.48
40.48
Jan2022
Renal Function PNL
30080069
21.48
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
21.48
21.48
Jan2022
Panel Acute Hepatitis
30080074
556.9
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
556.9
556.9
Jan2022
Hepatic Function PNL
30080076
19
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
19
19
Jan2022
Drug Screen, Single
30080101
262.43
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
262.43
262.43
Jan2022
Amikacin
30080150
123.83
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
123.83
123.83
Jan2022
Carbamazepine (Tegretol)
30080156
84.83
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
84.83
84.83
Jan2022
Digoxin
30080162
53.95
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
53.95
53.95
Jan2022
Valproic Acid (Dipropylacetic)
30080164
84.83
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
84.83
84.83
Jan2022
Dipropylacetic acid free
30080165
141.28
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
141.28
141.28
Jan2022
Gentamicin
30080170
123.83
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
123.83
123.83
Jan2022
LAMOTRIGINE
30080175
208.85
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
208.85
208.85
Jan2022
Drug Scrn Levetiracetam
30080177
106.03
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
106.03
106.03
Jan2022
Lithium
30080178
40.8
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
40.8
40.8
Jan2022
Phenobarbital
30080184
81.1
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
81.1
81.1
Jan2022
Phenytoin Total
30080185
57.53
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
57.53
57.53
Jan2022
Theophylline
30080198
60.63
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
60.63
60.63
Jan2022
Tobramycin Level (see comments
30080200
124
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
124
124
Jan2022
Vancomycin Level
30080202
37.15
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
37.15
37.15
Jan2022
Quantitative Assay, Drug
30080299
106.03
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
106.03
106.03
Jan2022
DAP 10-50+ETOH
30080307
1560.3
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
1560.3
1560.3
Jan2022
UA COMPLETE
30081001
8.4
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
8.4
8.4
Jan2022
Urinalysis Reflex
30081003
5.98
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
5.98
5.98
Jan2022
UA, Microscopic
30081015
34.78
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
34.78
34.78
Jan2022
Urinalysis Volume Measure
30081050
6.68
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
6.68
6.68
Jan2022
Hla I Typing 1 Allele Hr
30081381
766.23
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
766.23
766.23
Jan2022
Mopath Procedure Level 2
30081401
482.38
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
482.38
482.38
Jan2022
Acetone/Ketone (Semi-Quant)
30082009
16.25
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
16.25
16.25
Jan2022
Albumin
30082040
14.45
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
14.45
14.45
Jan2022
Albumin, Pleural
30082042
89.18
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
89.18
89.18
Jan2022
Microalbumin, Random
30082043
104.5
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
104.5
104.5
Jan2022
Aldolase
30082085
71.03
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
71.03
71.03
Jan2022
Aldosterone
30082088
289.25
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
289.25
289.25
Jan2022
Alpha-1-Antitrypsin
30082103
86.13
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
86.13
86.13
Jan2022
Alpha-Fetoprotein Serum (Afp),
30082105
100.1
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
100.1
100.1
Jan2022
Ammonia
30082140
39.95
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
39.95
39.95
Jan2022
Amylase
30082150
27.95
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
27.95
27.95
Jan2022
Assay of Barbiturates
30082205
172.38
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
172.38
172.38
Jan2022
Beta-2-Protein
30082232
151.13
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
151.13
151.13
Jan2022
Bilirubin, Total
30082247
19.5
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
19.5
19.5
Jan2022
Bilirubin, Direct
30082248
19.5
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
19.5
19.5
Jan2022
Occult Blood Feces
30082270
20
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
20
20
Jan2022
Occult Blood, Other Sources
30082271
20.98
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
20.98
20.98
Jan2022
Occult Blood Feces (1-3 Tests)
30082272
60
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
60
60
Jan2022
Fecal Immunochem
30082274
97.5
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
97.5
97.5
Jan2022
Vit D,25-OH, Total, IA
30082306
316.88
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
316.88
316.88
Jan2022
Assay of Calcitonin
30082308
273.85
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
273.85
273.85
Jan2022
PTH, Intact and Calcium
30082310
14.45
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
14.45
14.45
Jan2022
Calcuim Ionized
30082330
81.25
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
81.25
81.25
Jan2022
Calcium 24 HR (U)
30082340
18.88
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
18.88
18.88
Jan2022
Carbon Dioxide (Co2)
30082374
14.45
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
14.45
14.45
Jan2022
Carcinoembryonic Antigen (CEA)
30082378
107.03
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
107.03
107.03
Jan2022
CARNITINE, LC/MS/MS
30082379
465.3
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
465.3
465.3
Jan2022
Catecholamines Fractionated
30082384
210.38
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
210.38
210.38
Jan2022
Ceruloplasmin
30082390
88.58
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
88.58
88.58
Jan2022
Chemiluminescent Assay
30082397
272.38
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
272.38
272.38
Jan2022
Chloride Blood
30082435
14.45
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
14.45
14.45
Jan2022
Chromotography Quant Mult
30082492
311.1
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
311.1
311.1
Jan2022
Assay of Copper
30082525
132.53
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
132.53
132.53
Jan2022
Cortisol, Free
30082530
225.88
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
225.88
225.88
Jan2022
Cortisol, Total
30082533
99.45
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
99.45
99.45
Jan2022
CK,TOTAL
30082550
37.88
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
37.88
37.88
Jan2022
Assay of CPK In Blood
30082552
160.88
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
160.88
160.88
Jan2022
CK-MB (CK-2)
30082553
55.75
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
55.75
55.75
Jan2022
Creatinine, Serum
30082565
14.4
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
14.4
14.4
Jan2022
CREATININE (U)
30082570
129.28
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
129.28
129.28
Jan2022
Creatinine Clearance
30082575
62.4
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
62.4
62.4
Jan2022
Cryoglobulin, Qualitative
30082595
30.23
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
30.23
30.23
Jan2022
Vitamin B12
30082607
170.63
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
170.63
170.63
Jan2022
Cystatin C
30082610
186.18
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
186.18
186.18
Jan2022
Vitamin D,1,25-Dihydroxy
30082652
368.88
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
368.88
368.88
Jan2022
Ferritin
30082728
86.13
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
86.13
86.13
Jan2022
Folate, Serum
30082746
92.63
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
92.63
92.63
Jan2022
IGE
30082785
97.5
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
97.5
97.5
Jan2022
Blood Gases W/O2 Saturation
30082805
152.75
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
152.75
152.75
Jan2022
Glucose, Serum Quant
30082947
17.4
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
17.4
17.4
Jan2022
G6pd Enzyme
30082955
110.5
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
110.5
110.5
Jan2022
Glucose Testing
30082962
1
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
1
1
Jan2022
GGT
30082977
14.45
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
14.45
14.45
Jan2022
FSH (Gonadotropin)
30083001
112.53
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
112.53
112.53
Jan2022
Haptoglobin, Quant
30083010
105.95
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
105.95
105.95
Jan2022
Hemoglobin Chromotography
30083021
102.38
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
102.38
102.38
Jan2022
Hemoglobin A1C
30083036
76.38
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
76.38
76.38
Jan2022
Homocystine
30083090
135.03
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
135.03
135.03
Jan2022
Assay of Corticosteroids 17
30083491
109.68
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
109.68
109.68
Jan2022
Nonantibody Immunoassy
30083516
112.13
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
112.13
112.13
Jan2022
Pth-Related Protein
30083519
317.18
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
317.18
317.18
Jan2022
Anti-Mitochondrial Ab
30083520
97.83
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
97.83
97.83
Jan2022
Insulin
30083525
119.13
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
119.13
119.13
Jan2022
Iron, Total & IBC
30083540
30.23
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
30.23
30.23
Jan2022
Total Iron Binding Tibc
30083550
20.33
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
20.33
20.33
Jan2022
Lactic Acid, (P)
30083605
82.88
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
82.88
82.88
Jan2022
LDH Total
30083615
14.45
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
14.45
14.45
Jan2022
Lactoferrin Fecal (Qual)
30083630
66.78
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
66.78
66.78
Jan2022
Lipase
30083690
67.78
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
67.78
67.78
Jan2022
Lipoprotein Blood
30083721
23.73
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
23.73
23.73
Jan2022
Magnesium
30083735
17.15
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
17.15
17.15
Jan2022
Metanephrines
30083835
193.38
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
193.38
193.38
Jan2022
BNP
30083880
202.88
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
202.88
202.88
Jan2022
Kappa/Lambda L Chain
30083883
195
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
195
195
Jan2022
Molecular Isolate Nucleic
30083891
84.5
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
84.5
84.5
Jan2022
Molecule Nucleic Ampli Each
30083898
84.5
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
84.5
84.5
Jan2022
Nucleic Acid High Resolute
30083909
84.5
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
84.5
84.5
Jan2022
Molecular Diagnostics Genetic
30083912
84.5
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
84.5
84.5
Jan2022
Mutation Ident Ola/Sbce/Aspe
30083914
84.5
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
84.5
84.5
Jan2022
Methylmalonic, Orgic Acid Sgl
30083921
230.75
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
230.75
230.75
Jan2022
Osmolality, Blood
30083930
8.78
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
8.78
8.78
Jan2022
Osmolality, Urine
30083935
54.6
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
54.6
54.6
Jan2022
Assay of Oxalate
30083945
166.78
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
166.78
166.78
Jan2022
PTH, Intact w/o CAL
30083970
276.25
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
276.25
276.25
Jan2022
Alkaline Phosphatase
30084075
14.45
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
14.45
14.45
Jan2022
Alkaline Phosphatases
30084080
125.13
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
125.13
125.13
Jan2022
Phosphate, (As Phos)
30084100
14.45
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
14.45
14.45
Jan2022
Potassium, Serum
30084132
14.45
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
14.45
14.45
Jan2022
Potassium, Urine
30084133
17.73
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
17.73
17.73
Jan2022
Prealbumin
30084134
105.48
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
105.48
105.48
Jan2022
Progesterone
30084144
129.45
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
129.45
129.45
Jan2022
Psa, Total
30084153
126.28
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
126.28
126.28
Jan2022
Protein, Serum
30084155
14.45
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
14.45
14.45
Jan2022
Protein, Total
30084156
46.1
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
46.1
46.1
Jan2022
Protein E-Phoresis Serum
30084165
74.75
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
74.75
74.75
Jan2022
Protein E-Phoresis/Urine/Csf
30084166
85.73
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
85.73
85.73
Jan2022
Soluble Transferrin
30084238
308.75
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
308.75
308.75
Jan2022
Assay of Renin
30084244
146.25
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
146.25
146.25
Jan2022
Assay of Vitamin B-2
30084252
57.33
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
57.33
57.33
Jan2022
Assay of Selenium
30084255
262.1
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
262.1
262.1
Jan2022
Assay Serotonin
30084260
316.58
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
316.58
316.58
Jan2022
Sodium, Serum
30084295
14.45
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
14.45
14.45
Jan2022
IGF-1 ELECTROCHE
30084305
251.88
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
251.88
251.88
Jan2022
Spectrophotometry
30084311
587.5
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
587.5
587.5
Jan2022
Testosterone, Free
30084402
152.38
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
152.38
152.38
Jan2022
Testosterone, Total
30084403
172.4
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
172.4
172.4
Jan2022
Vitamin B1, LCMSMS, P
30084425
192.65
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
192.65
192.65
Jan2022
T4 (Thyroxine)
30084436
31.2
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
31.2
31.2
Jan2022
T4, Free
30084439
81.1
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
81.1
81.1
Jan2022
Tsh, Thyroid Stim Hormone
30084443
88.58
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
88.58
88.58
Jan2022
VITAMIN E
30084446
231.28
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
231.28
231.28
Jan2022
Transferase (AST) (Sgot)
30084450
14.45
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
14.45
14.45
Jan2022
Alanine Amino (ALT) (Sgpt)
30084460
14.45
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
14.45
14.45
Jan2022
Thyroid (T3 or T4)
30084479
22.28
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
22.28
22.28
Jan2022
Triiodothyronine (T3)
30084480
70.85
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
70.85
70.85
Jan2022
T3, Free
30084481
156.9
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
156.9
156.9
Jan2022
T3 Reverse
30084482
299.95
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
299.95
299.95
Jan2022
Troponin- 1
30084484
169
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
169
169
Jan2022
BUN (Urea Nitrogen)
30084520
14.45
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
14.45
14.45
Jan2022
Blood/Uric Acid
30084550
14.45
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
14.45
14.45
Jan2022
Assay of Vitamin A
30084590
295.48
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
295.48
295.48
Jan2022
Assay of Nos Vitamin
30084591
296.5
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
296.5
296.5
Jan2022
C-Peptide
30084681
259.85
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
259.85
259.85
Jan2022
Chorionic Gonadotropin Test
30084702
162.5
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
162.5
162.5
Jan2022
Hcg, Chorionic Gonadotropin
30084703
21.63
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
21.63
21.63
Jan2022
Bleeding Time
30085002
14.3
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
14.3
14.3
Jan2022
Automated Diff WBC Count
30085004
10.03
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
10.03
10.03
Jan2022
Hematocrit
30085014
9.53
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
9.53
9.53
Jan2022
Hemoglobin
30085018
9.53
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
9.53
9.53
Jan2022
Complete CBC W/Auto Diff WBC
30085025
10.15
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
10.15
10.15
Jan2022
Complete CBC Automated
30085027
10.03
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
10.03
10.03
Jan2022
Automated Rbc Count
30085041
9.53
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
9.53
9.53
Jan2022
Reticulocyte Count
30085045
22.6
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
22.6
22.6
Jan2022
Leukocyte Count Automated
30085048
20.98
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
20.98
20.98
Jan2022
Platelet Count Automated
30085049
9.53
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
9.53
9.53
Jan2022
Blood Smear Periph Interp by P
30085060
24.88
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
24.88
24.88
Jan2022
Factor Inhibitor Test
30085335
388.73
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
388.73
388.73
Jan2022
D-Dimer QN
30085379
89.55
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
89.55
89.55
Jan2022
Fibrinogen QN
30085384
35.28
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
35.28
35.28
Jan2022
Clotting Funct Activity
30085397
388.73
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
388.73
388.73
Jan2022
Hexagnal Phosph Pltlt Neutrl
30085598
180.23
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
180.23
180.23
Jan2022
PRO TIME WITH INR
30085610
10.15
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
10.15
10.15
Jan2022
Russell Viper Venom Diluted
30085613
95.38
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
95.38
95.38
Jan2022
SED Rate by Mod West
30085652
7.4
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
7.4
7.4
Jan2022
PTT, Activated
30085730
29.25
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
29.25
29.25
Jan2022
Eosinophil Count (U)
30085999
34.78
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
34.78
34.78
Jan2022
WBC Antibody Identification
30086021
625.63
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
625.63
625.63
Jan2022
Plate Antib Scr / Crossmatch
30086022
455.33
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
455.33
455.33
Jan2022
ANA W/REFLX
30086038
89.38
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
89.38
89.38
Jan2022
Antinuclear Antibodies (ANA)
30086039
76.55
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
76.55
76.55
Jan2022
Strep Antibodies
30086060
44.85
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
44.85
44.85
Jan2022
CRP
30086140
30
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
30
30
Jan2022
C-Reactive Protein Hs
30086141
76.23
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
76.23
76.23
Jan2022
Cardiolipin Antibody
30086147
493.28
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
493.28
493.28
Jan2022
Complement C3C
30086160
57.7
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
57.7
57.7
Jan2022
Complement/Funct Activity
30086161
99.98
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
99.98
99.98
Jan2022
Complement Total (Ch50)
30086162
160.23
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
160.23
160.23
Jan2022
Dna Antibody
30086225
89.38
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive
Inclusive