Standard Charges
WCHS Website Charges Disclaimer
Pricing of medical expenses is dynamic and changes are made periodically. Actual cost to consumer is dependent on your healthcare coverage from Medicare, Medicaid, Insurance Coverage or other source. In addition you may receive separate bills for radiology or laboratory services for the service you receive. If you have any questions on your bill and/or coverage, please contact our business office at (307) 746-4491.
Last Updated February 19, 2020
<p>Standard Charges Hospital Procedures
Service Area Px Code Procedure Description Default Rev Code CPT(R)/HCPCS Code Default Mod Fee Schedule Name Unit Price
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.249.716.300
HC PT EVAL VISIT HIGH COMPLEXITY
PHYSICAL THERAPY-EVALUATION OR REEVALUATION [0424]
97163
WCH HB DEFAULT FEE SCHEDULE
264,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.249.716.400
HC PT REEVAL
PHYSICAL THERAPY-EVALUATION OR REEVALUATION [0424]
97164
WCH HB DEFAULT FEE SCHEDULE
120,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.349.716.500
HC OT EVAL LOW COMPLEXITY
OCCUPATIONAL THERAPY-EVALUATION OR REEVALUATION [0434]
97165
WCH HB DEFAULT FEE SCHEDULE
212,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.349.716.600
HC OT EVAL MODERATE COMPLEXITY
OCCUPATIONAL THERAPY-EVALUATION OR REEVALUATION [0434]
97166
WCH HB DEFAULT FEE SCHEDULE
239,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.349.716.700
HC OT EVAL HIGH COMPLEXITY
OCCUPATIONAL THERAPY-EVALUATION OR REEVALUATION [0434]
97167
WCH HB DEFAULT FEE SCHEDULE
264,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.349.716.800
HC OT REEVAL
OCCUPATIONAL THERAPY-EVALUATION OR REEVALUATION [0434]
97168
WCH HB DEFAULT FEE SCHEDULE
120,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
9.832.556.500
HC PRO CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/MANJ
PROFESSIONAL FEES (EXTENSION OF 096X AND 097X)-CLINIC [0983]
25565
WCH HB DEFAULT FEE SCHEDULE
2.603,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
9.839.921.700
HC PRO OBSERVATION CARE DISCHARGE MANAGEMENT
PROFESSIONAL FEES (EXTENSION OF 096X AND 097X)-CLINIC [0983]
99217
WCH HB DEFAULT FEE SCHEDULE
244,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
9.839.921.800
HC PRO INITIAL OBSERVATION CARE/DAY 30 MINUTES
PROFESSIONAL FEES (EXTENSION OF 096X AND 097X)-CLINIC [0983]
99218
WCH HB DEFAULT FEE SCHEDULE
303,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
9.839.921.900
HC PRO INITIAL OBSERVATION CARE/DAY 50 MINUTES
PROFESSIONAL FEES (EXTENSION OF 096X AND 097X)-CLINIC [0983]
99219
WCH HB DEFAULT FEE SCHEDULE
419,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.252.300
HC REF NTX TELOPEPTIDE U
LABORATORY-CHEMISTRY [0301]
82523
WCH HB LAB FEE SCHEDULE
182,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
9.839.922.000
HC PRO INITIAL OBSERVATION CARE/DAY 70 MINUTES
PROFESSIONAL FEES (EXTENSION OF 096X AND 097X)-CLINIC [0983]
99220
WCH HB DEFAULT FEE SCHEDULE
518,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
9.839.922.500
HC PRO SBSQ OBSERVATION CARE/DAY 25 MINUTES
PROFESSIONAL FEES (EXTENSION OF 096X AND 097X)-CLINIC [0983]
99225
WCH HB DEFAULT FEE SCHEDULE
193,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
9.839.923.600
HC PRO OBSERVATION/INPATIENT HOSPITAL CARE 55 MINUTES
PROFESSIONAL FEES (EXTENSION OF 096X AND 097X)-CLINIC [0983]
99236
WCH HB DEFAULT FEE SCHEDULE
2.234,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
9.839.928.100
HC PRO EMERGENCY DEPARTMENT VISIT LEVEL 1 LIMITED/MINOR PROB
PROFESSIONAL FEES (EXTENSION OF 096X AND 097X)-CLINIC [0983]
99281
WCH HB DEFAULT FEE SCHEDULE
338,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
9.839.928.200
HC PRO EMERGENCY DEPARTMENT VISIT LEVEL 2 LOW/MODER SEVERITY
PROFESSIONAL FEES (EXTENSION OF 096X AND 097X)-CLINIC [0983]
99282
WCH HB DEFAULT FEE SCHEDULE
457,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
9.839.928.300
HC PRO EMERGENCY DEPARTMENT VISIT LEVEL 3 MODERATE SEVERITY
PROFESSIONAL FEES (EXTENSION OF 096X AND 097X)-CLINIC [0983]
99283
WCH HB DEFAULT FEE SCHEDULE
688,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
9.839.928.400
HC PRO EMERGENCY DEPARTMENT VISIT LEVEL 4 HIGH/URGENT SEVERITY
PROFESSIONAL FEES (EXTENSION OF 096X AND 097X)-CLINIC [0983]
99284
WCH HB DEFAULT FEE SCHEDULE
1.027,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
9.839.928.500
HC PRO EMERGENCY DEPT VISIT LEVEL 5 HIGH SEVERITY&THREAT FUNCJ
PROFESSIONAL FEES (EXTENSION OF 096X AND 097X)-CLINIC [0983]
99285
WCH HB DEFAULT FEE SCHEDULE
1.531,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
9.839.929.200
HC PRO CRITICAL CARE ILL/INJURED PATIENT ADDL 30 MIN
PROFESSIONAL FEES (EXTENSION OF 096X AND 097X)-CLINIC [0983]
99292
WCH HB DEFAULT FEE SCHEDULE
736,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.030.600
HC URINE DRUG SCREEN
LABORATORY-CHEMISTRY [0301]
80306
WCH HB LAB FEE SCHEDULE
248,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.252.500
HC REF COPPER URINE
LABORATORY-CHEMISTRY [0301]
82525
WCH HB LAB FEE SCHEDULE
135,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.027.670.600
HC US ABDOMINAL AORTA REAL TIME SCREEN STUDY AAA
OTHER IMAGING SERVICES-ULTRASOUND [0402]
76706
WCH HB DEFAULT FEE SCHEDULE
347,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.037.706.700
HC SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD
OTHER IMAGING SERVICES-SCREENING MAMMOGRAPHY [0403]
77067
WCH HB DEFAULT FEE SCHEDULE
546,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.008.666.300
HC REF EBV EA
LABORATORY-GENERAL [0300]
86663
WCH HB LAB FEE SCHEDULE
175,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.019.400
HC REF QUINIDINE
LABORATORY-CHEMISTRY [0301]
80194
WCH HB LAB FEE SCHEDULE
145,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.029.907
HC REF METHOTREXATE
LABORATORY-CHEMISTRY [0301]
80299
WCH HB LAB FEE SCHEDULE
462,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.029.911
HC REF FELBAMATE LEVEL
LABORATORY-CHEMISTRY [0301]
80299
WCH HB LAB FEE SCHEDULE
462,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.202.401
HC REF ACTH
LABORATORY-CHEMISTRY [0301]
82024
WCH HB LAB FEE SCHEDULE
272,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.217.500
HC REF HEAVY METAL SCREEN ARSENIC, 24 HOUR
LABORATORY-CHEMISTRY [0301]
82175
WCH HB LAB FEE SCHEDULE
153,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.309.003
HC REF HOMOCYSTEINE TOTAL SERUM
LABORATORY-CHEMISTRY [0301]
83090
WCH HB LAB FEE SCHEDULE
216,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.415.601
HC REF PROTEIN, TOTAL, URINE MONOCLONAL
LABORATORY-CHEMISTRY [0301]
84156
WCH HB LAB FEE SCHEDULE
50,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.253.000
HC CORTISOL, FREE, URINE
LABORATORY-CHEMISTRY [0301]
82530
WCH HB LAB FEE SCHEDULE
210,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.447.900
HC T3 UPTAKE
LABORATORY-CHEMISTRY [0301]
84479
WCH HB LAB FEE SCHEDULE
79,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.028.633.404
HC REF IMMUNOFIXATION SERUM ONLY MAYO
LABORATORY-IMMUNOLOGY [0302]
86334
WCH HB LAB FEE SCHEDULE
235,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.028.633.503
HC REF IMMUNOFIXATION, URINE MONOCLONAL
LABORATORY-IMMUNOLOGY [0302]
86335
WCH HB LAB FEE SCHEDULE
286,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.908.685.000
HC ANTIBODY SCREEN
ADMINISTRATION, PROCESSING AND STORAGE FOR BLOOD AND BLOOD COMPONENTS-GENERAL [0390]
86850
WCH HB LAB FEE SCHEDULE
101,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.058.541.500
HC REF PLASMINOGEN ACTIVATOR INH1 ACT
LABORATORY-HEMATOLOGY [0305]
85415
WCH HB LAB FEE SCHEDULE
637,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.058.542.000
HC REF PLASMINOGEN ACTIVITY
LABORATORY-HEMATOLOGY [0305]
85420
WCH HB LAB FEE SCHEDULE
179,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.068.707.701
HC REF ORGANISM REFER FOR ID AEROBIC
LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306]
87077
WCH HB LAB FEE SCHEDULE
278,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.068.708.600
HC REF URINE CULTURE QUANT CC
LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306]
87086
WCH HB LAB FEE SCHEDULE
89,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.068.718.400
HC D TEST CLINDAMYCIN
LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306]
87184
WCH HB LAB FEE SCHEDULE
79,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.068.718.603
HC REF AEROBIC SUSCEPTIBILITY PER ORG
LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306]
87186
WCH HB LAB FEE SCHEDULE
118,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.253.300
HC CORTISOL SINGLE
LABORATORY-CHEMISTRY [0301]
82533
WCH HB LAB FEE SCHEDULE
180,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.068.734.001
HC HEP B SURFACE AG
LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306]
87340
WCH HB LAB FEE SCHEDULE
73,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.068.780.200
HC GRP B VAGINAL
LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306]
87802
WCH HB LAB FEE SCHEDULE
96,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.078.102.501
HC HCG URINE
LABORATORY-UROLOGY [0307]
81025
WCH HB LAB FEE SCHEDULE
88,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.118.818.404
HC REF LEUKEMIA/LYMPHOMA IMMUNOPHENOTYPING BY FLOW CYTOMETRY 1ST
LABORATORY PATHOLOGY-CYTOLOGY [0311]
88184
WCH HB LAB FEE SCHEDULE
361,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.118.818.502
HC REF LEUKEMIA/LYMPHOMA IMMUNOPHENOTYPING BY FLOW CYTOMETRY ADD ON
LABORATORY PATHOLOGY-CYTOLOGY [0311]
88185
WCH HB LAB FEE SCHEDULE
158,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.200.000.200
HC BHSS PER 15 MIN
PHYSICAL THERAPY-GENERAL [0420]
WCH HB DEFAULT FEE SCHEDULE
455,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.809.295.001
HC CARDIOPULMONARY RESUSCITATION 1-10 MINUTES
CARDIOLOGY-GENERAL [0480]
92950
WCH HB DEFAULT FEE SCHEDULE
1.535,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.029.925
HC REF ADALIMUMAB AND AB
LABORATORY-CHEMISTRY [0301]
80299
WCH HB LAB FEE SCHEDULE
462,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.414.500
HC PROCALCITONIN
LABORATORY-CHEMISTRY [0301]
84145
WCH HB LAB FEE SCHEDULE
259,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.028.620.002
HC CCP ANTIBODY
LABORATORY-IMMUNOLOGY [0302]
86200
WCH HB LAB FEE SCHEDULE
177,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.254.200
HC REF CORTISOL URINE LC-MS/MS
LABORATORY-CHEMISTRY [0301]
82542
WCH HB LAB FEE SCHEDULE
167,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.209.711.600
HC PT GAIT TRAINING BIRTH TO 3
PHYSICAL THERAPY-GENERAL [0420]
97116
WCH HB DEFAULT FEE SCHEDULE
92,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.840.039.000
HC TRAUMA RESP W ACTIVATION SPRH
TRAUMA RESPONSE-LEVEL IV [0684]
G0390
WCH HB DEFAULT FEE SCHEDULE
1.644,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
9.839.332.500
HC PRO DOPPLER ECHOCARDIOGRAPHY COLOR FLOW VELOCITY MAPPING
PROFESSIONAL FEES (EXTENSION OF 096X AND 097X)-CLINIC [0983]
93325
WCH HB DEFAULT FEE SCHEDULE
590,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
9.839.929.100
HC PRO CRITICAL CARE ILL/INJURED PATIENT INIT 30-74 MIN
PROFESSIONAL FEES (EXTENSION OF 096X AND 097X)-CLINIC [0983]
99291
WCH HB DEFAULT FEE SCHEDULE
2.000,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
9.839.923.800
HC PRO HOSPITAL DISCHARGE DAY MANAGEMENT 30 MIN/<
PROFESSIONAL FEES (EXTENSION OF 096X AND 097X)-CLINIC [0983]
99238
WCH HB DEFAULT FEE SCHEDULE
253,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
9.839.923.200
HC PRO SBSQ HOSPITAL CARE/DAY 25 MINUTES
PROFESSIONAL FEES (EXTENSION OF 096X AND 097X)-CLINIC [0983]
99232
WCH HB DEFAULT FEE SCHEDULE
224,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
9.839.923.400
HC PRO OBSERVATION/INPATIENT HOSPITAL CARE 40 MINUTES
PROFESSIONAL FEES (EXTENSION OF 096X AND 097X)-CLINIC [0983]
99234
WCH HB DEFAULT FEE SCHEDULE
421,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
9.839.923.900
HC PRO HOSPITAL DISCHARGE DAY MANAGEMENT > 30 MIN
PROFESSIONAL FEES (EXTENSION OF 096X AND 097X)-CLINIC [0983]
99239
WCH HB DEFAULT FEE SCHEDULE
316,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.058.561.305
HC REF DRVVT MIX
LABORATORY-HEMATOLOGY [0305]
85613
WCH HB LAB FEE SCHEDULE
154,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.058.561.306
HC REF DRVVT CONFIRMATION
LABORATORY-HEMATOLOGY [0305]
85613
WCH HB LAB FEE SCHEDULE
161,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.255.000
HC CPK TOTAL
LABORATORY-CHEMISTRY [0301]
82550
WCH HB LAB FEE SCHEDULE
177,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.058.539.002
HC REF SPECIAL COAGULATION INTERPRETATION (MAYO) LUPPR PANEL
LABORATORY-HEMATOLOGY [0305]
85390
WCH HB LAB FEE SCHEDULE
235,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.068.730.501
HC REF ASPERGILLUS GALACTOMANNAN AG
LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306]
87305
WCH HB LAB FEE SCHEDULE
229,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
7.719.047.201
HC SUBSEQUENT ADMINISTRATION OF INFLUENZA VIRUS VACCINE
PREVENTIVE CARE SERVICES-VACCINE ADMINISTRATION [0771]
90472
WCH HB DEFAULT FEE SCHEDULE
63,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
7.719.047.202
HC SUBSEQUENT ADMINISTRATION OF PNEUMOCOCCAL VACCINE
PREVENTIVE CARE SERVICES-VACCINE ADMINISTRATION [0771]
90472
WCH HB DEFAULT FEE SCHEDULE
63,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
7.719.047.203
HC SUBSEQUENT ADMINISTRATION OF HEPATITIS B VACCINE
PREVENTIVE CARE SERVICES-VACCINE ADMINISTRATION [0771]
90472
WCH HB DEFAULT FEE SCHEDULE
63,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.233.001
HC REF CALCUIM IONIZED SERUM
LABORATORY-CHEMISTRY [0301]
82330
WCH HB LAB FEE SCHEDULE
139,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.058.536.600
HC REF SOLUBLE FIBRIN MONOMER- THROMBO PANEL
LABORATORY-HEMATOLOGY [0305]
85366
WCH HB LAB FEE SCHEDULE
119,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.029.926
HC REF LACOSAMIDE
LABORATORY-CHEMISTRY [0301]
80299
WCH HB LAB FEE SCHEDULE
462,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.254.217
HC REF PYRIDOXIC ACID
LABORATORY-CHEMISTRY [0301]
82542
WCH HB LAB FEE SCHEDULE
167,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.029.927
HC REF ADALIMUMAB QUANTITATION WITH REFLEX TO ANTIBODY
LABORATORY-CHEMISTRY [0301]
80299
WCH HB LAB FEE SCHEDULE
462,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.255.300
HC MB FRACTION
LABORATORY-CHEMISTRY [0301]
82553
WCH HB LAB FEE SCHEDULE
87,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.207.401.800
HC RADIOLOGIC EXAM ABDOMEN 1 VIEW
RADIOLOGY-DIAGNOSTIC-GENERAL [0320]
74018
WCH HB DEFAULT FEE SCHEDULE
295,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.207.401.900
HC RADIOLOGIC EXAM ABDOMEN 2 VIEWS
RADIOLOGY-DIAGNOSTIC-GENERAL [0320]
74019
WCH HB DEFAULT FEE SCHEDULE
435,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.247.104.500
HC RADIOLOGIC EXAM CHEST SINGLE VIEW
RADIOLOGY-DIAGNOSTIC-CHEST X-RAY [0324]
71045
WCH HB DEFAULT FEE SCHEDULE
274,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.247.104.600
HC RADIOLOGIC EXAM CHEST 2 VIEWS
RADIOLOGY-DIAGNOSTIC-CHEST X-RAY [0324]
71046
WCH HB DEFAULT FEE SCHEDULE
352,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.247.104.700
HC RADIOLOGIC EXAM CHEST 3 VIEWS
RADIOLOGY-DIAGNOSTIC-CHEST X-RAY [0324]
71047
WCH HB DEFAULT FEE SCHEDULE
246,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.037.706.300
HC SCREENING DIGITAL BREAST TOMOSYNTHESIS BI
OTHER IMAGING SERVICES-SCREENING MAMMOGRAPHY [0403]
77063
WCH HB DEFAULT FEE SCHEDULE
200,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.409.712.700
HC THERAPEUTIC IVNTJ W/FOCUS ON COGNITIVE FUNCTION
SPEECH THERAPY-LANGUAGE PATHOLOGY-GENERAL [0440]
97127
WCH HB DEFAULT FEE SCHEDULE
79,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.309.712.700
HC THERAPEUTIC IVNTJ W/FOCUS ON COGNITIVE FUNCTION
OCCUPATIONAL THERAPY-GENERAL [0430]
97127
WCH HB DEFAULT FEE SCHEDULE
79,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.028.630.002
HC REF CANCER ANTIGEN 15-3
LABORATORY-IMMUNOLOGY [0302]
86300
WCH HB LAB FEE SCHEDULE
218,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
9.839.923.300
HC PRO SBSQ HOSPITAL CARE/DAY 35 MINUTES
PROFESSIONAL FEES (EXTENSION OF 096X AND 097X)-CLINIC [0983]
99233
WCH HB DEFAULT FEE SCHEDULE
306,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.256.500
HC CREATININE SERUM
LABORATORY-CHEMISTRY [0301]
82565
WCH HB LAB FEE SCHEDULE
85,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.415.602
HC REF PROTEIN, TOTAL, URINE
LABORATORY-CHEMISTRY [0301]
84156
WCH HB LAB FEE SCHEDULE
72,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.416.602
HC REF PROTEIN ELECTRPHORSIS URINE
LABORATORY-CHEMISTRY [0301]
84166
WCH HB LAB FEE SCHEDULE
138,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.028.635.700
HC REF NATURAL KILLER CELLS FOR T-B LYMPHOCYTE PROFILE
LABORATORY-IMMUNOLOGY [0302]
86357
WCH HB LAB FEE SCHEDULE
263,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.028.635.500
HC REF B-CELLS TOTAL COUNT FOR T-B LYMPHOCYTE PROFILE
LABORATORY-IMMUNOLOGY [0302]
86355
WCH HB LAB FEE SCHEDULE
238,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.028.636.000
HC REF ABSOLUTE CD4/CD8 COUNT FOR CD4-CD3 PROFILE
LABORATORY-IMMUNOLOGY [0302]
86360
WCH HB LAB FEE SCHEDULE
276,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.009.900.001
HC WORKPLACE URINE DRUG SCREEN COLLECTION ONLY
LABORATORY-GENERAL [0300]
99000
WCH HB LAB FEE SCHEDULE
40,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.382.500
HC REF MERCURY, 24 HOUR, URINE
LABORATORY-CHEMISTRY [0301]
83825
WCH HB LAB FEE SCHEDULE
179,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.078.030.602
HC WORKPLACE URINE NON-DOT DRUG SCREEN (WITH MRO)
LABORATORY-UROLOGY [0307]
80306
WCH HB LAB FEE SCHEDULE
40,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.078.030.603
HC WORKPLACE URINE DOT DRUG SCREEN (WITH MRO)
LABORATORY-UROLOGY [0307]
80306
WCH HB LAB FEE SCHEDULE
40,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.078.207.501
HC WORKPLACE BREATH ALCOHOL TEST (BAT)
LABORATORY-UROLOGY [0307]
82075
WCH HB LAB FEE SCHEDULE
58,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.257.000
HC CREATININE BODY FLUID
LABORATORY-CHEMISTRY [0301]
82570
WCH HB LAB FEE SCHEDULE
92,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.108.137.602
HC REF CELIAC DISEASE GLUTEN-FREE CASCADE
LABORATORY PATHOLOGY-GENERAL [0310]
81376
WCH HB LAB FEE SCHEDULE
436,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.118.823.702
HC REF CHROMOSOMES, HEMATOLOGIC BLOOD
LABORATORY PATHOLOGY-CYTOLOGY [0311]
88237
WCH HB LAB FEE SCHEDULE
659,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.118.823.002
HC REF CHROMOSOME ANALYSIS, CONGENITAL DISORDERS, BLOOD
LABORATORY PATHOLOGY-CYTOLOGY [0311]
88230
WCH HB LAB FEE SCHEDULE
482,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.001
HC/HH WCH SUPP MASK AEROSAL ADULT__001206
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
E0601
WCH HB SUPPLY FEE SCHEDULE
2,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.002
HC/HH WCH SUPP THUMB SPICA LG.LT__3070
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
L3807
WCH HB SUPPLY FEE SCHEDULE
104,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.003
HC/HH WCH SUPP THUMB SPICA LG.RT__3170
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
L3807
WCH HB SUPPLY FEE SCHEDULE
104,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.004
HC/HH WCH SUPP THUMB SPICA MED RT__3150
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
L3807
WCH HB SUPPLY FEE SCHEDULE
109,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.005
HC/HH WCH SUPP ADULT ONE STEP PADS__8900021401
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
168,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.006
HC/HH WCH SUPP AIRWAY 90MM ADULT M__10-80090
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
4,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.007
HC/HH WCH SUPP AIRWAY/INFANT 40MM__8400-12#0
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
4,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.257.500
HC CREAT CLEARANCE
LABORATORY-CHEMISTRY [0301]
82575
WCH HB LAB FEE SCHEDULE
120,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
1.200.000.100
HC ROOM SEMI PRIVATE SWINGBED INTERMEDIATE
ROOM & BOARD-SEMIPRIVATE (TWO-BEDS)-GENERAL [0120]
WCH HB DEFAULT FEE SCHEDULE
268,25
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.008
HC/HH WCH SUPP ALOE VESTA CLEANSING FOAM__325208
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
19,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.009
HC/HH WCH SUPP ANKLE BRACE W/STRAPS__B-212000002
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
76,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.010
HC/HH WCH SUPP ANKLE BRACE W/STRAPS__B-212000003
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
76,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.011
HC/HH WCH SUPP ANKLE BRACE W/STRAPS__B-212000004
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
76,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.012
HC/HH WCH SUPP ANKLE STIRRUP-LEFT__80100
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
82,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.013
HC/HH WCH SUPP ANKLE STIRRUP-RIGHT__80101
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
82,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.014
HC/HH WCH SUPP AQUACEL 4X4__177902
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
24,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.015
HC/HH WCH SUPP AQUACEL SILVER 4X4__403765
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
24,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.016
HC/HH WCH SUPP ARM SLING ADULT UNIVERSAL__8140015
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
27,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.017
HC/HH WCH SUPP ARM SLING ENVELOPE STYLE S__0814-0062
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
26,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.258.500
HC REF CRYOG CRYOFIBRENGOGEN
LABORATORY-CHEMISTRY [0301]
82585
WCH HB LAB FEE SCHEDULE
86,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.018
HC/HH WCH SUPP ATHLETIC SUPPORT L__202636
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
22,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.019
HC/HH WCH SUPP ATHLETIC SUPPORT M__202549
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
22,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.020
HC/HH WCH SUPP ATHLETIC SUPPORT-SMA__202460
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
31,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.021
HC/HH WCH SUPP BAG RESUSCITATION MAN ADULT__2K8005
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
84,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.022
HC/HH WCH SUPP BAG RESUSCITATION MAN INFANT__2K8038
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
80,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.023
HC/HH WCH SUPP BAG RESUSCITATION MAN PED__2K8008
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
80,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.024
HC/HH WCH SUPP BITE BLOCKS DISP__1140
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
12,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.025
HC/HH WCH SUPP BLANKET BAIR HUGGER UPPER BODY__52200
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
145,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.026
HC/HH WCH SUPP BLANKET BAIR HUGGER__11101
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
145,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.027
HC/HH WCH SUPP BNDG COBAN LF 2X5__2082
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
9,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.259.500
HC REF CRYO PANEL, SERUM AND PLASMA(MAYO)
LABORATORY-CHEMISTRY [0301]
82595
WCH HB LAB FEE SCHEDULE
79,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.028
HC/HH WCH SUPP BNDG COBAN TAN 2X5__1582
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
9,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.029
HC/HH WCH SUPP BNDG COMPRESSION LF 4IN__23594-040
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
12,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.030
HC/HH WCH SUPP BNDG COMPRESSION LF 6IN__23594-060
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
30,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.031
HC/HH WCH SUPP BNDG ELASTIC NST 2IN__23593-02LF
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
5,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.032
HC/HH WCH SUPP BNDG ELASTIC NST 3IN__23593-03LF
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
7,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.033
HC/HH WCH SUPP BNDG ELASTIC NST 4IN__23593-04LF
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
10,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.034
HC/HH WCH SUPP BNDG ELASTIC NST 6IN__23593-06LF
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
11,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.035
HC/HH WCH SUPP BNDG KERLIX 4IN__8074
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
68,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.036
HC/HH WCH SUPP BNDG PLASTER 4X5__7374
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
9,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.037
HC/HH WCH SUPP BNDG PLASTER 6X5__7376
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
12,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.260.700
HC VIT B12 SERUM
LABORATORY-CHEMISTRY [0301]
82607
WCH HB LAB FEE SCHEDULE
162,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.260.700
HC VIT B12 SERUM
LABORATORY-CHEMISTRY [0301]
82607
WCH WELLNESS WEDNESDAY FSC
35,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.038
HC/HH WCH SUPP BNDG ROLL NST 4IN__6021
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
4,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.039
HC/HH WCH SUPP BNDGE SETOPRESS 4IN__3505
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
41,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.040
HC/HH WCH SUPP BRACE CLAVICLE VELCRO STRAP XS__0814-1231
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
27,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.041
HC/HH WCH SUPP BRACE CLAVICLE XL__1179556
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
30,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.042
HC/HH WCH SUPP CANNISTER SUCTION ORTHO 1500CC__65651-515
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
13,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.043
HC/HH WCH SUPP CANNULA O2 NASAL PED__1101
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
7,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.044
HC/HH WCH SUPP CAP SHAMPOO__7909
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
11,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.045
HC/HH WCH SUPP CAST AIR WALKER L__AW0800
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
148,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.046
HC/HH WCH SUPP CAST AIR WALKER M__AW0600
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
148,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.047
HC/HH WCH SUPP CAST PADDING 2" COTT__1418
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
5,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.262.600
HC REF DHEA
LABORATORY-CHEMISTRY [0301]
82626
WCH HB LAB FEE SCHEDULE
272,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.048
HC/HH WCH SUPP CATH FOLEY16FR 10CC__DYND11502
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
24,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.049
HC/HH WCH SUPP CATH TRAY URETHRAL__772416
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
14,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.050
HC/HH WCH SUPP CLOTH TAPE 1 INCH__7138C
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
4,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.051
HC/HH WCH SUPP CLOTH TAPE 2 INCH__7139C
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
8,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.052
HC/HH WCH SUPP COLLAR CERV LO UNIV 3"__08140380
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
30,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.053
HC/HH WCH SUPP COLLAR CERVICAL 3.5 L UNI__0814-0381
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
27,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.054
HC/HH WCH SUPP COLLAR CERVICAL 3.5 REG S__0814-9702
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
27,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.055
HC/HH WCH SUPP COLLAR CERVICAL RD LG 4.5X22__0814-9704
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
27,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.056
HC/HH WCH SUPP COLLECTION UNIT SPECIPAN__4014
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
5,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.057
HC/HH WCH SUPP COMPRESSION SLEEVE THIGH HI__KDL5345H
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
220,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.262.700
HC REF DHEA SULFATE
LABORATORY-CHEMISTRY [0301]
82627
WCH HB LAB FEE SCHEDULE
240,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.058
HC/HH WCH SUPP COTTON ROLL #1__2287
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
28,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.059
HC/HH WCH SUPP COVER PROBE ULTRASOUND__38-01
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
4,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.060
HC/HH WCH SUPP DETECTOR CO2 EASY CAP II__EASYCAP II 6
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
40,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.061
HC/HH WCH SUPP DRSSNG DUODERM EXTRA THIN SPOT__187932
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
3,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.062
HC/HH WCH SUPP DRSSNG NET SURGILAST #6__GL707
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
27,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.063
HC/HH WCH SUPP DRSSNG NET SURGILAST #8__GL709
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
6,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.064
HC/HH WCH SUPP DRSSNG TEGADERM 6X8__1628
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
7,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.065
HC/HH WCH SUPP EYE PROTECTOR PAD MED__G 7013-1276
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
4,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.066
HC/HH WCH SUPP FETAL MONITOR BELT__40000008
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
25,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.067
HC/HH WCH SUPP FINGER COT-LRG 3"__71907
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
6,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.265.200
HC REF VIT D1 25 DIHYDROXY W FRAC
LABORATORY-CHEMISTRY [0301]
82652
WCH HB LAB FEE SCHEDULE
338,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.068
HC/HH WCH SUPP FINGER COT-MED 2.25"__71905
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
6,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.069
HC/HH WCH SUPP FINGER COT-SML 1.5"*__71903
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
7,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.070
HC/HH WCH SUPP FINGER COT-XSM 1"__71902
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
7,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.071
HC/HH WCH SUPP FINGER/THUMB SPLINT__510719
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
40,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.072
HC/HH WCH SUPP FINGERSPLINT/ABDUCTI__510718
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
40,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.073
HC/HH WCH SUPP FINGHER/THUMB SPLINT__510717
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
40,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.074
HC/HH WCH SUPP GEL ANKLE BRACE-LEFT__E8020L
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
86,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.075
HC/HH WCH SUPP GEL ANKLE BRACE-PONY__E200PR
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
47,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.076
HC/HH WCH SUPP GEL ANKLE BRACE-RIGH__E8020R
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
86,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.077
HC/HH WCH SUPP GOWN ISOLATION__NONTH150
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
6,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.266.800
HC REF ERYTHROPOIETIN
LABORATORY-CHEMISTRY [0301]
82668
WCH HB LAB FEE SCHEDULE
260,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.078
HC/HH WCH SUPP HOLDER ENDOTRACH TUBE__PM 1110
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
15,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.079
HC/HH WCH SUPP IMMOBILIZER SHDLR L__08144504
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
27,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.080
HC/HH WCH SUPP IRRIGATION SYSTEM__0210-100-000
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
209,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.081
HC/HH WCH SUPP IV NS 0.9 VIAFLEX 1000ML__2B1324X
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
121,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.082
HC/HH WCH SUPP KIT COMBITUBE 37FR__5-18537
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
173,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.083
HC/HH WCH SUPP KNEE IMMOBILIZER 16"__200016
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
113,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.084
HC/HH WCH SUPP KNEE IMMOBILIZER 20IN__8142744
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
114,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.085
HC/HH WCH SUPP KNEE IMMOBILIZER 24"__200030
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
113,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.086
HC/HH WCH SUPP LIFEBAND__8700-0706-01
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
246,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.087
HC/HH WCH SUPP LOTION ALOE 4OZ__324804
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
4,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.267.000
HC ESTRADIOL
LABORATORY-CHEMISTRY [0301]
82670
WCH HB LAB FEE SCHEDULE
187,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.088
HC/HH WCH SUPP LUBE GEL FOIL PACK 3__0281-0205-43
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
5,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.089
HC/HH WCH SUPP MAC 3 BLADE ADULT, DISPOSABLE__48033
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
24,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.090
HC/HH WCH SUPP MASK CPAP COMFORTFULL II LARGE__1004950
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
235,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.091
HC/HH WCH SUPP MASK CPAP COMFORTFULL II MED__1004872
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
235,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.092
HC/HH WCH SUPP MASK CPAP COMFORTFULL II SMALL__1004880
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
253,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.093
HC/HH WCH SUPP MASK MULTI-VENT ADULT__1088
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
11,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.094
HC/HH WCH SUPP MASK OXYGEN PEDS NO VALVE__001267
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
6,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.095
HC/HH WCH SUPP MASK OXYGEN VAL PEDS__001268
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
5,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.096
HC/HH WCH SUPP MEPILEX BORDER 3X3__295200
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
17,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.097
HC/HH WCH SUPP MEPILEX AG 4X4__287100
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
37,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.267.900
HC REF ASSAY OF ESTRONE
LABORATORY-CHEMISTRY [0301]
82679
WCH HB LAB FEE SCHEDULE
240,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.098
HC/HH WCH SUPP MEPILEX WITH BORDER 4X4__295300
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
15,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.099
HC/HH WCH SUPP MEPILEX WITH SAFETAC__294199
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
11,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.100
HC/HH WCH SUPP MEPITEL SAFETAC 10X18CM SILICN__291099
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
42,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.101
HC/HH WCH SUPP MESH UNDERWEAR XL__MSC86400
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
25,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.102
HC/HH WCH SUPP MESH UNDERWEAR XXL__MSC86500
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
27,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.103
HC/HH WCH SUPP METER PEAK FLOW ACCESS FL RNG__HS710-012
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
46,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.104
HC/HH WCH SUPP MOISTURIZER MOUTH__6083
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
7,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.105
HC/HH WCH SUPP NASAL CANNULA__1600
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
4,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.106
HC/HH WCH SUPP NEBULIZER SIDESTREAM__002174
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
8,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.107
HC/HH WCH SUPP OINTMENT BARRIER SENSICARE 4OZ__325614
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
24,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.032.003
HC REF ETHYLENE GLYCOL
LABORATORY-CHEMISTRY [0301]
82693
WCH HB LAB FEE SCHEDULE
193,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
1.200.000.200
HC ROOM SEMI PRIVATE SWINGBED SKILLED
ROOM & BOARD-SEMIPRIVATE (TWO-BEDS)-GENERAL [0120]
WCH HB DEFAULT FEE SCHEDULE
2.143,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.108
HC/HH WCH SUPP OINTMENT/ANTIFUNGAL__325102
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
19,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.109
HC/HH WCH SUPP PACKING FOR SETOPRESS__650948
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
28,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.110
HC/HH WCH SUPP PADDING CAST SYNTHETIC 2X4__CMW02
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
4,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.111
HC/HH WCH SUPP PADDING CAST SYNTHETIC 3X4__CMW03
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
4,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.112
HC/HH WCH SUPP PADDING CAST SYNTHETIC 4X4__CMW04
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
8,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.113
HC/HH WCH SUPP PADDNG UNDRCST WEBRIL 3INX4YDS__2059
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
4,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.114
HC/HH WCH SUPP PADDNG UNDRCST WEBRIL 4X4__3175
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
7,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.115
HC/HH WCH SUPP PADDNG UNDRCST WEBRIL 6X4__3489
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
19,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.116
HC/HH WCH SUPP PATHODX DISPOSABLE S__R62070
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
138,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.117
HC/HH WCH SUPP PLASTER BANDAGE 2__7372
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
5,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.271.000
HC REF FECAL FAT QUANT
LABORATORY-CHEMISTRY [0301]
82710
WCH HB LAB FEE SCHEDULE
195,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.118
HC/HH WCH SUPP POROUS TAPE 1 INCH__5104
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
5,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.119
HC/HH WCH SUPP POROUS TAPE 2 INCH__5106
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
10,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.120
HC/HH WCH SUPP POROUS TAPE 3 INCH__5108
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
12,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.121
HC/HH WCH SUPP PUMP SET KANGAROO FLH__8884773600
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
16,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.122
HC/HH WCH SUPP QUICKVUE ONE-STEP HCG COMBO__00178
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
2,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.123
HC/HH WCH SUPP RAZOR NONSTERILE__KEND139083
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
4,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.124
HC/HH WCH SUPP RHINO ROCKET LARGE__11S-S0800-08AS
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
46,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.125
HC/HH WCH SUPP RHINO ROCKET MED__11S-S0500-08AS
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
40,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.126
HC/HH WCH SUPP RHINO ROCKET SMALL__11S-S0300-08AS
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
40,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.127
HC/HH WCH SUPP RIB BELT 6" FEMALE L__0814-1389
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
22,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.272.800
HC FERRITIN
LABORATORY-CHEMISTRY [0301]
82728
WCH HB LAB FEE SCHEDULE
149,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.272.800
HC FERRITIN
LABORATORY-CHEMISTRY [0301]
82728
WCH WELLNESS WEDNESDAY FSC
5,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.128
HC/HH WCH SUPP RIB BELT 6" FEMALE M__13780400
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
44,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.129
HC/HH WCH SUPP RIB BELT MALE SM__0814-1388
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
21,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.130
HC/HH WCH SUPP RIB BELT X LRG__89068
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
31,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.131
HC/HH WCH SUPP SAM SLING L__SL55662
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
72,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.132
HC/HH WCH SUPP SAM SLING M__SL556652
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
72,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.133
HC/HH WCH SUPP SHOE/POST-OP/LARGE__18017
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
33,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.134
HC/HH WCH SUPP SHOE/POST-OP/MEDIUM__18015
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
30,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.135
HC/HH WCH SUPP SHOE/POST-OP/PEDIATR__117PEDB
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
30,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.136
HC/HH WCH SUPP SHOE/POST-OP/SMALL__18013
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
28,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.137
HC/HH WCH SUPP SHOE/POST-OP/X.LARGE__18018
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
36,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.274.600
HC FOLATE SERUM
LABORATORY-CHEMISTRY [0301]
82746
WCH HB LAB FEE SCHEDULE
164,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.138
HC/HH WCH SUPP SHOULDER IMMOB MED__8144503
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
27,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.139
HC/HH WCH SUPP SHOULDER IMMOB SM__8144502
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
25,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.140
HC/HH WCH SUPP SLING ARM ADULT SMALL__8140062
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
26,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.141
HC/HH WCH SUPP SLING ARM ADULT XL__8140065
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
26,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.142
HC/HH WCH SUPP SLING ARM PEDS XS__0814-0061
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
26,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.143
HC/HH WCH SUPP SLING ARM UNIVERSAL ENVELOPE__0814-0015
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
27,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.144
HC/HH WCH SUPP SLING ARM W/FOAM LARGE__8141064
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
26,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.145
HC/HH WCH SUPP SLING ARM W/FOAM MED ADULT__08141063
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
28,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.146
HC/HH WCH SUPP SLIPPERS MEDIUM__80103
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
4,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.147
HC/HH WCH SUPP SM AIR WALKER__AW0400
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
148,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.277.600
HC REF GALACTOSEMIA SCREEN
LABORATORY-CHEMISTRY [0301]
82776
WCH HB LAB FEE SCHEDULE
29,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.148
HC/HH WCH SUPP SOL CLEANSER PERINEAL 8OZ__324509
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
7,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.149
HC/HH WCH SUPP SOL CLEANSER WOUND SHUR CLENS__121253
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
13,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.150
HC/HH WCH SUPP SPECIMEN TRAP__8884724500
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
7,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.151
HC/HH WCH SUPP SPIROMETER INCENTIVE__001902A
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
24,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.152
HC/HH WCH SUPP SPLINT CLAVICLE/SML__0814-1232
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
28,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.153
HC/HH WCH SUPP SPLINT COCKUP UNIV LT__1769-03
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
34,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.154
HC/HH WCH SUPP SPLINT COCKUP UNIV RT__1769-02
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
38,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.155
HC/HH WCH SUPP SPLINT ORTHO GLASS 3X35__OG-335PC
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
46,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.156
HC/HH WCH SUPP SPLINT ORTHO-GLASS 2X12__OG-2PC
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
18,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.157
HC/HH WCH SUPP SPLINT ORTHO-GLASS 4X30__OG-430PC
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
42,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.278.400
HC REF CELIAC DIS SERLGY CASCADE IGA
LABORATORY-CHEMISTRY [0301]
82784
WCH HB LAB FEE SCHEDULE
111,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.158
HC/HH WCH SUPP SPLINT ORTHO-GLASS 6X30__OG-6PC
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
86,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.159
HC/HH WCH SUPP SPRAY NO STING BARRIER__3346
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
52,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.160
HC/HH WCH SUPP STAX FINGER SPLINT #5.5__72246
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
15,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.161
HC/HH WCH SUPP STOCKINETTE BIAS 3IN__730
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
43,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.162
HC/HH WCH SUPP STOCKINETTE BIAS 4IN__740
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
4,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.163
HC/HH WCH SUPP STOCKINETTE BIAS 6IN__760
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
4,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.164
HC/HH WCH SUPP STOCKINETTE SYNTH 2__MS02
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
4,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.165
HC/HH WCH SUPP STOCKINETTE SYNTH 3__MS03
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
4,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.166
HC/HH WCH SUPP STOCKINETTE SYNTH 4__MS04
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
4,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.167
HC/HH WCH SUPP STRAP ARM PADDED L__0814-1314
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
50,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.278.700
HC REF IGG SUBCLASSES EACH
LABORATORY-CHEMISTRY [0301]
82787
WCH HB LAB FEE SCHEDULE
300,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.168
HC/HH WCH SUPP STRAP ARM PADDED M__0814-1313
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
46,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.169
HC/HH WCH SUPP STRAP ARM PADDED S__8141312
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
15,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.170
HC/HH WCH SUPP STRAP ARM PADDED XL__0814-1315
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
18,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.171
HC/HH WCH SUPP STRAP MONTGOMERY__1583702
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
7,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.172
HC/HH WCH SUPP SUPPORT LUMBOSACRAL S__A818030
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
11,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.173
HC/HH WCH SUPP SYRINGE ECC TIP 10CC__305482
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
5,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.174
HC/HH WCH SUPP TAPE CASTING 2" WHT__82002
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
11,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.175
HC/HH WCH SUPP TAPE CASTING 3" WHT__82003
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
23,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.176
HC/HH WCH SUPP TAPE CASTING 4" WHT__82004
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
29,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.177
HC/HH WCH SUPP TAPE CASTING 5" WHT__82005
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
17,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.280.300
HC BL GAS W O2 SAT CALCULATED LAB
LABORATORY-CHEMISTRY [0301]
82803
WCH HB LAB FEE SCHEDULE
233,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.178
HC/HH WCH SUPP TAPE CLOTH MEDIPORE 2X10__2962
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
19,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.179
HC/HH WCH SUPP TAPE PAPER MICROPORE .5INX10__1530-0
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
14,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.180
HC/HH WCH SUPP TAPE PAPER MICROPORE 2INX10__1530-2
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
14,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.181
HC/HH WCH SUPP TAPE PLASTIC TRANSPORE 1X10__1527-1
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
5,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.182
HC/HH WCH SUPP TAPE PLASTIC TRANSPORE 2X10__1527-2
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
11,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.183
HC/HH WCH SUPP TEDS KNEE HI LG/REG__7203
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
18,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.184
HC/HH WCH SUPP TEDS KNEE HI MED/REG__7115
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
18,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.185
HC/HH WCH SUPP TEDS KNEE HI SM/REG__7071
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
18,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.186
HC/HH WCH SUPP TEDS THIGH HIGH LG/REG__3728LF
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
37,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.187
HC/HH WCH SUPP TEDS THIGH HIGH LG/SHORT__3634LF
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
37,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.280.500
HC BL GAS W 02 SAT MEASURE RT
LABORATORY-CHEMISTRY [0301]
82805
WCH HB LAB FEE SCHEDULE
233,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.188
HC/HH WCH SUPP TEDS THIGH HIGH LRG/LONG__3856LF
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
37,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.189
HC/HH WCH SUPP TEDS THIGH HIGH MED/LONG__3549LF
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
37,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.190
HC/HH WCH SUPP TEDS THIGH HIGH MED/REG__3416LF
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
37,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.191
HC/HH WCH SUPP TEDS THIGH HIGH MED/SHORT__3310LF
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
37,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.192
HC/HH WCH SUPP TEDS THIGH HIGH SM/LONG__3222LF
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
37,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.193
HC/HH WCH SUPP TEDS THIGH HIGH SM/REG__3130LF
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
37,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.194
HC/HH WCH SUPP TEDS THIGH HIGH SM/SHORT__3071LF
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
34,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.195
HC/HH WCH SUPP TENA PULL-UPS XLARGE__72412
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
17,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.196
HC/HH WCH SUPP TENA UNDERPAD 23X24 BLUE CHUX__354
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
8,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.204
HC/HH WCH SUPP TUBE CONNECTOR O2__1420
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
2,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.294.100
HC REF GASTRIN
LABORATORY-CHEMISTRY [0301]
82941
WCH HB LAB FEE SCHEDULE
160,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.205
HC/HH WCH SUPP TUBIGRIP BANDAGE SZ D__1437
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
79,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.206
HC/HH WCH SUPP TUBIGRIP BANDAGE SZ E__1434
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
90,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.207
HC/HH WCH SUPP TUBING BAIR HUGGER FLUID__24110
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
28,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.208
HC/HH WCH SUPP TUBULAR BANDAGE SIZE__MTTG319
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
4,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.209
HC/HH WCH SUPP TUBULAR BANDAGE SZ 2__C15510220
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
4,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.210
HC/HH WCH SUPP TUBULAR DRESSING SZ 10__GL711
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
94,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.211
HC/HH WCH SUPP TUBULAR DRESSING SZ 1__GL701
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
4,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.212
HC/HH WCH SUPP TUBULAR DRESSING SZ 3__GL703
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
4,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.213
HC/HH WCH SUPP TUBULAR DRESSING SZ 4__GL704
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
4,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.214
HC/HH WCH SUPP UNIV EXTRI COLLAR AD__0814-9428
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
9,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.294.500
HC GLUCOSE CSF OR BODY FLUID
LABORATORY-CHEMISTRY [0301]
82945
WCH HB LAB FEE SCHEDULE
147,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
1.210.000.200
HC ROOM SEMI PRIVATE
ROOM & BOARD-SEMIPRIVATE (TWO-BEDS)-MEDICAL/SURGICAL/GYN [0121]
WCH HB DEFAULT FEE SCHEDULE
2.143,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.215
HC/HH WCH SUPP UNIV-EXTRI COLLAR PEDS__0814-9427
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
9,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.216
HC/HH WCH SUPP VALVE CLEARLINK LUER ACTIVATED__2N8399
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
7,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.217
HC/HH WCH SUPP VENTILATION CIRCUIT__L599-010
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
41,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.218
HC/HH WCH SUPP WARMER HEEL INFANT 4X4__11460-010T
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
4,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.219
HC/HH WCH SUPP WASHCLOTH PRE-MOISTENED__6599N
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
18,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.220
HC/HH WCH SUPP WCHS MED/SUPPLY PICKUP
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
26,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.239
HC/HH WCH SUPP XLG AIR WALKER__AW1000BLK
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
148,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.240
HC/HH WCH SUPP XSM AIR WALKER__AW0200
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
148,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.705.000.241
HC/HH WCH SUPP YANKAUER SUCTION TIP__CFK82
MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270]
WCH HB SUPPLY FEE SCHEDULE
12,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.715.000.001
HC/HH WCH SUPP GREEN CHUX__MSC282030LB
MEDICAL/SURGICAL SUPPLIES AND DEVICES-NONSTERILE SUPPLY [0271]
WCH HB SUPPLY FEE SCHEDULE
8,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.294.700
HC GLUCOSE
LABORATORY-CHEMISTRY [0301]
82947
WCH HB LAB FEE SCHEDULE
77,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.715.000.002
HC/HH WCH SUPP KNEE IMMOBILIZER 12__8142662
MEDICAL/SURGICAL SUPPLIES AND DEVICES-NONSTERILE SUPPLY [0271]
WCH HB SUPPLY FEE SCHEDULE
55,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.715.000.003
HC/HH WCH SUPP PATHODX STREP B GRP 60 TEST__R62031
MEDICAL/SURGICAL SUPPLIES AND DEVICES-NONSTERILE SUPPLY [0271]
WCH HB SUPPLY FEE SCHEDULE
73,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.001
HC/HH WCH SUPP SAFE-T-CENTESIS TRAY__PIG1260T
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
A4550
WCH HB SUPPLY FEE SCHEDULE
128,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.002
HC/HH WCH SUPP SUTURE REMOVER KIT__723
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
A4649
WCH HB SUPPLY FEE SCHEDULE
6,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.003
HC/HH WCH SUPP GAUZE STERILE 4X4 TRAY (12PLY)__6939
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
A6402
WCH HB SUPPLY FEE SCHEDULE
6,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.004
HC/HH WCH SUPP SPONGE STERILE 4X4 2PK__3033
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
A6402
WCH HB SUPPLY FEE SCHEDULE
4,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.005
HC/HH WCH SUPP BNDG CNFRM STRETCH ST 2X75__2231
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
A6442
WCH HB SUPPLY FEE SCHEDULE
3,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.006
HC/HH WCH SUPP CATH KIT CENTRAL VENOUS__M3720HKIC
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
C1751
WCH HB SUPPLY FEE SCHEDULE
130,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.007
HC/HH WCH SUPP 3M SURGICAL CLIPPER BLADE__9660
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
13,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.008
HC/HH WCH SUPP ADD A FOLEY TRAY__896300
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
89,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.295.000
HC GLUCOSE TOLERANCE OB
LABORATORY-CHEMISTRY [0301]
82950
WCH HB LAB FEE SCHEDULE
58,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.009
HC/HH WCH SUPP ADHESIVE MASTISOL VIAL__0523-48
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
8,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.010
HC/HH WCH SUPP AIRWAY NASOPH 26FR__8888247023
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
27,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.011
HC/HH WCH SUPP AIRWAY NASOPH 28FR__8888247031
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
27,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.012
HC/HH WCH SUPP AIRWAY NASOPH 30FR__8888247049
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
29,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.013
HC/HH WCH SUPP AIRWAY NASOPH 32FR__8888247056
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
30,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.014
HC/HH WCH SUPP AIRWAY NASOPH 34FR__8888247064
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
27,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.015
HC/HH WCH SUPP ASPIRATOR MECONIUM__N0101
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
18,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.016
HC/HH WCH SUPP BAG URINE LEG DRAIN M__9645
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
49,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.017
HC/HH WCH SUPP BNDG CNFRM STRETCH ST 6X82__2238
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
5,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.018
HC/HH WCH SUPP BNDG COBAN 2 LAYER__2094
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
42,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.295.100
HC GTT 3 3HR GLUCOSE TOLERANCE
LABORATORY-CHEMISTRY [0301]
82951
WCH HB LAB FEE SCHEDULE
128,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.019
HC/HH WCH SUPP BNDG NON ADH 3X8__6115
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
8,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.020
HC/HH WCH SUPP BNDG PLASTER 3X3__7373
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
7,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.021
HC/HH WCH SUPP CATH FOLEY 14 FR 5CC__265714
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
39,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.022
HC/HH WCH SUPP CATH FOLEY 16FR 30CC__266716
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
19,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.023
HC/HH WCH SUPP CATH FOLEY 3WAY 30CC 22FR__0167V22S
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
14,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.024
HC/HH WCH SUPP CATH FOLEY SIL LX 5CC 12 FR__265712
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
20,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.025
HC/HH WCH SUPP CATH FOLEY SIL PED 10FR__165810
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
21,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.026
HC/HH WCH SUPP CATH FOLEY14 FR 30CC__266714
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
15,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.027
HC/HH WCH SUPP CATH FOLEY16 FR 5CC__265716
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
12,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.028
HC/HH WCH SUPP CATH FOLEY8 FR.3CC__165808
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
21,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.295.200
HC GLUC TOLERANCE ADDL >3 SPEC
LABORATORY-CHEMISTRY [0301]
82952
WCH HB LAB FEE SCHEDULE
53,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.029
HC/HH WCH SUPP CATH SUCTION 10FR__31000
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
6,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.030
HC/HH WCH SUPP CATH SUCTION 14F STRAIGHT__31400
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
7,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.031
HC/HH WCH SUPP CATH-FOLEY 24FR 30CC__0166L 24
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
54,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.032
HC/HH WCH SUPP CATHETER DELEE 8FR MUCUS TRAP__8888257378
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
12,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.033
HC/HH WCH SUPP CATHETER THORACIC 12FR__8888570507
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
34,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.034
HC/HH WCH SUPP CATHETER THORACIC 32FR__8888570556
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
35,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.035
HC/HH WCH SUPP CATHETER THORACIC 36FR__8888570564
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
35,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.036
HC/HH WCH SUPP CATHFOLEY-SUPRAPUBIC__DYND11782
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
34,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.037
HC/HH WCH SUPP COTTON BALLS UNSTERI__P159025
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
4,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.038
HC/HH WCH SUPP DRAIN PENROSE .25X12__20414-025
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
5,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.295.500
HC REF G 6 PD QN RC
LABORATORY-CHEMISTRY [0301]
82955
WCH HB LAB FEE SCHEDULE
131,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.039
HC/HH WCH SUPP DRAIN PENROSE .5X12__20414-050
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
5,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.040
HC/HH WCH SUPP DRAIN PENROSE .75X12__20414-075
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
5,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.041
HC/HH WCH SUPP DRAPE SHEET 44X57 HALF__9358
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
7,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.042
HC/HH WCH SUPP DRESSING NON ADHESIVE 3X16__6114
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
8,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.043
HC/HH WCH SUPP DRSSING ADPTC ST NON-ADH 3X3__2012
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
4,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.044
HC/HH WCH SUPP DRSSING TEGADERM 2.38X2.75__1624W
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
4,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.045
HC/HH WCH SUPP DRSSING TEGADERM 4X4.75__1626W
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
6,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.046
HC/HH WCH SUPP DRSSNG COMBIDERM ACD 5X5__187725
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
18,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.047
HC/HH WCH SUPP DRSSNG COMBIDERM ACD 6X7__651027
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
18,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.048
HC/HH WCH SUPP DRSSNG COMBIDERM ACD 4X 4__651031
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
13,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.297.700
HC GAMMA GT (GTT)
LABORATORY-CHEMISTRY [0301]
82977
WCH HB LAB FEE SCHEDULE
45,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.049
HC/HH WCH SUPP DRSSNG DUODERM 5.5 SQ__403327
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
25,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.050
HC/HH WCH SUPP DRSSNG TEGADERM FILM 4X4__90021
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
12,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.051
HC/HH WCH SUPP DRSSNG TELFA ST 3X4__2132
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
2,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.052
HC/HH WCH SUPP EZ-IO 25MM NEEDLE__9001
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
230,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.053
HC/HH WCH SUPP EZ-IO 45MM NEEDLE__9079
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
233,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.054
HC/HH WCH SUPP EZ-IO STABILIZER__9066
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
19,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.055
HC/HH WCH SUPP FOLEY CATH TRAY 16 F__899616
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
54,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.056
HC/HH WCH SUPP GAUZE PACKING IODOFORM 0.5IN__7832
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
21,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.057
HC/HH WCH SUPP GAUZE PACKING IODOFORM 1IN__7833
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
24,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.058
HC/HH WCH SUPP GAUZE PACKING PLAIN 0.5IN__7632
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
19,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.298.500
HC REF FRUCTOSAMINE
LABORATORY-CHEMISTRY [0301]
82985
WCH HB LAB FEE SCHEDULE
68,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.059
HC/HH WCH SUPP GAUZE PACKING PLAIN 1/4"__7631
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
21,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.060
HC/HH WCH SUPP GAUZE PACKING PLAIN 1IN__7633
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
21,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.061
HC/HH WCH SUPP GAUZE PACKING PLAIN 2IN__7634
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
36,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.062
HC/HH WCH SUPP GAUZE SPONGE STERILE 2X2__1806
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
7,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.063
HC/HH WCH SUPP GOWN SURG ST XL__9545
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
14,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.064
HC/HH WCH SUPP GAUZE VASELINE 1X8
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
7,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.065
HC/HH WCH SUPP HUBER INF SET Y 19X1 12/BX__PMI191YS
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
13,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.066
HC/HH WCH SUPP INF SET HUBER 19X3/4__PMI193S
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
18,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.067
HC/HH WCH SUPP IODOFORM PACKING 1/4__7831AMD
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
20,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.068
HC/HH WCH SUPP IV CATHETER EXTENSION__2N8378
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
12,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.300.100
HC FSH
LABORATORY-CHEMISTRY [0301]
83001
WCH HB LAB FEE SCHEDULE
166,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.069
HC/HH WCH SUPP KING AIRWAY LT-D SIZE 3.0__KLTD203
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
106,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.070
HC/HH WCH SUPP NEEDLE BIOPSY 14GX6__2N2704X
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
53,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.071
HC/HH WCH SUPP NEEDLE BONE MARROW 15GX3__DIN1515X
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
43,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.072
HC/HH WCH SUPP NEEDLE SPINAL QUINCKE 22GX3.5__405181
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
7,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.073
HC/HH WCH SUPP NEEDLE SPINAL QUINCKE 26GX3.5__405164
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
8,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.074
HC/HH WCH SUPP PAD ABDOMINAL 8X10__7198D
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
4,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.075
HC/HH WCH SUPP POOLE SUCTION INSTRU__0035040
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
13,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.076
HC/HH WCH SUPP POVIDONE-IODINE SWABSTICK__S41125
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
4,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.077
HC/HH WCH SUPP QUICKTRACH 4.0__120900040
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
317,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.078
HC/HH WCH SUPP RAZOR NST__139004
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
5,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.300.200
HC REF LUTEINZINE HORMONE (LH)
LABORATORY-CHEMISTRY [0301]
83002
WCH HB LAB FEE SCHEDULE
171,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.079
HC/HH WCH SUPP REMOVER STAPLE SKIN__ESPSX
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
13,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.080
HC/HH WCH SUPP SALEM SUMP TUBE/18FR__8888264986
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
75,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.081
HC/HH WCH SUPP SCALPEL PROTECTED BLADE #12__372612
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
5,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.082
HC/HH WCH SUPP SCALPEL PROTECTED BLADE #15__372615
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
5,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.083
HC/HH WCH SUPP SCALPEL PROTECTED DISP #10__372610
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
5,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.084
HC/HH WCH SUPP SCALPEL PROTECTED DISP #11__372611
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
5,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.085
HC/HH WCH SUPP SKIN STAPLER__ESPMW35
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
21,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.086
HC/HH WCH SUPP SOL IRRIGATION NS 0.9 1000ML__2F7124
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
6,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.087
HC/HH WCH SUPP SOL IRRIGATION NS 0.9 250ML__2F7122
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
5,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.088
HC/HH WCH SUPP SOL IRRIGATION WATER ST 250ML__2F7112
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
8,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.300.300
HC REF GROWTH HORMONE
LABORATORY-CHEMISTRY [0301]
83003
WCH HB LAB FEE SCHEDULE
163,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.609.636.000
HC IV INFUSION HYDRATION INITIAL 31 MIN-1 HOUR
IV THERAPY-GENERAL [0260]
96360
WCH HB DEFAULT FEE SCHEDULE
370,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.089
HC/HH WCH SUPP SOL SURG SCRUB PREVAIL__4VAIL
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
14,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.090
HC/HH WCH SUPP STAT PADZ__8900-4004
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
102,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.091
HC/HH WCH SUPP STOP COCK 3 WAY__2C6246
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
4,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.092
HC/HH WCH SUPP STYLET INTUBATING 14FR__85865
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
20,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.093
HC/HH WCH SUPP STYLET INTUBATING 6FR__85863
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
20,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.094
HC/HH WCH SUPP SUCTION CATH PEDS 8__30888
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
4,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.095
HC/HH WCH SUPP SUCTION TUBING__CFN510
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
11,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.096
HC/HH WCH SUPP SURGIFOAM__ET1972
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
30,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.097
HC/HH WCH SUPP SUTURE CHROMIC 4-0__G121H
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
12,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.098
HC/HH WCH SUPP SUTURE PROLENE 2-0__ET8423H
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
6,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.301.000
HC REF HAPTOGLOBIN
LABORATORY-CHEMISTRY [0301]
83010
WCH HB LAB FEE SCHEDULE
131,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.099
HC/HH WCH SUPP SUTURE PROLENE 3-0__ET8684G
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
17,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.100
HC/HH WCH SUPP SUTURE PROLENE 4-0__ET8683G
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
17,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.101
HC/HH WCH SUPP SUTURE PROLENE 5-0__ET8661G
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
17,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.102
HC/HH WCH SUPP SUTURE PROLENE 6-0__ET8680G
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
37,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.103
HC/HH WCH SUPP SYRINGE EAR/ULCER__4173
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
7,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.104
HC/HH WCH SUPP SYRINGE LUER LOK 10ML__309604
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
4,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.105
HC/HH WCH SUPP SYRINGE LUER LOK 20ML__309661
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
4,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.106
HC/HH WCH SUPP TAPE STERISTRIP .25X3__R1541
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
5,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.107
HC/HH WCH SUPP TAPE STERISTRIP .5X4__R1547
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
7,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.108
HC/HH WCH SUPP THORAC.CATH.24FR.16"__8888561050
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
59,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.217.501
HC REF ARSENIC, 24 HOUR, URINE
LABORATORY-CHEMISTRY [0301]
82175
WCH HB LAB FEE SCHEDULE
153,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.109
HC/HH WCH SUPP TRACH TUBE CUFFED 3.5 MRPHY__5-10107
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
28,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.110
HC/HH WCH SUPP TRACH TUBE CUFFED 4.5 MRPHY__5-10109
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
28,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.111
HC/HH WCH SUPP TRACH TUBE CUFFED 7 MRPHY__5-10314
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
28,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.112
HC/HH WCH SUPP TRACH TUBE CUFFED 7.5__5-10315
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
30,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.113
HC/HH WCH SUPP TRACH TUBE CUFFED 8.0__5-10316
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
28,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.114
HC/HH WCH SUPP TRAY CATH IRRIGATION 70CC__750301
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
7,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.115
HC/HH WCH SUPP TRAY LUMBAR SAF-T-LP ADULT__4301CSP
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
57,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.116
HC/HH WCH SUPP TRAY LUMBAR SAFE-T-LP PEDS__4302CS
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
45,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.117
HC/HH WCH SUPP TUBE SALEM SUMP SENT 16FR 48__8888264960
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
13,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.118
HC/HH WCH SUPP TUBE TRACH HI LO 6.5 MRPHY TIP__86110
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
28,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.302.000
HC REF HEMOGLOBIN ELECTROPHORESIS (HGB E)
LABORATORY-CHEMISTRY [0301]
83020
WCH HB LAB FEE SCHEDULE
132,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.119
HC/HH WCH SUPP TUBE TRACH LO-PRO 3MM__86043
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
31,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.120
HC/HH WCH SUPP TUBE TRACH LO-PRO 4MM__86045
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
28,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.121
HC/HH WCH SUPP TUBE TRACH LO-PRO 5.5MM__86048
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
28,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.122
HC/HH WCH SUPP TUBE TRACH LO-PRO 5MM__86047
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
28,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.123
HC/HH WCH SUPP TUBE TRACH LO-PRO 6MM__86049
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
28,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.124
HC/HH WCH SUPP TUBE TRACH LO-PRO 8.5MM__86054
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
28,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.125
HC/HH WCH SUPP TUBE TRACH LO-PRO 9MM__86055
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
28,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.126
HC/HH WCH SUPP TUBE TRACH UNCUFFED 2.5__86222
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
8,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.127
HC/HH WCH SUPP TUBE TRACH UNCUFFED 3.0__86223
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
10,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.128
HC/HH WCH SUPP TUBE TRACH UNCUFFED 3.5__86224
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
12,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.303.600
HC HEMOGLOBIN A1C
LABORATORY-CHEMISTRY [0301]
83036
WCH HB LAB FEE SCHEDULE
96,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.303.600
HC HEMOGLOBIN A1C
LABORATORY-CHEMISTRY [0301]
83036
WCH WELLNESS WEDNESDAY FSC
35,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.129
HC/HH WCH SUPP TUBE TRACH UNCUFFED 4.0__86464
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
12,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.130
HC/HH WCH SUPP TUBE TRACH UNCUFFED 5.0__86466
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
10,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.131
HC/HH WCH SUPP URINE DRAIN BAG 2000__154102
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
29,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.132
HC/HH WCH SUPP VICRYL 4-0__ETJ496G
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
12,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.725.000.133
HC/HH WCH SUPP WOUND CLOSURE TRAY__756
MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY [0272]
WCH HB SUPPLY FEE SCHEDULE
31,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.745.000.001
HC/HH WCH SUPP KNEE IMMOBILIZER 14"__E200010
MEDICAL/SURGICAL SUPPLIES AND DEVICES-PROSTHETIC/ORTHOTIC DEVICES [0274]
WCH HB SUPPLY FEE SCHEDULE
106,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.745.000.002
HC/HH WCH SUPP PADDING CAST ST 6IN__23626-560
MEDICAL/SURGICAL SUPPLIES AND DEVICES-PROSTHETIC/ORTHOTIC DEVICES [0274]
WCH HB SUPPLY FEE SCHEDULE
18,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.505.000.001
HC/HH WCH SUPP NEEDLE ASPIRATION 16GA__8881245164
EMERGENCY ROOM-GENERAL [0450]
WCH HB SUPPLY FEE SCHEDULE
18,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.505.000.002
HC/HH WCH SUPP IV CATH 22GA__4252519-02
EMERGENCY ROOM-GENERAL [0450]
WCH HB SUPPLY FEE SCHEDULE
11,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.200.000.300
HC WCH PT MAINTENANCE
PHYSICAL THERAPY-GENERAL [0420]
WCH HB DEFAULT FEE SCHEDULE
7,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.307.000
HC REF HEMOSIDERIN U
LABORATORY-CHEMISTRY [0301]
83070
WCH HB LAB FEE SCHEDULE
51,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.763.400
HC RSV, MOLECULAR DETECTION
LABORATORY-CHEMISTRY [0301]
87634
WCH HB LAB FEE SCHEDULE
151,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.009.900.002
HC LEGAL BLOOD DRAW
LABORATORY-GENERAL [0300]
99000
WCH HB DEFAULT FEE SCHEDULE
25,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.003.044.000
HC MOST RECENT HEMOGLOBIN A1C LEVEL < 7.0%
LABORATORY-GENERAL [0300]
3044F
WCH HB LAB FEE SCHEDULE
0,01
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.003.045.000
HC MOST RECENT HEMOGLOBIN A1C LEVEL 7.0-9.0%
LABORATORY-GENERAL [0300]
3045F
WCH HB LAB FEE SCHEDULE
0,01
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.003.046.000
HC MOST RECENT HEMOGLOBIN A1C LEVEL > 9.0%
LABORATORY-GENERAL [0300]
3046F
WCH HB LAB FEE SCHEDULE
0,01
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.309.000
HC ASSAY, HOMOCYSTINE
LABORATORY-CHEMISTRY [0301]
83090
WCH HB LAB FEE SCHEDULE
216,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.349.700
HC REF QUANT 5HIAA
LABORATORY-CHEMISTRY [0301]
83497
WCH HB LAB FEE SCHEDULE
177,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.349.800
HC REF 18 HYDROXYPROGESTERONE
LABORATORY-CHEMISTRY [0301]
83498
WCH HB LAB FEE SCHEDULE
243,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.351.600
HC REF GLIADIN AB OR IGG OR IGM
LABORATORY-CHEMISTRY [0301]
83516
WCH HB LAB FEE SCHEDULE
135,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.351.900
HC REF PARANEOPLASTIC (V-G) K+ CHNL
LABORATORY-CHEMISTRY [0301]
83519
WCH HB LAB FEE SCHEDULE
202,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.609.636.100
HC IV INFUSION HYDRATION EACH ADDITIONAL HOUR
IV THERAPY-GENERAL [0260]
96361
WCH HB DEFAULT FEE SCHEDULE
124,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.352.000
HC REF GLOMERULAR BASEMNT MEMBRANE AB
LABORATORY-CHEMISTRY [0301]
83520
WCH HB LAB FEE SCHEDULE
153,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.352.500
HC REF INSULIN
LABORATORY-CHEMISTRY [0301]
83525
WCH HB LAB FEE SCHEDULE
171,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.354.000
HC IRON SERUM
LABORATORY-CHEMISTRY [0301]
83540
WCH HB LAB FEE SCHEDULE
59,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.354.000
HC IRON SERUM
LABORATORY-CHEMISTRY [0301]
83540
WCH WELLNESS WEDNESDAY FSC
10,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.355.000
HC IRON BIND SERUM
LABORATORY-CHEMISTRY [0301]
83550
WCH HB LAB FEE SCHEDULE
76,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.355.000
HC IRON BIND SERUM
LABORATORY-CHEMISTRY [0301]
83550
WCH WELLNESS WEDNESDAY FSC
10,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.360.500
HC LACTIC ACID
LABORATORY-CHEMISTRY [0301]
83605
WCH HB LAB FEE SCHEDULE
134,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.361.500
HC LDH
LABORATORY-CHEMISTRY [0301]
83615
WCH HB LAB FEE SCHEDULE
51,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.362.500
HC REF LDH ISOENZYMES S
LABORATORY-CHEMISTRY [0301]
83625
WCH HB LAB FEE SCHEDULE
166,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.365.500
HC HEAVY METAL LEAD WB
LABORATORY-CHEMISTRY [0301]
83655
WCH HB LAB FEE SCHEDULE
112,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.369.000
HC LIPASE
LABORATORY-CHEMISTRY [0301]
83690
WCH HB LAB FEE SCHEDULE
101,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.371.800
HC HDL HIGH DENS LIPOPROTEIN
LABORATORY-CHEMISTRY [0301]
83718
WCH HB LAB FEE SCHEDULE
86,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.609.636.500
HC IV INFUSION THERAPY/PROPHYLAXIS /DX 1ST TO 1 HR
IV THERAPY-GENERAL [0260]
96365
WCH HB DEFAULT FEE SCHEDULE
370,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.372.100
HC DIRECT LDL CHOLESTEROL
LABORATORY-CHEMISTRY [0301]
83721
WCH HB LAB FEE SCHEDULE
89,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.373.500
HC MAGNESIUM
LABORATORY-CHEMISTRY [0301]
83735
WCH HB LAB FEE SCHEDULE
70,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.383.500
HC REF METANEPRINES
LABORATORY-CHEMISTRY [0301]
83835
WCH HB LAB FEE SCHEDULE
271,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.387.400
HC MYOGLOBIN
LABORATORY-CHEMISTRY [0301]
83874
WCH HB LAB FEE SCHEDULE
158,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.388.000
HC BNP B-TYPE NATRIUETIC PEPTIDE
LABORATORY-CHEMISTRY [0301]
83880
WCH HB LAB FEE SCHEDULE
322,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.392.100
HC REF METHYLMALONIC ACID SERUM
LABORATORY-CHEMISTRY [0301]
83921
WCH HB LAB FEE SCHEDULE
166,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.393.000
HC OSMOLARITY SERUM
LABORATORY-CHEMISTRY [0301]
83930
WCH HB LAB FEE SCHEDULE
69,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.393.500
HC OSMOLARITY URINE
LABORATORY-CHEMISTRY [0301]
83935
WCH HB LAB FEE SCHEDULE
90,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.394.500
HC REF OXALATE URINE (SAT 24)
LABORATORY-CHEMISTRY [0301]
83945
WCH HB LAB FEE SCHEDULE
121,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.397.000
HC ASSAY, PARATHORMONE
LABORATORY-CHEMISTRY [0301]
83970
WCH HB LAB FEE SCHEDULE
330,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.609.636.600
HC IV INFUSION THERAPY PROPHYLAXIS/DX EA ADDL HOUR
IV THERAPY-GENERAL [0260]
96366
WCH HB DEFAULT FEE SCHEDULE
152,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.398.600
HC PH-BODY FLUID (P-METRIC)
LABORATORY-CHEMISTRY [0301]
83986
WCH HB LAB FEE SCHEDULE
65,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.407.500
HC ALK PHOSPHOTASE
LABORATORY-CHEMISTRY [0301]
84075
WCH HB LAB FEE SCHEDULE
44,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.408.000
HC REF ALK PHOSPHATASE ISOENZYME
LABORATORY-CHEMISTRY [0301]
84080
WCH HB LAB FEE SCHEDULE
156,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.410.000
HC PHOSPHORUS
LABORATORY-CHEMISTRY [0301]
84100
WCH HB LAB FEE SCHEDULE
52,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.410.000
HC PHOSPHORUS
LABORATORY-CHEMISTRY [0301]
84100
WCH WELLNESS WEDNESDAY FSC
12,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.410.500
HC PHOS URINE
LABORATORY-CHEMISTRY [0301]
84105
WCH HB LAB FEE SCHEDULE
58,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.411.000
HC ASSAY OF PORPHOBLINOGEN
LABORATORY-CHEMISTRY [0301]
84110
WCH HB LAB FEE SCHEDULE
106,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.413.200
HC POTASSIUM SERUM PLASMA WB
LABORATORY-CHEMISTRY [0301]
84132
WCH HB LAB FEE SCHEDULE
79,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.413.300
HC POTASSIUM URINE
LABORATORY-CHEMISTRY [0301]
84133
WCH HB LAB FEE SCHEDULE
53,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.413.400
HC PREALBUMIN
LABORATORY-CHEMISTRY [0301]
84134
WCH HB LAB FEE SCHEDULE
129,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.414.400
HC PROGESTERONE
LABORATORY-CHEMISTRY [0301]
84144
WCH HB LAB FEE SCHEDULE
227,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.609.636.700
HC IV INFUSION THER PROPH ADDL SEQUENTIAL TO 1 HR
IV THERAPY-GENERAL [0260]
96367
WCH HB DEFAULT FEE SCHEDULE
221,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.414.600
HC PROLACTIN
LABORATORY-CHEMISTRY [0301]
84146
WCH HB LAB FEE SCHEDULE
182,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.415.300
HC PSA DIAGNOSTIC
LABORATORY-CHEMISTRY [0301]
84153
WCH HB DEFAULT FEE SCHEDULE
175,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.415.300
HC PSA DIAGNOSTIC
LABORATORY-CHEMISTRY [0301]
84153
WCH HB LAB FEE SCHEDULE
175,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.415.400
HC REF PROSTATE SPECIFIC ANTIGEN (PSA-FREE)
LABORATORY-CHEMISTRY [0301]
84154
WCH HB LAB FEE SCHEDULE
145,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.415.500
HC TOTAL PROTEIN SERUM PLASMA WB
LABORATORY-CHEMISTRY [0301]
84155
WCH HB LAB FEE SCHEDULE
129,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.415.600
HC PROTEIN-QUANT URINE
LABORATORY-CHEMISTRY [0301]
84156
WCH HB LAB FEE SCHEDULE
72,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.415.700
HC ASSAY, PROTEIN, OTHER SOURCE, TOTAL
LABORATORY-CHEMISTRY [0301]
84157
WCH HB LAB FEE SCHEDULE
79,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.416.500
HC E-PHORESIS-PROTEIN
LABORATORY-CHEMISTRY [0301]
84165
WCH HB LAB FEE SCHEDULE
131,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.416.600
HC ELP-UA
LABORATORY-CHEMISTRY [0301]
84166
WCH HB LAB FEE SCHEDULE
138,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.420.700
HC REF VITAMIN B6 PLASMA
LABORATORY-CHEMISTRY [0301]
84207
WCH HB LAB FEE SCHEDULE
272,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.424.400
HC REF RENIN ACTIVITY
LABORATORY-CHEMISTRY [0301]
84244
WCH HB LAB FEE SCHEDULE
250,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.609.636.800
HC IV NFS THERAPY PROPHYLAXIS/DX CONCURRENT NFS
IV THERAPY-GENERAL [0260]
96368
WCH HB DEFAULT FEE SCHEDULE
127,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.425.500
HC REF SELENIUM
LABORATORY-CHEMISTRY [0301]
84255
WCH HB LAB FEE SCHEDULE
177,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.427.000
HC REF SEX HORMONE BINDING GLOBULIN
LABORATORY-CHEMISTRY [0301]
84270
WCH HB LAB FEE SCHEDULE
210,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.429.500
HC SODIUM SERUM PLASMA WB
LABORATORY-CHEMISTRY [0301]
84295
WCH HB LAB FEE SCHEDULE
53,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.430.000
HC SODIUM URINE
LABORATORY-CHEMISTRY [0301]
84300
WCH HB LAB FEE SCHEDULE
52,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.430.200
HC SODIUM OTHER SOURCE
LABORATORY-CHEMISTRY [0301]
84302
WCH HB LAB FEE SCHEDULE
53,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.430.500
HC REF ASSAY OF SOMATOMEDIN
LABORATORY-CHEMISTRY [0301]
84305
WCH HB LAB FEE SCHEDULE
317,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.431.500
HC SPECIFIC GRAVITY EXCEPT URINE
LABORATORY-CHEMISTRY [0301]
84315
WCH HB LAB FEE SCHEDULE
33,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.440.300
HC TESTOSTERONE TOTAL
LABORATORY-CHEMISTRY [0301]
84403
WCH HB LAB FEE SCHEDULE
195,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.442.500
HC REF THIAMINE
LABORATORY-CHEMISTRY [0301]
84425
WCH HB LAB FEE SCHEDULE
222,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.443.200
HC REF THYROGLOBULIN TUMOR MARKER
LABORATORY-CHEMISTRY [0301]
84432
WCH HB LAB FEE SCHEDULE
200,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.609.637.200
HC THERAPEUTIC PROPHYLACTIC/DX INJECTION SUBQ/IM
IV THERAPY-GENERAL [0260]
96372
WCH HB DEFAULT FEE SCHEDULE
80,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.028.678.704
HC WCH VARICELLA ZOSTER IGG
LABORATORY-IMMUNOLOGY [0302]
86787
WCH HB LAB FEE SCHEDULE
58,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.443.600
HC ASSAY, TRUE THYROXINE
LABORATORY-CHEMISTRY [0301]
84436
WCH HB LAB FEE SCHEDULE
70,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.443.900
HC FREE T 4
LABORATORY-CHEMISTRY [0301]
84439
WCH HB LAB FEE SCHEDULE
122,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.443.900
HC FREE T 4
LABORATORY-CHEMISTRY [0301]
84439
WCH WELLNESS WEDNESDAY FSC
35,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.444.300
HC TSH
LABORATORY-CHEMISTRY [0301]
84443
WCH HB DEFAULT FEE SCHEDULE
175,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.444.300
HC TSH
LABORATORY-CHEMISTRY [0301]
84443
WCH WELLNESS WEDNESDAY FSC
25,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.444.500
HC REF THYROID STIMULATING IMMUNE GLOBULINS
LABORATORY-CHEMISTRY [0301]
84445
WCH HB LAB FEE SCHEDULE
529,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.444.600
HC REF VITAMIN E (TODOPHEROL ALPHA)
LABORATORY-CHEMISTRY [0301]
84446
WCH HB LAB FEE SCHEDULE
139,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.445.000
HC SGOT AST
LABORATORY-CHEMISTRY [0301]
84450
WCH HB LAB FEE SCHEDULE
67,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.446.000
HC SGPT ALT
LABORATORY-CHEMISTRY [0301]
84460
WCH HB LAB FEE SCHEDULE
2,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.446.600
HC REF TRANSFERRIN
LABORATORY-CHEMISTRY [0301]
84466
WCH HB LAB FEE SCHEDULE
165,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.447.800
HC VAP CHOLESTEROL TRIGLYCERIDES
LABORATORY-CHEMISTRY [0301]
84478
WCH HB DEFAULT FEE SCHEDULE
51,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.447.800
HC VAP CHOLESTEROL TRIGLYCERIDES
LABORATORY-CHEMISTRY [0301]
84478
WCH HB LAB FEE SCHEDULE
51,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.448.000
HC REF T-3 TRIIODOTHYRONINE TOTAL
LABORATORY-CHEMISTRY [0301]
84480
WCH HB LAB FEE SCHEDULE
216,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.609.637.400
HC THER PROPH/DX NJX IV PUSH SINGLE/1ST SBST/DRUG
IV THERAPY-GENERAL [0260]
96374
WCH HB DEFAULT FEE SCHEDULE
252,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.448.100
HC T3 TRIIODOTHYRONINE FREE
LABORATORY-CHEMISTRY [0301]
84481
WCH HB LAB FEE SCHEDULE
230,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.448.200
HC REF T3 TEIODOTHYRONINE REVERSE
LABORATORY-CHEMISTRY [0301]
84482
WCH HB LAB FEE SCHEDULE
217,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.448.400
HC TROPONIN I
LABORATORY-CHEMISTRY [0301]
84484
WCH HB LAB FEE SCHEDULE
112,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.452.000
HC BUN
LABORATORY-CHEMISTRY [0301]
84520
WCH HB LAB FEE SCHEDULE
74,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.454.000
HC UREA N URINE
LABORATORY-CHEMISTRY [0301]
84540
WCH HB LAB FEE SCHEDULE
76,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.455.000
HC URIC ACID BLOOD
LABORATORY-CHEMISTRY [0301]
84550
WCH HB LAB FEE SCHEDULE
81,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.455.000
HC URIC ACID BLOOD
LABORATORY-CHEMISTRY [0301]
84550
WCH WELLNESS WEDNESDAY FSC
14,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.456.000
HC ASSAY OF URINE/URIC ACID
LABORATORY-CHEMISTRY [0301]
84560
WCH HB LAB FEE SCHEDULE
74,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.458.500
HC REF VANILLYMANDELIC AC
LABORATORY-CHEMISTRY [0301]
84585
WCH HB LAB FEE SCHEDULE
208,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.458.800
HC REF ARGININE VASOPRESSIN
LABORATORY-CHEMISTRY [0301]
84588
WCH HB LAB FEE SCHEDULE
386,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.459.000
HC REF VITAMIN A SERUM
LABORATORY-CHEMISTRY [0301]
84590
WCH HB LAB FEE SCHEDULE
208,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.609.637.500
HC THERAPEUTIC INJECTION IV PUSH EACH NEW DRUG
IV THERAPY-GENERAL [0260]
96375
WCH HB DEFAULT FEE SCHEDULE
179,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.463.000
HC ASSAY OF ZINC
LABORATORY-CHEMISTRY [0301]
84630
WCH HB LAB FEE SCHEDULE
176,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.468.100
HC REF C PEPTIDE
LABORATORY-CHEMISTRY [0301]
84681
WCH HB LAB FEE SCHEDULE
262,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.470.200
HC HCG QUANT PREG TEST
LABORATORY-CHEMISTRY [0301]
84702
WCH HB LAB FEE SCHEDULE
176,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.470.300
HC HCG QUAL PREG TEST
LABORATORY-CHEMISTRY [0301]
84703
WCH HB LAB FEE SCHEDULE
107,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.499.900
HC REF OSMOLALITY STOOL
LABORATORY-CHEMISTRY [0301]
84999
WCH HB LAB FEE SCHEDULE
41,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.028.600.300
HC REF FOOD PANEL
LABORATORY-IMMUNOLOGY [0302]
86003
WCH HB LAB FEE SCHEDULE
43,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.028.603.800
HC ANTI NUCLEAR AB
LABORATORY-IMMUNOLOGY [0302]
86038
WCH HB LAB FEE SCHEDULE
134,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.028.603.900
HC FANA TITER
LABORATORY-IMMUNOLOGY [0302]
86039
WCH HB LAB FEE SCHEDULE
134,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.028.606.000
HC STREPZT
LABORATORY-IMMUNOLOGY [0302]
86060
WCH HB LAB FEE SCHEDULE
92,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.028.606.300
HC ANTISTREPTOLYSIN O SCREEN
LABORATORY-IMMUNOLOGY [0302]
86063
WCH HB LAB FEE SCHEDULE
87,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.609.637.600
HC THER PROPH/DX NJX EA SEQL IV PUSH SBST/DRUG FAC
IV THERAPY-GENERAL [0260]
96376
WCH HB DEFAULT FEE SCHEDULE
158,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.028.614.100
HC CRPQ C REATIVE PROTEIN
LABORATORY-IMMUNOLOGY [0302]
86141
WCH HB LAB FEE SCHEDULE
109,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.028.614.100
HC CRPQ C REATIVE PROTEIN
LABORATORY-IMMUNOLOGY [0302]
86141
WCH WELLNESS WEDNESDAY FSC
35,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.028.615.700
HC REF COLD AGGLUTININS TITER
LABORATORY-IMMUNOLOGY [0302]
86157
WCH HB LAB FEE SCHEDULE
168,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.028.616.000
HC COMPLEMENT 3 ANTIGEN
LABORATORY-IMMUNOLOGY [0302]
86160
WCH HB LAB FEE SCHEDULE
171,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.028.616.200
HC REF CH 50 COMPLEMENT
LABORATORY-IMMUNOLOGY [0302]
86162
WCH HB LAB FEE SCHEDULE
260,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.028.620.000
HC REF CYCLIC CITRULLINATED PEPTIDE (CCP)
LABORATORY-IMMUNOLOGY [0302]
86200
WCH HB LAB FEE SCHEDULE
177,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.028.621.500
HC REF DEOXYRIBONUCLEASE ANTIBODY
LABORATORY-IMMUNOLOGY [0302]
86215
WCH HB LAB FEE SCHEDULE
182,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.028.622.500
HC REF DNA ANTIBODY, NATIVE/DOUBLE STRAND
LABORATORY-IMMUNOLOGY [0302]
86225
WCH HB LAB FEE SCHEDULE
180,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.028.623.500
HC REF EXTRACTABLE NUCLEAR AG EACH AB
LABORATORY-IMMUNOLOGY [0302]
86235
WCH HB LAB FEE SCHEDULE
160,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.028.625.500
HC REF CYTOPLASMIC NEUTROPHIL AB
LABORATORY-IMMUNOLOGY [0302]
86255
WCH HB LAB FEE SCHEDULE
147,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.028.625.600
HC REF FLORESCENT ANTIBODY TITER; EACH
LABORATORY-IMMUNOLOGY [0302]
86256
WCH HB LAB FEE SCHEDULE
138,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.009.900.100
HC HANDLING OR CONVEYANCE SPEC
LABORATORY-GENERAL [0300]
99001
WCH HB LAB FEE SCHEDULE
53,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.028.630.000
HC IMMUNOASSAY, TUMOR, CA 15-4
LABORATORY-IMMUNOLOGY [0302]
86300
WCH HB LAB FEE SCHEDULE
218,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.028.630.100
HC REF IMMUNOASSAY, TUMOR, CA 19-9
LABORATORY-IMMUNOLOGY [0302]
86301
WCH HB LAB FEE SCHEDULE
210,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.028.630.400
HC CANCER ANTIGEN 125
LABORATORY-IMMUNOLOGY [0302]
86304
WCH HB LAB FEE SCHEDULE
218,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.028.630.800
HC MONO HETEROPHILE SCR
LABORATORY-IMMUNOLOGY [0302]
86308
WCH HB LAB FEE SCHEDULE
79,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.028.631.600
HC REF CHROMOGRANIN A
LABORATORY-IMMUNOLOGY [0302]
86316
WCH HB LAB FEE SCHEDULE
276,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.028.633.400
HC REF IMMUNOFIXATION ELECTROPHORESIS
LABORATORY-IMMUNOLOGY [0302]
86334
WCH HB LAB FEE SCHEDULE
238,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.028.633.500
HC REF IMMUNOFIXATION, URINE
LABORATORY-IMMUNOLOGY [0302]
86335
WCH HB LAB FEE SCHEDULE
238,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.028.633.700
HC REF INSULIN ANTIBODIES
LABORATORY-IMMUNOLOGY [0302]
86337
WCH HB LAB FEE SCHEDULE
277,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.028.634.000
HC REF INTRINSIC FACTOR BLOCKING AB
LABORATORY-IMMUNOLOGY [0302]
86340
WCH HB LAB FEE SCHEDULE
162,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.028.634.100
HC REF ISLET CELL ANTIBODY
LABORATORY-IMMUNOLOGY [0302]
86341
WCH HB LAB FEE SCHEDULE
132,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.004.800
HC BMP W TOTAL CALCIUM PANEL
LABORATORY-CHEMISTRY [0301]
80048
WCH HB DEFAULT FEE SCHEDULE
138,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.004.800
HC BMP W TOTAL CALCIUM PANEL
LABORATORY-CHEMISTRY [0301]
80048
WCH HB LAB FEE SCHEDULE
138,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.028.637.600
HC THYROID ANTIBODIES
LABORATORY-IMMUNOLOGY [0302]
86376
WCH HB LAB FEE SCHEDULE
153,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.028.643.000
HC RA QUAL
LABORATORY-IMMUNOLOGY [0302]
86430
WCH HB LAB FEE SCHEDULE
73,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.028.643.100
HC RA QUAN
LABORATORY-IMMUNOLOGY [0302]
86431
WCH HB LAB FEE SCHEDULE
76,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.028.648.000
HC TB GOLD
LABORATORY-IMMUNOLOGY [0302]
86480
WCH HB LAB FEE SCHEDULE
243,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.028.659.200
HC RPR
LABORATORY-IMMUNOLOGY [0302]
86592
WCH HB LAB FEE SCHEDULE
54,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.028.661.800
HC REF LYME CNS INEFECTION IGG WITH ANTIBODY INDEX REFLEX
LABORATORY-IMMUNOLOGY [0302]
86618
WCH HB LAB FEE SCHEDULE
187,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.028.662.200
HC REF BRUCELLA AB IGG OR IGM
LABORATORY-IMMUNOLOGY [0302]
86622
WCH HB LAB FEE SCHEDULE
113,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.028.663.100
HC CHLAMYDIA ANTIBODY
LABORATORY-IMMUNOLOGY [0302]
86631
WCH HB LAB FEE SCHEDULE
117,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.028.663.200
HC REF CHLAMYDIA IGG EACH SPECIES
LABORATORY-IMMUNOLOGY [0302]
86632
WCH HB LAB FEE SCHEDULE
147,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.028.663.500
HC REF COCCIDIOIDES AB
LABORATORY-IMMUNOLOGY [0302]
86635
WCH HB LAB FEE SCHEDULE
168,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.005.100
HC ELECTROLYTE PANEL
LABORATORY-CHEMISTRY [0301]
80051
WCH HB LAB FEE SCHEDULE
87,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.028.663.800
HC REF Q FEVER AB IGG OR IGM
LABORATORY-IMMUNOLOGY [0302]
86638
WCH HB LAB FEE SCHEDULE
171,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.028.664.400
HC REF CYTOMEGALOVIRUS (CMV)
LABORATORY-IMMUNOLOGY [0302]
86644
WCH HB LAB FEE SCHEDULE
175,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.028.664.500
HC REF CMV (CYTOMEGALOVIRIS) IGM
LABORATORY-IMMUNOLOGY [0302]
86645
WCH HB LAB FEE SCHEDULE
193,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.028.665.800
HC REF ECHOVIRUS SEROTYPES EACH
LABORATORY-IMMUNOLOGY [0302]
86658
WCH HB LAB FEE SCHEDULE
367,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.028.666.400
HC REF EBSTEIN-BARR VIRUS:NUCLEAR ANTIGEN
LABORATORY-IMMUNOLOGY [0302]
86664
WCH HB LAB FEE SCHEDULE
175,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.028.667.700
HC HELIOBACTER PYLORI AB
LABORATORY-IMMUNOLOGY [0302]
86677
WCH HB LAB FEE SCHEDULE
194,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.028.669.500
HC REF HERPES SIMPLEX TYPE 1
LABORATORY-IMMUNOLOGY [0302]
86695
WCH HB LAB FEE SCHEDULE
166,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.028.669.600
HC HERPES SIMPLEX TYPE 3
LABORATORY-IMMUNOLOGY [0302]
86696
WCH HB LAB FEE SCHEDULE
165,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.028.670.100
HC REF HIV 1 ANTIBODY
LABORATORY-IMMUNOLOGY [0302]
86701
WCH HB LAB FEE SCHEDULE
143,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.028.670.200
HC REF HIV 2 ANTIBODY
LABORATORY-IMMUNOLOGY [0302]
86702
WCH HB LAB FEE SCHEDULE
174,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.005.300
HC CMP COMPREHENSIVE METABOLIC
LABORATORY-CHEMISTRY [0301]
80053
WCH HB LAB FEE SCHEDULE
164,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.005.300
HC CMP COMPREHENSIVE METABOLIC
LABORATORY-CHEMISTRY [0301]
80053
WCH WELLNESS WEDNESDAY FSC
14,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.028.670.300
HC HIV I & II
LABORATORY-IMMUNOLOGY [0302]
86703
WCH HB LAB FEE SCHEDULE
152,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.028.670.400
HC REF HBC TOTAL AB
LABORATORY-IMMUNOLOGY [0302]
86704
WCH HB LAB FEE SCHEDULE
139,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.028.670.500
HC HEPATITIS B CORE ANTI-BODY IGM
LABORATORY-IMMUNOLOGY [0302]
86705
WCH HB LAB FEE SCHEDULE
143,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.028.670.600
HC HBS AB
LABORATORY-IMMUNOLOGY [0302]
86706
WCH HB LAB FEE SCHEDULE
117,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.028.670.700
HC REF HEPATITIS BE ANTIBODY
LABORATORY-IMMUNOLOGY [0302]
86707
WCH HB LAB FEE SCHEDULE
130,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.028.670.800
HC REF HEP A ANTIBODY IGG
LABORATORY-IMMUNOLOGY [0302]
86708
WCH HB LAB FEE SCHEDULE
139,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.028.670.900
HC HAV IGM
LABORATORY-IMMUNOLOGY [0302]
86709
WCH HB LAB FEE SCHEDULE
134,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.028.671.300
HC REF LEGIONELLA TITER
LABORATORY-IMMUNOLOGY [0302]
86713
WCH HB LAB FEE SCHEDULE
182,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.028.672.000
HC REF LEPTOSPIRA ANTIBODY
LABORATORY-IMMUNOLOGY [0302]
86720
WCH HB LAB FEE SCHEDULE
152,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.028.673.500
HC MUMPS
LABORATORY-IMMUNOLOGY [0302]
86735
WCH HB LAB FEE SCHEDULE
152,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.005.500
HC OB PANEL
LABORATORY-CHEMISTRY [0301]
80055
WCH HB LAB FEE SCHEDULE
345,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.028.676.200
HC RUBELLA
LABORATORY-IMMUNOLOGY [0302]
86762
WCH HB LAB FEE SCHEDULE
90,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.028.676.500
HC RUBEOLA
LABORATORY-IMMUNOLOGY [0302]
86765
WCH HB LAB FEE SCHEDULE
180,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.028.677.700
HC REF TORCH PROFILE IGG TOXOPLASMA
LABORATORY-IMMUNOLOGY [0302]
86777
WCH HB LAB FEE SCHEDULE
143,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.028.678.000
HC SYPHILIS T PALLIDUM AB
LABORATORY-IMMUNOLOGY [0302]
86780
WCH HB LAB FEE SCHEDULE
101,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.028.678.700
HC VARICELLA ZOSTER AB IGM
LABORATORY-IMMUNOLOGY [0302]
86787
WCH HB LAB FEE SCHEDULE
155,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.028.678.800
HC WEST NILE VIRUS IGM
LABORATORY-IMMUNOLOGY [0302]
86788
WCH HB LAB FEE SCHEDULE
162,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.028.678.900
HC REF WEST NILE VIRUS IGG
LABORATORY-IMMUNOLOGY [0302]
86789
WCH HB LAB FEE SCHEDULE
163,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.028.679.000
HC REF DENGUE FEVER AB IGG OR IGM
LABORATORY-IMMUNOLOGY [0302]
86790
WCH HB LAB FEE SCHEDULE
171,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.028.680.000
HC REF THYROGLOBULIN AB SCRN
LABORATORY-IMMUNOLOGY [0302]
86800
WCH HB LAB FEE SCHEDULE
162,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.028.680.300
HC HCV AB
LABORATORY-IMMUNOLOGY [0302]
86803
WCH HB LAB FEE SCHEDULE
185,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.006.100
HC LIPID PANEL CHOL TGL LDL HDL
LABORATORY-CHEMISTRY [0301]
80061
WCH HB LAB FEE SCHEDULE
138,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.006.100
HC LIPID PANEL CHOL TGL LDL HDL
LABORATORY-CHEMISTRY [0301]
80061
WCH WELLNESS WEDNESDAY FSC
30,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.028.681.200
HC REF HLA B27 RL
LABORATORY-IMMUNOLOGY [0302]
86812
WCH HB LAB FEE SCHEDULE
209,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.058.500.700
HC BL COUNT W MANUAL DIFF WBC CT
LABORATORY-HEMATOLOGY [0305]
85007
WCH HB LAB FEE SCHEDULE
45,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.058.501.400
HC HEMATOCRIT
LABORATORY-HEMATOLOGY [0305]
85014
WCH HB LAB FEE SCHEDULE
41,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.058.501.800
HC HEMOGLOBIN
LABORATORY-HEMATOLOGY [0305]
85018
WCH HB LAB FEE SCHEDULE
41,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.058.502.500
HC COMPLETE BL COUNT W DIFF AUTO
LABORATORY-HEMATOLOGY [0305]
85025
WCH HB LAB FEE SCHEDULE
112,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.058.502.500
HC COMPLETE BL COUNT W DIFF AUTO
LABORATORY-HEMATOLOGY [0305]
85025
WCH WELLNESS WEDNESDAY FSC
30,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.058.502.700
HC COMPLETE BL COUNT AUTOMATED
LABORATORY-HEMATOLOGY [0305]
85027
WCH HB LAB FEE SCHEDULE
83,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.058.504.500
HC RETICULOCYTE COUNT
LABORATORY-HEMATOLOGY [0305]
85045
WCH HB LAB FEE SCHEDULE
55,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.058.504.800
HC WBC WHITE BLOOD COUNT
LABORATORY-HEMATOLOGY [0305]
85048
WCH HB LAB FEE SCHEDULE
43,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.058.504.900
HC PLATELET CT
LABORATORY-HEMATOLOGY [0305]
85049
WCH HB LAB FEE SCHEDULE
43,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.058.526.000
HC REF COAG FACTOR X ASSAY, P (MAYO)
LABORATORY-HEMATOLOGY [0305]
85260
WCH HB LAB FEE SCHEDULE
257,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.006.900
HC RENAL FUNCTION PANEL
LABORATORY-CHEMISTRY [0301]
80069
WCH HB LAB FEE SCHEDULE
131,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.068.704.501
HC REF ENTERIC PATHOGEN STOOL CULTURE (NOT BY PCR) (STOOL WITH ISOLATION)
LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306]
87045
WCH HB LAB FEE SCHEDULE
88,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.058.530.000
HC REF ANTITHROMBIN III
LABORATORY-HEMATOLOGY [0305]
85300
WCH HB LAB FEE SCHEDULE
210,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.058.530.300
HC REF PROTEIN C FUNCTIONAL
LABORATORY-HEMATOLOGY [0305]
85303
WCH HB LAB FEE SCHEDULE
245,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.058.530.500
HC REF PROTEIN S TOTAL
LABORATORY-HEMATOLOGY [0305]
85305
WCH HB LAB FEE SCHEDULE
250,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.058.530.600
HC REF PROTEIN S ACTIVITY PLASMA
LABORATORY-HEMATOLOGY [0305]
85306
WCH HB LAB FEE SCHEDULE
257,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.058.530.700
HC REF ASSAY ACTIVIATED PROTEIN C
LABORATORY-HEMATOLOGY [0305]
85307
WCH HB LAB FEE SCHEDULE
226,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.058.537.900
HC D DIMER
LABORATORY-HEMATOLOGY [0305]
85379
WCH HB LAB FEE SCHEDULE
178,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.058.538.400
HC FIBRINOGEN
LABORATORY-HEMATOLOGY [0305]
85384
WCH HB LAB FEE SCHEDULE
112,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.058.546.100
HC FETAL SCREEN
LABORATORY-HEMATOLOGY [0305]
85461
WCH HB LAB FEE SCHEDULE
96,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.058.552.000
HC HEPARIN ANTI XA
LABORATORY-HEMATOLOGY [0305]
85520
WCH HB LAB FEE SCHEDULE
183,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.058.561.000
HC REF PROTHROMBIN TIME (PT),P (MAYO) PROCT PANEL
LABORATORY-HEMATOLOGY [0305]
85610
WCH HB LAB FEE SCHEDULE
69,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.007.400
HC HEPATITIS ACUTE PANEL
LABORATORY-CHEMISTRY [0301]
80074
WCH HB LAB FEE SCHEDULE
388,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.058.561.300
HC REF RUSSELL VIPER VENOM, DILUTED
LABORATORY-HEMATOLOGY [0305]
85613
WCH HB LAB FEE SCHEDULE
162,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.058.565.200
HC WESTERGREN ESR
LABORATORY-HEMATOLOGY [0305]
85652
WCH HB LAB FEE SCHEDULE
59,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.058.566.000
HC REF SICKLE CELL TEST
LABORATORY-HEMATOLOGY [0305]
85660
WCH HB LAB FEE SCHEDULE
62,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.058.567.000
HC THROMBIN TIME, PLASMA
LABORATORY-HEMATOLOGY [0305]
85670
WCH HB LAB FEE SCHEDULE
84,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.058.573.000
HC PTT
LABORATORY-HEMATOLOGY [0305]
85730
WCH HB LAB FEE SCHEDULE
85,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.068.701.500
HC REF CYCLOSPORA SPECIES DETECT CONC
LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306]
87015
WCH HB LAB FEE SCHEDULE
69,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.068.704.000
HC CULTURE BACT BLD AER ANAER
LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306]
87040
WCH HB DEFAULT FEE SCHEDULE
210,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.068.704.000
HC CULTURE BACT BLD AER ANAER
LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306]
87040
WCH HB LAB FEE SCHEDULE
210,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.068.704.500
HC FECAL CULTURE
LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306]
87045
WCH HB DEFAULT FEE SCHEDULE
132,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.068.704.500
HC FECAL CULTURE
LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306]
87045
WCH HB LAB FEE SCHEDULE
132,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.068.704.600
HC CAMPYLOBACTER
LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306]
87046
WCH HB LAB FEE SCHEDULE
89,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.068.707.500
HC CULTURE ANAEROBIC ANY SOURCE
LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306]
87075
WCH HB LAB FEE SCHEDULE
143,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.007.600
HC HEPATIC FUNCTION PANEL
LABORATORY-CHEMISTRY [0301]
80076
WCH HB LAB FEE SCHEDULE
121,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.068.707.600
HC ANAEROBE ID
LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306]
87076
WCH HB LAB FEE SCHEDULE
100,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.068.707.700
HC BACTERIAL ID
LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306]
87077
WCH HB DEFAULT FEE SCHEDULE
105,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.068.707.700
HC BACTERIAL ID
LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306]
87077
WCH HB LAB FEE SCHEDULE
105,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.068.708.100
HC CULTURE SCREENING
LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306]
87081
WCH HB LAB FEE SCHEDULE
140,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.068.708.800
HC URINE CULTURE
LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306]
87088
WCH HB LAB FEE SCHEDULE
89,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.068.710.100
HC FNG DERMAT CULTURE FUNGI
LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306]
87101
WCH HB LAB FEE SCHEDULE
84,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.068.710.200
HC FUNGAL CULTURE
LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306]
87102
WCH HB LAB FEE SCHEDULE
87,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.068.710.600
HC YEAST ID
LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306]
87106
WCH HB LAB FEE SCHEDULE
90,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.068.711.600
HC REF ACID FAST CULTURE AFBX
LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306]
87116
WCH HB LAB FEE SCHEDULE
108,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.068.714.700
HC SEROTYPE
LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306]
87147
WCH HB LAB FEE SCHEDULE
59,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.068.716.900
HC MACRO WORM MACROSCOPIC PARASIT
LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306]
87169
WCH HB LAB FEE SCHEDULE
59,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.015.600
HC CARBAMAZEPINE
LABORATORY-CHEMISTRY [0301]
80156
WCH HB LAB FEE SCHEDULE
132,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.068.717.200
HC PINWORM PREP
LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306]
87172
WCH HB LAB FEE SCHEDULE
59,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.068.717.700
HC REF OVA & PARASITE EXAMINATION
LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306]
87177
WCH HB LAB FEE SCHEDULE
107,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.068.718.600
HC SUSCEPTABILITY AEROBIC MIC
LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306]
87186
WCH HB LAB FEE SCHEDULE
114,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.068.720.500
HC DIRECT SMEAR ONLY
LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306]
87205
WCH HB LAB FEE SCHEDULE
59,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.068.720.600
HC STAIN FLORESCENT ACID FAST
LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306]
87206
WCH HB LAB FEE SCHEDULE
70,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.068.720.900
HC REF PARASITIC EXAMINATION SMEAR
LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306]
87209
WCH HB LAB FEE SCHEDULE
228,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.068.721.000
HC WET MOUNT CERVICAL OR SKIN
LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306]
87210
WCH HB LAB FEE SCHEDULE
52,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.068.722.000
HC KOH FUNGAL WET MOUNT
LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306]
87220
WCH HB LAB FEE SCHEDULE
44,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.068.725.200
HC VIRAL CULTURE
LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306]
87252
WCH HB LAB FEE SCHEDULE
198,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.068.726.000
HC ADENOVIRUS DFA
LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306]
87260
WCH HB LAB FEE SCHEDULE
91,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.015.800
HC CYCLOSPORINE
LABORATORY-CHEMISTRY [0301]
80158
WCH HB LAB FEE SCHEDULE
146,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.068.727.500
HC INFLUENZA B DFA
LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306]
87275
WCH HB LAB FEE SCHEDULE
91,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.068.727.600
HC INFLUENZA A DFA
LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306]
87276
WCH HB LAB FEE SCHEDULE
91,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.068.727.900
HC PARAINFLUENZA VIRUS ANY TYPE
LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306]
87279
WCH HB LAB FEE SCHEDULE
91,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.068.728.000
HC RSV DFA
LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306]
87280
WCH HB LAB FEE SCHEDULE
91,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.068.732.400
HC C DIFFICILE TOXIN
LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306]
87324
WCH HB LAB FEE SCHEDULE
132,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.068.733.800
HC REF STL FOR H PYLORI
LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306]
87338
WCH HB LAB FEE SCHEDULE
235,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.068.734.000
HC REF HBS AG
LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306]
87340
WCH HB LAB FEE SCHEDULE
73,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.068.738.500
HC REF HISTOPLASMA CAPSUL AG, EIA
LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306]
87385
WCH HB LAB FEE SCHEDULE
166,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.068.738.900
HC HIV 1 AND 2 AG & AB SCREEN
LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306]
87389
WCH HB LAB FEE SCHEDULE
209,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.068.742.000
HC RSV RESP SYNCTIAL VIRUS
LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306]
87420
WCH HB LAB FEE SCHEDULE
119,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.016.200
HC DIGOXIN TOTAL
LABORATORY-CHEMISTRY [0301]
80162
WCH HB LAB FEE SCHEDULE
133,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.068.742.500
HC ROTAVIR
LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306]
87425
WCH HB LAB FEE SCHEDULE
152,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.068.744.900
HC STREP PNEUMO ANTIGEN URINE
LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306]
87449
WCH HB LAB FEE SCHEDULE
86,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.068.748.600
HC C PNEUMONIAE BY PCR
LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306]
87486
WCH HB LAB FEE SCHEDULE
106,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.068.749.100
HC REF CHLAMYDIA TRACHOMATIS-AMPLIFIED PROB
LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306]
87491
WCH HB LAB FEE SCHEDULE
184,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.068.749.300
HC C DIFF AMPLIFIED PROBE
LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306]
87493
WCH HB LAB FEE SCHEDULE
183,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.068.749.800
HC ENTEROVIRUS PCR CSF
LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306]
87498
WCH HB LAB FEE SCHEDULE
425,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.068.750.700
HC GI PCR PANEL 12-25 TARGETS
LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306]
87507
WCH HB LAB FEE SCHEDULE
1.222,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.068.751.700
HC REF HEPATITIS B, DNA, QUANT
LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306]
87517
WCH HB LAB FEE SCHEDULE
277,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.068.752.200
HC REF HCV VIRAL LOAD
LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306]
87522
WCH HB LAB FEE SCHEDULE
538,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.068.752.900
HC REF HSV BY RAPID PCR
LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306]
87529
WCH HB LAB FEE SCHEDULE
206,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.016.400
HC VALPROIC ACID TOTAL
LABORATORY-CHEMISTRY [0301]
80164
WCH HB LAB FEE SCHEDULE
158,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.068.753.600
HC REF HIV 1 RNA BY ULTRA SENS PCR Q
LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306]
87536
WCH HB LAB FEE SCHEDULE
774,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.068.758.100
HC M PNEUMONIAE BY PCR
LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306]
87581
WCH HB LAB FEE SCHEDULE
132,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.068.759.100
HC REF NEISSERIA GONORRHOEAE
LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306]
87591
WCH HB LAB FEE SCHEDULE
186,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.068.763.300
HC RESP PANEL VIRUS BY PCR 12-25
LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306]
87633
WCH HB LAB FEE SCHEDULE
787,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.068.779.800
HC B PERTUSSIS BY PCR
LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306]
87798
WCH HB LAB FEE SCHEDULE
182,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.068.779.900
HC REF DETECT AGENT NOS, DNA, QUANT
LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306]
87799
WCH HB LAB FEE SCHEDULE
223,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.068.780.400
HC INFLUENZA A&B WAIVED
LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306]
87804
WCH HB LAB FEE SCHEDULE
89,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.068.788.000
HC STREP SCREEN GROUP A WAIVED
LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306]
87880
WCH HB LAB FEE SCHEDULE
96,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.068.789.900
HC INFECT AGENT BY IA DIRECT OBS
LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306]
87899
WCH HB LAB FEE SCHEDULE
89,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.068.790.100
HC REF HIV 1 GENOTYPIC DRUG RESIST
LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306]
87901
WCH HB LAB FEE SCHEDULE
931,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.016.800
HC REF ETHOSUXIMIDE
LABORATORY-CHEMISTRY [0301]
80168
WCH HB LAB FEE SCHEDULE
155,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.068.790.200
HC REF HCV GENOTYPE
LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306]
87902
WCH HB LAB FEE SCHEDULE
1.005,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.078.100.100
HC URINE AUTO WITH MICRO
LABORATORY-UROLOGY [0307]
81001
WCH HB LAB FEE SCHEDULE
67,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.078.100.200
HC URINE DIP POC
LABORATORY-UROLOGY [0307]
81002
WCH HB LAB FEE SCHEDULE
30,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.078.100.300
HC URINE AUTO WO MICRO WAIVED
LABORATORY-UROLOGY [0307]
81003
WCH HB DEFAULT FEE SCHEDULE
30,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.078.100.300
HC URINE AUTO WO MICRO WAIVED
LABORATORY-UROLOGY [0307]
81003
WCH HB LAB FEE SCHEDULE
30,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.078.101.500
HC URINE MICROSCOPIC ONLY
LABORATORY-UROLOGY [0307]
81015
WCH HB LAB FEE SCHEDULE
30,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.078.102.500
HC HCG URINE WAIVED
LABORATORY-UROLOGY [0307]
81025
WCH HB DEFAULT FEE SCHEDULE
88,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.078.102.500
HC HCG URINE WAIVED
LABORATORY-UROLOGY [0307]
81025
WCH HB LAB FEE SCHEDULE
88,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.078.109.900
HC DRUG SCREEN COLLECTION ONLY
LABORATORY-UROLOGY [0307]
81099
WCH HB LAB FEE SCHEDULE
46,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.108.137.600
HC REF CDCOMP HLA-DQ TYPING
LABORATORY PATHOLOGY-GENERAL [0310]
81376
WCH HB LAB FEE SCHEDULE
436,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.108.140.300
HC REF MOLECULAR PATH PROC LEVEL 4
LABORATORY PATHOLOGY-GENERAL [0310]
81403
WCH HB LAB FEE SCHEDULE
1.012,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.108.147.900
HC REF SEVERE COMBINE IMMUNODEF
LABORATORY PATHOLOGY-GENERAL [0310]
81479
WCH HB LAB FEE SCHEDULE
682,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.017.000
HC GENTAMICIN
LABORATORY-CHEMISTRY [0301]
80170
WCH HB LAB FEE SCHEDULE
156,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.118.818.400
HC FIRST MARKER
LABORATORY PATHOLOGY-CYTOLOGY [0311]
88184
WCH HB LAB FEE SCHEDULE
361,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.118.818.500
HC ADDITIONAL MARKER
LABORATORY PATHOLOGY-CYTOLOGY [0311]
88185
WCH HB LAB FEE SCHEDULE
273,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.118.826.200
HC REF CHROMOSOMES CONGENITAL BLOOD
LABORATORY PATHOLOGY-CYTOLOGY [0311]
88262
WCH HB LAB FEE SCHEDULE
673,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.207.010.000
HC RADIOLOGIC EXAMINATION MANDIPLE PRTL <4 VIEWS
RADIOLOGY-DIAGNOSTIC-GENERAL [0320]
70100
WCH HB DEFAULT FEE SCHEDULE
151,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.207.011.000
HC RADIOLOG EXAM MANDIBLE COMPL MINIMUM 4 VIEWS
RADIOLOGY-DIAGNOSTIC-GENERAL [0320]
70110
WCH HB DEFAULT FEE SCHEDULE
422,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.207.014.000
HC RADEX FACIAL BONES < 3 VIEWS
RADIOLOGY-DIAGNOSTIC-GENERAL [0320]
70140
WCH HB DEFAULT FEE SCHEDULE
200,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.207.015.000
HC RADEX FACIAL BONES COMPLETE MINIMUM 3 VIEWS
RADIOLOGY-DIAGNOSTIC-GENERAL [0320]
70150
WCH HB DEFAULT FEE SCHEDULE
455,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.207.016.000
HC RADEX NASAL BONES COMPLETE MINIMUM 3 VIEWS
RADIOLOGY-DIAGNOSTIC-GENERAL [0320]
70160
WCH HB DEFAULT FEE SCHEDULE
147,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.207.020.000
HC RADEX ORBITS COMPLETE MINIMUM 4 VIEWS
RADIOLOGY-DIAGNOSTIC-GENERAL [0320]
70200
WCH HB DEFAULT FEE SCHEDULE
227,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.207.021.000
HC RADEX SINUSES PARANASAL <3 VIEWS
RADIOLOGY-DIAGNOSTIC-GENERAL [0320]
70210
WCH HB DEFAULT FEE SCHEDULE
166,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.017.100
HC REF DRUG SCREEN QUANTITATIVE GABOP
LABORATORY-CHEMISTRY [0301]
80171
WCH HB LAB FEE SCHEDULE
191,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.207.022.000
HC RADEX SINUSES PARANASAL COMPL MINIMUM 3 VIEWS
RADIOLOGY-DIAGNOSTIC-GENERAL [0320]
70220
WCH HB DEFAULT FEE SCHEDULE
284,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.207.025.000
HC RADIOLOGIC EXAMINATION SKULL <4 VIEWS
RADIOLOGY-DIAGNOSTIC-GENERAL [0320]
70250
WCH HB DEFAULT FEE SCHEDULE
200,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.207.026.000
HC RADIOLOGIC EXAM SKULL COMPLETE MINIMUM 4 VIEWS
RADIOLOGY-DIAGNOSTIC-GENERAL [0320]
70260
WCH HB DEFAULT FEE SCHEDULE
284,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.207.033.000
HC RADEX TEMPOROMANDBLE JT OPN & CLSD MOUTH BILAT
RADIOLOGY-DIAGNOSTIC-GENERAL [0320]
70330
WCH HB DEFAULT FEE SCHEDULE
299,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.207.036.000
HC RADIOLOGIC EXAMINATION NECK SOFT TISSUE
RADIOLOGY-DIAGNOSTIC-GENERAL [0320]
70360
WCH HB DEFAULT FEE SCHEDULE
166,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.207.110.000
HC RADEX RIBS UNILATERAL 2 VIEWS
RADIOLOGY-DIAGNOSTIC-GENERAL [0320]
71100
WCH HB DEFAULT FEE SCHEDULE
199,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.207.110.100
HC RADEX RIBS UNI W/POSTEROANT CH MINIMUM 3 VIEWS
RADIOLOGY-DIAGNOSTIC-GENERAL [0320]
71101
WCH HB DEFAULT FEE SCHEDULE
414,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.207.111.000
HC RADEX RIBS BILATERAL 3 VIEWS
RADIOLOGY-DIAGNOSTIC-GENERAL [0320]
71110
WCH HB DEFAULT FEE SCHEDULE
261,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.207.111.100
HC RADEX RIBS BI W/POSTEROANT CH MINIMUM 4 VIEWS
RADIOLOGY-DIAGNOSTIC-GENERAL [0320]
71111
WCH HB DEFAULT FEE SCHEDULE
299,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.207.112.000
HC RADEX STERNUM MINIMUM 2 VIEWS
RADIOLOGY-DIAGNOSTIC-GENERAL [0320]
71120
WCH HB DEFAULT FEE SCHEDULE
205,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.017.500
HC LAMOTRIGINE LAMICTAL
LABORATORY-CHEMISTRY [0301]
80175
WCH HB LAB FEE SCHEDULE
99,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.068.704.602
hc REF ENTERIC PATHOGEN STOOL CULTURE (NOT BY PCR) (STOOL ADDITIONAL PATHOGENS)
LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306]
87046
WCH HB LAB FEE SCHEDULE
88,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.207.113.000
HC RADEX STERNOCLAVICULAR JT/JTS MINIMUM 3 VIEWS
RADIOLOGY-DIAGNOSTIC-GENERAL [0320]
71130
WCH HB DEFAULT FEE SCHEDULE
227,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.207.202.000
HC RADEX SPINE 1 VIEW SPECIFY LEVEL
RADIOLOGY-DIAGNOSTIC-GENERAL [0320]
72020
WCH HB DEFAULT FEE SCHEDULE
139,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.207.204.000
HC RADEX SPINE CERVICAL 2 OR 3 VIEWS
RADIOLOGY-DIAGNOSTIC-GENERAL [0320]
72040
WCH HB DEFAULT FEE SCHEDULE
364,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.207.205.000
HC RADEX SPINE CERVICAL 4 OR 5 VIEWS
RADIOLOGY-DIAGNOSTIC-GENERAL [0320]
72050
WCH HB DEFAULT FEE SCHEDULE
516,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.207.205.200
HC RADEX SPINE CERVICAL 6 OR MORE VIEWS
RADIOLOGY-DIAGNOSTIC-GENERAL [0320]
72052
WCH HB DEFAULT FEE SCHEDULE
722,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.207.207.000
HC RADEX SPINE THORACIC 2 VIEWS
RADIOLOGY-DIAGNOSTIC-GENERAL [0320]
72070
WCH HB DEFAULT FEE SCHEDULE
382,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.207.207.200
HC RADEX SPINE THORACIC 3 VIEWS
RADIOLOGY-DIAGNOSTIC-GENERAL [0320]
72072
WCH HB DEFAULT FEE SCHEDULE
465,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.207.208.000
HC RADEX SPINE THORACOLUMBAR JUNCTION MIN 2 VIEWS
RADIOLOGY-DIAGNOSTIC-GENERAL [0320]
72080
WCH HB DEFAULT FEE SCHEDULE
212,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.207.208.100
HC RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 1 VW
RADIOLOGY-DIAGNOSTIC-GENERAL [0320]
72081
WCH HB DEFAULT FEE SCHEDULE
237,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.207.208.200
HC RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 2/3 VW
RADIOLOGY-DIAGNOSTIC-GENERAL [0320]
72082
WCH HB DEFAULT FEE SCHEDULE
378,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.017.700
HC LEVETIRACETAM KEPPRA
LABORATORY-CHEMISTRY [0301]
80177
WCH HB LAB FEE SCHEDULE
171,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.207.210.000
HC RADEX SPINE LUMBOSACRAL 2/3 VIEWS
RADIOLOGY-DIAGNOSTIC-GENERAL [0320]
72100
WCH HB DEFAULT FEE SCHEDULE
476,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.207.211.000
HC RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS
RADIOLOGY-DIAGNOSTIC-GENERAL [0320]
72110
WCH HB DEFAULT FEE SCHEDULE
518,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.207.217.000
HC RADIOLOGIC EXAMINATION PELVIS 1/2 VIEWS
RADIOLOGY-DIAGNOSTIC-GENERAL [0320]
72170
WCH HB DEFAULT FEE SCHEDULE
308,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.207.219.000
HC RADIOLOGIC EXAM PELVIS COMPL MINIMUM 3 VIEWS
RADIOLOGY-DIAGNOSTIC-GENERAL [0320]
72190
WCH HB DEFAULT FEE SCHEDULE
253,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.207.220.200
HC RADIOLOGIC EXAM SACROILIAC JOINTS 3/MORE VIEWS
RADIOLOGY-DIAGNOSTIC-GENERAL [0320]
72202
WCH HB DEFAULT FEE SCHEDULE
250,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.207.222.000
HC RADEX SACRUM & COCCYX MINIMUM 2 VIEWS
RADIOLOGY-DIAGNOSTIC-GENERAL [0320]
72220
WCH HB DEFAULT FEE SCHEDULE
215,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.207.300.000
HC RADEX CLAVICLE COMPLETE
RADIOLOGY-DIAGNOSTIC-GENERAL [0320]
73000
WCH HB DEFAULT FEE SCHEDULE
304,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.207.301.000
HC RADEX SCAPULA COMPLETE
RADIOLOGY-DIAGNOSTIC-GENERAL [0320]
73010
WCH HB DEFAULT FEE SCHEDULE
403,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.207.302.000
HC RADEX SHOULDER 1 VIEW
RADIOLOGY-DIAGNOSTIC-GENERAL [0320]
73020
WCH HB DEFAULT FEE SCHEDULE
156,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.207.303.000
HC RADEX SHOULDER COMPLETE MINIMUM 2 VIEWS
RADIOLOGY-DIAGNOSTIC-GENERAL [0320]
73030
WCH HB DEFAULT FEE SCHEDULE
393,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.017.800
HC LITHIUM
LABORATORY-CHEMISTRY [0301]
80178
WCH HB LAB FEE SCHEDULE
112,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.207.305.000
HC RADEX A-C JOINTS BI W/WO WEIGHTED DISTRCJ
RADIOLOGY-DIAGNOSTIC-GENERAL [0320]
73050
WCH HB DEFAULT FEE SCHEDULE
209,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.207.306.000
HC RADEX HUMERUS MINIMUM 2 VIEWS
RADIOLOGY-DIAGNOSTIC-GENERAL [0320]
73060
WCH HB DEFAULT FEE SCHEDULE
185,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.207.307.000
HC RADEX ELBOW 2 VIEWS
RADIOLOGY-DIAGNOSTIC-GENERAL [0320]
73070
WCH HB DEFAULT FEE SCHEDULE
155,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.207.308.000
HC RADEX ELBOW COMPLETE MINIMUM 3 VIEWS
RADIOLOGY-DIAGNOSTIC-GENERAL [0320]
73080
WCH HB DEFAULT FEE SCHEDULE
179,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.207.309.000
HC RADEX FOREARM 2 VIEWS
RADIOLOGY-DIAGNOSTIC-GENERAL [0320]
73090
WCH HB DEFAULT FEE SCHEDULE
158,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.207.309.200
HC RADEX UPPER EXTREMITY INFANT MINIMUM 2 VIEWS
RADIOLOGY-DIAGNOSTIC-GENERAL [0320]
73092
WCH HB DEFAULT FEE SCHEDULE
152,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.207.310.000
HC RADEX WRIST 2 VIEWS
RADIOLOGY-DIAGNOSTIC-GENERAL [0320]
73100
WCH HB DEFAULT FEE SCHEDULE
238,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.207.311.000
HC RADEX WRIST COMPLETE MINIMUM 3 VIEWS
RADIOLOGY-DIAGNOSTIC-GENERAL [0320]
73110
WCH HB DEFAULT FEE SCHEDULE
351,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.207.312.000
HC RADEX HAND 2 VIEWS
RADIOLOGY-DIAGNOSTIC-GENERAL [0320]
73120
WCH HB DEFAULT FEE SCHEDULE
145,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.207.313.000
HC RADEX HAND MINIMUM 3 VIEWS
RADIOLOGY-DIAGNOSTIC-GENERAL [0320]
73130
WCH HB DEFAULT FEE SCHEDULE
167,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.018.300
HC REF OXCARBAZEPINE METABOLITE (MHC)
LABORATORY-CHEMISTRY [0301]
80183
WCH HB LAB FEE SCHEDULE
164,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.207.314.000
HC RADEX FINGR MINIMUM 2 VIEWS
RADIOLOGY-DIAGNOSTIC-GENERAL [0320]
73140
WCH HB DEFAULT FEE SCHEDULE
124,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.207.350.100
HC RADIOLOGIC EXAM, HIP W PELVIS WHEN PERFORMED, UNILATERAL, 1 VIEW
RADIOLOGY-DIAGNOSTIC-GENERAL [0320]
73501
WCH HB DEFAULT FEE SCHEDULE
153,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.207.350.200
HC RADEX HIP UNILATERAL WITH PELVIS 2-3 VIEWS
RADIOLOGY-DIAGNOSTIC-GENERAL [0320]
73502
WCH HB DEFAULT FEE SCHEDULE
210,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.207.355.200
HC RADIOLOGIC EXAMINATION FEMUR MINIMUM 2 VIEWS
RADIOLOGY-DIAGNOSTIC-GENERAL [0320]
73552
WCH HB DEFAULT FEE SCHEDULE
359,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.207.356.000
HC RADIOLOGIC EXAMINATION KNEE 1/2 VIEWS
RADIOLOGY-DIAGNOSTIC-GENERAL [0320]
73560
WCH HB DEFAULT FEE SCHEDULE
352,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.207.356.200
HC RADIOLOGIC EXAMINATION KNEE 3 VIEWS
RADIOLOGY-DIAGNOSTIC-GENERAL [0320]
73562
WCH HB DEFAULT FEE SCHEDULE
425,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.207.356.400
HC RADIOLOGIC EXAM KNEE COMPLETE 4/MORE VIEWS
RADIOLOGY-DIAGNOSTIC-GENERAL [0320]
73564
WCH HB DEFAULT FEE SCHEDULE
210,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.207.356.500
HC RADIOLOGIC EXAM BOTH KNEES STANDING ANTEROPOST
RADIOLOGY-DIAGNOSTIC-GENERAL [0320]
73565
WCH HB DEFAULT FEE SCHEDULE
233,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.207.359.000
HC RADIOLOGIC EXAMINATION TIBIA & FIBULA 2 VIEWS
RADIOLOGY-DIAGNOSTIC-GENERAL [0320]
73590
WCH HB DEFAULT FEE SCHEDULE
323,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.207.359.200
HC RADEX LOWER EXTREMITY INFANT MINIMUM 2 VIEWS
RADIOLOGY-DIAGNOSTIC-GENERAL [0320]
73592
WCH HB DEFAULT FEE SCHEDULE
162,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.018.400
HC PHENOBARB
LABORATORY-CHEMISTRY [0301]
80184
WCH HB LAB FEE SCHEDULE
79,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.207.360.000
HC RADIOLOGIC EXAMINATION ANKLE 2 VIEWS
RADIOLOGY-DIAGNOSTIC-GENERAL [0320]
73600
WCH HB DEFAULT FEE SCHEDULE
146,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.207.361.000
HC RADEX ANKLE COMPLETE MINIMUM 3 VIEWS
RADIOLOGY-DIAGNOSTIC-GENERAL [0320]
73610
WCH HB DEFAULT FEE SCHEDULE
341,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.207.362.000
HC RADIOLOGIC EXAMINATION FOOT 2 VIEWS
RADIOLOGY-DIAGNOSTIC-GENERAL [0320]
73620
WCH HB DEFAULT FEE SCHEDULE
152,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.207.363.000
HC RADEX FOOT COMPLETE MINIMUM 3 VIEWS
RADIOLOGY-DIAGNOSTIC-GENERAL [0320]
73630
WCH HB DEFAULT FEE SCHEDULE
365,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.207.365.000
HC RADEX CALCANEUS MINIMUM 2 VIEWS
RADIOLOGY-DIAGNOSTIC-GENERAL [0320]
73650
WCH HB DEFAULT FEE SCHEDULE
140,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.207.366.000
HC RADEX TOE MINIMUM 2 VIEWS
RADIOLOGY-DIAGNOSTIC-GENERAL [0320]
73660
WCH HB DEFAULT FEE SCHEDULE
132,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.207.402.200
HC RADEX ABD COMPL AQT ABD W/S/E/D VIEWS 1 VIEW CH
RADIOLOGY-DIAGNOSTIC-GENERAL [0320]
74022
WCH HB DEFAULT FEE SCHEDULE
549,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.207.430.000
HC CHOLANGIOGRAPHY&/PANCREATOGRAPHY NTRAOP RS&I
RADIOLOGY-DIAGNOSTIC-GENERAL [0320]
74300
WCH HB DEFAULT FEE SCHEDULE
376,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.207.440.000
HC UROGRAPHY IV W/WO KUB W/WO TOMOGRAPHY
RADIOLOGY-DIAGNOSTIC-GENERAL [0320]
74400
WCH HB DEFAULT FEE SCHEDULE
798,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.207.445.500
HC URETHROCYSTOGRAPHY VOIDING RS&I
RADIOLOGY-DIAGNOSTIC-GENERAL [0320]
74455
WCH HB DEFAULT FEE SCHEDULE
737,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.018.500
HC PHENYTOIN
LABORATORY-CHEMISTRY [0301]
80185
WCH HB LAB FEE SCHEDULE
128,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.207.601.000
HC RADEX FROM NOSE RECTUM FOREIGN BODY 1 VIEW CHLD
RADIOLOGY-DIAGNOSTIC-GENERAL [0320]
76010
WCH HB DEFAULT FEE SCHEDULE
139,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.207.707.300
HC BONE LENGTH STUDIES
RADIOLOGY-DIAGNOSTIC-GENERAL [0320]
77073
WCH HB DEFAULT FEE SCHEDULE
233,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.207.707.400
HC RADIOLOGIC EXAMINATION OSSEOUS SURVEY LIMITED
RADIOLOGY-DIAGNOSTIC-GENERAL [0320]
77074
WCH HB DEFAULT FEE SCHEDULE
383,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.207.707.500
HC RADIOLOGIC EXAMINATION OSSEOUS SURVEY COMPL
RADIOLOGY-DIAGNOSTIC-GENERAL [0320]
77075
WCH HB DEFAULT FEE SCHEDULE
384,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.207.707.600
HC RADIOLOGIC EXAMINATION OSSEOUS SURVEY INFANT
RADIOLOGY-DIAGNOSTIC-GENERAL [0320]
77076
WCH HB DEFAULT FEE SCHEDULE
243,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.207.708.000
HC DXA BONE DENSITY STUDY 1/> SITES AXIAL SKEL
RADIOLOGY-DIAGNOSTIC-GENERAL [0320]
77080
WCH HB DEFAULT FEE SCHEDULE
583,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.319.640.200
HC CHEMOTX ADMN SUBQ/IM HORMONAL ANTI-NEO
RADIOLOGY-THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION-CHEMOTHERAPY ADMINISTRATION-INJECTED [0331]
96402
WCH HB DEFAULT FEE SCHEDULE
149,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.359.641.300
HC CHEMOTX ADMN IV NFS TQ UP 1 HR 1/1ST SBST/DRUG
RADIOLOGY-THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION-CHEMOTHERAPY ADMINISTRATION-IV [0335]
96413
WCH HB DEFAULT FEE SCHEDULE
619,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.359.641.500
HC CHEMOTHERAPY ADMN IV INFUSION TQ EA HR
RADIOLOGY-THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION-CHEMOTHERAPY ADMINISTRATION-IV [0335]
96415
WCH HB DEFAULT FEE SCHEDULE
166,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.417.858.000
HC PULMONARY PERFUSION IMAGING PARTICULATE
NUCLEAR MEDICINE-DIAGNOSTIC [0341]
78580
WCH HB DEFAULT FEE SCHEDULE
1.299,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.018.600
HC REF PHENYTOIN DILANTIN FREE
LABORATORY-CHEMISTRY [0301]
80186
WCH HB LAB FEE SCHEDULE
135,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.507.638.000
HC CT LIMITED/LOCALIZED FOLLOW UP STUDY
CT SCAN-GENERAL [0350]
76380
WCH HB DEFAULT FEE SCHEDULE
660,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.517.045.000
HC CT HEAD/BRAIN W/O CONTRAST MATERIAL
CT SCAN-HEAD SCAN [0351]
70450
WCH HB DEFAULT FEE SCHEDULE
1.375,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.517.046.000
HC CT HEAD/BRAIN W/CONTRAST MATERIAL
CT SCAN-HEAD SCAN [0351]
70460
WCH HB DEFAULT FEE SCHEDULE
1.925,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.517.047.000
HC CT HEAD/BRAIN W/O & W/CONTRAST MATERIAL
CT SCAN-HEAD SCAN [0351]
70470
WCH HB DEFAULT FEE SCHEDULE
1.375,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.517.048.000
HC CT ORBIT SELLA/POST FOSSA/EAR W/O CONTRAST MATRL
CT SCAN-HEAD SCAN [0351]
70480
WCH HB DEFAULT FEE SCHEDULE
1.375,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.517.048.100
HC CT ORBIT SELLA/POST FOSSA/EAR W/CONTRAST MATRL
CT SCAN-HEAD SCAN [0351]
70481
WCH HB DEFAULT FEE SCHEDULE
1.925,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.517.048.200
HC CT ORBIT SELLA/POST FOSSA/EAR W/O & W/CONTR MATR
CT SCAN-HEAD SCAN [0351]
70482
WCH HB DEFAULT FEE SCHEDULE
1.925,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.517.048.600
HC CT MAXILLOFACIAL W/O CONTRAST MATERIAL
CT SCAN-HEAD SCAN [0351]
70486
WCH HB DEFAULT FEE SCHEDULE
1.375,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.517.048.700
HC CT MAXILLOFACIAL W/CONTRAST MATERIAL
CT SCAN-HEAD SCAN [0351]
70487
WCH HB DEFAULT FEE SCHEDULE
1.925,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.517.048.800
HC CT MAXILLOFACIAL W/O & W/CONTRAST MATERIAL
CT SCAN-HEAD SCAN [0351]
70488
WCH HB DEFAULT FEE SCHEDULE
2.200,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.018.800
HC REF ASSAY OF PRIMIDONE
LABORATORY-CHEMISTRY [0301]
80188
WCH HB LAB FEE SCHEDULE
158,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.517.049.000
HC CT SOFT TISSUE NECK W/O CONTRAST MATERIAL
CT SCAN-HEAD SCAN [0351]
70490
WCH HB DEFAULT FEE SCHEDULE
1.375,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.517.049.100
HC CT SOFT TISSUE NECK W/CONTRAST MATERIAL
CT SCAN-HEAD SCAN [0351]
70491
WCH HB DEFAULT FEE SCHEDULE
1.925,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.517.049.200
HC CT SOFT TISSUE NECK W/O & W/CONTRAST MATERIAL
CT SCAN-HEAD SCAN [0351]
70492
WCH HB DEFAULT FEE SCHEDULE
2.200,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.517.049.600
HC CT ANGIOGRAPHY HEAD W/CONTRAST/NONCONTRAST
CT SCAN-HEAD SCAN [0351]
70496
WCH HB DEFAULT FEE SCHEDULE
2.585,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.517.049.800
HC CT ANGIOGRAPHY NECK W/CONTRAST/NONCONTRAST
CT SCAN-HEAD SCAN [0351]
70498
WCH HB DEFAULT FEE SCHEDULE
2.585,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.520.029.700
HC LOW DOSE CT SCAN (LDCT) FOR LUNG CANCER SCREENING
CT SCAN-BODY SCAN [0352]
G0297
WCH HB DEFAULT FEE SCHEDULE
327,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.527.125.000
HC CT THORAX W/O CONTRAST MATERIAL
CT SCAN-BODY SCAN [0352]
71250
WCH HB DEFAULT FEE SCHEDULE
1.375,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.527.126.000
HC CT THORAX W/CONTRAST MATERIAL
CT SCAN-BODY SCAN [0352]
71260
WCH HB DEFAULT FEE SCHEDULE
1.925,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.527.127.000
HC CT THORAX W/O & W/CONTRAST MATERIAL
CT SCAN-BODY SCAN [0352]
71270
WCH HB DEFAULT FEE SCHEDULE
2.200,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.527.127.500
HC CT ANGIOGRAPHY CHEST W/CONTRAST/NONCONTRAST
CT SCAN-BODY SCAN [0352]
71275
WCH HB DEFAULT FEE SCHEDULE
2.365,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.019.500
HC REF SIROLIMUS RAPAMUNE
LABORATORY-CHEMISTRY [0301]
80195
WCH HB LAB FEE SCHEDULE
153,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.527.212.500
HC CT CERVICAL SPINE W/O CONTRAST MATERIAL
CT SCAN-BODY SCAN [0352]
72125
WCH HB DEFAULT FEE SCHEDULE
2.090,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.527.212.600
HC CT CERVICAL SPINE W/CONTRAST MATERIAL
CT SCAN-BODY SCAN [0352]
72126
WCH HB DEFAULT FEE SCHEDULE
1.293,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.527.212.700
HC CT CERVICAL SPINE W/O &W/CONTRAST MATERIAL
CT SCAN-BODY SCAN [0352]
72127
WCH HB DEFAULT FEE SCHEDULE
2.090,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.527.212.800
HC CT THORACIC SPINE W/O CONTRAST MATERIAL
CT SCAN-BODY SCAN [0352]
72128
WCH HB DEFAULT FEE SCHEDULE
1.375,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.527.212.900
HC CT THORACIC SPINE W/CONTRAST MATERIAL
CT SCAN-BODY SCAN [0352]
72129
WCH HB DEFAULT FEE SCHEDULE
139,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.527.213.100
HC CT LUMBAR SPINE W/O CONTRAST MATERIAL
CT SCAN-BODY SCAN [0352]
72131
WCH HB DEFAULT FEE SCHEDULE
1.375,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.527.213.200
HC CT LUMBAR SPINE W/CONTRAST MATERIAL
CT SCAN-BODY SCAN [0352]
72132
WCH HB DEFAULT FEE SCHEDULE
1.925,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.527.219.200
HC CT PELVIS W/O CONTRAST MATERIAL
CT SCAN-BODY SCAN [0352]
72192
WCH HB DEFAULT FEE SCHEDULE
1.375,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.527.219.300
HC CT PELVIS W/CONTRAST MATERIAL
CT SCAN-BODY SCAN [0352]
72193
WCH HB DEFAULT FEE SCHEDULE
1.925,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.527.219.400
HC CT PELVIS W/O & W/CONTRAST MATERIAL
CT SCAN-BODY SCAN [0352]
72194
WCH HB DEFAULT FEE SCHEDULE
2.200,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.019.700
HC REF TACROLIMUS FK506
LABORATORY-CHEMISTRY [0301]
80197
WCH HB LAB FEE SCHEDULE
176,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.527.320.000
HC CT UPPER EXTREMITY W/O CONTRAST MATERIAL
CT SCAN-BODY SCAN [0352]
73200
WCH HB DEFAULT FEE SCHEDULE
1.375,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.527.320.100
HC CT UPPER EXTREMITY W/CONTRAST MATERIAL
CT SCAN-BODY SCAN [0352]
73201
WCH HB DEFAULT FEE SCHEDULE
1.925,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.527.320.600
HC CT ANGIOGRAPHY UPPER EXTREMITY
CT SCAN-BODY SCAN [0352]
73206
WCH HB DEFAULT FEE SCHEDULE
2.200,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.527.370.000
HC CT LOWER EXTREMITY W/O CONTRAST MATERIAL
CT SCAN-BODY SCAN [0352]
73700
WCH HB DEFAULT FEE SCHEDULE
1.375,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.527.370.100
HC CT LOWER EXTREMITY W/CONTRAST MATERIAL
CT SCAN-BODY SCAN [0352]
73701
WCH HB DEFAULT FEE SCHEDULE
1.925,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.527.370.600
HC CT ANGIOGRAPHY LOWER EXTREMITY
CT SCAN-BODY SCAN [0352]
73706
WCH HB DEFAULT FEE SCHEDULE
2.365,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.527.415.000
HC CT ABDOMEN W/O CONTRAST MATERIAL
CT SCAN-BODY SCAN [0352]
74150
WCH HB DEFAULT FEE SCHEDULE
1.375,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.527.416.000
HC CT ABDOMEN W/CONTRAST MATERIAL
CT SCAN-BODY SCAN [0352]
74160
WCH HB DEFAULT FEE SCHEDULE
1.925,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.527.417.000
HC CT ABDOMEN W/O & W/CONTRAST MATERIAL
CT SCAN-BODY SCAN [0352]
74170
WCH HB DEFAULT FEE SCHEDULE
2.200,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.527.417.400
HC CT ANGIO ABD&PLVIS CNTRST MTRL W/WO CNTRST IMG
CT SCAN-BODY SCAN [0352]
74174
WCH HB DEFAULT FEE SCHEDULE
3.795,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.019.800
HC THEOPHYLLINE
LABORATORY-CHEMISTRY [0301]
80198
WCH HB LAB FEE SCHEDULE
134,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.068.732.401
HC C DIFFICILE TOXIN A/B
LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306]
87324
WCH HB LAB FEE SCHEDULE
146,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.527.417.500
HC CT ANGIOGRAPHY ABDOMEN W/CONTRAST/NONCONTRAST
CT SCAN-BODY SCAN [0352]
74175
WCH HB DEFAULT FEE SCHEDULE
2.365,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.527.417.600
HC CT ABDOMEN & PELVIS W/O CONTRAST MATERIAL
CT SCAN-BODY SCAN [0352]
74176
WCH HB DEFAULT FEE SCHEDULE
2.728,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.527.417.700
HC CT ABDOMEN & PELVIS W/CONTRAST MATERIAL
CT SCAN-BODY SCAN [0352]
74177
WCH HB DEFAULT FEE SCHEDULE
4.235,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.527.417.800
HC CT ABDOMEN & PELVIS W/O CONTRST FOLLOWED BY W CONTRST 1/> BODY RE
CT SCAN-BODY SCAN [0352]
74178
WCH HB DEFAULT FEE SCHEDULE
4.235,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.601.006.000
HC INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE
OPERATING ROOM SERVICES-GENERAL [0360]
10060
WCH HB DEFAULT FEE SCHEDULE
389,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.601.008.000
HC INCISION & DRAINAGE PILONIDAL CYST SIMPLE
OPERATING ROOM SERVICES-GENERAL [0360]
10080
WCH HB DEFAULT FEE SCHEDULE
686,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.601.012.000
HC INCISION & REMOVAL FOREIGN BODY SUBQ TISS SIMPLE
OPERATING ROOM SERVICES-GENERAL [0360]
10120
WCH HB DEFAULT FEE SCHEDULE
504,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.601.174.000
HC EVACUATION SUBUNGUAL HEMATOMA
OPERATING ROOM SERVICES-GENERAL [0360]
11740
WCH HB DEFAULT FEE SCHEDULE
180,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.601.200.100
HC SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/<
OPERATING ROOM SERVICES-GENERAL [0360]
12001
WCH HB DEFAULT FEE SCHEDULE
629,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.601.200.200
HC SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM
OPERATING ROOM SERVICES-GENERAL [0360]
12002
WCH HB DEFAULT FEE SCHEDULE
761,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.020.000
HC TOBRAMYCIN
LABORATORY-CHEMISTRY [0301]
80200
WCH HB LAB FEE SCHEDULE
142,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.601.200.400
HC SIMPLE RPR SCALP/NECK/AX/GENIT/TRUNK 7.6-12.5CM
OPERATING ROOM SERVICES-GENERAL [0360]
12004
WCH HB DEFAULT FEE SCHEDULE
943,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.601.201.100
HC SIMPLE REPAIR F/E/E/N/L/M 2.5CM/<
OPERATING ROOM SERVICES-GENERAL [0360]
12011
WCH HB DEFAULT FEE SCHEDULE
761,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.601.201.300
HC SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0 CM
OPERATING ROOM SERVICES-GENERAL [0360]
12013
WCH HB DEFAULT FEE SCHEDULE
762,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.601.203.200
HC REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM
OPERATING ROOM SERVICES-GENERAL [0360]
12032
WCH HB DEFAULT FEE SCHEDULE
923,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.601.203.500
HC REPAIR INTERMEDIATE S/A/T/E 12.6-20.0CM
OPERATING ROOM SERVICES-GENERAL [0360]
12035
WCH HB DEFAULT FEE SCHEDULE
1.542,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.601.204.200
HC REPAIR INTERMEDIATE N/H/F/XTRNL GENT 2.6-7.5 CM
OPERATING ROOM SERVICES-GENERAL [0360]
12042
WCH HB DEFAULT FEE SCHEDULE
1.014,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.601.205.100
HC REPAIR INTERMEDIATE F/E/E/N/L&/MUC 2.5 CM/<
OPERATING ROOM SERVICES-GENERAL [0360]
12051
WCH HB DEFAULT FEE SCHEDULE
1.013,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.602.060.500
HC ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US
OPERATING ROOM SERVICES-GENERAL [0360]
20605
WCH HB DEFAULT FEE SCHEDULE
288,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.602.061.000
HC ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US
OPERATING ROOM SERVICES-GENERAL [0360]
20610
WCH HB DEFAULT FEE SCHEDULE
343,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.602.148.000
HC CLOSED TX TEMPOROMANDIBULAR DISLOCATION 1ST/SBSQ
OPERATING ROOM SERVICES-GENERAL [0360]
21480
WCH HB DEFAULT FEE SCHEDULE
535,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.020.100
HC REF TOPIRAMATE
LABORATORY-CHEMISTRY [0301]
80201
WCH HB LAB FEE SCHEDULE
120,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.602.365.000
HC CLSD TX SHOULDER DISLC W/MANIPULATION W/O ANES
OPERATING ROOM SERVICES-GENERAL [0360]
23650
WCH HB DEFAULT FEE SCHEDULE
1.340,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.602.556.500
HC CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/MANJ
OPERATING ROOM SERVICES-GENERAL [0360]
25565
WCH HB DEFAULT FEE SCHEDULE
2.603,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.602.560.500
HC CLTX DSTL RDL FX/EPIPHYSL SEP W/MANJ WHEN PERF
OPERATING ROOM SERVICES-GENERAL [0360]
25605
WCH HB DEFAULT FEE SCHEDULE
2.744,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.602.674.200
HC CLTX ARTCLR FX INVG MTCARPHLNGL/IPHAL JT W/MANJ
OPERATING ROOM SERVICES-GENERAL [0360]
26742
WCH HB DEFAULT FEE SCHEDULE
1.796,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.602.677.000
HC CLTX IPHAL JT DISLC W/MANJ W/O ANES
OPERATING ROOM SERVICES-GENERAL [0360]
26770
WCH HB DEFAULT FEE SCHEDULE
1.178,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.602.784.000
HC CLOSED TX ANKLE DISLOCATION W/O ANESTHESIA
OPERATING ROOM SERVICES-GENERAL [0360]
27840
WCH HB DEFAULT FEE SCHEDULE
1.684,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.602.910.500
HC APPLICATION LONG ARM SPLINT SHOULDER HAND
OPERATING ROOM SERVICES-GENERAL [0360]
29105
WCH HB DEFAULT FEE SCHEDULE
418,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.602.912.500
HC APPLICATION SHORT ARM SPLINT FOREARM-HAND STATIC
OPERATING ROOM SERVICES-GENERAL [0360]
29125
WCH HB DEFAULT FEE SCHEDULE
293,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.602.940.500
HC APPLICATION SHORT LEG CAST BELOW KNEE-TOE
OPERATING ROOM SERVICES-GENERAL [0360]
29405
WCH HB DEFAULT FEE SCHEDULE
452,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.602.950.500
HC SPLINT APPLICATION LONG LEG (THIGH TO ANKLE OR TOES)
OPERATING ROOM SERVICES-GENERAL [0360]
29505
WCH HB DEFAULT FEE SCHEDULE
406,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.020.200
HC VANCOMYCIN
LABORATORY-CHEMISTRY [0301]
80202
WCH HB LAB FEE SCHEDULE
128,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.602.951.500
HC SPLINT APPLICATION SHORT LEG (CALF TO FOOT)
OPERATING ROOM SERVICES-GENERAL [0360]
29515
WCH HB DEFAULT FEE SCHEDULE
238,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.602.958.000
HC STRAPPING UNNA BOOT
OPERATING ROOM SERVICES-GENERAL [0360]
29580
WCH HB DEFAULT FEE SCHEDULE
190,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.602.958.100
HC APPL MLTLAYR COMPRES LEG BELOW KNEE W/ANKLE FOOT
OPERATING ROOM SERVICES-GENERAL [0360]
29581
WCH HB DEFAULT FEE SCHEDULE
319,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.603.090.100
HC CONTROL NASAL HEMORRHAGE ANTERIOR SIMPLE
OPERATING ROOM SERVICES-GENERAL [0360]
30901
WCH HB DEFAULT FEE SCHEDULE
408,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.603.255.100
HC TUBE THORACOSTOMY INCLUDES WATER SEAL
OPERATING ROOM SERVICES-GENERAL [0360]
32551
WCH HB DEFAULT FEE SCHEDULE
1.075,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.603.660.000
HC ARTERIAL PUNCTURE WITHDRAWAL BLOOD DX
OPERATING ROOM SERVICES-GENERAL [0360]
36600
WCH HB DEFAULT FEE SCHEDULE
281,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.603.660.000
HC ARTERIAL PUNCTURE WITHDRAWAL BLOOD DX
OPERATING ROOM SERVICES-GENERAL [0360]
36600
WCH HB LAB FEE SCHEDULE
257,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.603.668.000
HC PLACEMENT NEEDLE INTRAOSSEOUS INFUSION
OPERATING ROOM SERVICES-GENERAL [0360]
36680
WCH HB DEFAULT FEE SCHEDULE
746,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.604.908.200
HC ABDOMINAL PARACENTESIS (DIAGNOSTIC OR THERAPEUTIC), WO IMAGE GUIDANCE
OPERATING ROOM SERVICES-GENERAL [0360]
49082
WCH HB DEFAULT FEE SCHEDULE
769,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.605.170.100
HC INSERTION OF NON-INDWELLING BLADDER CATHETER
OPERATING ROOM SERVICES-GENERAL [0360]
51701
WCH HB DEFAULT FEE SCHEDULE
503,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.605.170.200
HC INSERTION OF TEMPORARY INDWELLING BLADDER CATHETER, SIMPLE
OPERATING ROOM SERVICES-GENERAL [0360]
51702
WCH HB DEFAULT FEE SCHEDULE
590,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.020.300
HC REF ZONISAMIDE
LABORATORY-CHEMISTRY [0301]
80203
WCH HB LAB FEE SCHEDULE
75,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.605.170.500
HC CHANGE OF CYSTOSTOMY TUBE, SIMPLE
OPERATING ROOM SERVICES-GENERAL [0360]
51705
WCH HB DEFAULT FEE SCHEDULE
638,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
5.109.759.700
HC DEBRIDEMENT OPEN WOUND 20 SQ CM/<
CLINIC-GENERAL CLASSIFICATION [0510]
97597
WCH HB DEFAULT FEE SCHEDULE
234,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.900.901.600
HC RBC LEUKO REDUCED
ADMINISTRATION, PROCESSING AND STORAGE FOR BLOOD AND BLOOD COMPONENTS-GENERAL [0390]
P9016
WCH HB LAB FEE SCHEDULE
821,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.900.901.700
HC FRESH FROZEN PLASMA ONE DONOR, FROZEN WITHIN 8 HOURS OF COLLECTION, EACH UNIT
ADMINISTRATION, PROCESSING AND STORAGE FOR BLOOD AND BLOOD COMPONENTS-GENERAL [0390]
P9017
WCH HB LAB FEE SCHEDULE
250,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.900.905.900
HC FRESH FROZEN PLASMA BETWEEN 8-24 HRS OF COLLECTION, EACH UNIT
ADMINISTRATION, PROCESSING AND STORAGE FOR BLOOD AND BLOOD COMPONENTS-GENERAL [0390]
P9059
WCH HB LAB FEE SCHEDULE
250,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.913.643.000
HC TRANSFUSION, BLOOD OR BLOOD COMPONENTS
ADMINISTRATION, PROCESSING AND STORAGE FOR BLOOD AND BLOOD COMPONENTS-ADMINISTRATION (E.G., TRANSFUS [0391]
36430
WCH HB LAB FEE SCHEDULE
321,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.027.653.600
HC US SOFT TISSUE HEAD & NECK REAL TIME IMGE DOCM
OTHER IMAGING SERVICES-ULTRASOUND [0402]
76536
WCH HB DEFAULT FEE SCHEDULE
460,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.027.660.400
HC US CHEST REAL TIME W/IMAGE DOCUMENTATION
OTHER IMAGING SERVICES-ULTRASOUND [0402]
76604
WCH HB DEFAULT FEE SCHEDULE
448,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.027.670.000
HC US ABDOMINAL REAL TIME W/IMAGE DOCUMENTATION
OTHER IMAGING SERVICES-ULTRASOUND [0402]
76700
WCH HB DEFAULT FEE SCHEDULE
868,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.027.670.500
HC US ABDOMINAL REAL TIME W/IMAGE LIMITED
OTHER IMAGING SERVICES-ULTRASOUND [0402]
76705
WCH HB DEFAULT FEE SCHEDULE
679,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.029.900
HC REF FLECAINIDE
LABORATORY-CHEMISTRY [0301]
80299
WCH HB DEFAULT FEE SCHEDULE
167,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.029.900
HC REF FLECAINIDE
LABORATORY-CHEMISTRY [0301]
80299
WCH HB LAB FEE SCHEDULE
462,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.027.677.000
HC US RETROPERITONEAL REAL TIME W/IMAGE COMPLETE
OTHER IMAGING SERVICES-ULTRASOUND [0402]
76770
WCH HB DEFAULT FEE SCHEDULE
816,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.027.677.500
HC US RETROPERITONEAL REAL TIME W/IMAGE LIMITED
OTHER IMAGING SERVICES-ULTRASOUND [0402]
76775
WCH HB DEFAULT FEE SCHEDULE
463,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.027.680.100
HC US PREGNANT UTERUS 14 WK TRANSABDL 1/1ST GESTAT
OTHER IMAGING SERVICES-ULTRASOUND [0402]
76801
WCH HB DEFAULT FEE SCHEDULE
634,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.027.680.500
HC US PREG UTERUS AFTER 1ST TRIMEST 1/1ST GESTATION
OTHER IMAGING SERVICES-ULTRASOUND [0402]
76805
WCH HB DEFAULT FEE SCHEDULE
634,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.027.681.000
HC US PREG UTERUS > 1ST TRIMESTER ABDL EA GESTATIO
OTHER IMAGING SERVICES-ULTRASOUND [0402]
76810
WCH HB DEFAULT FEE SCHEDULE
361,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.027.681.500
HC US PREGNANT UTERUS LIMITED 1/> FETUSES
OTHER IMAGING SERVICES-ULTRASOUND [0402]
76815
WCH HB DEFAULT FEE SCHEDULE
463,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.027.681.600
HC US PREG UTERUS REAL TIME F/U TRNSABDL PER FETUS
OTHER IMAGING SERVICES-ULTRASOUND [0402]
76816
WCH HB DEFAULT FEE SCHEDULE
414,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.027.681.700
HC US PREG UTERUS REAL TIME W/IMAGE DCMTN TRANSVAG
OTHER IMAGING SERVICES-ULTRASOUND [0402]
76817
WCH HB DEFAULT FEE SCHEDULE
538,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.027.681.900
HC FETAL BIOPHYSICAL PROFILE W/O NON-STRESS TESTING
OTHER IMAGING SERVICES-ULTRASOUND [0402]
76819
WCH HB DEFAULT FEE SCHEDULE
609,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.027.683.000
HC US TRANSVAGINAL
OTHER IMAGING SERVICES-ULTRASOUND [0402]
76830
WCH HB DEFAULT FEE SCHEDULE
708,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.032.000
HC ALCOHOL
LABORATORY-CHEMISTRY [0301]
80320
WCH HB LAB FEE SCHEDULE
153,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.027.685.600
HC US PELVIC NONOBSTETRIC REAL-TIME IMAGE COMPLETE
OTHER IMAGING SERVICES-ULTRASOUND [0402]
76856
WCH HB DEFAULT FEE SCHEDULE
917,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.027.685.700
HC US PELVIC NONOBSTETRIC IMAGE DCMTN LIMITED/F/U
OTHER IMAGING SERVICES-ULTRASOUND [0402]
76857
WCH HB DEFAULT FEE SCHEDULE
455,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.027.687.000
HC US SCROTUM & CONTENTS
OTHER IMAGING SERVICES-ULTRASOUND [0402]
76870
WCH HB DEFAULT FEE SCHEDULE
695,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.027.688.200
HC US EXTREMITY NON-VASC REAL-TIME IMG LMTD
OTHER IMAGING SERVICES-ULTRASOUND [0402]
76882
WCH HB DEFAULT FEE SCHEDULE
190,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.027.694.200
HC US GUIDANCE NEEDLE PLACEMENT IMG S&I
OTHER IMAGING SERVICES-ULTRASOUND [0402]
76942
WCH HB DEFAULT FEE SCHEDULE
1.047,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.100.023.900
HC THERA PROC RESP FUNCTOR INCR STRENGTH OR ENDRUANCERESPIRATORY MUSCLES, 2 OR MORE INDIVIDUALS
RESPIRATORY SERVICES-GENERAL [0410]
G0239
WCH HB DEFAULT FEE SCHEDULE
30,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.103.150.000
HC INTUBATION ENDOTRACHEAL EMERGENCY PROCEDURE
RESPIRATORY SERVICES-GENERAL [0410]
31500
WCH HB DEFAULT FEE SCHEDULE
916,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.109.400.200
HC VENTILATION ASSIST & MGMT INPATIENT 1ST DAY
RESPIRATORY SERVICES-GENERAL [0410]
94002
WCH HB DEFAULT FEE SCHEDULE
450,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.109.464.000
HC PRESSURIZED/NONPRESSURIZED INHALATION TREATMENT
RESPIRATORY SERVICES-GENERAL [0410]
94640
WCH HB DEFAULT FEE SCHEDULE
186,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.109.464.000
HC PRESSURIZED/NONPRESSURIZED INHALATION TREATMENT
RESPIRATORY SERVICES-GENERAL [0410]
94640
WCH HB LAB FEE SCHEDULE
154,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.109.466.000
HC CPAP VENTILATION CPAP INITIATION&MGMT
RESPIRATORY SERVICES-GENERAL [0410]
94660
WCH HB DEFAULT FEE SCHEDULE
266,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.032.300
HC REF NICOTINE AND METABOLITES
LABORATORY-CHEMISTRY [0301]
80323
WCH HB LAB FEE SCHEDULE
223,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.109.466.400
HC DEMO&/EVAL OF PT UTILIZ AERSL GEN/NEB/INHLR/IP
RESPIRATORY SERVICES-GENERAL [0410]
94664
WCH HB DEFAULT FEE SCHEDULE
150,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.109.466.700
HC MANJ CH WALL FACILITATE LNG FUNCJ 1 DEMO&/EVAL
RESPIRATORY SERVICES-GENERAL [0410]
94667
WCH HB DEFAULT FEE SCHEDULE
209,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.109.466.800
HC MANJ CHEST WALL FACILITATE LUNG FUNCTION SUBSQ
RESPIRATORY SERVICES-GENERAL [0410]
94668
WCH HB DEFAULT FEE SCHEDULE
84,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.209.701.200
HC APPL MODALITY 1/> AREAS TRACTION MECHANICAL
PHYSICAL THERAPY-GENERAL [0420]
97012
WCH HB DEFAULT FEE SCHEDULE
54,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.209.701.400
HC APPL MODALITY 1/> AREAS ELEC STIMJ UNATTENDED
PHYSICAL THERAPY-GENERAL [0420]
97014
WCH HB DEFAULT FEE SCHEDULE
50,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.209.701.800
HC APPL MODALITY 1/> AREAS PARAFFIN BATH
PHYSICAL THERAPY-GENERAL [0420]
97018
WCH HB DEFAULT FEE SCHEDULE
54,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.209.702.600
HC APPLICATION MODALITY 1/> AREAS INFRARED
PHYSICAL THERAPY-GENERAL [0420]
97026
WCH HB DEFAULT FEE SCHEDULE
51,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.209.703.200
HC APPL MODALITY 1/> AREAS ELEC STIMJ EA 15 MIN
PHYSICAL THERAPY-GENERAL [0420]
97032
WCH HB DEFAULT FEE SCHEDULE
61,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.209.703.300
HC APPL MODALITY 1/> AREAS IONTOPHORESIS EA 15 MIN
PHYSICAL THERAPY-GENERAL [0420]
97033
WCH HB DEFAULT FEE SCHEDULE
87,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.209.703.500
HC APPL MODALITY 1/> AREAS ULTRASOUND EA 15 MIN
PHYSICAL THERAPY-GENERAL [0420]
97035
WCH HB DEFAULT FEE SCHEDULE
73,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.032.900
HC SALICYLATES
LABORATORY-CHEMISTRY [0301]
80329
WCH HB LAB FEE SCHEDULE
212,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.209.712.400
HC THER PX 1/> AREAS EACH 15 MINUTES MASSAGE
PHYSICAL THERAPY-GENERAL [0420]
97124
WCH HB DEFAULT FEE SCHEDULE
54,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.209.714.000
HC MANUAL THERAPY TQS 1/> REGIONS EACH 15 MINUTES
PHYSICAL THERAPY-GENERAL [0420]
97140
WCH HB DEFAULT FEE SCHEDULE
107,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.209.753.000
HC THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN
PHYSICAL THERAPY-GENERAL [0420]
97530
WCH HB DEFAULT FEE SCHEDULE
87,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.209.753.500
HC SELF-CARE/HOME MGMT TRAINING EACH 15 MINUTES
PHYSICAL THERAPY-GENERAL [0420]
97535
WCH HB DEFAULT FEE SCHEDULE
90,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.209.754.200
HC WHEELCHAIR MANAGEMENT, EACH 15 MINS
PHYSICAL THERAPY-GENERAL [0420]
97542
WCH HB DEFAULT FEE SCHEDULE
55,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.209.775.000
HC PHYSICAL PERFORMANCE TEST/MEAS W/REPRT EA 15 MIN
PHYSICAL THERAPY-GENERAL [0420]
97750
WCH HB DEFAULT FEE SCHEDULE
89,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.209.776.000
HC ORTHOTIC MGMT&TRAINJ UXTR LXTR&/TRNK EA 15
PHYSICAL THERAPY-GENERAL [0420]
97760
WCH HB DEFAULT FEE SCHEDULE
163,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.209.776.100
HC PROSTHETIC TRAINING UPPR&/LOWER EXTREM EA 15 M
PHYSICAL THERAPY-GENERAL [0420]
97761
WCH HB DEFAULT FEE SCHEDULE
151,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.309.701.400
HC APPL MODALITY 1/> AREAS ELEC STIMJ UNATTENDED
OCCUPATIONAL THERAPY-GENERAL [0430]
97014
WCH HB DEFAULT FEE SCHEDULE
46,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.309.701.800
HC APPL MODALITY 1/> AREAS PARAFFIN BATH
OCCUPATIONAL THERAPY-GENERAL [0430]
97018
WCH HB DEFAULT FEE SCHEDULE
54,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.034.600
HC REF BENZODIAZEPINE CONF URINE
LABORATORY-CHEMISTRY [0301]
80346
WCH HB LAB FEE SCHEDULE
309,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.309.703.200
HC APPL MODALITY 1/> AREAS ELEC STIMJ EA 15 MIN
OCCUPATIONAL THERAPY-GENERAL [0430]
97032
WCH HB DEFAULT FEE SCHEDULE
61,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.309.703.300
HC APPL MODALITY 1/> AREAS IONTOPHORESIS EA 15 MIN
OCCUPATIONAL THERAPY-GENERAL [0430]
97033
WCH HB DEFAULT FEE SCHEDULE
87,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.309.703.500
HC APPL MODALITY 1/> AREAS ULTRASOUND EA 15 MIN
OCCUPATIONAL THERAPY-GENERAL [0430]
97035
WCH HB DEFAULT FEE SCHEDULE
73,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.309.714.000
HC MANUAL THERAPY TQS 1/> REGIONS EACH 15 MINUTES
OCCUPATIONAL THERAPY-GENERAL [0430]
97140
WCH HB DEFAULT FEE SCHEDULE
107,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.309.753.000
HC THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN
OCCUPATIONAL THERAPY-GENERAL [0430]
97530
WCH HB DEFAULT FEE SCHEDULE
87,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.309.753.200
HC DEVELOPMENT OF COGNITIVE SKILLS EACH 15 MINUTES
OCCUPATIONAL THERAPY-GENERAL [0430]
97532
WCH HB DEFAULT FEE SCHEDULE
79,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.309.753.300
HC SENSORY INTEGRATIVE TECHNIQUES EACH 15 MINUTES
OCCUPATIONAL THERAPY-GENERAL [0430]
97533
WCH HB DEFAULT FEE SCHEDULE
87,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.309.753.500
HC SELF-CARE/HOME MGMT TRAINING EACH 15 MINUTES
OCCUPATIONAL THERAPY-GENERAL [0430]
97535
WCH HB DEFAULT FEE SCHEDULE
90,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.309.754.200
HC WHEELCHAIR MANAGEMENT, EACH 15 MINS
OCCUPATIONAL THERAPY-GENERAL [0430]
97542
WCH HB DEFAULT FEE SCHEDULE
55,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.309.776.000
HC ORTHOTIC MGMT&TRAINJ UXTR LXTR&/TRNK EA 15
OCCUPATIONAL THERAPY-GENERAL [0430]
97760
WCH HB DEFAULT FEE SCHEDULE
163,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.037.700
HC REF DRUG SUBS NOT SPEC 7 MORE PM U
LABORATORY-CHEMISTRY [0301]
80377
WCH HB LAB FEE SCHEDULE
151,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.108.116.200
HC REF BRCA1/BRCA2 FULL GENE ANALYSIS
LABORATORY PATHOLOGY-GENERAL [0310]
81162
WCH HB LAB FEE SCHEDULE
4.444,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.309.776.100
HC PROSTHETIC TRAINING UPPR&/LOWER EXTREM EA 15 M
OCCUPATIONAL THERAPY-GENERAL [0430]
97761
WCH HB DEFAULT FEE SCHEDULE
151,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.339.715.000
HC THERAPEUTIC PROCEDURES GROUP 2/> INDIVIDUALS
OCCUPATIONAL THERAPY-GROUP RATE [0433]
97150
WCH HB DEFAULT FEE SCHEDULE
105,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.409.250.700
HC TX SPEECH LANG VOICE COMMJ &/AUDITORY PROC IND
SPEECH THERAPY-LANGUAGE PATHOLOGY-GENERAL [0440]
92507
WCH HB DEFAULT FEE SCHEDULE
194,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.409.252.600
HC TX SWALLOWING DYSFUNCTION&/ORAL FUNCJ FEEDING
SPEECH THERAPY-LANGUAGE PATHOLOGY-GENERAL [0440]
92526
WCH HB DEFAULT FEE SCHEDULE
270,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.409.260.900
HC THER SP-GENRATJ DEV PRGRMG&MODIFICAJ
SPEECH THERAPY-LANGUAGE PATHOLOGY-GENERAL [0440]
92609
WCH HB DEFAULT FEE SCHEDULE
264,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.419.252.400
HC BEHAVIORAL & QUALIT ANALYSIS VOICE AND RESONANCE
SPEECH THERAPY-LANGUAGE PATHOLOGY-VISIT CHARGE [0441]
92524
WCH HB DEFAULT FEE SCHEDULE
372,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.449.252.100
HC EVALUATION OF SPEECH FLUENCY (STUTTER CLUTTER)
SPEECH THERAPY-LANGUAGE PATHOLOGY-EVALUATION OR REEVALUATION [0444]
92521
WCH HB DEFAULT FEE SCHEDULE
440,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.449.252.200
HC EVALUATION OF SPEECH SOUND PRODUCTION ARTICULATE
SPEECH THERAPY-LANGUAGE PATHOLOGY-EVALUATION OR REEVALUATION [0444]
92522
WCH HB DEFAULT FEE SCHEDULE
356,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.449.252.300
HC EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION
SPEECH THERAPY-LANGUAGE PATHOLOGY-EVALUATION OR REEVALUATION [0444]
92523
WCH HB DEFAULT FEE SCHEDULE
741,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.449.260.700
HC RX SP-GENRATJ AUGMNT&COMUNICAJ DEV 1ST HR
SPEECH THERAPY-LANGUAGE PATHOLOGY-EVALUATION OR REEVALUATION [0444]
92607
WCH HB DEFAULT FEE SCHEDULE
512,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.201.000
HC KETONE
LABORATORY-CHEMISTRY [0301]
82010
WCH HB LAB FEE SCHEDULE
110,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.449.261.000
HC EVAL ORAL&PHARYNGEAL SWLNG FUNCJ
SPEECH THERAPY-LANGUAGE PATHOLOGY-EVALUATION OR REEVALUATION [0444]
92610
WCH HB DEFAULT FEE SCHEDULE
581,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.449.610.500
HC ASSESSMENT APHASIA W/INTERP & REPORT PER HOUR
SPEECH THERAPY-LANGUAGE PATHOLOGY-EVALUATION OR REEVALUATION [0444]
96105
WCH HB DEFAULT FEE SCHEDULE
294,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.449.612.500
HC STANDARDIZED COGNITIVE PERFORMANCE TESTING
SPEECH THERAPY-LANGUAGE PATHOLOGY-EVALUATION OR REEVALUATION [0444]
96125
WCH HB DEFAULT FEE SCHEDULE
416,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.509.928.100
HC EMERGENCY DEPARTMENT VISIT LEVEL 1 LIMITED/MINOR PROB
EMERGENCY ROOM-GENERAL [0450]
99281
WCH HB DEFAULT FEE SCHEDULE
338,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.509.928.200
HC EMERGENCY DEPARTMENT VISIT LEVEL 2 LOW/MODER SEVERITY
EMERGENCY ROOM-GENERAL [0450]
99282
WCH HB DEFAULT FEE SCHEDULE
457,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.509.928.300
HC EMERGENCY DEPARTMENT VISIT LEVEL 3 MODERATE SEVERITY
EMERGENCY ROOM-GENERAL [0450]
99283
WCH HB DEFAULT FEE SCHEDULE
688,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.509.928.400
HC EMERGENCY DEPARTMENT VISIT LEVEL 4 HIGH/URGENT SEVERITY
EMERGENCY ROOM-GENERAL [0450]
99284
WCH HB DEFAULT FEE SCHEDULE
1.027,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.509.928.500
HC EMERGENCY DEPT VISIT LEVEL 5 HIGH SEVERITY&THREAT FUNCJ
EMERGENCY ROOM-GENERAL [0450]
99285
WCH HB DEFAULT FEE SCHEDULE
1.531,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.509.929.100
HC CRITICAL CARE ILL/INJURED PATIENT INIT 30-74 MIN
EMERGENCY ROOM-GENERAL [0450]
99291
WCH HB DEFAULT FEE SCHEDULE
2.000,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.609.401.000
HC SPMTRY W/VC EXPIRATORY FLO W/WO MXML VOL VNTJ
PULMONARY FUNCTION-GENERAL [0460]
94010
WCH HB DEFAULT FEE SCHEDULE
134,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.202.400
HC ACTH
LABORATORY-CHEMISTRY [0301]
82024
WCH HB LAB FEE SCHEDULE
272,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.609.462.000
HC PULMONARY STRESS TESTING SIMPLE
PULMONARY FUNCTION-GENERAL [0460]
94620
WCH HB DEFAULT FEE SCHEDULE
572,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.609.476.200
HC NONINVASIVE EAR/PULSE OXIMETRY OVERNIGHT MONITOR
PULMONARY FUNCTION-GENERAL [0460]
94762
WCH HB DEFAULT FEE SCHEDULE
428,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.809.295.000
HC CARDIOPULMONARY RESUSCITATION
CARDIOLOGY-GENERAL [0480]
92950
WCH HB DEFAULT FEE SCHEDULE
286,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.829.301.700
HC CV STRS TST XERS&/OR RX CONT ECG TRCG ONLY
CARDIOLOGY-STRESS TEST [0482]
93017
WCH HB DEFAULT FEE SCHEDULE
477,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.839.330.600
HC ECHO TTHRC R-T 2D W/WOM-MODE COMPL SPEC&COLR D
CARDIOLOGY-ECHOCARDIOLOGY [0483]
93306
WCH HB DEFAULT FEE SCHEDULE
2.478,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.839.330.800
HC ECHO TRANSTHORC R-T 2D W/WO M-MODE REC F-UP/LMTD
CARDIOLOGY-ECHOCARDIOLOGY [0483]
93308
WCH HB DEFAULT FEE SCHEDULE
666,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.839.332.000
HC DOPPLER ECHOCARD PULSE WAVE W/SPECTRAL DISPLAY
CARDIOLOGY-ECHOCARDIOLOGY [0483]
93320
WCH HB DEFAULT FEE SCHEDULE
584,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.839.332.100
HC DOP ECHOCARD PULSE WAVE W/SPECTRAL F-UP/LMTD STD
CARDIOLOGY-ECHOCARDIOLOGY [0483]
93321
WCH HB DEFAULT FEE SCHEDULE
369,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.839.332.500
HC DOPPLER ECHOCARDIOGRAPHY COLOR FLOW VELOCITY MAPPING
CARDIOLOGY-ECHOCARDIOLOGY [0483]
93325
WCH HB DEFAULT FEE SCHEDULE
649,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
5.109.921.100
HC LEVEL 1 OFFICE OUTPATIENT ESTABLISHED VISIT 5 MINUTES
CLINIC-GENERAL CLASSIFICATION [0510]
99211
WCH HB DEFAULT FEE SCHEDULE
98,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.204.000
HC ALBUMIN SERUM PLASMA WH BLOOD
LABORATORY-CHEMISTRY [0301]
82040
WCH HB LAB FEE SCHEDULE
42,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
5.109.921.200
HC LEVEL 2 OFFICE OUTPATIENT ESTABLISHED VISIT 10 MINUTES
CLINIC-GENERAL CLASSIFICATION [0510]
99212
WCH HB DEFAULT FEE SCHEDULE
140,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
5.109.921.300
HC LEVEL 3 OFFICE OUTPATIENT ESTABLISHED VISIT 15 MINUTES
CLINIC-GENERAL CLASSIFICATION [0510]
99213
WCH HB DEFAULT FEE SCHEDULE
180,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
5.109.921.400
HC LEVEL 4 OFFICE OUTPATIENT ESTABLISHED VISIT 25 MINUTES
CLINIC-GENERAL CLASSIFICATION [0510]
99214
WCH HB DEFAULT FEE SCHEDULE
258,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
5.109.921.500
HC LEVEL 5 OFFICE OUTPATIENT ESTABLISHED VISIT 40 MINUTES
CLINIC-GENERAL CLASSIFICATION [0510]
99215
WCH HB DEFAULT FEE SCHEDULE
414,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.107.155.000
HC MRI CHEST W/O CONTRAST MATERIAL
MAGNETIC RESONANCE TECHNOLOGY-GENERAL [0610]
71550
WCH HB DEFAULT FEE SCHEDULE
2.519,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.107.155.200
HC MRI CHEST W/O & W/CONTRAST MATERIAL
MAGNETIC RESONANCE TECHNOLOGY-GENERAL [0610]
71552
WCH HB DEFAULT FEE SCHEDULE
3.850,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.107.322.000
HC MRI UPPER EXTREM OTHER THAN JT W/O & W/CONTRAS
MAGNETIC RESONANCE TECHNOLOGY-GENERAL [0610]
73220
WCH HB DEFAULT FEE SCHEDULE
3.465,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.107.322.100
HC MRI ANY JT UPPER EXTREMITY W/O CONTRAST MATRL
MAGNETIC RESONANCE TECHNOLOGY-GENERAL [0610]
73221
WCH HB DEFAULT FEE SCHEDULE
2.200,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.107.371.800
HC MRI LOWER EXTREM OTH/THN JT W/O CONTR MATRL
MAGNETIC RESONANCE TECHNOLOGY-GENERAL [0610]
73718
WCH HB DEFAULT FEE SCHEDULE
2.255,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.107.372.000
HC MRI LOWER EXTREM OTH/THN JT W/O & W/CONTR MATR
MAGNETIC RESONANCE TECHNOLOGY-GENERAL [0610]
73720
WCH HB DEFAULT FEE SCHEDULE
3.465,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.204.200
HC ALBUMIN BODY FLUID
LABORATORY-CHEMISTRY [0301]
82042
WCH HB LAB FEE SCHEDULE
51,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.107.372.100
HC MRI ANY JT LOWER EXTREM W/O CONTRAST MATRL
MAGNETIC RESONANCE TECHNOLOGY-GENERAL [0610]
73721
WCH HB DEFAULT FEE SCHEDULE
2.200,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.107.372.300
HC MRI ANY JT LOWER EXTREM W/O & W/CONTRAST MATRL
MAGNETIC RESONANCE TECHNOLOGY-GENERAL [0610]
73723
WCH HB DEFAULT FEE SCHEDULE
3.300,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.107.418.100
HC MRI ABDOMEN W/O CONTRAST MATERIAL
MAGNETIC RESONANCE TECHNOLOGY-GENERAL [0610]
74181
WCH HB DEFAULT FEE SCHEDULE
2.200,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.107.418.200
HC MRI ABDOMEN W/CONTRAST MATERIAL
MAGNETIC RESONANCE TECHNOLOGY-GENERAL [0610]
74182
WCH HB DEFAULT FEE SCHEDULE
2.750,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.107.418.300
HC MRI ABDOMEN W/O & W/CONTRAST MATERIAL
MAGNETIC RESONANCE TECHNOLOGY-GENERAL [0610]
74183
WCH HB DEFAULT FEE SCHEDULE
3.520,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.117.055.100
HC MRI BRAIN BRAIN STEM W/O CONTRAST MATERIAL
MAGNETIC RESONANCE TECHNOLOGY-MRI-BRAIN/BRAIN STEM [0611]
70551
WCH HB DEFAULT FEE SCHEDULE
2.310,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.117.055.200
HC MRI BRAIN BRAIN STEM W/CONTRAST MATERIAL
MAGNETIC RESONANCE TECHNOLOGY-MRI-BRAIN/BRAIN STEM [0611]
70552
WCH HB DEFAULT FEE SCHEDULE
2.310,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.117.055.300
HC MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIAL
MAGNETIC RESONANCE TECHNOLOGY-MRI-BRAIN/BRAIN STEM [0611]
70553
WCH HB DEFAULT FEE SCHEDULE
3.300,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.127.214.100
HC MRI SPINAL CANAL CERVICAL W/O CONTRAST MATRL
MAGNETIC RESONANCE TECHNOLOGY-MRI-SPINAL CORD/SPINE [0612]
72141
WCH HB DEFAULT FEE SCHEDULE
2.200,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.127.214.200
HC MRI SPINAL CANAL CERVICAL W/CONTRAST MATRL
MAGNETIC RESONANCE TECHNOLOGY-MRI-SPINAL CORD/SPINE [0612]
72142
WCH HB DEFAULT FEE SCHEDULE
2.750,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.204.300
HC URINE MICROALBUMIN QUANTITATIV
LABORATORY-CHEMISTRY [0301]
82043
WCH HB LAB FEE SCHEDULE
108,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.127.214.600
HC MRI SPINAL CANAL THORACIC W/O CONTRAST MATRL
MAGNETIC RESONANCE TECHNOLOGY-MRI-SPINAL CORD/SPINE [0612]
72146
WCH HB DEFAULT FEE SCHEDULE
2.200,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.127.214.700
HC MRI SPINAL CANAL THORACIC W/CONTRAST MATRL
MAGNETIC RESONANCE TECHNOLOGY-MRI-SPINAL CORD/SPINE [0612]
72147
WCH HB DEFAULT FEE SCHEDULE
2.750,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.127.214.800
HC MRI SPINAL CANAL LUMBAR W/O CONTRAST MATERIAL
MAGNETIC RESONANCE TECHNOLOGY-MRI-SPINAL CORD/SPINE [0612]
72148
WCH HB DEFAULT FEE SCHEDULE
2.200,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.127.214.900
HC MRI SPINAL CANAL LUMBAR W/CONTRAST MATERIAL
MAGNETIC RESONANCE TECHNOLOGY-MRI-SPINAL CORD/SPINE [0612]
72149
WCH HB DEFAULT FEE SCHEDULE
2.530,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.127.215.600
HC MRI SPINAL CANAL CERVICAL W/O & W/CONTR MATRL
MAGNETIC RESONANCE TECHNOLOGY-MRI-SPINAL CORD/SPINE [0612]
72156
WCH HB DEFAULT FEE SCHEDULE
3.300,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.127.215.700
HC MRI SPINAL CANAL THORACIC W/O & W/CONTR MATRL
MAGNETIC RESONANCE TECHNOLOGY-MRI-SPINAL CORD/SPINE [0612]
72157
WCH HB DEFAULT FEE SCHEDULE
3.190,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.127.215.800
HC MRI SPINAL CANAL LUMBAR W/O & W/CONTR MATRL
MAGNETIC RESONANCE TECHNOLOGY-MRI-SPINAL CORD/SPINE [0612]
72158
WCH HB DEFAULT FEE SCHEDULE
3.300,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.147.219.500
HC MRI PELVIS W/O CONTRAST MATERIAL
MAGNETIC RESONANCE TECHNOLOGY-MRI-OTHER [0614]
72195
WCH HB DEFAULT FEE SCHEDULE
2.310,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.147.219.700
HC MRI PELVIS W/O & W/CONTRAST MATERIAL
MAGNETIC RESONANCE TECHNOLOGY-MRI-OTHER [0614]
72197
WCH HB DEFAULT FEE SCHEDULE
3.520,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.157.054.400
HC MRA HEAD W/O CONTRST MATERIAL
MAGNETIC RESONANCE TECHNOLOGY-MRA-HEAD AND NECK [0615]
70544
WCH HB DEFAULT FEE SCHEDULE
2.530,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.204.400
HC MICROALBUMIN QUAL
LABORATORY-CHEMISTRY [0301]
82044
WCH HB LAB FEE SCHEDULE
35,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.157.054.700
HC MRA NECK W/O CONTRST MATERIAL
MAGNETIC RESONANCE TECHNOLOGY-MRA-HEAD AND NECK [0615]
70547
WCH HB DEFAULT FEE SCHEDULE
2.530,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.157.054.800
HC MRA NECK W/CONTRAST MATERIAL
MAGNETIC RESONANCE TECHNOLOGY-MRA-HEAD AND NECK [0615]
70548
WCH HB DEFAULT FEE SCHEDULE
2.530,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.157.054.900
HC MRA NECK W/O &W/CONTRAST MATERIAL
MAGNETIC RESONANCE TECHNOLOGY-MRA-HEAD AND NECK [0615]
70549
WCH HB DEFAULT FEE SCHEDULE
3.630,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.167.372.500
HC MRA LOWER EXTREMITY W/WO CONTRAST MATERIAL
MAGNETIC RESONANCE TECHNOLOGY-MRA-LOWER EXTREMITIES [0616]
73725
WCH HB DEFAULT FEE SCHEDULE
2.640,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.187.155.500
HC MRA CHEST W/O & W/CONTRAST MATERIAL
MAGNETIC RESONANCE TECHNOLOGY-MRA-OTHER [0618]
71555
WCH HB DEFAULT FEE SCHEDULE
3.300,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.187.219.800
HC MRA PELVIS W/WO CONTRAST MATERIAL
MAGNETIC RESONANCE TECHNOLOGY-MRA-OTHER [0618]
72198
WCH HB DEFAULT FEE SCHEDULE
3.190,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.187.418.500
HC MRA ABDOMEN W/WO CONTRAST MATERIAL
MAGNETIC RESONANCE TECHNOLOGY-MRA-OTHER [0618]
74185
WCH HB DEFAULT FEE SCHEDULE
3.190,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
7.205.902.500
HC FETAL NON-STRESS TEST
LABOR ROOM/DELIVERY-GENERAL [0720]
59025
WCH HB DEFAULT FEE SCHEDULE
295,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
7.309.300.500
HC ECG ROUTINE ECG W/LEAST 12 LDS TRCG ONLY W/O I&R
EKG/ECG (ELECTROCARDIOGRAM)-GENERAL [0730]
93005
WCH HB DEFAULT FEE SCHEDULE
131,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
7.319.322.500
HC ECG MONIT/REPRT UP TO 48 HRS
EKG/ECG (ELECTROCARDIOGRAM)-HOLTER MONITOR [0731]
93225
WCH HB DEFAULT FEE SCHEDULE
387,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.208.500
HC REF ALDOLASE
LABORATORY-CHEMISTRY [0301]
82085
WCH HB LAB FEE SCHEDULE
90,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
7.319.322.600
HC EXTERNAL ECG SCANNING ANALYSIS REPORT
EKG/ECG (ELECTROCARDIOGRAM)-HOLTER MONITOR [0731]
93226
WCH HB DEFAULT FEE SCHEDULE
350,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
7.319.327.000
HC XTRNL PT ACTIVATED ECG RECORD MONITOR 30 DAYS
EKG/ECG (ELECTROCARDIOGRAM)-HOLTER MONITOR [0731]
93270
WCH HB DEFAULT FEE SCHEDULE
210,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
7.620.000.100
HC SSO PER HOUR
SPECIALTY SERVICES-OBSERVATION HOURS [0762]
G0378
WCH HB DEFAULT FEE SCHEDULE
81,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
7.620.000.200
HC SSO INCREASED ACUITY PER HOUR
SPECIALTY SERVICES-OBSERVATION HOURS [0762]
G0378
WCH HB DEFAULT FEE SCHEDULE
88,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
7.620.000.300
HC SSO CARVE OUT
SPECIALTY SERVICES-OBSERVATION HOURS [0762]
G0378
WCH HB DEFAULT FEE SCHEDULE
81,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
7.620.000.400
HC SSO INCREASED ACUITY CARVE OUT
SPECIALTY SERVICES-OBSERVATION HOURS [0762]
G0378
WCH HB DEFAULT FEE SCHEDULE
88,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
7.620.000.500
HC SSO DIRECT ADMIT
SPECIALTY SERVICES-OBSERVATION HOURS [0762]
G0379
WCH HB DEFAULT FEE SCHEDULE
420,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
7.719.047.100
HC IM ADM PRQ ID SUBQ/IM NJXS 1 VACCINE
PREVENTIVE CARE SERVICES-VACCINE ADMINISTRATION [0771]
90471
WCH HB DEFAULT FEE SCHEDULE
63,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
7.719.047.200
HC IM ADM PRQ ID SUBQ/IM NJXS EA VACCINE
PREVENTIVE CARE SERVICES-VACCINE ADMINISTRATION [0771]
90472
WCH HB DEFAULT FEE SCHEDULE
63,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
9.209.580.500
HC MLT SLEEP LATENCY/MAINT OF WAKEFULNESS TSTG
OTHER DIAGNOSTIC SERVICES-GENERAL [0920]
95805
WCH HB DEFAULT FEE SCHEDULE
2.997,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.208.800
HC REF ALDOSTERONE SERUM
LABORATORY-CHEMISTRY [0301]
82088
WCH HB LAB FEE SCHEDULE
306,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
9.209.581.000
HC POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND
OTHER DIAGNOSTIC SERVICES-GENERAL [0920]
95810
WCH HB DEFAULT FEE SCHEDULE
3.354,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
9.209.581.100
HC POLYSOM 6/>YRS SLEEP W/CPAP 4/> ADDL PARAM ATTND
OTHER DIAGNOSTIC SERVICES-GENERAL [0920]
95811
WCH HB DEFAULT FEE SCHEDULE
3.787,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
9.219.388.000
HC DUPLEX SCAN EXTRACRANIAL ART COMPL BI STUDY
OTHER DIAGNOSTIC SERVICES-PERIPHERAL VASCULAR LAB [0921]
93880
WCH HB DEFAULT FEE SCHEDULE
1.404,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
9.219.392.200
HC NON-INVAS PHYSIOLOGIC STD EXTREMITY ART 2 LEVEL
OTHER DIAGNOSTIC SERVICES-PERIPHERAL VASCULAR LAB [0921]
93922
WCH HB DEFAULT FEE SCHEDULE
541,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
9.219.392.500
HC DUP-SCAN LXTR ART/ARTL BPGS COMPL BI STUDY
OTHER DIAGNOSTIC SERVICES-PERIPHERAL VASCULAR LAB [0921]
93925
WCH HB DEFAULT FEE SCHEDULE
1.188,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
9.219.392.600
HC DUP-SCAN LXTR ART/ARTL BPGS UNI/LMTD STUDY
OTHER DIAGNOSTIC SERVICES-PERIPHERAL VASCULAR LAB [0921]
93926
WCH HB DEFAULT FEE SCHEDULE
723,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
9.219.393.000
HC DUP-SCAN UXTR ART/ARTL BPGS COMPL BI STUDY
OTHER DIAGNOSTIC SERVICES-PERIPHERAL VASCULAR LAB [0921]
93930
WCH HB DEFAULT FEE SCHEDULE
1.038,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
9.219.393.100
HC DUP-SCAN UXTR ART/ARTL BPGS UNI/LMTD STUDY
OTHER DIAGNOSTIC SERVICES-PERIPHERAL VASCULAR LAB [0921]
93931
WCH HB DEFAULT FEE SCHEDULE
627,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
9.219.397.000
HC DUP-SCAN XTR VEINS COMPLETE BILATERAL STUDY
OTHER DIAGNOSTIC SERVICES-PERIPHERAL VASCULAR LAB [0921]
93970
WCH HB DEFAULT FEE SCHEDULE
1.392,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
9.219.397.100
HC DUP-SCAN XTR VEINS UNILATERAL/LIMITED STUDY
OTHER DIAGNOSTIC SERVICES-PERIPHERAL VASCULAR LAB [0921]
93971
WCH HB DEFAULT FEE SCHEDULE
1.022,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.210.300
HC REF ALPHA 1 ANTITRYPSIN
LABORATORY-CHEMISTRY [0301]
82103
WCH HB LAB FEE SCHEDULE
1.307,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
9.219.397.600
HC DUP-SCAN ARTL FLO ABDL/PEL/SCROT&/RPR ORGN LMT
OTHER DIAGNOSTIC SERVICES-PERIPHERAL VASCULAR LAB [0921]
93976
WCH HB DEFAULT FEE SCHEDULE
1.029,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
9.219.397.800
HC DUP-SCAN AORTA IVC ILIAC VASCL/BPGS COMPLETE
OTHER DIAGNOSTIC SERVICES-PERIPHERAL VASCULAR LAB [0921]
93978
WCH HB DEFAULT FEE SCHEDULE
1.096,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
9.409.652.300
HC IRRIGAJ IMPLNTD VENOUS ACCESS DRUG DELIVERY SYST
OTHER THERAPEUTIC SERVICES (SEE ALSO 095X, AN EXTENSION OF 094X)-GENERAL [0940]
96523
WCH HB DEFAULT FEE SCHEDULE
135,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
9.409.919.500
HC PHLEBOTOMY THERAPEUTIC SEPARATE PROCEDURE
OTHER THERAPEUTIC SERVICES (SEE ALSO 095X, AN EXTENSION OF 094X)-GENERAL [0940]
99195
WCH HB DEFAULT FEE SCHEDULE
155,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
9.409.919.500
HC PHLEBOTOMY THERAPEUTIC SEPARATE PROCEDURE
OTHER THERAPEUTIC SERVICES (SEE ALSO 095X, AN EXTENSION OF 094X)-GENERAL [0940]
99195
WCH HB LAB FEE SCHEDULE
171,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
9.429.896.000
HC EDUCATION&TRAINING SELF-MGMT NONPHYS 1 PT
OTHER THERAPEUTIC SERVICES (SEE ALSO 095X, AN EXTENSION OF 094X)-EDUCATION/TRAINING [0942]
98960
WCH HB DEFAULT FEE SCHEDULE
97,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
9.439.379.700
HC OUTPATIENT CARDIAC REHAB W/O CONT ECG MONITOR
OTHER THERAPEUTIC SERVICES (SEE ALSO 095X, AN EXTENSION OF 094X)-CARDIAC REHABILITATION [0943]
93797
WCH HB DEFAULT FEE SCHEDULE
238,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
9.439.379.800
HC OUTPATIENT CARDIAC REHAB W/CONT ECG MONITORING
OTHER THERAPEUTIC SERVICES (SEE ALSO 095X, AN EXTENSION OF 094X)-CARDIAC REHABILITATION [0943]
93798
WCH HB DEFAULT FEE SCHEDULE
238,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.605.170.000
HC BLADDER IRRIGATION, SIMPLE, LAVAGE AND/OR INSTILLATION
OPERATING ROOM SERVICES-GENERAL [0360]
51700
WCH HB DEFAULT FEE SCHEDULE
248,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.605.642.000
HC I&D BARTHOLIN'S GLAND ABSCESS
OPERATING ROOM SERVICES-GENERAL [0360]
56420
WCH HB DEFAULT FEE SCHEDULE
548,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.606.520.500
HC REMOVAL FOREIGN BODY, EXTERNAL EYE, CONJUNCTIVAL SUPERFICIAL
OPERATING ROOM SERVICES-GENERAL [0360]
65205
WCH HB DEFAULT FEE SCHEDULE
214,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.210.400
HC REF A1AT PHENOTYPE
LABORATORY-CHEMISTRY [0301]
82104
WCH HB LAB FEE SCHEDULE
177,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.028.648.100
HC TB GOLD
LABORATORY-IMMUNOLOGY [0302]
86481
WCH HB LAB FEE SCHEDULE
139,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.606.522.000
HC REMOVAL FOREIGN BODY, EXTERNAL EYE, CORNEAL, WO SLIT LAMP
OPERATING ROOM SERVICES-GENERAL [0360]
65220
WCH HB DEFAULT FEE SCHEDULE
360,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.606.920.000
HC REMOVAL FOREIGN BODY FROM EXTERNAL AUDITORY CANAL, WO GENERAL ANESTHESIA
OPERATING ROOM SERVICES-GENERAL [0360]
69200
WCH HB DEFAULT FEE SCHEDULE
462,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.207.352.200
HC RADEX HIPS BILATERAL WITH PELVIS 3-4 VIEWS
RADIOLOGY-DIAGNOSTIC-GENERAL [0320]
73522
WCH HB DEFAULT FEE SCHEDULE
248,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.108.124.000
HC REF PROTHROMBIN G20210A MUTATION,B
LABORATORY PATHOLOGY-GENERAL [0310]
81240
WCH HB LAB FEE SCHEDULE
616,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.108.124.100
HC REF F5 GENE ANALYSIS, LEIDEN VARIANT
LABORATORY PATHOLOGY-GENERAL [0310]
81241
WCH HB LAB FEE SCHEDULE
216,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.108.125.600
HC REF HFE GENE ANALYSIS COMMON VRNTS
LABORATORY PATHOLOGY-GENERAL [0310]
81256
WCH HB LAB FEE SCHEDULE
306,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.108.127.000
HC REF JAK2 GENE ANAL P.VAL617PHE VRN
LABORATORY PATHOLOGY-GENERAL [0310]
81270ZB1W8
WCH HB LAB FEE SCHEDULE
767,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.108.133.200
HC REF SERPINA1 A1AT DEF GENE ANALYSI
LABORATORY PATHOLOGY-GENERAL [0310]
81332
WCH HB LAB FEE SCHEDULE
79,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.108.151.100
HC REF FETAL CONG ABN ASSAY 4 ANALYTE
LABORATORY PATHOLOGY-GENERAL [0310]
81511
WCH HB LAB FEE SCHEDULE
322,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.028.614.600
HC GLYCOPROTEIN ANTIBODY
LABORATORY-IMMUNOLOGY [0302]
86146
WCH HB LAB FEE SCHEDULE
272,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.210.500
HC REF ALPHA-FETOPROTEIN: SERUM
LABORATORY-CHEMISTRY [0301]
82105
WCH HB LAB FEE SCHEDULE
136,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.098.687.000
HC ANTIBODY ID
LABORATORY-OTHER LABORATORY [0309]
86870
WCH HB LAB FEE SCHEDULE
179,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.098.688.000
HC DIRECT COOMBS POLY
LABORATORY-OTHER LABORATORY [0309]
86880
WCH HB LAB FEE SCHEDULE
77,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.098.688.600
HC AB TITER INDIRECT
LABORATORY-OTHER LABORATORY [0309]
86886
WCH HB LAB FEE SCHEDULE
174,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.098.690.000
HC ABO TYPE SEROLOGIC-OB GROUP
LABORATORY-OTHER LABORATORY [0309]
86900
WCH HB LAB FEE SCHEDULE
61,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.098.690.200
HC ANTIGEN TEST DONOR BLD EA UNIT
LABORATORY-OTHER LABORATORY [0309]
86902
WCH HB LAB FEE SCHEDULE
316,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.098.690.500
HC CAGP
LABORATORY-OTHER LABORATORY [0309]
86905
WCH HB LAB FEE SCHEDULE
199,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.098.690.600
HC REF RBC ANTIGEN TYPING, RH
LABORATORY-OTHER LABORATORY [0309]
86906
WCH HB LAB FEE SCHEDULE
108,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.098.692.000
HC IMMEDIATE SPIN CROSSMATCH
LABORATORY-OTHER LABORATORY [0309]
86920
WCH HB LAB FEE SCHEDULE
146,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.098.692.200
HC X MATCH AHG
LABORATORY-OTHER LABORATORY [0309]
86922
WCH HB LAB FEE SCHEDULE
146,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.602.056.000
NEEDLE INSERTION W/O INJECTION 1 OR 2 MUSCLES
OPERATING ROOM SERVICES-GENERAL [0360]
20560
WCH HB DEFAULT FEE SCHEDULE
46,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.213.500
HC REF AMINOLEVULINIC ACID ALA U
LABORATORY-CHEMISTRY [0301]
82135
WCH HB LAB FEE SCHEDULE
132,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.602.056.100
NEEDLE INSERTION W/O INJECTION 3 OR MORE MUSCLES
OPERATING ROOM SERVICES-GENERAL [0360]
20561
WCH HB DEFAULT FEE SCHEDULE
56,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
5.109.759.800
HC DEBRIDEMENT OPEN WOUND EACH ADDITIONAL 20 SQ CM
CLINIC-GENERAL CLASSIFICATION [0510]
97598
WCH HB DEFAULT FEE SCHEDULE
295,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
5.109.760.200
HC RMVL DEVITAL TISS N-SLCTV DBRDMT W/O ANES 1 SESS
CLINIC-GENERAL CLASSIFICATION [0510]
97602
WCH HB DEFAULT FEE SCHEDULE
153,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
5.109.760.500
HC NEGATIVE PRESSURE WOUND THERAPY DME
CLINIC-GENERAL CLASSIFICATION [0510]
97605
WCH HB DEFAULT FEE SCHEDULE
161,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
5.109.760.600
HC NEGATIVE PRESSURE WOUND THERAPY DME >50 SQ CM
CLINIC-GENERAL CLASSIFICATION [0510]
97606
WCH HB DEFAULT FEE SCHEDULE
278,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
1.100.000.100
HC ROOM PRIVATE SWINGBED SKILLED
ROOM & BOARD-PRIVATE (ONE BED)-GENERAL [0110]
WCH HB DEFAULT FEE SCHEDULE
2.143,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.905.100
HC CELL COUNT MISC BDYFLUID W DIF
LABORATORY-CHEMISTRY [0301]
89051
WCH HB LAB FEE SCHEDULE
81,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.905.500
HC FECAL LEUKOCYTE ASSESSMENT
LABORATORY-GENERAL [0300]
89055
WCH HB DEFAULT FEE SCHEDULE
67,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.905.500
HC FECAL LEUKOCYTE ASSESSMENT
LABORATORY-GENERAL [0300]
89055
WCH HB LAB FEE SCHEDULE
67,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.906.000
HC CRYSTAL STUDY TECHNICAL
LABORATORY-CHEMISTRY [0301]
89060
WCH HB LAB FEE SCHEDULE
85,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.912.500
HC FAT STAIN FECES URINE RESP
LABORATORY-GENERAL [0300]
89125
WCH HB LAB FEE SCHEDULE
81,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.214.000
HC AMMONIA
LABORATORY-CHEMISTRY [0301]
82140
WCH HB LAB FEE SCHEDULE
106,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.932.100
HC SEMEN ANALYSIS, PRESENCE AND OR MOTI
LABORATORY-CHEMISTRY [0301]
89321
WCH HB LAB FEE SCHEDULE
89,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.068.707.000
HC CULTURE AEROBIC ANY SOURCE
LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306]
87070
WCH HB DEFAULT FEE SCHEDULE
107,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.068.707.000
HC CULTURE AEROBIC ANY SOURCE
LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306]
87070
WCH HB LAB FEE SCHEDULE
107,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.068.735.000
HC HEPATITIS BE AG, EIA
LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306]
87350
WCH HB LAB FEE SCHEDULE
77,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.128.832.100
HC MUSCLE BIOPSY INTERP
LABORATORY PATHOLOGY-HISTOLOGY [0312]
88321
WCH HB LAB FEE SCHEDULE
504,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.237.563.500
HC CTA ABDL AORTA&BI ILIOFEM W/CONTRAST&POSTP
RADIOLOGY-DIAGNOSTIC-ARTERIOGRAPHY [0323]
75635
WCH HB DEFAULT FEE SCHEDULE
3.644,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.219.711.000
HC THERAPEUTIC PX 1/> AREAS EACH 15 MIN EXERCISES
PHYSICAL THERAPY-VISIT CHARGE [0421]
97110
WCH HB DEFAULT FEE SCHEDULE
105,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.219.711.200
HC THER PX 1/> AREAS EACH 15 MIN NEUROMUSC REEDUCA
PHYSICAL THERAPY-VISIT CHARGE [0421]
97112
WCH HB DEFAULT FEE SCHEDULE
101,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.219.711.300
HC THER PX 1/> AREAS EACH 15 MIN AQUA THER W/XERSS
PHYSICAL THERAPY-VISIT CHARGE [0421]
97113
WCH HB DEFAULT FEE SCHEDULE
116,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.219.711.600
HC THER PX 1/> AREAS EA 15 MIN GAIT TRAINJ W/STAIR
PHYSICAL THERAPY-VISIT CHARGE [0421]
97116
WCH HB DEFAULT FEE SCHEDULE
92,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.239.715.000
HC THERAPEUTIC PROCEDURES GROUP 2/> INDIVIDUALS
PHYSICAL THERAPY-GROUP RATE [0423]
97150
WCH HB DEFAULT FEE SCHEDULE
105,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.215.000
HC AMYLASE SERUM
LABORATORY-CHEMISTRY [0301]
82150
WCH HB LAB FEE SCHEDULE
100,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.309.775.000
HC PHYSICAL PERFORMANCE TEST/MEAS W/REPRT EA 15 MIN
OCCUPATIONAL THERAPY-GENERAL [0430]
97750
WCH HB DEFAULT FEE SCHEDULE
89,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.319.711.000
HC THERAPEUTIC PX 1/> AREAS EACH 15 MIN EXERCISES
OCCUPATIONAL THERAPY-VISIT CHARGE [0431]
97110
WCH HB DEFAULT FEE SCHEDULE
105,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.319.711.200
HC THER PX 1/> AREAS EACH 15 MIN NEUROMUSC REEDUCA
OCCUPATIONAL THERAPY-VISIT CHARGE [0431]
97112
WCH HB DEFAULT FEE SCHEDULE
101,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.319.711.300
HC THER PX 1/> AREAS EACH 15 MIN AQUA THER W/XERSS
OCCUPATIONAL THERAPY-VISIT CHARGE [0431]
97113
WCH HB DEFAULT FEE SCHEDULE
116,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.117.054.000
HC MRI ORBIT FACE &/NECK W/O CONTRAST
MAGNETIC RESONANCE TECHNOLOGY-MRI-BRAIN/BRAIN STEM [0611]
70540
WCH HB DEFAULT FEE SCHEDULE
2.310,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.117.054.300
HC MRI ORBIT FACE & NECK W/O & W/CONTRAST MATRL
MAGNETIC RESONANCE TECHNOLOGY-MRI-BRAIN/BRAIN STEM [0611]
70543
WCH HB DEFAULT FEE SCHEDULE
3.410,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.147.219.600
HC MRI PELVIS W/CONTRAST MATERIAL
MAGNETIC RESONANCE TECHNOLOGY-MRI-OTHER [0614]
72196
WCH HB DEFAULT FEE SCHEDULE
2.750,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.157.054.500
HC MRA HEAD W/CONTRAST MATERIAL
MAGNETIC RESONANCE TECHNOLOGY-MRA-HEAD AND NECK [0615]
70545
WCH HB DEFAULT FEE SCHEDULE
3.630,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.157.054.600
HC MRA HEAD W/O & W/CONTRAST MATERIAL
MAGNETIC RESONANCE TECHNOLOGY-MRA-HEAD AND NECK [0615]
70546
WCH HB DEFAULT FEE SCHEDULE
3.630,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
7.504.450.000
HC INTRODUCTION OF LONG GASTROINTESTINAL TUBE
GASTROINTESTINAL (GI) SERVICES-GENERAL [0750]
44500
WCH HB DEFAULT FEE SCHEDULE
237,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.215.700
HC REF ANDROSTENEDIONE S
LABORATORY-CHEMISTRY [0301]
82157
WCH HB LAB FEE SCHEDULE
189,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.009.900.000
HC HANDLING OF SPECIMEN
LABORATORY-GENERAL [0300]
99000
WCH HB LAB FEE SCHEDULE
66,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.207.500
HC ASSAY OF BREATH ETHANOL
LABORATORY-CHEMISTRY [0301]
82075
WCH HB LAB FEE SCHEDULE
67,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.267.700
HC REF QUAD SCRN ESTRIOL
LABORATORY-CHEMISTRY [0301]
82677
WCH HB LAB FEE SCHEDULE
174,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.301.800
HC QUANTITATIVE SCREEN, METALS
LABORATORY-CHEMISTRY [0301]
83018
WCH HB LAB FEE SCHEDULE
206,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.399.300
HC ASSAY FOR CALPROTECTIN FECAL
LABORATORY-CHEMISTRY [0301]
83993
WCH HB LAB FEE SCHEDULE
316,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.440.200
HC REF TESTOSTERONE, FREE FOR MAYO TOTAL AND FREE
LABORATORY-CHEMISTRY [0301]
84402
WCH HB LAB FEE SCHEDULE
243,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.028.614.000
HC C-RACTIVE PROTEIN QUANT
LABORATORY-IMMUNOLOGY [0302]
86140
WCH HB LAB FEE SCHEDULE
87,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.028.614.000
HC C-RACTIVE PROTEIN QUANT
LABORATORY-IMMUNOLOGY [0302]
86140
WCH WELLNESS WEDNESDAY FSC
35,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.028.635.900
HC T CELLS TOTAL COUNT
LABORATORY-IMMUNOLOGY [0302]
86359
WCH HB LAB FEE SCHEDULE
218,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.058.554.900
HC MURAMIDASE
LABORATORY-HEMATOLOGY [0305]
85549
WCH HB LAB FEE SCHEDULE
179,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.078.100.000
HC URINE DIP W MICRO08012012
LABORATORY-UROLOGY [0307]
81000
WCH HB LAB FEE SCHEDULE
67,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.216.400
HC REF ANGIOTENSIN I-CONVERTING ENZYME CSF
LABORATORY-CHEMISTRY [0301]
82164
WCH HB LAB FEE SCHEDULE
153,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.207.013.000
HC RADEX MASTOIDS COMPL MINIMUM 3 VIEWS PR SIDE
RADIOLOGY-DIAGNOSTIC-GENERAL [0320]
70130
WCH HB DEFAULT FEE SCHEDULE
273,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.207.019.000
HC RADEX OPTIC FORAMINA
RADIOLOGY-DIAGNOSTIC-GENERAL [0320]
70190
WCH HB DEFAULT FEE SCHEDULE
140,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.207.024.000
HC RADIOLOGIC EXAMINATION SELLA TURCICA
RADIOLOGY-DIAGNOSTIC-GENERAL [0320]
70240
WCH HB DEFAULT FEE SCHEDULE
143,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.207.032.800
HC RADEX TEMPOROMANDBLE JT OPN & CLSD MOUTH UNILAT
RADIOLOGY-DIAGNOSTIC-GENERAL [0320]
70328
WCH HB DEFAULT FEE SCHEDULE
208,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.207.211.400
HC RADEX SPINE LUMBSCRL COMPL W/BENDING VIEWS MIN 6
RADIOLOGY-DIAGNOSTIC-GENERAL [0320]
72114
WCH HB DEFAULT FEE SCHEDULE
354,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.207.707.200
HC BONE AGE STUDIES
RADIOLOGY-DIAGNOSTIC-GENERAL [0320]
77072
WCH HB DEFAULT FEE SCHEDULE
233,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.527.219.100
HC CT ANGIOGRAPHY PELVIS W/CONTRAST/NONCONTRAST
CT SCAN-BODY SCAN [0352]
72191
WCH HB DEFAULT FEE SCHEDULE
2.365,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.027.681.800
HC FETAL BIOPHYSICAL PROFILE W/O NON-STRESS TESTING
OTHER IMAGING SERVICES-ULTRASOUND [0402]
76818
WCH HB DEFAULT FEE SCHEDULE
628,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.027.688.100
HC US XTR NON-VASC COMPLETE
OTHER IMAGING SERVICES-ULTRASOUND [0402]
76881
WCH HB DEFAULT FEE SCHEDULE
667,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.609.476.000
HC NONINVASIVE EAR/PULSE OXIMETRY SINGLE DETER
PULMONARY FUNCTION-GENERAL [0460]
94760
WCH HB DEFAULT FEE SCHEDULE
55,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.217.200
HC REF APOLIPOPROTEIN A1
LABORATORY-CHEMISTRY [0301]
82172
WCH HB LAB FEE SCHEDULE
100,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
5.109.420.000
HC LUNG FUNCTION TEST (MBC/MVV)
CLINIC-GENERAL CLASSIFICATION [0510]
94200
WCH HB DEFAULT FEE SCHEDULE
88,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
5.109.940.600
HC TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES
CLINIC-GENERAL CLASSIFICATION [0510]
99406
WCH HB DEFAULT FEE SCHEDULE
59,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
5.109.940.700
HC TOBACCO USE CESSATION INTENSIVE >10 MINUTES
CLINIC-GENERAL CLASSIFICATION [0510]
99407
WCH HB DEFAULT FEE SCHEDULE
117,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
9.219.397.500
HC DUP-SCAN ARTL FLO ABDL/PEL/SCROT&/RPR ORGN COM
OTHER DIAGNOSTIC SERVICES-PERIPHERAL VASCULAR LAB [0921]
93975
WCH HB DEFAULT FEE SCHEDULE
1.714,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
9.831.200.100
HC PRO SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/<
PROFESSIONAL FEES (EXTENSION OF 096X AND 097X)-CLINIC [0983]
12001
WCH HB DEFAULT FEE SCHEDULE
629,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
9.831.200.200
HC PRO SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM
PROFESSIONAL FEES (EXTENSION OF 096X AND 097X)-CLINIC [0983]
12002
WCH HB DEFAULT FEE SCHEDULE
761,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
9.831.200.400
HC PRO SIMPLE RPR SCALP/NECK/AX/GENIT/TRUNK 7.6-12.5CM
PROFESSIONAL FEES (EXTENSION OF 096X AND 097X)-CLINIC [0983]
12004
WCH HB DEFAULT FEE SCHEDULE
857,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
9.831.201.100
HC PRO SIMPLE REPAIR F/E/E/N/L/M 2.5CM/<
PROFESSIONAL FEES (EXTENSION OF 096X AND 097X)-CLINIC [0983]
12011
WCH HB DEFAULT FEE SCHEDULE
761,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
9.831.203.200
HC PRO REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM
PROFESSIONAL FEES (EXTENSION OF 096X AND 097X)-CLINIC [0983]
12032
WCH HB DEFAULT FEE SCHEDULE
824,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
9.832.365.000
HC PRO CLSD TX SHOULDER DISLC W/MANIPULATION W/O ANES
PROFESSIONAL FEES (EXTENSION OF 096X AND 097X)-CLINIC [0983]
23650
WCH HB DEFAULT FEE SCHEDULE
1.836,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.223.200
HC REF BETA 2 MICROGLOBULIN URINE
LABORATORY-CHEMISTRY [0301]
82232
WCH HB LAB FEE SCHEDULE
205,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
9.832.560.000
HC PRO CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MANJ
PROFESSIONAL FEES (EXTENSION OF 096X AND 097X)-CLINIC [0983]
25600
WCH HB DEFAULT FEE SCHEDULE
1.489,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
9.832.910.500
HC PRO APPLICATION LONG ARM SPLINT SHOULDER HAND
PROFESSIONAL FEES (EXTENSION OF 096X AND 097X)-CLINIC [0983]
29105
WCH HB DEFAULT FEE SCHEDULE
341,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
9.832.912.500
HC PRO APPLICATION SHORT ARM SPLINT FOREARM-HAND STATIC
PROFESSIONAL FEES (EXTENSION OF 096X AND 097X)-CLINIC [0983]
29125
WCH HB DEFAULT FEE SCHEDULE
293,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
9.832.958.100
HC PRO APPL MLTLAYR COMPRES LEG BELOW KNEE W/ANKLE FOOT
PROFESSIONAL FEES (EXTENSION OF 096X AND 097X)-CLINIC [0983]
29581
WCH HB DEFAULT FEE SCHEDULE
319,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
9.833.090.100
HC PRO CONTROL NASAL HEMORRHAGE ANTERIOR SIMPLE
PROFESSIONAL FEES (EXTENSION OF 096X AND 097X)-CLINIC [0983]
30901
WCH HB DEFAULT FEE SCHEDULE
408,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
9.833.150.000
HC PRO INTUBATION ENDOTRACHEAL EMERGENCY PROCEDURE
PROFESSIONAL FEES (EXTENSION OF 096X AND 097X)-CLINIC [0983]
31500
WCH HB DEFAULT FEE SCHEDULE
916,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
9.833.255.100
HC PRO TUBE THORACOSTOMY INCLUDES WATER SEAL
PROFESSIONAL FEES (EXTENSION OF 096X AND 097X)-CLINIC [0983]
32551
WCH HB DEFAULT FEE SCHEDULE
1.075,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
9.833.600.000
HC PRO INTRODUCTION NEEDLE/INTRACATHETER VEIN
PROFESSIONAL FEES (EXTENSION OF 096X AND 097X)-CLINIC [0983]
36000
WCH HB DEFAULT FEE SCHEDULE
391,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
9.836.920.000
HC PRO RMVL FB XTRNL AUDITORY CANAL W/O ANES
PROFESSIONAL FEES (EXTENSION OF 096X AND 097X)-CLINIC [0983]
69200
WCH HB DEFAULT FEE SCHEDULE
462,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
9.839.296.000
HC PRO CARDIOVERSION ELECTIVE ARRHYTHMIA EXTERNAL
PROFESSIONAL FEES (EXTENSION OF 096X AND 097X)-CLINIC [0983]
92960
WCH HB DEFAULT FEE SCHEDULE
840,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.224.700
HC BILIRUBIN TOTAL
LABORATORY-CHEMISTRY [0301]
82247
WCH HB LAB FEE SCHEDULE
55,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
9.839.301.000
HC PRO ECG ROUTINE ECG W/LEAST 12 LDS I&R ONLY
PROFESSIONAL FEES (EXTENSION OF 096X AND 097X)-CLINIC [0983]
93010
WCH HB DEFAULT FEE SCHEDULE
51,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
9.839.322.500
HC PRO ECG MONIT/REPRT UP TO 48 HRS
PROFESSIONAL FEES (EXTENSION OF 096X AND 097X)-CLINIC [0983]
93225
WCH HB DEFAULT FEE SCHEDULE
387,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
9.839.905.000
HC PRO SERVICES PROVIDED OFFICE OTH/THN REG SCHED HOURS
PROFESSIONAL FEES (EXTENSION OF 096X AND 097X)-CLINIC [0983]
99050
WCH HB LAB FEE SCHEDULE
180,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.003.641.500
HC COLLECTION VENOUS BLOOD VENIPUNCTURE
LABORATORY-GENERAL [0300]
36415
WCH HB LAB FEE SCHEDULE
37,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.003.641.600
HC COLLECTION CAPILLARY BLOOD SPECIMEN
LABORATORY-GENERAL [0300]
36416
WCH HB LAB FEE SCHEDULE
26,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
1.100.000.300
HC ROOM PRIVATE SWINGBED INTERMEDIATE
ROOM & BOARD-PRIVATE (ONE BED)-GENERAL [0110]
WCH HB DEFAULT FEE SCHEDULE
256,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.200.897.800
HC MOBILITY CURRENT STATUS
PHYSICAL THERAPY-GENERAL [0420]
G8978
WCH HB DEFAULT FEE SCHEDULE
0,01
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.200.897.900
HC MOBILITY GOAL STATUS
PHYSICAL THERAPY-GENERAL [0420]
G8979
WCH HB DEFAULT FEE SCHEDULE
0,01
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.200.898.000
HC MOBILITY D/C STATUS
PHYSICAL THERAPY-GENERAL [0420]
G8980
WCH HB DEFAULT FEE SCHEDULE
0,01
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.200.898.100
HC BODY POS CURRENT STATUS
PHYSICAL THERAPY-GENERAL [0420]
G8981
WCH HB DEFAULT FEE SCHEDULE
0,01
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.224.800
HC CONJUGATED BILIRUBIN
LABORATORY-CHEMISTRY [0301]
82248
WCH HB LAB FEE SCHEDULE
42,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
9.430.000.100
HC WCH CARDIAC WELLNESS MAINTENANCE
OTHER THERAPEUTIC SERVICES (SEE ALSO 095X, AN EXTENSION OF 094X)-CARDIAC REHABILITATION [0943]
WCH HB DEFAULT FEE SCHEDULE
7,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.200.898.200
HC BODY POS GOAL STATUS
PHYSICAL THERAPY-GENERAL [0420]
G8982
WCH HB DEFAULT FEE SCHEDULE
0,01
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.200.898.300
HC BODY POS D/C STATUS
PHYSICAL THERAPY-GENERAL [0420]
G8983
WCH HB DEFAULT FEE SCHEDULE
0,01
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.200.898.400
HC CARRY CURRENT STATUS
PHYSICAL THERAPY-GENERAL [0420]
G8984
WCH HB DEFAULT FEE SCHEDULE
0,01
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.200.898.500
HC CARRY GOAL STATUS
PHYSICAL THERAPY-GENERAL [0420]
G8985
WCH HB DEFAULT FEE SCHEDULE
0,01
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.200.898.600
HC CARRY D/C STATUS
PHYSICAL THERAPY-GENERAL [0420]
G8986
WCH HB DEFAULT FEE SCHEDULE
0,01
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.200.898.700
HC SELF CARE CURRENT STATUS
PHYSICAL THERAPY-GENERAL [0420]
G8987
WCH HB DEFAULT FEE SCHEDULE
0,01
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.200.898.800
HC SELF CARE GOAL STATUS
PHYSICAL THERAPY-GENERAL [0420]
G8988
WCH HB DEFAULT FEE SCHEDULE
0,01
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.200.898.900
HC SELF CARE D/C STATUS
PHYSICAL THERAPY-GENERAL [0420]
G8989
WCH HB DEFAULT FEE SCHEDULE
0,01
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.200.899.000
HC OTHER PT/OT CURRENT STATUS
PHYSICAL THERAPY-GENERAL [0420]
G8990
WCH HB DEFAULT FEE SCHEDULE
0,01
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.200.899.100
HC OTHER PT/OT GOAL STATUS
PHYSICAL THERAPY-GENERAL [0420]
G8991
WCH HB DEFAULT FEE SCHEDULE
0,01
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.226.100
HC REF BIOTINIDASE DEFICIENCY SCREEN
LABORATORY-CHEMISTRY [0301]
82261
WCH HB LAB FEE SCHEDULE
29,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.200.899.200
HC OTHER PT/OT D/C STATUS
PHYSICAL THERAPY-GENERAL [0420]
G8992
WCH HB DEFAULT FEE SCHEDULE
0,01
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.200.899.300
HC SUB PT/OT CURRENT STATUS
PHYSICAL THERAPY-GENERAL [0420]
G8993
WCH HB DEFAULT FEE SCHEDULE
0,01
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.200.899.400
HC SUB PT/OT GOAL STATUS
PHYSICAL THERAPY-GENERAL [0420]
G8994
WCH HB DEFAULT FEE SCHEDULE
0,01
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.200.899.500
HC SUB PT/OT D/C STATUS
PHYSICAL THERAPY-GENERAL [0420]
G8995
WCH HB DEFAULT FEE SCHEDULE
0,01
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.300.897.800
HC MOBILITY CURRENT STATUS
OCCUPATIONAL THERAPY-GENERAL [0430]
G8978
WCH HB DEFAULT FEE SCHEDULE
0,01
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.300.897.900
HC MOBILITY GOAL STATUS
OCCUPATIONAL THERAPY-GENERAL [0430]
G8979
WCH HB DEFAULT FEE SCHEDULE
0,01
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.300.898.000
HC MOBILITY D/C STATUS
OCCUPATIONAL THERAPY-GENERAL [0430]
G8980
WCH HB DEFAULT FEE SCHEDULE
0,01
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.300.898.100
HC BODY POS CURRENT STATUS
OCCUPATIONAL THERAPY-GENERAL [0430]
G8981
WCH HB DEFAULT FEE SCHEDULE
0,01
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.300.898.200
HC BODY POS GOAL STATUS
OCCUPATIONAL THERAPY-GENERAL [0430]
G8982
WCH HB DEFAULT FEE SCHEDULE
0,01
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.300.898.300
HC BODY POS D/C STATUS
OCCUPATIONAL THERAPY-GENERAL [0430]
G8983
WCH HB DEFAULT FEE SCHEDULE
0,01
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.227.000
HC FECAL OCCULT BLOOD NONMEDICARE
LABORATORY-CHEMISTRY [0301]
82270
WCH HB LAB FEE SCHEDULE
33,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.300.898.400
HC CARRY CURRENT STATUS
OCCUPATIONAL THERAPY-GENERAL [0430]
G8984
WCH HB DEFAULT FEE SCHEDULE
0,01
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.300.898.500
HC CARRY GOAL STATUS
OCCUPATIONAL THERAPY-GENERAL [0430]
G8985
WCH HB DEFAULT FEE SCHEDULE
0,01
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.300.898.600
HC CARRY D/C STATUS
OCCUPATIONAL THERAPY-GENERAL [0430]
G8986
WCH HB DEFAULT FEE SCHEDULE
0,01
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.300.898.700
HC SELF CARE CURRENT STATUS
OCCUPATIONAL THERAPY-GENERAL [0430]
G8987
WCH HB DEFAULT FEE SCHEDULE
0,01
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.300.898.800
HC SELF CARE GOAL STATUS
OCCUPATIONAL THERAPY-GENERAL [0430]
G8988
WCH HB DEFAULT FEE SCHEDULE
0,01
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.300.898.900
HC SELF CARE D/C STATUS
OCCUPATIONAL THERAPY-GENERAL [0430]
G8989
WCH HB DEFAULT FEE SCHEDULE
0,01
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.300.899.000
HC OTHER PT/OT CURRENT STATUS
OCCUPATIONAL THERAPY-GENERAL [0430]
G8990
WCH HB DEFAULT FEE SCHEDULE
0,01
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.300.899.100
HC OTHER PT/OT GOAL STATUS
OCCUPATIONAL THERAPY-GENERAL [0430]
G8991
WCH HB DEFAULT FEE SCHEDULE
0,01
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.300.899.200
HC OTHER PT/OT D/C STATUS
OCCUPATIONAL THERAPY-GENERAL [0430]
G8992
WCH HB DEFAULT FEE SCHEDULE
0,01
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.300.899.300
HC SUB PT/OT CURRENT STATUS
OCCUPATIONAL THERAPY-GENERAL [0430]
G8993
WCH HB DEFAULT FEE SCHEDULE
0,01
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.227.200
HC OCCULT BLOOD FECES WAIVED
LABORATORY-CHEMISTRY [0301]
82272
WCH HB LAB FEE SCHEDULE
28,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.300.899.400
HC SUB PT/OT GOAL STATUS
OCCUPATIONAL THERAPY-GENERAL [0430]
G8994
WCH HB DEFAULT FEE SCHEDULE
0,01
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.300.899.500
HC SUB PT/OT D/C STATUS
OCCUPATIONAL THERAPY-GENERAL [0430]
G8995
WCH HB DEFAULT FEE SCHEDULE
0,01
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.400.899.600
HC SWALLOW CURRENT STATUS
SPEECH THERAPY-LANGUAGE PATHOLOGY-GENERAL [0440]
G8996
WCH HB DEFAULT FEE SCHEDULE
0,01
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.400.899.700
HC SWALLOW GOAL STATUS
SPEECH THERAPY-LANGUAGE PATHOLOGY-GENERAL [0440]
G8997
WCH HB DEFAULT FEE SCHEDULE
0,01
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.400.899.800
HC SWALLOW D/C STATUS
SPEECH THERAPY-LANGUAGE PATHOLOGY-GENERAL [0440]
G8998
WCH HB DEFAULT FEE SCHEDULE
0,01
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.400.899.900
HC MOTOR SPEECH CURRENT STATUS
SPEECH THERAPY-LANGUAGE PATHOLOGY-GENERAL [0440]
G8999
WCH HB DEFAULT FEE SCHEDULE
0,01
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.400.915.800
HC MOTOR SPEECH D/C STATUS
SPEECH THERAPY-LANGUAGE PATHOLOGY-GENERAL [0440]
G9158
WCH HB DEFAULT FEE SCHEDULE
0,01
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.400.915.900
HC LANG COMP CURRENT STATUS
SPEECH THERAPY-LANGUAGE PATHOLOGY-GENERAL [0440]
G9159
WCH HB DEFAULT FEE SCHEDULE
0,01
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.400.916.000
HC LANG COMP GOAL STATUS
SPEECH THERAPY-LANGUAGE PATHOLOGY-GENERAL [0440]
G9160
WCH HB DEFAULT FEE SCHEDULE
0,01
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.400.916.100
HC LANG COMP D/C STATUS
SPEECH THERAPY-LANGUAGE PATHOLOGY-GENERAL [0440]
G9161
WCH HB DEFAULT FEE SCHEDULE
0,01
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.227.400
HC FECAL OCC BL TEST IFOB DIAG
LABORATORY-CHEMISTRY [0301]
82274
WCH HB LAB FEE SCHEDULE
107,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.400.916.200
HC LANG EXPRESS CURRENT STATUS
SPEECH THERAPY-LANGUAGE PATHOLOGY-GENERAL [0440]
G9162
WCH HB DEFAULT FEE SCHEDULE
0,01
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.400.916.300
HC LANG EXPRESS GOAL STATUS
SPEECH THERAPY-LANGUAGE PATHOLOGY-GENERAL [0440]
G9163
WCH HB DEFAULT FEE SCHEDULE
0,01
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.400.916.400
HC LANG EXPRESS D/C STATUS
SPEECH THERAPY-LANGUAGE PATHOLOGY-GENERAL [0440]
G9164
WCH HB DEFAULT FEE SCHEDULE
0,01
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.400.916.500
HC ATTEN CURRENT STATUS
SPEECH THERAPY-LANGUAGE PATHOLOGY-GENERAL [0440]
G9165
WCH HB DEFAULT FEE SCHEDULE
0,01
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.400.916.600
HC ATTEN GOAL STATUS
SPEECH THERAPY-LANGUAGE PATHOLOGY-GENERAL [0440]
G9166
WCH HB DEFAULT FEE SCHEDULE
0,01
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.400.916.700
HC ATTEN D/C STATUS
SPEECH THERAPY-LANGUAGE PATHOLOGY-GENERAL [0440]
G9167
WCH HB DEFAULT FEE SCHEDULE
0,01
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.400.916.800
HC MEMORY CURRENT STATUS
SPEECH THERAPY-LANGUAGE PATHOLOGY-GENERAL [0440]
G9168
WCH HB DEFAULT FEE SCHEDULE
0,01
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.400.916.900
HC MEMORY GOAL STATUS
SPEECH THERAPY-LANGUAGE PATHOLOGY-GENERAL [0440]
G9169
WCH HB DEFAULT FEE SCHEDULE
0,01
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.400.917.000
HC MEMORY D/C STATUS
SPEECH THERAPY-LANGUAGE PATHOLOGY-GENERAL [0440]
G9170
WCH HB DEFAULT FEE SCHEDULE
0,01
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.400.917.100
HC VOICE CURRENT STATUS
SPEECH THERAPY-LANGUAGE PATHOLOGY-GENERAL [0440]
G9171
WCH HB DEFAULT FEE SCHEDULE
0,01
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.230.000
HC REF HEAVY METALS SCRN UR CADMIUM
LABORATORY-CHEMISTRY [0301]
82300
WCH HB LAB FEE SCHEDULE
175,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.400.917.200
HC VOICE GOAL STATUS
SPEECH THERAPY-LANGUAGE PATHOLOGY-GENERAL [0440]
G9172
WCH HB DEFAULT FEE SCHEDULE
0,01
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.400.917.300
HC VOICE D/C STATUS
SPEECH THERAPY-LANGUAGE PATHOLOGY-GENERAL [0440]
G9173
WCH HB DEFAULT FEE SCHEDULE
0,01
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.400.917.500
HC SPEECH LANG GOAL STATUS
SPEECH THERAPY-LANGUAGE PATHOLOGY-GENERAL [0440]
G9175
WCH HB DEFAULT FEE SCHEDULE
0,01
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.400.917.600
HC SPEECH LANG D/C STATUS
SPEECH THERAPY-LANGUAGE PATHOLOGY-GENERAL [0440]
G9176
WCH HB DEFAULT FEE SCHEDULE
0,01
WESTON COUNTY HEALTH SERVICES SERVICE AREA
7.719.047.101
HC ADMINISTRATION OF INFLUENZA VIRUS VACCINE
PREVENTIVE CARE SERVICES-VACCINE ADMINISTRATION [0771]
90471
WCH HB DEFAULT FEE SCHEDULE
63,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
7.719.047.102
HC ADMINISTRATION OF PNEUMOCOCCAL VACCINE
PREVENTIVE CARE SERVICES-VACCINE ADMINISTRATION [0771]
90471
WCH HB DEFAULT FEE SCHEDULE
63,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
7.719.047.103
HC ADMINISTRATION OF HEPATITIS B VACCINE
PREVENTIVE CARE SERVICES-VACCINE ADMINISTRATION [0771]
90471
WCH HB DEFAULT FEE SCHEDULE
63,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.019.701
HC REF TACROLIMUS FK506
LABORATORY-CHEMISTRY [0301]
80197
WCH HB LAB FEE SCHEDULE
176,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.020.101
HC REF TOPIRAMATE
LABORATORY-CHEMISTRY [0301]
80201
WCH HB LAB FEE SCHEDULE
120,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.029.901
HC REF AMIODARONE P S
LABORATORY-CHEMISTRY [0301]
80299
WCH HB LAB FEE SCHEDULE
462,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.230.600
HC VIT D 25 HYDROXY W FRACTIONS
LABORATORY-CHEMISTRY [0301]
82306
WCH HB LAB FEE SCHEDULE
318,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.230.600
HC VIT D 25 HYDROXY W FRACTIONS
LABORATORY-CHEMISTRY [0301]
82306
WCH WELLNESS WEDNESDAY FSC
50,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.029.902
HC REF CARBAMAZEPINE 10 11 EPOXIDE
LABORATORY-CHEMISTRY [0301]
80299
WCH HB LAB FEE SCHEDULE
462,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.029.903
HC REF MEXILETINE
LABORATORY-CHEMISTRY [0301]
80299
WCH HB LAB FEE SCHEDULE
462,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.029.904
HC REF WARFARIN COUMADIN
LABORATORY-CHEMISTRY [0301]
80299
WCH HB LAB FEE SCHEDULE
462,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.029.905
HC REF FLECAINIDE
LABORATORY-CHEMISTRY [0301]
80299
WCH HB LAB FEE SCHEDULE
462,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.032.901
HC ACETAMINOPHEN
LABORATORY-CHEMISTRY [0301]
80329
WCH HB LAB FEE SCHEDULE
212,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.208.802
HC REF ALDOSTERONE SERUM
LABORATORY-CHEMISTRY [0301]
82088
WCH HB LAB FEE SCHEDULE
306,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.210.502
HC AFP TUMOR MARKER
LABORATORY-CHEMISTRY [0301]
82105
WCH HB LAB FEE SCHEDULE
136,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.216.401
HC REF ANGIOTENSIN CONV ENZYME
LABORATORY-CHEMISTRY [0301]
82164
WCH HB LAB FEE SCHEDULE
153,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.223.201
HC REF BETA 2 MICROGLOBULIN, SERUM
LABORATORY-CHEMISTRY [0301]
82232
WCH HB LAB FEE SCHEDULE
163,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.227.401
HC FECAL OCCULT BL TEST IFOB SCRN
LABORATORY-CHEMISTRY [0301]
82274
WCH HB LAB FEE SCHEDULE
110,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.230.800
HC REF CALCITONIN
LABORATORY-CHEMISTRY [0301]
82308
WCH HB LAB FEE SCHEDULE
289,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.230.001
HC REF HEAVY METALS SCRN UR CADMIUM
LABORATORY-CHEMISTRY [0301]
82300
WCH HB LAB FEE SCHEDULE
130,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.230.601
HC REF VIT D 25 HYDROXY W FRACTIONS
LABORATORY-CHEMISTRY [0301]
82306
WCH HB LAB FEE SCHEDULE
318,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.236.501
HC REF CALCULUS QUAL ANAL INFRD SPECT
LABORATORY-CHEMISTRY [0301]
82365
WCH HB LAB FEE SCHEDULE
127,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.237.501
HC CARBOXYHEMOGLOBIN QUANT
LABORATORY-CHEMISTRY [0301]
82375
WCH HB LAB FEE SCHEDULE
129,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.238.402
HC REF CATECHOLAMINE FRACT FREE URINE
LABORATORY-CHEMISTRY [0301]
82384
WCH HB LAB FEE SCHEDULE
297,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.250.701
HC REF CITRATE EXCRETION
LABORATORY-CHEMISTRY [0301]
82507
WCH HB LAB FEE SCHEDULE
303,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.252.301
HC REF NTX TELOPEPTIDE U
LABORATORY-CHEMISTRY [0301]
82523
WCH HB LAB FEE SCHEDULE
182,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.252.302
HC REF NTX SERUM
LABORATORY-CHEMISTRY [0301]
82523
WCH HB LAB FEE SCHEDULE
229,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.252.501
HC REF COPPER SERUM
LABORATORY-CHEMISTRY [0301]
82525
WCH HB LAB FEE SCHEDULE
135,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.253.301
HC REF CORTISOL SALIVA
LABORATORY-CHEMISTRY [0301]
82533
WCH HB LAB FEE SCHEDULE
162,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.231.000
HC CALCIUM TOTAL SERUM
LABORATORY-CHEMISTRY [0301]
82310
WCH HB LAB FEE SCHEDULE
61,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.253.002
HC REF CORTISOL FREE URINE
LABORATORY-CHEMISTRY [0301]
82530
WCH HB LAB FEE SCHEDULE
210,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.257.001
HC REF CREATININE OTHER SOURCE
LABORATORY-CHEMISTRY [0301]
82570
WCH HB LAB FEE SCHEDULE
92,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.265.201
HC REF VIT D1 25 DIHYDROXY W FRAC
LABORATORY-CHEMISTRY [0301]
82652
WCH HB LAB FEE SCHEDULE
338,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.265.601
HC REF PANCREATIC ELASTASE FECAL
LABORATORY-CHEMISTRY [0301]
82656
WCH HB LAB FEE SCHEDULE
340,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.278.404
HC REF CELIAC DIS SERLGY CASCADE IGA
LABORATORY-CHEMISTRY [0301]
82784
WCH HB LAB FEE SCHEDULE
111,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.278.406
HC GAMMAGLOB IMMUNOGLOBULIN EACH
LABORATORY-CHEMISTRY [0301]
82784
WCH HB LAB FEE SCHEDULE
111,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.300.201
HC LUTEINIZING HORMONE
LABORATORY-CHEMISTRY [0301]
83002
WCH HB LAB FEE SCHEDULE
171,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.349.801
HC REF 17 HYDROXYPROGESTERONE
LABORATORY-CHEMISTRY [0301]
83498
WCH HB LAB FEE SCHEDULE
243,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.349.802
HC REF CAH
LABORATORY-CHEMISTRY [0301]
83498
WCH HB LAB FEE SCHEDULE
243,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.351.601
HC REF CYSTIC FIBROSIS
LABORATORY-CHEMISTRY [0301]
83516
WCH HB LAB FEE SCHEDULE
139,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.233.000
HC CALCIUM IONIZED ASSAY
LABORATORY-CHEMISTRY [0301]
82330
WCH HB LAB FEE SCHEDULE
139,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.351.602
HC REF PR3
LABORATORY-CHEMISTRY [0301]
83516
WCH HB LAB FEE SCHEDULE
134,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.351.603
HC REF MPO
LABORATORY-CHEMISTRY [0301]
83516
WCH HB LAB FEE SCHEDULE
134,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.351.605
HC REF MITOCHONDIRAL AB M2
LABORATORY-CHEMISTRY [0301]
83516
WCH HB LAB FEE SCHEDULE
135,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.351.607
HC REF PARIETAL CELL AB IGG
LABORATORY-CHEMISTRY [0301]
83516
WCH HB LAB FEE SCHEDULE
150,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.351.609
HC REF TISSUE TRANSGLUTAMINASE AB IGG OR IGA
LABORATORY-CHEMISTRY [0301]
83516
WCH HB LAB FEE SCHEDULE
134,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.351.904
HC REF ACH RECEPTOR MUSCLE BINDING
LABORATORY-CHEMISTRY [0301]
83519
WCH HB LAB FEE SCHEDULE
167,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.037.501
HC REF DIGITOXIN SERUM PLASMA
LABORATORY-CHEMISTRY [0301]
80375
WCH HB LAB FEE SCHEDULE
167,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.352.009
HC REF TRYPTASE
LABORATORY-CHEMISTRY [0301]
83520
WCH HB LAB FEE SCHEDULE
167,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.352.011
HC REF IBD SACCHAROMYCES IGG OR IGA
LABORATORY-CHEMISTRY [0301]
83520
WCH HB LAB FEE SCHEDULE
167,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.361.501
HC REF LDH TOTAL
LABORATORY-CHEMISTRY [0301]
83615
WCH HB LAB FEE SCHEDULE
53,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.234.000
HC REF 24 HR URINE CALCIUM
LABORATORY-CHEMISTRY [0301]
82340
WCH HB LAB FEE SCHEDULE
68,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
1.110.000.100
HC ROOM PRIVATE W TELE
ROOM & BOARD-PRIVATE (ONE BED)-MEDICAL/SURGICAL/GYN [0111]
WCH HB DEFAULT FEE SCHEDULE
2.143,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.362.501
HC REF LDH ISOENZYMES S
LABORATORY-CHEMISTRY [0301]
83625
WCH HB LAB FEE SCHEDULE
129,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.365.502
HC REF HEAVY METALS SCRN UR LEAD
LABORATORY-CHEMISTRY [0301]
83655
WCH HB LAB FEE SCHEDULE
109,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.378.901
HC REF AMINO ACID ACYLCARNITINE SCRN
LABORATORY-CHEMISTRY [0301]
83789
WCH HB LAB FEE SCHEDULE
143,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.383.501
HC REF METANEPHRINES
LABORATORY-CHEMISTRY [0301]
83835
WCH HB LAB FEE SCHEDULE
292,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.383.502
HC REF METANEPHRINES FRACTION 24 HR
LABORATORY-CHEMISTRY [0301]
83835
WCH HB LAB FEE SCHEDULE
271,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.388.301
HC REF IMMUNOGLOBULIN LIGHT CH
LABORATORY-CHEMISTRY [0301]
83883
WCH HB LAB FEE SCHEDULE
153,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.394.501
HC REF OXALATE URINE
LABORATORY-CHEMISTRY [0301]
83945
WCH HB LAB FEE SCHEDULE
125,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.407.501
HC REF ALK PTASE TOTAL
LABORATORY-CHEMISTRY [0301]
84075
WCH HB LAB FEE SCHEDULE
44,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.412.001
HC REF PORPHYRINS QN U
LABORATORY-CHEMISTRY [0301]
84120
WCH HB LAB FEE SCHEDULE
180,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.415.301
HC REF PSA TOTAL
LABORATORY-CHEMISTRY [0301]
84153
WCH HB LAB FEE SCHEDULE
175,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.237.400
HC CARBON DIOXIDE BICARB
LABORATORY-CHEMISTRY [0301]
82374
WCH HB LAB FEE SCHEDULE
51,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.415.303
HC PSA SCREENING
LABORATORY-CHEMISTRY [0301]
84153
WCH HB LAB FEE SCHEDULE
175,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.415.303
HC PSA SCREENING
LABORATORY-CHEMISTRY [0301]
84153
WCH WELLNESS WEDNESDAY FSC
40,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.415.401
HC REF PSA FREE
LABORATORY-CHEMISTRY [0301]
84154
WCH HB LAB FEE SCHEDULE
145,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.415.502
HC REF PROTEIN: TOTAL EXCEPT REFRACTOMETRY
LABORATORY-CHEMISTRY [0301]
84155
WCH HB LAB FEE SCHEDULE
129,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.416.502
HC E-PHORESIS-PROTEIN
LABORATORY-CHEMISTRY [0301]
84165
WCH HB LAB FEE SCHEDULE
131,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.416.601
HC REF PROTEIN ELECTRPHORSIS URINE MONOCLONAL
LABORATORY-CHEMISTRY [0301]
84166
WCH HB LAB FEE SCHEDULE
176,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.424.401
HC REF RENIN ACTIVITY
LABORATORY-CHEMISTRY [0301]
84244
WCH HB LAB FEE SCHEDULE
250,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.441.000
HC REF TESTOSTERONE BIOAVAILABLE FOR MAYO TOTAL, BIO, FREE
LABORATORY-CHEMISTRY [0301]
84410
WCH HB LAB FEE SCHEDULE
243,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.440.301
HC REF TESTOSTERONE TOTAL, FOR MAYO TOTAL AND FREE
LABORATORY-CHEMISTRY [0301]
84403
WCH HB LAB FEE SCHEDULE
195,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.442.501
HC REF THIAMINE
LABORATORY-CHEMISTRY [0301]
84425
WCH HB LAB FEE SCHEDULE
222,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.443.201
HC REF THYROGLOBULIN TUMOR MARKER
LABORATORY-CHEMISTRY [0301]
84432
WCH HB LAB FEE SCHEDULE
200,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.237.800
HC CARCINOEMBRYONIC ANTIGEN
LABORATORY-CHEMISTRY [0301]
82378
WCH HB LAB FEE SCHEDULE
215,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.444.301
HC REF TSH
LABORATORY-CHEMISTRY [0301]
84443
WCH HB LAB FEE SCHEDULE
180,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.444.501
HC REF THYROID STIMULATING IMMUNOGLOB
LABORATORY-CHEMISTRY [0301]
84445
WCH HB LAB FEE SCHEDULE
529,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.444.601
HC REF VITAMIN E
LABORATORY-CHEMISTRY [0301]
84446
WCH HB LAB FEE SCHEDULE
139,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.446.601
HC REF TRANSFERRIN
LABORATORY-CHEMISTRY [0301]
84466
WCH HB LAB FEE SCHEDULE
155,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.447.803
HC TRIGLYCERIDES
LABORATORY-CHEMISTRY [0301]
84478
WCH HB LAB FEE SCHEDULE
51,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.448.001
HC REF T-3 TRIIODOTHYRONINE TOTAL
LABORATORY-CHEMISTRY [0301]
84480
WCH HB LAB FEE SCHEDULE
216,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.448.201
HC REF T3 TRIIODOTHYRONINE REVERSE
LABORATORY-CHEMISTRY [0301]
84482
WCH HB LAB FEE SCHEDULE
303,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.459.701
HC REF VITAMIN K1
LABORATORY-CHEMISTRY [0301]
84597
WCH HB LAB FEE SCHEDULE
255,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.463.001
HC REF ZINC SERUM
LABORATORY-CHEMISTRY [0301]
84630
WCH HB LAB FEE SCHEDULE
176,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.468.101
HC REF C PEPTIDE
LABORATORY-CHEMISTRY [0301]
84681
WCH HB LAB FEE SCHEDULE
207,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.238.400
HC ASSAY, THREE CATECHOLAMINES
LABORATORY-CHEMISTRY [0301]
82384
WCH HB LAB FEE SCHEDULE
289,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.614.703
HC REF PHOSPHOLIPID AB IGA
LABORATORY-IMMUNOLOGY [0302]
86147
WCH HB LAB FEE SCHEDULE
272,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.905.501
HC FECAL LEUKOCYTE ASSESS QUAL
LABORATORY-GENERAL [0300]
89055
WCH HB LAB FEE SCHEDULE
67,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.028.600.301
HC REF ALLERGEN SPECIFIC IGE
LABORATORY-IMMUNOLOGY [0302]
86003
WCH HB LAB FEE SCHEDULE
43,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.028.614.701
HC REF PHOSPHOLIPID AB IGM
LABORATORY-IMMUNOLOGY [0302]
86147
WCH HB LAB FEE SCHEDULE
251,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.028.614.702
HC REF PHOSPHOLIPID AB IGG
LABORATORY-IMMUNOLOGY [0302]
86147
WCH HB LAB FEE SCHEDULE
251,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.028.616.004
HC COMPLEMENT 4 ANTIGEN
LABORATORY-IMMUNOLOGY [0302]
86160
WCH HB LAB FEE SCHEDULE
168,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.028.621.501
HC REF DNASE ANTI DNASE B
LABORATORY-IMMUNOLOGY [0302]
86215
WCH HB LAB FEE SCHEDULE
182,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.028.623.502
HC EXTRACTABLE NUCLEAR AG EACH AB
LABORATORY-IMMUNOLOGY [0302]
86235
WCH HB LAB FEE SCHEDULE
160,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.028.625.503
HC REF ANTI SMOOTH MUSCLE AB
LABORATORY-IMMUNOLOGY [0302]
86255
WCH HB LAB FEE SCHEDULE
146,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.028.630.001
HC REF CA 27.29
LABORATORY-IMMUNOLOGY [0302]
86300
WCH HB LAB FEE SCHEDULE
218,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.239.000
HC REF CERULOPLASMIN
LABORATORY-CHEMISTRY [0301]
82390
WCH HB LAB FEE SCHEDULE
135,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.028.631.701
HC REF RABIES ANTIBODY ELISA
LABORATORY-IMMUNOLOGY [0302]
86317
WCH HB LAB FEE SCHEDULE
106,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.028.661.801
HC REF LYME DISEASE SEROLOGY
LABORATORY-IMMUNOLOGY [0302]
86618
WCH HB LAB FEE SCHEDULE
187,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.028.666.401
HC REF EPSTEIN BARR ANTI EBNA
LABORATORY-IMMUNOLOGY [0302]
86664
WCH HB LAB FEE SCHEDULE
175,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.028.666.501
HC REF EBV AB BCA IGG OR IGM
LABORATORY-IMMUNOLOGY [0302]
86665
WCH HB LAB FEE SCHEDULE
195,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.028.669.401
HC REF HSV AB IGM S BY EIA
LABORATORY-IMMUNOLOGY [0302]
86694
WCH HB LAB FEE SCHEDULE
165,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.028.669.504
HC HSV TYPE 1 AB IGG
LABORATORY-IMMUNOLOGY [0302]
86695
WCH HB LAB FEE SCHEDULE
116,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.028.669.604
HC HSV TYPE 2 AB IGG
LABORATORY-IMMUNOLOGY [0302]
86696
WCH HB LAB FEE SCHEDULE
149,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.028.670.601
HC REF HEP B SURFACE ANTIBODY
LABORATORY-IMMUNOLOGY [0302]
86706
WCH HB LAB FEE SCHEDULE
117,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.028.673.801
HC REF MYCOPLASMA PNEUMO IGG OR IGM
LABORATORY-IMMUNOLOGY [0302]
86738
WCH HB DEFAULT FEE SCHEDULE
152,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.028.673.801
HC REF MYCOPLASMA PNEUMO IGG OR IGM
LABORATORY-IMMUNOLOGY [0302]
86738
WCH HB LAB FEE SCHEDULE
152,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.028.674.701
HC REF PARVOVIRUS B19 AB IGG OR IGM
LABORATORY-IMMUNOLOGY [0302]
86747
WCH HB LAB FEE SCHEDULE
178,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.239.700
HC REF PTH RELATED PEPTIDE
LABORATORY-CHEMISTRY [0301]
82397
WCH HB LAB FEE SCHEDULE
190,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.028.675.701
HC REF TYPHUS ANTIBODY IGG OR IGM
LABORATORY-IMMUNOLOGY [0302]
86757
WCH HB LAB FEE SCHEDULE
152,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.028.677.701
HC REF TOXOPLASMOSIS AB IGG
LABORATORY-IMMUNOLOGY [0302]
86777
WCH HB LAB FEE SCHEDULE
143,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.028.677.801
HC REF TOXOPLASMOSIS IGM ANTIBODY
LABORATORY-IMMUNOLOGY [0302]
86778
WCH HB LAB FEE SCHEDULE
154,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.028.678.801
HC REF WEST NILE VIRUS IGM
LABORATORY-IMMUNOLOGY [0302]
86788
WCH HB LAB FEE SCHEDULE
162,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.028.680.001
HC REF THYROGLOBULIN AB SCRN
LABORATORY-IMMUNOLOGY [0302]
86800
WCH HB LAB FEE SCHEDULE
162,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.028.680.002
HC THYROGLOBULIN ANTIBODY SCRN
LABORATORY-IMMUNOLOGY [0302]
86800
WCH HB LAB FEE SCHEDULE
134,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.058.530.001
HC REF ANTITHROMBIN III ACTIVITY
LABORATORY-HEMATOLOGY [0305]
85300
WCH HB LAB FEE SCHEDULE
274,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.058.530.002
HC REF THROMBO AT ACTIVITY
LABORATORY-HEMATOLOGY [0305]
85300
WCH HB LAB FEE SCHEDULE
273,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.058.530.301
HC REF PROTEIN C FUNCTIONAL
LABORATORY-HEMATOLOGY [0305]
85303
WCH HB LAB FEE SCHEDULE
257,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.058.530.302
HC REF PROTEIN C ACTIVITY,P (MAYO) THRMP PANEL
LABORATORY-HEMATOLOGY [0305]
85303
WCH HB LAB FEE SCHEDULE
257,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.243.500
HC CHLORIDE, SERUM
LABORATORY-CHEMISTRY [0301]
82435
WCH HB LAB FEE SCHEDULE
53,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.058.530.601
HC REF PROTEIN S ACTIVITY, P (MAYO)
LABORATORY-HEMATOLOGY [0305]
85306
WCH HB LAB FEE SCHEDULE
283,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.058.530.603
HC REF PROTEIN S AG, FREE, P (MAYO) THRMP PANEL
LABORATORY-HEMATOLOGY [0305]
85306
WCH HB LAB FEE SCHEDULE
284,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.058.530.702
HC REFACTIVATED PROTEIN RESISTANCE V, P (MAYO) THRMP PANEL
LABORATORY-HEMATOLOGY [0305]
85307
WCH HB LAB FEE SCHEDULE
187,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.058.537.902
HC REF D-DIMER,P (MAYO) THRMP PANEL
LABORATORY-HEMATOLOGY [0305]
85379
WCH HB LAB FEE SCHEDULE
162,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.058.538.402
HC REF FIBRINOGEN,P (MAYO) THRMP PANEL
LABORATORY-HEMATOLOGY [0305]
85384
WCH HB LAB FEE SCHEDULE
102,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.058.539.001
HC REF FIBRINOLYSINS,OR COAGULOPATHY SCREEN,INTERP AND REPORT (MAYO) THRMP PANEL
LABORATORY-HEMATOLOGY [0305]
85390
WCH HB LAB FEE SCHEDULE
116,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.058.539.701
HC REF VON WILLEBRAND FACTOR ACTIVITY,P (MAYO) VWPR PANEL
LABORATORY-HEMATOLOGY [0305]
85397
WCH HB LAB FEE SCHEDULE
352,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.058.561.001
HC REF PROTHROMBIN TIME (PT),P (MAYO) LUPPR PANEL
LABORATORY-HEMATOLOGY [0305]
85610
WCH HB LAB FEE SCHEDULE
74,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.058.561.003
HC REF PROTHROMBIN TIME (PT),P MAYO THRMP PANEL
LABORATORY-HEMATOLOGY [0305]
85610
WCH HB LAB FEE SCHEDULE
46,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.058.561.005
HC PROTIME
LABORATORY-HEMATOLOGY [0305]
85610
WCH HB DEFAULT FEE SCHEDULE
74,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.243.600
HC CHLORIDE URINE
LABORATORY-CHEMISTRY [0301]
82436
WCH HB LAB FEE SCHEDULE
51,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.058.561.301
HC REF DILUTE RUSSELLS VIPER VENOM TIME, P (MAYO) LUPPR PANEL
LABORATORY-HEMATOLOGY [0305]
85613
WCH HB LAB FEE SCHEDULE
178,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.058.561.302
HC REF DILUTE RUSSELLS VIPER VENOM TIME, P (MAYO) THRMP PANEL
LABORATORY-HEMATOLOGY [0305]
85613
WCH HB LAB FEE SCHEDULE
143,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.058.567.001
HC REF THROMBIN TIME BOVINE
LABORATORY-HEMATOLOGY [0305]
85670
WCH HB LAB FEE SCHEDULE
79,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.058.567.003
HC REF THROMBIN TIME, PLASMA (MAYO) THRMP PANEL
LABORATORY-HEMATOLOGY [0305]
85670
WCH HB LAB FEE SCHEDULE
97,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.058.573.001
HC REF ACTIVATED PARTIAL THROMBOPLA TIME, P (MAYO) LUPPR PANEL
LABORATORY-HEMATOLOGY [0305]
85730
WCH HB LAB FEE SCHEDULE
119,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.058.573.003
HC REF ACTIVATED PARTIAL THROMBOPLA TIME, P (MAYO) THRMP PANEL
LABORATORY-HEMATOLOGY [0305]
85730
WCH HB LAB FEE SCHEDULE
61,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.068.733.801
HC REF STL FOR H PYLORI
LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306]
87338
WCH HB LAB FEE SCHEDULE
235,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.068.744.904
HC LEGIONELLA ANTIGEN URINE
LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306]
87449
WCH HB LAB FEE SCHEDULE
113,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.068.749.103
HC C TRACHOMATIS APMLIFIED PROBE
LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306]
87491
WCH HB LAB FEE SCHEDULE
184,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.068.749.701
HC REF CMV DNA QUAN BY RAPID PCR
LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306]
87497
WCH HB LAB FEE SCHEDULE
487,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.243.800
HC CHLORIDE CSF BODY FLUID URINE
LABORATORY-CHEMISTRY [0301]
82438
WCH HB LAB FEE SCHEDULE
79,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.068.752.201
HC REF HCV VIRAL LOAD
LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306]
87522
WCH HB LAB FEE SCHEDULE
538,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.068.753.601
HC REF HIV 1 RNA BY ULTRA SENS PCR Q
LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306]
87536
WCH HB LAB FEE SCHEDULE
543,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.068.759.102
HC N GONORRHOEAE AMPLIFIED PROBE
LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306]
87591
WCH HB LAB FEE SCHEDULE
186,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.068.779.903
HC REF EPSTEIN BARR VIRUS DNA
LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306]
87799
WCH HB LAB FEE SCHEDULE
223,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.078.100.301
HC URINE AUTO WO MICRO
LABORATORY-UROLOGY [0307]
81003
WCH HB LAB FEE SCHEDULE
30,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.098.688.501
HC AHG INDIRECT QUAL REAGENT RBC*2
LABORATORY-OTHER LABORATORY [0309]
86885
WCH HB LAB FEE SCHEDULE
101,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.098.690.001
HC ABO TYPE SEROLOGIC
LABORATORY-OTHER LABORATORY [0309]
86900
WCH HB LAB FEE SCHEDULE
61,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.098.690.001
HC ABO TYPE SEROLOGIC
LABORATORY-OTHER LABORATORY [0309]
86900
WCH WELLNESS WEDNESDAY FSC
17,50
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.098.690.101
HC RH BLOOD TYPING
LABORATORY-OTHER LABORATORY [0309]
86901
WCH HB LAB FEE SCHEDULE
61,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.098.690.101
HC RH BLOOD TYPING
LABORATORY-OTHER LABORATORY [0309]
86901
WCH WELLNESS WEDNESDAY FSC
17,50
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.098.715.001
HC ID BY NUCLEIC ACID EA ORG PROB
LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306]
87150
WCH HB LAB FEE SCHEDULE
180,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.108.120.601
HC REF BCR ABL1 MAJOR BRKPT QUAL QUAN
LABORATORY PATHOLOGY-GENERAL [0310]
81206
WCH HB LAB FEE SCHEDULE
1.650,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.246.500
HC CHOLESTEROL
LABORATORY-CHEMISTRY [0301]
82465
WCH HB LAB FEE SCHEDULE
53,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.108.124.001
HC REF PROTHROMBIN G20210A MUTATION,B THRMP PANEL
LABORATORY PATHOLOGY-GENERAL [0310]
81240
WCH HB LAB FEE SCHEDULE
321,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.108.124.101
HC REF FACTOR V LEIDEN (R506Q) MUTATION, B (MAYO)
LABORATORY PATHOLOGY-GENERAL [0310]
81241
WCH HB LAB FEE SCHEDULE
378,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.108.137.601
HC REF CELIAC ASSOCIATED HLA-DQ TYPING
LABORATORY PATHOLOGY-GENERAL [0310]
81376
WCH HB LAB FEE SCHEDULE
436,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.118.827.102
HC REF CLL FISH
LABORATORY PATHOLOGY-CYTOLOGY [0311]
88271
WCH HB LAB FEE SCHEDULE
127,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.118.829.105
HC REF CHROMHEM INTERP & REPORT
LABORATORY PATHOLOGY-CYTOLOGY [0311]
88291
WCH HB LAB FEE SCHEDULE
179,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.118.829.106
HC REF CLL FISH INTERP & REPORT
LABORATORY PATHOLOGY-CYTOLOGY [0311]
88291
WCH HB LAB FEE SCHEDULE
171,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.029.906
HC REF INFLIXIMAB
LABORATORY-CHEMISTRY [0301]
80299
WCH HB LAB FEE SCHEDULE
462,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.030.700
HC REF HYPOGLYCEMIC AGENT SCRN
LABORATORY-CHEMISTRY [0301]
80307
WCH HB LAB FEE SCHEDULE
212,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.249.716.100
HC PT EVAL VISIT LOW COMPLEXITY
PHYSICAL THERAPY-EVALUATION OR REEVALUATION [0424]
97161
WCH HB DEFAULT FEE SCHEDULE
212,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
4.249.716.200
HC PT EVAL VISIT MODERATE COMPLEX
PHYSICAL THERAPY-EVALUATION OR REEVALUATION [0424]
97162
WCH HB DEFAULT FEE SCHEDULE
239,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
3.018.250.700
HC REF CITRATE EXCRETION (SAT 24)
LABORATORY-CHEMISTRY [0301]
82507
WCH HB LAB FEE SCHEDULE
295,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA
1.110.000.200
HC ROOM PRIVATE
ROOM & BOARD-PRIVATE (ONE BED)-MEDICAL/SURGICAL/GYN [0111]
WCH HB DEFAULT FEE SCHEDULE
1.667,00
Service Area Px Code Procedure Description Default Rev Code CPT(R)/HCPCS Code Default Mod Fee Schedule Name Unit Price
</p>
<p>Standard Charges Medication
Service Area Px Code Generic Name CPT(R)/HCPCS Code NDC Unit Price Override Bill Code Override Price
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.500.000.200
insulin human U-100 NPH-regulr 70-30 mix 100 unit/mL subcutaneous susp
J1815
2.871.517
204,61
68.95
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.500.000.200
lidocaine 1 %-epinephrine 1:100,000 injection solution
63.323.048.226
7,52
7.52
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.500.000.200
bupivacaine-epinephrine (PF) 0.5 %-1:200,000 injection solution
409.904.501
7,99
7.99
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.500.000.200
bupivacaine (PF) 0.5 % (5 mg/mL) injection solution
63.323.046.631
29,41
29.41
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.500.000.200
bupivacaine (PF) 0.5 % (5 mg/mL) injection solution
409.116.219
7,45
7.45
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.500.000.200
balanced salt solution non-surgical no.3 eye wash
65.053.001
106,80
106.41
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.500.000.200
sodium chloride 0.9 % irrigation solution
264.220.100
61,30
60.3
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.500.000.200
sodium chloride 0.9 % irrigation solution
338.004.802
83,00
72.5
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.500.000.200
water for injection, sterile injection solution
409.488.750
60,55
7.87
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.500.000.200
water for injection, sterile injection solution
409.488.723
59,54
6.86
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.500.000.200
zidovudine 100 mg capsule
65.862.010.701
7,14
7.14
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.500.000.200
lidocaine HCL 2 % mucosal solution
50.383.077.515
6,52
6.52
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.500.000.200
lidocaine HCL 2 % mucosal solution
50.383.077.504
7,27
7.27
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.500.000.200
bupivacaine (PF) 0.25 % (2.5 mg/mL) injection solution
55.150.016.710
7,70
7.7
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.500.000.200
bupivacaine (PF) 0.25 % (2.5 mg/mL) injection solution
55.150.016.830
7,75
7.75
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.500.000.200
norepinephrine bitartrate 1 mg/mL intravenous solution
703.115.303
106,52
72.81
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.500.000.200
lidocaine 2 % mucosal jelly in applicator
76.329.301.305
61,51
15.21
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.500.000.200
mvi,adult no.4 with vit K 3300 unit-150 mcg/10 mL intravenous solution
54.643.786.201
80,11
71.84999999999999
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.500.000.200
sodium hypochlorite 0.25 % solution
39.328.006.325
5,65
5.64
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.500.000.200
mvi,adult no.4,vit K,comp(vial 1 of 2) 3,300 unit-150 mcg/5 mL IV soln
54.643.786.208
69,56
61.98
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.500.000.200
mvi, adult no.4, vit K (vial 2 of 2) 600 mcg-60 mcg-5 mcg/5 mL IV soln
54.643.786.209
69,56
61.98
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.500.000.200
sodium nitroprusside 25 mg/mL intravenous solution
187.430.202
775,00
676.09
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.500.000.200
sodium nitroprusside 25 mg/mL intravenous solution
67.457.083.902
392,00
85.18000000000001
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.500.000.200
benzocaine 20 % mucosal aerosol spray
283.067.902
111,00
110.43
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.500.000.200
insulin glargine (U-100) 100 unit/mL subcutaneous solution
J1815
88.222.033
683,56
633.21
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.500.000.200
diphenhydrAMINE 25 mg capsule,diphenhydrAMINE 25 mg tablet
904.555.159
5,64
5.64
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.500.000.200
cocaine 4 % topical solution,cocaine 4 % nasal solution
527.172.874
144,62
141.03
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.500.000.200
9.999.999.021
15,59
7.46
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.500.000.200
9.999.999.027
14,94
6.81
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.500.000.200
sodium chloride 0.9 % injection solution
63.323.018.620
59,76
7.08
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.500.000.200
ketamine 10 mg/mL injection solution
42.023.011.310
108,28
106.16
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.500.000.200
ketamine 10 mg/mL injection solution
67.457.018.100
107,80
73.78
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.500.000.200
ketamine 50 mg/mL injection solution
143.950.801
69,80
69.38
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.500.000.200
lidocaine HCL 10 mg/mL (1 %) injection solution
63.323.048.526
7,22
7.22
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.500.000.200
nafcillin 2 gram solution for injection
S0032
63.323.032.820
171,67
149.42
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.500.000.200
phenylephrine 2.5 % eye drops
17.478.020.115
321,50
254
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.500.000.200
prochlorperazine maleate 5 mg tablet
378.510.501
5,94
5.94
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.500.000.200
promethazine 25 mg tablet
65.162.052.110
5,72
5.72
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.500.000.200
sodium bicarbonate 8.4 % (1 mEq/mL) intravenous syringe
409.663.734
80,55
38.95
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.500.000.200
sodium bicarbonate 8.4 % (1 mEq/mL) intravenous syringe
76.329.335.201
83,50
52.5
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.500.000.200
sodium chloride 0.9 % (flush) injection syringe
63.807.010.001
5,70
5.69
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.500.000.200
sodium thiosulfate 12.5 gram/50 mL (250 mg/mL) intravenous solution
60.267.070.550
369,00
351
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.500.000.200
water for irrigation, sterile solution
338.000.402
71,50
69
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.500.000.200
water for irrigation, sterile solution
338.000.404
59,80
59.3
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.500.000.200
verapamiL 2.5 mg/mL intravenous solution
409.114.401
59,72
59.72
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.500.000.200
verapamiL 2.5 mg/mL intravenous solution
409.401.101
68,67
84.75
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.500.000.200
verapamiL 2.5 mg/mL intravenous solution
409.114.402
72,84
148.82
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.500.000.200
rocuronium 10 mg/mL intravenous solution
409.955.810
71,59
29.09
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.500.000.200
dronabinoL 2.5 mg capsule
49.884.086.702
23,41
23.41
WESTON COUNTY HEALTH SERVICES SERVICE AREA
2.500.000.200
dronabinoL 2.5 mg capsule
67.877.056.860
7,59
7.59
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
fluconazole 200 mg/100 mL in sod. chloride (iso) intravenous piggyback
J1450
36.000.000.210
69,00
68.7
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
heparin (porcine) 1,000 unit/mL injection solution
J1644
25.021.040.067
60,08
7.4
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
heparin (porcine) 10,000 unit/mL injection solution
J1644
25.021.040.366
60,13
7.45
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
labetaloL 5 mg/mL intravenous solution
J3490
17.478.042.020
147,50
110.36
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
labetaloL 5 mg/mL intravenous solution
J3490
409.226.754
71,94
70.73999999999999
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
labetaloL 5 mg/mL intravenous solution
J3490
409.226.720
61,70
61.34
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
pneumococcal 13-val conj vaccine-dip crm (PF) 0.5 mL IM syringe
90670
5.197.105
607,57
541.78
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
lidocaine (PF) 10 mg/mL (1 %) injection solution
J2001
409.471.302
7,15
6.51
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
lidocaine (PF) 10 mg/mL (1 %) injection solution
J2001
63.323.049.257
15,39
7.05
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
lidocaine (PF) 20 mg/mL (2 %) injection solution
J2001
63.323.049.507
14,85
6.79
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
lidocaine (PF) 20 mg/mL (2 %) injection solution
J2001
409.206.610
8,07
7.06
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
measles,mumps,rubella vaccine live(PF)1,000-12,500TCID50/0.5 mL subcut
90707
6.468.100
338,43
334.58
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
mepivacaine (PF) 15 mg/mL (1.5 %) injection solution
J0670
409.104.130
70,05
68.67
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
denosumab 60 mg/mL subcutaneous syringe
J0897
55.513.071.001
2.503,79
2346.9
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
methylergonovine 0.2 mg/mL (1 mL) injection solution
J2210
51.991.014.499
108,26
67.76000000000001
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
enoxaparin 30 mg/0.3 mL subcutaneous syringe
J1650
955.100.310
144,80
60.57
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
enoxaparin 40 mg/0.4 mL subcutaneous syringe
J1650
955.100.410
152,24
61.37
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
enoxaparin 40 mg/0.4 mL subcutaneous syringe
J1650
75.801.410
170,08
61.37
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
enoxaparin 60 mg/0.6 mL subcutaneous syringe
J1650
955.100.610
204,66
69.23999999999999
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
enoxaparin 60 mg/0.6 mL subcutaneous syringe
J1650
75.062.160
231,67
69.23999999999999
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
enoxaparin 100 mg/mL subcutaneous syringe
J1650
955.101.010
336,43
72.38
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
diazePAM 5 mg/mL injection syringe
J3360
409.127.332
149,85
110.4
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
ondansetron HCl (PF) 4 mg/2 mL injection solution
J2405
641.607.825
60,80
8.119999999999999
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
ondansetron HCl (PF) 4 mg/2 mL injection solution
J2405
23.155.054.831
60,80
8.119999999999999
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
ondansetron HCL 2 mg/mL intravenous solution
J2405
23.155.055.031
58,55
58.48
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
acetaminophen 1,000 mg/100 mL (10 mg/mL) intravenous solution
J0131
43.825.010.201
153,31
148.24
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
penicillin G benzathine 1,200,000 unit/2 mL intramuscular syringe
J0561
60.793.070.102
522,16
508.41
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
filgrastim 480 mcg/1.6 mL injection solution
J1442
55.513.054.601
1.151,33
1138.31
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
levoFLOXacin 500 mg/100 mL in 5 % dextrose intravenous piggyback
J1956
25.021.013.267
70,50
70
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
levoFLOXacin 750 mg/150 mL in 5 % dextrose intravenous piggyback
J1956
25.021.013.268
250,05
70.5
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
ciprofloxacin 400 mg/200 mL in 5 % dextrose intravenous piggyback
J0744
36.000.000.924
68,50
60.3
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
phytonadione (vitamin K1) 10 mg/mL injection solution
J3430
409.915.801
74,15
72.83
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
phytonadione (vitamin K1) 10 mg/mL injection solution
J3430
43.598.040.516
73,05
71.38
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
ibandronate 3 mg/3 mL intravenous syringe
J1740
60.505.609.700
640,00
620.86
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
pneumococcal 23 polyvalent vaccine 25 mcg/0.5 mL injection solution
90732
6.494.301
367,19
358.81
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
potassium chloride 10 mEq/100mL in sterile water intravenous piggyback
J3480
338.070.948
61,70
60.9
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
propofoL 10 mg/mL intravenous emulsion
J2704
25.021.060.850
84,60
53.6
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
ceFAZolin 2 gram/50 mL in dextrose (iso-osmotic) intravenous piggyback
J0690
264.310.511
81,44
72.95
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
terbutaline 1 mg/mL subcutaneous solution
J3105
143.974.610
68,50
59.36
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
vecuronium bromide 10 mg intravenous solution
J3490
67.457.043.810
80,63
46.23
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
vecuronium bromide 10 mg intravenous solution
J3490
55.150.023.501
68,90
19.3
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
dexAMETHasone sodium phosphate (PF) 10 mg/mL injection solution
J1100
63.323.050.601
70,76
28.26
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
vecuronium bromide 20 mg intravenous solution
J3490
67.457.047.520
80,00
73.7
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
digoxin 250 mcg/mL (0.25 mg/mL) injection solution
J1160
641.141.035
70,00
61.36
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
hydrocortisone sodium succinate 100 mg solution for injection
J1720
9.082.501
80,87
74.26000000000001
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
ferric carboxymaltose 50 mg iron/mL intravenous solution
J1439
517.065.002
2.267,97
2184
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
acetylcysteine 200 mg/mL (20 %) solution
J7608
63.323.069.030
6,30
6.3
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
famotidine (PF) 20 mg/2 mL intravenous solution
J3490
63.323.073.916
59,03
S0028
58.94
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
EPINEPHrine 0.1 mg/mL injection syringe
J0171
409.492.120
69,49
23.69
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
heparin, porcine (PF) 100 unit/mL intravenous syringe
J1642
63.807.060.005
59,30
6.62
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
heparin, porcine (PF) 100 unit/mL intravenous syringe
J1642
64.253.033.335
58,88
6.2
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
testosterone cypionate 200 mg/mL intramuscular oil
J1071
9.052.001
69,50
69.09999999999999
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
hepatitis B virus vaccine recomb (PF) 20 mcg/mL intramuscular syringe
90747
58.160.082.152
253,11
201.7
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
hepatitis B virus vaccine recomb (PF) 10 mcg/0.5 mL IM syringe
90740
58.160.082.052
146,62
108.64
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
hepatitis B virus vaccine recomb (PF) 10 mcg/0.5 mL intramuscular susp
90744
58.160.082.011
144,80
110.03
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
vasopressin 20 unit/mL intravenous solution
J3490
42.023.016.401
529,79
619.79
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
rho(D) immune globulin 1,500 unit (300 mcg)/2 mL injection syringe
J2791
44.206.030.001
510,38
337.71
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
tetanus and diphtheria tox (PF) 5 Lf unit-2 Lf unit/0.5 mL IM syringe
90714
49.281.021.588
170,30
150.69
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
tetanus and diphtheria tox (PF) 5 Lf unit-2 Lf unit/0.5 mL IM susp
90714
49.281.021.510
170,30
150.69
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
diphth,pertus(ac)tetanus(PF)2 Lf-(2.5-5-3-5mcg)-5 Lf/0.5 mL IM syringe
90715
49.281.040.015
201,99
169.68
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
diphth,pertus(ac)tetanus(PF)2 Lf-(2.5-5-3-5mcg)-5 Lf/0.5 mL IM syringe
90715
49.281.040.020
204,55
171.97
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
diphth,pertus(ac)tetanus(PF)2 Lf-(2.5-5-3-5mcg)-5 Lf/0.5 mL IM syringe
90715
49.281.040.089
204,55
171.97
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
dimethyl sulfoxide 50 % intravesical solution
J1212
67.457.017.750
1.518,60
1506.4
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
methylPREDNISolone sod succ (PF) 125 mg/2 mL solution for injection
J2930
9.004.722
74,19
71.63
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
methylPREDNISolone sod succ (PF) 125 mg/2 mL solution for injection
J2930
9.004.704
74,19
71.63
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
methylPREDNISolone sod succ (PF) 500 mg/4 mL intravenous solution
J2930
9.000.302
176,05
172.69
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
methylPREDNISolone sod succ (PF) 1,000 mg/8 mL intravenous solution
J2930
9.001.820
248,80
227.12
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
filgrastim-sndz 300 mcg/0.5 mL injection syringe
Q5101
61.314.031.801
674,36
549.29
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
filgrastim-sndz 480 mcg/0.8 mL injection syringe
Q5101
61.314.031.210
1.088,98
780.91
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
pegfilgrastim 6 mg/0.6 mL subcutaneous syringe
J2505
55.513.019.001
9.981,06
6837.5
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
chlorproMAZINE 25 mg/mL injection solution
J3230
641.139.835
152,62
147.6
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
darbepoetin alfa 25 mcg/0.42 mL in polysorbate injection syringe
J0882
55.513.005.704
543,50
531.11
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
calcium chloride 100 mg/mL (10 %) intravenous syringe
J3490
409.163.110
71,29
28.79
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
leuprolide 7.5 mg intramuscular syringe kit
J9217
74.364.203
4.114,27
392.45
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
calcium gluconate 100 mg/mL (10 %) intravenous solution
J0610
63.323.036.001
69,08
68.94
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
methylnaltrexone 12 mg/0.6 mL subcutaneous syringe
J2212
65.649.055.107
386,67
368.32
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
hum prothrombin cplx (PCC) 4factor 500 unit (400-620 unit) IV solution
C9132
63.833.038.602
2.092,00
1211
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
hum prothrombin cplx(PCC)4fact 1,000 unit (800-1,240 unit) IV solution
C9132
63.833.038.702
4.184,00
2387.8
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
morphine 8 mg/mL intravenous syringe
J2270
409.189.210
60,52
60.52
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
sugammadex 100 mg/mL intravenous solution
J3490
6.542.312
366,72
336.22
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
mepolizumab 100 mg subcutaneous solution
J2182
173.088.101
5.471,21
5007.98
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
ceFAZolin 1 gram solution for injection
J0690
44.567.070.725
59,95
7.27
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
ceFAZolin 1 gram solution for injection
J0690
25.021.010.167
59,22
6.54
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
DOPamine 800 mg/250 mL (3,200 mcg/mL) in 5 % dextrose intravenous soln
J1265
338.100.902
105,50
82.5
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
lidocaine (PF) 4 mg/mL (0.4 %) in 5 % dextrose intravenous solution
J2001
264.959.420
70,25
27.75
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
heparin (porcine) 25,000 unit/500 mL (50 unit/mL) in dextrose 5 % IV
J1644
264.957.710
83,50
71.5
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
morphine (PF) 1 mg/mL injection solution
J2274
641.601.910
106,67
105.22
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
cefepime 1 gram solution for injection
J0692
25.021.012.166
70,50
61.18
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
cefepime 2 gram solution for injection
J0692
25.021.012.267
80,00
69.73999999999999
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
ocrelizumab 30 mg/mL intravenous solution
J2350
50.242.015.001
24.375,00
24375
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
meropenem 1 gram intravenous solution
J2185
63.323.050.825
82,00
70.25
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
vancomycin 1 gram/200 mL in water for injection(PEG,NADA) IV piggyback
6360000200
70.594.004.201
152,50
83.40000000000001
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
pegfilgrastim-cbqv 6 mg/0.6 mL subcutaneous syringe
Q5111
70.114.010.101
6.625,00
6357.8
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
romosozumab-aqqg 210 mg/2.34 mL(105 mg/1.17 mL x2)subcutaneous syringe
J3111
55.513.088.002
4.275,00
4275
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
flu vaccine qs 2019-20(6 mos up)(PF)60 mcg(15 mcgx4)/0.5 mL IM syringe
90686
49.281.041.950
106,06
105.11
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
flu vaccine qs 2019-20(6 mos up)(PF)60 mcg(15 mcgx4)/0.5 mL IM syringe
90686
49.281.041.988
106,06
105.11
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
piperacillin-tazobactam 4.5 gram intravenous solution
J2543
63.323.032.056
72,10
69.58
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
piperacillin-tazobactam 4.5 gram intravenous solution
J2543
64.679.001.201
84,60
68.53
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
piperacillin-tazobactam 3.375 gram intravenous solution
J2543
63.323.030.036
70,20
61.29
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
piperacillin-tazobactam 3.375 gram intravenous solution
J2543
64.679.005.601
81,53
61.29
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
DOBUTamine 500 mg/250 mL (2,000 mcg/mL) in 5 % dextrose IV
J1250
409.234.732
82,50
80.75
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
cyanocobalamin (vit B-12) 1,000 mcg/mL injection solution
J3420
63.323.004.401
58,99
58.51
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
etomidate 2 mg/mL intravenous solution
J3490
409.669.502
70,90
28.4
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
etomidate 2 mg/mL intravenous solution
J3490
55.150.022.220
70,86
28.36
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
leuprolide 22.5 mg (3 month) intramuscular syringe kit
J9217
74.334.603
7.442,79
866.36
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
azithromycin 500 mg intravenous solution
J0456
63.323.039.814
71,70
61.3
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
amphotericin B liposome 50 mg intravenous suspension
J0289
469.305.130
659,50
626.98
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
rabies vaccine, purified chicken embryo cell (PF) 2.5 unit IM susp
90675
58.160.096.412
822,11
662.4
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
ketorolac 30 mg/mL (1 mL) injection solution
J1885
63.323.016.216
59,23
6.55
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
eptifibatide 0.75 mg/mL intravenous solution
J1327
70.121.100.301
775,00
409.3
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
eptifibatide 0.75 mg/mL intravenous solution
J1327
85.113.601
1.194,10
339.8
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
dexAMETHasone 4 mg tablet
J8540
54.418.425
5,74
5.74
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
dexAMETHasone sodium phosphate 10 mg/mL injection solution
J1100
641.036.721
59,60
59.41
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
dexAMETHasone sodium phosphate 4 mg/mL injection solution
J1100
63.323.016.516
59,16
6.48
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
inFLIXimab 100 mg intravenous solution
J1745
57.894.003.001
2.392,82
2363.05
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
diazePAM 5 mg/mL injection solution
J3360
409.321.312
176,91
153.98
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
sodium ferric gluconate complex in sucrose 62.5 mg/5 mL intravenous
J2916
24.279.410
154,30
154.3
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
diphenhydrAMINE 50 mg/mL injection solution
J1200
63.323.066.416
59,12
6.44
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
diphenhydrAMINE 50 mg/mL injection solution
J1200
63.323.066.401
61,05
14.75
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
pantoprazole 40 mg intravenous solution
C9113
8.400.101
69,50
60.83
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
morphine 10 mg/mL intravenous solution
J2270
641.612.725
60,41
60
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
EPINEPHrine 1 mg/mL (1 mL) injection solution
J0171
42.023.015.925
84,96
53.96
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
tenecteplase 50 mg intravenous kit
J3101
50.242.012.001
6.181,32
5781.01
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
iron sucrose 100 mg iron/5 mL intravenous solution
J1756
517.234.099
230,00
151.95
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
prednisoLONE sodium phosphate 15 mg/5 mL (3 mg/mL) oral solution
J7510
121.075.908
139,82
139.82
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
crotalidae polyval immune fab solution for injection
J0840
50.633.011.012
10.146,00
9636.24
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
propranoloL 1 mg/mL intravenous solution
J1800
143.987.201
72,50
71.86
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
alteplase 2 mg intra-catheter solution
J2997
50.242.004.164
503,06
402.86
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
ertapenem 1 gram solution for injection
J1335
6.384.371
390,66
380.4
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
ertapenem 1 gram solution for injection
J1335
42.023.022.110
379,07
250.9
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
folic acid 5 mg/mL injection solution
J3490
63.323.018.410
59,20
58.72
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
pamidronate 30 mg/10 mL (3 mg/mL) intravenous solution
J2430
67.457.043.010
149,50
72.5
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
furosemide 10 mg/mL injection solution
J1940
63.323.028.026
61,54
15.24
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
ziprasidone 20 mg/mL (final concentration) intramuscular solution
J3486
49.392.020
148,56
107.52
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
gentamicin 40 mg/mL injection solution
J1580
63.323.001.094
59,14
6.46
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
zoledronic acid 4 mg/5 mL intravenous solution
J3489
25.021.080.166
530,00
515.65
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
haloperidol lactate 5 mg/mL injection solution
J1630
143.950.125
58,94
58.39
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
haloperidol lactate 5 mg/mL injection solution
J1630
63.323.047.401
60,70
60.44
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
heparin (porcine) 20,000 unit/500 mL (40 unit/mL) in dextrose 5 % IV
J1644
264.956.710
80,00
70.5
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
palonosetron 0.25 mg/5 mL intravenous solution
J2469
62.856.079.701
600,00
533.9
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
hydrALAZINE 20 mg/mL injection solution
J0360
63.323.061.401
334,60
252.6
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
hydroxyzine HCL 50 mg/mL intramuscular solution
J3410
517.560.125
109,86
83.31999999999999
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
cinacalcet 60 mg tablet
J0604
55.513.007.430
109,39
109.39
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
acetylcysteine 200 mg/mL (20 %) intravenous solution
J0132
55.150.025.930
107,25
69.79000000000001
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
acetylcysteine 200 mg/mL (20 %) intravenous solution
J0132
63.323.096.321
107,30
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
adenosine 3 mg/mL intravenous solution
J0153
63.323.065.102
80,95
80.08
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
flumazeniL 0.1 mg/mL intravenous solution
J3490
63.323.042.405
71,28
28.78
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
natalizumab 300 mg/15 mL intravenous solution
J2323
64.406.000.801
10.601,87
10601.87
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
aminophylline 250 mg/10 mL intravenous solution
J0280
409.592.101
82,44
80.45999999999999
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
LORazepam 2 mg/mL injection solution,LORazepam 2 mg/mL injection syringe
J2060
409.198.530
61,22
60.76
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
LORazepam 2 mg/mL injection solution,LORazepam 2 mg/mL injection syringe
J2060
641.604.425
59,28
58.75
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
hydrocortisone sod succinate (PF) 100 mg/2 mL solution for injection,hydrocortisone sodium succinate 100 mg solution for injection
J1720
9.082.501
80,87
74.26000000000001
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
fentaNYL (PF) 100 mcg/2 mL (50 mcg/mL) intravenous syringe,fentaNYL (PF) 50 mcg/mL injection solution
J3010
409.909.332
59,76
7.08
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
fentaNYL (PF) 100 mcg/2 mL (50 mcg/mL) intravenous syringe,fentaNYL (PF) 50 mcg/mL injection solution
J3010
409.909.425
60,19
7.51
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
midazolam 1 mg/mL injection solution,midazolam (PF) 1 mg/mL injection solution
J2250
409.230.517
59,22
6.54
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
calcium chloride 100 mg/mL (10 %) intravenous solution,calcium chloride 100 mg/mL (10 %) intravenous syringe
J3490
409.163.110
60,00
59.79
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
amiodarone 50 mg/mL intravenous solution,amiodarone 150 mg/3 mL intravenous syringe
J0282
143.987.501
60,30
59.07
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
amiodarone 50 mg/mL intravenous solution,amiodarone 150 mg/3 mL intravenous syringe
J0282
143.987.525
60,30
59.07
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
cefTRIAXone 1 gram solution for injection
J0696
409.733.201
106,00
59.66
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
metoprolol tartrate 5 mg/5 mL intravenous solution,metoprolol tartrate 5 mg/5 mL intravenous syringe
J3490
143.987.310
71,43
28.93
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
metoprolol tartrate 5 mg/5 mL intravenous solution,metoprolol tartrate 5 mg/5 mL intravenous syringe
J3490
143.987.325
61,00
14.7
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
morphine 4 mg/mL injection syringe,morphine 4 mg/mL intravenous cartridge,morphine 4 mg/mL intravenous solution,morphine 4 mg/mL injection solution,morphine 4 mg/mL intravenous syringe
J2270
641.612.525
60,37
7.69
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
hepatitis B virus vaccine recomb (PF) 20 mcg/mL intramuscular susp,hepatitis B virus vaccine recomb (PF) 20 mcg/mL intramuscular syringe
90746
58.160.082.152
253,11
201.7
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
HYDROmorphone 2 mg/mL injection solution,HYDROmorphone (PF) 2 mg/mL injection solution,HYDROmorphone 2 mg/mL injection syringe
J1170
409.336.511
59,86
7.18
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
midazolam (PF) 5 mg/mL injection solution,midazolam 5 mg/mL injection solution
J2250
409.230.801
59,34
59.06
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
J7512
9.999.999.026
15,85
7.72
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
J7510
9.999.999.025
16,48
14.73
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
glucagon (human recombinant) 1 mg/mL solution for injection
J1610
597.026.010
521,60
507.92
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
lidocaine (PF) 40 mg/mL (4 %) injection solution
J2001
409.428.325
68,83
19.23
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
lidocaine (PF) 50 mg/5 mL (1 %) intravenous syringe
6360000200
409.913.705
71,46
69.8
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
lidocaine (PF) 100 mg/5 mL (2 %) intravenous syringe
J2001
409.132.305
61,53
15.23
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
ampicillin 2 gram solution for injection
J0290
781.927.395
83,40
60.55
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
magnesium sulfate 4 mEq/mL (50 %) injection solution
J3475
63.323.006.426
59,42
59.42
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
magnesium sulfate 4 mEq/mL (50 %) injection solution
J3475
63.323.006.403
59,88
59.36
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
mannitoL 20 % intravenous solution
J2150
338.035.703
61,74
60.18
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
methylPREDNISolone 4 mg tablet
J7509
59.746.000.106
5,78
5.78
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
methylPREDNISolone acetate 80 mg/mL suspension for injection
J1040
9.347.501
106,84
82.98
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
metoclopramide 5 mg/mL injection solution
J2765
703.450.281
58,75
6.07
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
nalbuphine 10 mg/mL injection solution
J2300
409.146.301
61,92
61.43
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
nalbuphine 10 mg/mL injection solution
J2300
409.146.401
172,13
150.21
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
naloxone 1 mg/mL injection syringe
J2310
76.329.346.901
170,00
147.12
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
orphenadrine citrate 30 mg/mL injection solution
J2360
17.478.053.802
85,86
61.4
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
oxytocin 10 unit/mL injection solution
J2590
42.023.011.625
59,38
6.7
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
phenylephrine 10 mg/mL injection solution
J2370
76.014.000.433
203,25
143.25
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
phenytoin sodium 50 mg/mL intravenous solution
J1165
641.255.545
60,12
59.8
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
potassium chloride 2 mEq/mL intravenous solution
J3480
409.665.305
69,02
68.54000000000001
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
predniSONE 1 mg tablet
J7512
603.533.521
5,82
5.82
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
predniSONE 10 mg tablet
J7512
143.973.901
5,64
5.64
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
predniSONE 20 mg tablet
J7512
54.001.825
5,63
5.63
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
predniSONE 5 mg tablet
J7512
54.472.825
5,66
5.66
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
prochlorperazine Edisylate 10 mg/2 mL (5 mg/mL) injection solution
J0780
23.155.052.341
107,00
69.40000000000001
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
promethazine 25 mg/mL injection solution
J2550
641.092.825
60,15
59.13
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
promethazine 50 mg/mL injection solution
J2550
641.149.631
60,89
59.27
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
protamine 10 mg/mL intravenous solution
J2720
63.323.022.930
173,85
136.85
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
atropine 0.1 mg/mL injection syringe
J0461
409.163.010
70,02
24.22
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
succinylcholine chloride 20 mg/mL injection solution
J0330
409.662.902
107,68
67.18000000000001
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
succinylcholine chloride 20 mg/mL injection solution
J0330
70.710.137.702
107,68
67.18000000000001
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
levETIRAcetam 500 mg/5 mL intravenous solution
J1953
143.967.310
80,50
80.5
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
levETIRAcetam 500 mg/5 mL intravenous solution
J1953
63.323.040.005
72,39
59.87
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
thiamine HCl (vitamin B1) 100 mg/mL injection solution
J3411
63.323.001.302
60,79
59.59
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
triamcinolone acetonide 40 mg/mL suspension for injection
J3301
70.121.116.801
73,17
37.07
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
triamcinolone acetonide 40 mg/mL suspension for injection
J3301
70.121.165.701
73,00
34
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
zoledronic acid 5 mg/100 mL in mannitoL 5 %-water intravenous piggybck
J3489
78.043.561
2.308,80
2222.5
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
clindamycin 150 mg/mL injection solution
J3490
9.030.225
69,40
S0077
61.42
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
clindamycin 150 mg/mL injection solution
J3490
67.457.081.402
68,73
S0077
60.47
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
vancomycin 1,000 mg intravenous injection
J3370
63.323.028.426
71,44
61.65
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
vancomycin 1,000 mg intravenous injection
J3370
63.323.028.441
68,62
61.77
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
fosphenytoin 100 mg PE/2 mL injection solution
Q2009
70.121.138.105
85,00
84.03
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
alteplase 100 mg intravenous solution
J2997
50.242.008.525
14.050,36
13348.97
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
alteplase 100 mg intravenous solution
J2997
50.242.008.527
14.050,36
13348.97
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
ampicillin-sulbactam 1.5 gram solution for injection
J0295
49.001.381
72,10
59.75
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
ampicillin-sulbactam 3 gram solution for injection
J0295
71.288.000.630
72,67
72.01000000000001
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
ketorolac 60 mg/2 mL intramuscular solution
J1885
63.323.016.202
70,75
59.2
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
azaTHIOprine 50 mg tablet
J7500
378.100.501
5,85
5.85
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
aztreonam 1 gram solution for injection
J3490
63.323.040.120
169,95
S0073
147.39
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
betamethasone acetate and sodium phos 6 mg/mL suspension for injection
J0702
517.072.001
231,44
169.21
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
romiPLOStim 250 mcg subcutaneous solution
J2796
55.513.022.101
4.399,65
4308.58
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
romiPLOStim 500 mcg subcutaneous solution
J2796
55.513.022.201
6.349,30
6167.16
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
cefOXitin 1 gram intravenous solution
J0694
25.021.010.910
81,23
61.66
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
cefOXitin 1 gram intravenous solution
J0694
63.323.034.125
81,23
68.95
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
cefTAZidime 1 gram solution for injection
J0713
409.508.216
68,70
62.15
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
cefTAZidime 2 gram solution for injection
J0713
25.021.012.867
108,47
81
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
cefTRIAXone 2 gram solution for injection
J0696
409.733.503
153,75
60.87
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
cefTRIAXone 1 gram/50 mL in dextrose (iso-osmot) intravenous piggyback
J0696
264.315.311
85,03
80.87
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
cefTRIAXone 2 gram/50 mL in dextrose (iso-osm) intravenous piggyback
J0696
264.315.511
146,84
104.79
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
imipenem-cilastatin 500 mg intravenous solution
J0743
63.323.032.294
82,50
74.33
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
dilTIAZem 5 mg/mL intravenous solution
J3490
17.478.093.710
61,22
60.45
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
dilTIAZem 5 mg/mL intravenous solution
J3490
17.478.081.705
61,11
60.89
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
dilTIAZem 5 mg/mL intravenous solution
J3490
17.478.081.725
80,93
80.05
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
dilTIAZem 5 mg/mL intravenous solution
J3490
17.478.093.726
80,00
73.7
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
EPINEPHrine 1 mg/mL injection solution
J0171
42.023.016.801
650,56
541.4299999999999
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.360.000.200
enalaprilat 1.25 mg/mL intravenous solution
J3490
143.978.610
71,64
70.42
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
famotidine 20 mg tablet
172.572.860
5,69
5.69
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
finasteride 5 mg tablet
16.729.009.015
5,80
5.8
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
finasteride 5 mg tablet
50.268.031.415
6,79
6.79
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
flavoxATE 100 mg tablet
51.224.015.450
6,42
6.42
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
fluconazole 200 mg tablet
67.405.060.403
5,95
5.95
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
fludrocortisone 0.1 mg tablet
115.703.301
5,92
5.92
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
diclofenac 1 % topical gel
65.162.083.366
190,40
113.4
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
FLUoxetine 10 mg capsule
50.111.064.701
5,68
5.68
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
FLUoxetine 20 mg capsule
50.111.064.801
5,65
5.65
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
Lactobacil rhamnosus GG 10 billion cell-inulin 200 mg sprinkle capsule
49.100.040.009
6,10
6.1
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
estradioL 10 mcg vaginal tablet
65.162.022.623
67,40
65.84999999999999
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
glipiZIDE 5 mg tablet
781.145.201
5,66
5.66
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
glycopyrrolate 1 mg tablet
23.155.060.601
6,05
6.05
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
hydrocortisone 5 mg tablet
59.762.007.301
5,79
5.79
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
hydroxychloroquine 200 mg tablet
781.140.797
15,27
15.27
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
hydroxychloroquine 200 mg tablet
781.599.401
15,27
15.27
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
insulin NPH isophane U-100 human 100 unit/mL subcutaneous suspension
2.831.501
410,70
83.77
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
insulin U-100 regular human 100 unit/mL injection solution
2.821.517
204,61
68.95
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
hydrocortisone 1 %-iodoquinoL 1 % topical cream
58.980.081.110
15,02
7.99
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
ketoconazole 2 % topical cream
51.672.129.802
6,89
6.38
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
ketoconazole 2 % topical cream
51.672.129.803
6,57
6.12
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
ketorolac 10 mg tablet
93.031.401
6,70
6.7
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
labetaloL 100 mg tablet
185.001.001
6,03
6.03
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
ammonium lactate 12 % lotion
45.802.052.526
54,60
37.6
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
tamsulosin 0.4 mg capsule
781.207.601
6,12
6.12
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
levothyroxine 88 mcg tablet
527.134.401
5,75
5.75
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
levothyroxine 112 mcg tablet
781.518.592
5,74
5.74
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
levothyroxine 175 mcg tablet
74.707.090
5,81
5.81
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
lidocaine-prilocaine 2.5 %-2.5 % topical cream
168.035.705
7,27
7.27
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
methyl salicylate-menthol topical ointment
54.162.055.501
6,99
6.54
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
lisinopriL 10 mg tablet
68.180.098.001
5,63
5.63
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
lisinopriL 40 mg tablet
68.180.051.701
5,63
5.63
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
lisinopriL 5 mg tablet
68.180.051.303
5,64
5.64
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
fluticasone 100 mcg-salmeteroL 50 mcg/dose blistr powdr for inhalation
173.069.504
46,44
46.44
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
fluticasone 250 mcg-salmeteroL 50 mcg/dose blistr powdr for inhalation
173.069.600
28,57
28.57
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
fluticasone 250 mcg-salmeteroL 50 mcg/dose blistr powdr for inhalation
173.069.604
46,44
46.44
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
fluticasone 500 mcg-salmeteroL 50 mcg/dose blistr powdr for inhalation
173.069.704
65,66
65.66
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
loratadine 10 mg tablet
45.802.065.078
5,77
5.77
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
magnesium oxide 400 mg (241.3 mg magnesium) tablet
904.660.961
5,69
5.69
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
magnesium oxide 400 mg (241.3 mg magnesium) tablet
63.739.035.401
5,69
5.69
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
metFORMIN 500 mg tablet
23.155.010.201
5,66
5.66
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
metOLazone 2.5 mg tablet
378.617.201
7,42
7.42
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
metroNIDAZOLE 0.75 % vaginal gel
781.707.787
7,37
6.88
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
midodrine 5 mg tablet
245.021.211
5,99
5.99
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
neomycin 3.5 mg/g-polymyxin B 10,000 unit/g-dexameth 0.1 % eye oint
574.416.035
51,63
51.63
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
miSOPROStoL 200 mcg tablet
43.386.016.106
5,74
5.74
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
HYDROcodone 10 mg-chlorpheniramine 8 mg/5 mL oral susp extend.rel 12hr
27.808.008.601
6,86
6.86
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
HYDROcodone 10 mg-chlorpheniramine 8 mg/5 mL oral susp extend.rel 12hr
99.999.015.501
6,88
6.88
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
dabigatran etexilate 75 mg capsule
597.035.556
33,14
33.14
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
mupirocin 2 % topical ointment
51.672.131.200
6,53
6.53
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
mupirocin 2 % topical ointment
45.802.011.222
37,40
37.4
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
NIFEdipine ER 60 mg tablet,extended release
591.319.401
6,43
6.43
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
nitrofurantoin monohydrate/macrocrystals 100 mg capsule
378.342.201
8,18
8.18
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
nitrofurantoin monohydrate/macrocrystals 100 mg capsule
185.012.201
8,19
8.19
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
omega-3 fatty acids-fish oil 300 mg-1,000 mg capsule
30.768.003.304
5,66
5.67
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
electrolytes-dextrose oral solution
70.074.080.365
6,22
6.22
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
oxyCODONE 5 mg tablet
10.702.001.801
5,71
5.71
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
oxyCODONE 5 mg tablet
42.806.000.501
5,80
5.8
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
peg 3350-electrolytes 236 gram-22.74 gram-6.74 gram-5.86 gram solution
43.386.009.019
64,00
64
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
PARoxetine 20 mg tablet
60.505.008.302
5,69
5.69
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
PARoxetine 20 mg tablet
904.567.761
5,75
5.75
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
PARoxetine 30 mg tablet
378.700.393
5,68
5.68
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
linaGLIPtin 5 mg tablet
597.014.030
54,41
54.41
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
rivaroxaban 10 mg tablet
50.458.058.030
63,67
63.67
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
calcium polycarbophiL 625 mg tablet
536.430.605
5,67
5.67
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
oseltamivir 6 mg/mL oral suspension
4.082.205
33,94
33.94
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
pravastatin 10 mg tablet
68.462.019.590
5,98
5.98
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
pravastatin 20 mg tablet
68.462.019.690
5,80
5.8
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
pravastatin 20 mg tablet
68.382.007.116
5,87
5.87
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
pravastatin 40 mg tablet
60.505.017.009
5,72
5.72
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
pravastatin 40 mg tablet
68.462.019.790
5,75
5.75
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
pravastatin 40 mg tablet
42.291.066.890
5,63
5.63
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
ferrous gluconate 324 mg (37.5 mg iron) tablet
904.213.761
5,65
5.65
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
primidone 50 mg tablet
603.537.121
5,85
5.85
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
prochlorperazine 25 mg rectal suppository
713.013.512
38,21
24.2
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
promethazine 12.5 mg rectal suppository
713.053.612
38,15
18.6
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
promethazine 25 mg rectal suppository
713.052.612
23,57
8.02
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
quinapriL 20 mg tablet
69.097.084.205
5,66
5.66
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
ramipriL 1.25 mg capsule
54.010.625
5,81
5.81
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
ramipriL 2.5 mg capsule
65.862.047.501
5,72
5.72
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
raNITIdine 150 mg tablet
65.162.025.350
5,66
5.66
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
rivaroxaban 15 mg tablet
50.458.057.830
38,84
38.84
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
rivaroxaban 20 mg tablet
50.458.057.990
33,33
33.33
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
acetaZOLAMIDE 250 mg tablet
23.155.028.801
7,93
7.93
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
racepinephrine 2.25 % solution for nebulization
487.590.102
6,92
6.92
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
sertraline 100 mg tablet
68.180.035.302
5,67
5.67
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
sertraline 50 mg tablet
68.180.035.202
5,71
5.71
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
simvastatin 10 mg tablet
16.729.000.415
5,66
5.66
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
simvastatin 20 mg tablet
68.180.047.902
5,64
5.64
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
simvastatin 40 mg tablet
16.729.000.615
5,63
5.63
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
sodium phosphates 19 gram-7 gram/118 mL enema
132.020.140
6,55
6.55
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
sotaloL 80 mg tablet
60.505.008.000
5,90
5.9
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
spironolactone 50 mg tablet
60.687.047.601
5,85
5.85
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
sucralfate 1 gram tablet
93.221.005
5,86
5.86
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
magnesium 64 mg (magnesium chloride) tablet,delayed release
68.585.000.575
5,70
5.7
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
tamoxifen 20 mg tablet
378.027.493
6,00
6
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
timolol maleate 0.25 % eye drops
64.980.051.301
52,96
47.47
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
tobramycin 0.3 %-dexamethasone 0.1 % eye drops,suspension
24.208.029.505
332,90
332.9
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
sulfamethoxazole 800 mg-trimethoprim 160 mg tablet
53.746.027.201
5,82
5.82
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
vancomycin 125 mg capsule
68.180.016.611
23,70
14.93
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
warfarin 1 mg tablet
93.171.201
5,84
5.84
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
warfarin 1 mg tablet
56.016.975
7,68
7.68
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
ipratropium 20 mcg-albuteroL 100 mcg/actuation mist for inhalation
597.002.402
1.061,45
1
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
mirabegron ER 25 mg tablet,extended release 24 hr
469.260.190
52,50
52.5
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
zolpidem 5 mg tablet
378.530.501
7,94
7.94
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
morphine ER 30 mg tablet,extended release
42.858.080.201
6,23
6.23
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
morphine ER 30 mg tablet,extended release
904.655.861
6,87
6.87
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
diclofenac 50 mg-misoprostoL 200 mcg tablet,immed.and delayed release
59.762.002.802
14,68
7.38
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
apixaban 2.5 mg tablet
3.089.321
33,35
33.35
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
morphine ER 15 mg tablet,extended release
42.858.080.101
5,94
5.94
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
morphine ER 60 mg tablet,extended release
42.858.080.301
6,20
6.2
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
morphine ER 100 mg tablet,extended release
42.858.080.401
6,15
6.15
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
apixaban 5 mg tablet
3.089.421
18,82
18.82
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
meclizine 12.5 mg tablet
536.101.701
5,65
5.65
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
memantine 14 mg capsule sprinkle,extended release 24hr
456.341.490
33,25
33.25
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
doxylamine 10 mg-pyridoxine (vit B6) 10 mg tablet,delayed release
55.494.010.010
52,72
52.72
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
magnesium hydroxide 400 mg/5 mL oral suspension
121.043.130
7,57
7.57
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
venlafaxine 100 mg tablet
57.664.039.688
5,72
5.72
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
venlafaxine 75 mg tablet
52.817.013.310
5,67
5.67
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
venlafaxine 37.5 mg tablet
57.664.039.388
5,84
5.84
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
oxyCODONE ER 10 mg tablet,crush resistant,extended release 12 hr
59.011.041.010
19,13
19.13
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
oxyCODONE ER 10 mg tablet,crush resistant,extended release 12 hr
59.011.041.020
19,24
19.24
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
oxyCODONE ER 20 mg tablet,crush resistant,extended release 12 hr
59.011.042.010
18,84
18.84
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
cholestyramine-aspartame 4 gram oral powder for susp in a packet
49.884.046.663
7,67
7.67
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
fluocinonide-emollient 0.05 % topical cream
93.026.330
8,19
6.65
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
activated charcoal-sorbitoL 25 gram/120 mL oral suspension
574.012.074
52,32
52.32
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
activated charcoaL 25 gram/120 mL oral suspension
574.012.104
52,32
52.32
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
insulin aspart (U-100) 100 unit/mL (3 mL) subcutaneous pen
169.633.910
125,00
125
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
insulin glargine (U-100) 100 unit/mL (3 mL) subcutaneous pen
88.221.905
125,00
125
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
insulin glargine (U-100) 100 unit/mL (3 mL) subcutaneous pen
2.771.559
125,00
125
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
insulin lispro (U-100) 100 unit/mL subcutaneous pen
2.879.959
125,00
125
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
insulin detemir (U-100) 100 unit/mL (3 mL) subcutaneous pen
169.643.810
125,00
125
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
insulin aspar prot-insulin aspart 100 unit/mL (70-30) subcutaneous pen
169.369.619
125,00
125
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
liraglutide 0.6 mg/0.1 mL (18 mg/3 mL) subcutaneous pen injector
169.406.013
80,75
73.93000000000001
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
estradioL 0.5 mg tablet
555.089.902
5,89
5.67
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
sodium chloride-aloe vera nasal gel
225.052.547
5,80
5.8
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
aspirin-sod bicarb-citric acid 325 mg-1,916 mg-1,000 mg efferves tab
16.500.004.012
5,73
5.73
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
ipratropium bromide 0.02 % solution for inhalation
487.980.101
5,83
5.83
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
ipratropium bromide 0.02 % solution for inhalation
487.980.160
5,81
5.81
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
trolamine salicylate-aloe vera 10 % topical cream
41.167.005.703
5,67
5.67
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
carbidopa ER 25 mg-levodopa 100 mg tablet,extended release
378.008.801
6,31
6.31
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
Lactobacillus #2-Bifidobacter #1-S. therm 112.5 billion cell capsule
69.355.041.203
6,27
6.27
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
terbinafine HCL 250 mg tablet
51.991.052.633
5,69
5.69
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
tiotropium bromide 2.5 mcg/actuation mist for inhalation
597.010.061
1.090,24
1
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
tiotropium bromide 2.5 mcg/actuation mist for inhalation
597.010.031
625,57
625.5700000000001
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
tiotropium bromide 2.5 mcg/actuation mist for inhalation
597.010.051
306,50
306.5
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
umeclidinium 62.5 mcg/actuation blister powder for inhalation
173.087.310
6,00
6
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
naloxegoL 25 mg tablet
310.197.030
47,45
47.45
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
white petrolatum-mineral oiL 83 %-15 % eye ointment
904.648.838
6,80
6.77
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
white petrolatum-mineral oiL 83 %-15 % eye ointment
536.108.691
6,41
6.25
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
scopolamine 1 mg over 3 days transdermal patch
66.758.020.854
66,73
65.23
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
pentosan polysulfate sodium 100 mg capsule
50.458.009.801
37,80
37.8
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
thyroid (pork) 30 mg tablet
456.045.801
6,02
6.02
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
thyroid (pork) 180 mg tablet
456.046.201
6,83
6.68
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
calcium carbonate 500 mg calcium (1,250 mg) tablet
904.188.372
5,63
5.63
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
thiamine mononitrate (vitamin B1) 100 mg tablet
50.268.085.111
5,81
5.81
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
verapamiL ER (SR) 240 mg tablet,extended release
68.462.026.001
5,78
5.78
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
lisinopriL 2.5 mg tablet
68.180.051.201
5,65
5.65
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
lactulose 10 gram/15 mL (15 mL) oral solution
121.457.715
6,21
6.21
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
valACYclovir 1 gram tablet
378.427.693
6,27
6.19
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
valACYclovir 500 mg tablet
51.079.009.301
15,05
15.05
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
naproxen sodium 220 mg tablet
10.939.063.544
5,74
5.74
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
naproxen sodium 220 mg tablet
536.109.401
5,68
5.68
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
verapamiL ER (SR) 120 mg tablet,extended release
51.079.089.401
7,55
7.55
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
acetaminophen 120 mg-codeine 12 mg/5 mL (5 mL) oral solution
50.383.007.906
6,86
6.86
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
honey 100 % topical paste
9.958.003.361
53,43
51.67
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
honey 100 % topical paste
9.958.003.360
53,43
51.67
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
methyl salicylate 15 %-menthol 1 % topical cream
178.032.005
5,65
5.65
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
SUMAtriptan 100 mg tablet
55.111.029.309
6,06
5.81
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
acidophilus 25 million cell-pectin, citrus 100 mg tablet
536.718.001
5,65
5.65
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
carBAMazepine 100 mg chewable tablet
51.672.404.101
6,02
6.02
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
carBAMazepine 200 mg tablet
13.668.026.801
6,90
6.9
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
fluconazole 150 mg tablet
57.237.000.511
6,55
6.55
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
carbamide peroxide 6.5 % ear drops
904.322.035
5,64
5.64
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
potassium chloride ER 10 mEq capsule,extended release
53.746.054.205
6,37
6
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
potassium chloride ER 10 mEq capsule,extended release
66.758.020.505
6,37
6.32
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
bacitracin zinc 500 unit/gram topical ointment
472.110.556
23,66
23.66
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
bacitracin zinc 500 unit/gram topical ointment
67.777.022.007
65,00
65
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
carisoprodoL 350 mg tablet
64.980.017.401
5,72
5.72
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
carisoprodoL 350 mg tablet
603.258.221
5,72
5.72
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
lamoTRIgine 25 mg tablet
51.672.413.001
5,68
5.68
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
lamoTRIgine 100 mg tablet
51.672.413.101
5,64
5.64
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
acetaminophen 300 mg-codeine 30 mg tablet
406.048.401
5,77
5.77
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
acetaminophen 300 mg-codeine 30 mg tablet
93.015.001
5,80
5.8
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
dilTIAZem ER 60 mg capsule,extended release 12 hr
378.606.001
8,16
7.7
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
ketoconazole 2 % shampoo
10.147.075.004
5,81
5.75
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
terazosin 1 mg capsule
59.746.038.306
5,80
5.8
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
terazosin 2 mg capsule
59.746.038.406
5,71
5.71
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
terazosin 5 mg capsule
59.746.038.506
5,66
5.66
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
traMADoL 50 mg tablet
63.739.067.110
5,66
5.66
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
traMADoL 50 mg tablet
57.664.037.718
5,64
5.64
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
metFORMIN 850 mg tablet
23.155.010.301
5,66
5.66
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
tiZANidine 2 mg tablet
57.664.050.289
5,89
5.68
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
tiZANidine 4 mg tablet
904.641.861
5,88
5.88
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
losartan 25 mg tablet
65.862.020.190
5,70
5.7
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
losartan 50 mg tablet
65.862.020.290
5,67
5.67
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
fosfomycin tromethamine 3 gram oral packet
456.430.001
322,77
322.77
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
SUMAtriptan 50 mg tablet
55.111.029.236
6,51
6.51
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
diclofenac sodium 75 mg tablet,delayed release
61.442.010.301
5,71
5.71
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
calcitonin (salmon) 200 unit/actuation nasal spray
49.884.016.111
14,89
6
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
carvediloL 6.25 mg tablet
68.382.009.301
5,65
5.65
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
carvediloL 25 mg tablet
68.382.009.501
5,63
5.63
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
carvediloL 25 mg tablet
68.462.016.501
5,63
5.63
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
carvediloL 12.5 mg tablet
68.382.009.401
5,63
5.63
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
azithromycin 200 mg/5 mL oral suspension
93.202.623
108,66
108.66
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
azithromycin 200 mg/5 mL oral suspension
93.202.631
108,66
108.66
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
azithromycin 200 mg/5 mL oral suspension
70.710.145.802
82,56
82.56
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
ipratropium bromide 0.03 % nasal spray
54.004.544
118,50
107.28
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
chlordiazePOXIDE 10 mg capsule
555.003.302
5,66
5.66
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
chlordiazePOXIDE 25 mg capsule
555.015.902
5,64
5.64
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
chlordiazePOXIDE 5 mg capsule
51.079.037.401
6,26
6.26
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
glimepiride 1 mg tablet
16.729.000.101
5,80
5.8
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
glimepiride 2 mg tablet
68.084.032.611
6,16
6.16
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
glimepiride 4 mg tablet
16.729.000.301
5,76
5.64
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
buPROPion HCL 150 mg tablet,12 hr sustained-release(smoking deterrent)
591.354.360
6,07
6.07
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
ferrous sulfate 220 mg (44 mg iron)/5 mL oral elixir
904.146.516
5,65
5.65
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
ferrous sulfate 220 mg (44 mg iron)/5 mL oral elixir
50.383.077.816
5,70
5.7
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
chlorthalidone 25 mg tablet
51.079.005.801
6,58
6.58
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
PARoxetine 10 mg tablet
378.700.193
5,73
5.73
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
PARoxetine 40 mg tablet
378.700.493
5,67
5.67
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
lidocaine 4 % topical patch
41.167.005.840
6,80
6.78
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
lidocaine 4 % topical patch
46.581.083.006
52,74
6.76
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
theophylline ER 400 mg tablet,extended release 24 hr
42.858.070.101
6,66
6.66
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
sodium polystyrene sulfonate 15 gram-sorbitoL 20 gram/60 mL oral susp
46.287.000.660
65,52
65.52
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
magnesium 70 mg (magnesium chloride) tablet,delayed release
904.791.152
5,70
5.69
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
melatonin 3 mg tablet
904.518.252
5,65
5.65
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
clindamycin HCL 150 mg capsule
63.304.069.201
5,69
5.69
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
insulin lispro (U-100) 100 unit/mL subcutaneous solution
2.751.001
518,48
656.02
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
melatonin 5 mg tablet
30.768.015.745
5,67
5.67
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
melatonin 5 mg tablet
96.295.012.828
5,70
5.63
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
pimavanserin 34 mg capsule
63.090.034.030
342,87
324.1
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
busPIRone 15 mg tablet
68.382.018.201
5,65
5.65
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
mirtazapine 30 mg tablet
93.720.756
5,71
5.71
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
mirtazapine 15 mg tablet
93.720.656
5,77
5.77
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
balsam peru-castor oiL topical ointment
58.980.078.021
6,12
5.97
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
cloNIDine HCL 0.1 mg tablet
228.212.710
5,66
5.66
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
cloNIDine HCL 0.1 mg tablet
29.300.013.501
5,69
5.69
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
clotrimazole 1 % topical cream
904.782.231
5,68
5.68
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
albuterol sulfate HFA 90 mcg/actuation aerosol inhaler
173.068.220
195,37
195.37
0
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
albuterol sulfate HFA 90 mcg/actuation aerosol inhaler
173.068.224
83,56
83.56
0
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
albuterol sulfate HFA 90 mcg/actuation aerosol inhaler
59.310.057.922
246,88
246.88
0
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
brimonidine 0.2 % eye drops
24.208.041.110
109,75
107.53
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
brimonidine 0.2 % eye drops
61.314.014.310
110,50
47.65
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
OLANZapine 5 mg tablet
43.598.016.430
5,85
5.85
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
OLANZapine 10 mg tablet
43.598.016.630
5,79
5.79
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
colchicine 0.6 mg tablet
64.764.011.907
28,98
28.98
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
peg-electrolyte solution 420 gram oral solution
52.268.040.001
110,50
110.5
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
bisoprolol 10 mg-hydrochlorothiazide 6.25 mg tablet
29.300.018.913
6,23
6.07
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
gabapentin 400 mg capsule
67.877.022.405
5,65
5.65
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
gabapentin 300 mg capsule
67.877.022.305
5,65
5.65
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
gabapentin 100 mg capsule
67.877.022.201
5,67
5.67
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
gabapentin 100 mg capsule
67.877.022.205
5,67
5.67
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
risperiDONE 1 mg tablet
50.458.059.260
6,26
6.26
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
buPROPion HCL SR 100 mg tablet,12 hr sustained-release
185.041.001
6,07
6.07
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
buPROPion HCL SR 150 mg tablet,12 hr sustained-release
185.041.501
5,92
5.92
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
carvediloL 3.125 mg tablet
378.363.101
5,70
5.7
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
carvediloL 3.125 mg tablet
68.462.016.201
5,68
5.68
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
latanoprost 0.005 % eye drops
61.314.054.701
5,83
5.77
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
donepeziL 10 mg tablet
43.547.027.609
5,70
5.7
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
levoFLOXacin 500 mg tablet
55.111.028.050
5,81
5.81
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
hydroCHLOROthiazide 12.5 mg capsule
29.300.013.001
5,72
5.72
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
hydroCHLOROthiazide 12.5 mg capsule
591.034.701
5,70
5.7
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
atorvastatin 10 mg tablet
378.395.077
5,83
5.83
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
atorvastatin 40 mg tablet
378.395.277
5,70
5.7
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
atorvastatin 20 mg tablet
93.505.998
5,71
5.71
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
warfarin 3 mg tablet
93.171.501
5,70
5.7
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
warfarin 3 mg tablet
56.018.875
6,36
6.36
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
calcium carbonate 500 mg (1,250 mg)-vitamin D3 200 unit tablet
37.864.000.032
5,64
5.64
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
clindamycin 1 % lotion
168.020.360
7,54
6.67
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
metroNIDAZOLE 0.75 % topical gel
115.147.446
15,04
7.31
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
ofloxacin 0.3 % eye drops
64.980.051.505
198,63
198.63
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
sertraline 25 mg tablet
68.180.035.109
5,80
5.8
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
cyanocobalamin (vit B-12) 100 mcg tablet
536.354.201
5,63
5.63
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
cyanocobalamin (vit B-12) 500 mcg tablet
904.320.713
5,62
5.62
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
cyanocobalamin (vit B-12) 500 mcg tablet
96.295.012.778
5,63
5.62
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
cyclopentolate 1 % eye drops
17.478.010.002
47,42
28.24
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
cyclopentolate 1 % eye drops
24.208.073.501
47,70
46.74
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
meloxicam 7.5 mg tablet
68.180.050.101
5,66
5.66
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
imiquimod 5 % topical cream packet
45.802.036.862
28,25
7.28
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
azithromycin 250 mg tablet
50.111.078.751
8,12
8.119999999999999
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
azithromycin 250 mg tablet
68.180.016.011
7,03
7.03
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
OLANZapine 2.5 mg tablet
55.111.016.330
5,82
5.82
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
citalopram 20 mg tablet
378.623.201
5,66
5.66
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
pramipexole 0.125 mg tablet
68.462.033.090
5,77
5.67
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
pramipexole 0.25 mg tablet
68.382.019.716
5,70
5.7
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
dapsone 100 mg tablet
49.938.010.130
6,32
6.32
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
warfarin 4 mg tablet
56.016.875
6,18
6.18
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
warfarin 4 mg tablet
51.672.403.101
5,70
5.7
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
letrozole 2.5 mg tablet
51.991.075.933
5,92
5.92
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
rOPINIRole 0.25 mg tablet
54.011.625
5,92
5.92
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
rOPINIRole 1 mg tablet
43.547.027.010
5,75
5.75
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
rOPINIRole 0.5 mg tablet
43.547.026.910
5,87
5.87
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
QUEtiapine 25 mg tablet
67.877.024.201
5,73
5.73
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
QUEtiapine 200 mg tablet
67.877.024.601
5,77
5.77
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
clopidogreL 75 mg tablet
16.729.021.816
5,71
5.71
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
cefdinir 300 mg capsule
781.217.660
6,45
6.45
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
montelukast 10 mg tablet
54.025.922
5,83
5.83
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
sulfamethoxazole 200 mg-trimethoprim 40 mg/5 mL oral suspension
65.862.049.647
320,42
320.42
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
losartan 100 mg tablet
65.862.020.390
5,66
5.66
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
losartan 100 mg tablet
43.547.036.209
5,68
5.68
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
ursodioL 250 mg tablet
49.884.041.201
7,77
7.77
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
tolterodine 2 mg tablet
93.001.806
6,98
6.98
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
camphor-menthoL 0.5 %-0.5 % lotion
73.462.006.285
5,65
5.65
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
simvastatin 80 mg tablet
16.729.000.715
5,63
5.63
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
lidocaine 5 % topical cream
496.089.230
6,22
6.22
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
citalopram 40 mg tablet
378.623.301
5,65
5.65
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
cranberry extract 425 mg capsule
43.292.055.812
5,65
5.64
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
diazePAM 5 mg tablet
172.392.660
5,64
5.64
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
dicloxacillin 250 mg capsule
93.312.301
6,25
6.25
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
dicloxacillin 500 mg capsule
93.312.501
6,25
6.25
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
dicyclomine 20 mg tablet
378.162.001
5,72
5.72
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
isosorbide mononitrate ER 60 mg tablet,extended release 24 hr
62.175.011.937
5,84
5.84
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
digoxin 125 mcg (0.125 mg) tablet
143.124.001
6,81
6.81
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
digoxin 250 mcg (0.25 mg) tablet
49.884.049.401
6,81
6.81
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
oxybutynin chloride ER 5 mg tablet,extended release 24 hr
378.660.501
7,96
7.96
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
oxybutynin chloride ER 10 mg tablet,extended release 24 hr
378.661.001
6,79
6.79
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
cilostazoL 50 mg tablet
60.505.252.101
5,99
5.72
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
cilostazoL 100 mg tablet
93.206.406
5,80
5.8
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
celecoxib 100 mg capsule
59.762.151.601
6,22
6.22
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
celecoxib 200 mg capsule
69.097.042.107
6,31
6.31
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
isosorbide mononitrate ER 30 mg tablet,extended release 24 hr
62.175.012.837
6,03
6.03
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
coenzyme Q10 100 mg capsule
96.295.011.765
5,90
5.9
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
lisinopril 10 mg-hydrochlorothiazide 12.5 mg tablet
68.180.051.801
5,72
5.64
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
dilTIAZem 120 mg tablet
93.032.101
5,73
5.7
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
dilTIAZem 30 mg tablet
93.031.801
5,77
5.77
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
dilTIAZem 60 mg tablet
51.079.074.601
5,75
5.75
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
dextromethorphan-guaifenesin 30 mg-600 mg tablet extended release12 hr
63.824.005.640
6,09
6.09
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
dimenhyDRINATE 50 mg tablet
904.205.159
5,63
5.63
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
levalbuteroL 1.25 mg/3 mL solution for nebulization
93.414.864
24,06
24.06
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
levalbuteroL 1.25 mg/3 mL solution for nebulization
76.204.090.001
7,22
7.22
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
albuterol sulfate 2.5 mg/3 mL (0.083 %) solution for nebulization
487.950.101
6,42
6.42
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
albuterol sulfate 2.5 mg/3 mL (0.083 %) solution for nebulization
487.950.160
5,78
5.78
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
ciprofloxacin 500 mg tablet
143.992.801
5,66
5.66
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
diphenoxylate-atropine 2.5 mg-0.025 mg tablet
378.041.501
6,32
6.32
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
verapamiL ER 120 mg 24 hr capsule,extended release
378.632.001
7,08
6.83
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
amoxicillin 400 mg/5 mL oral suspension
143.988.701
28,50
28.5
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
glucosamine-chondroitin 500 mg-400 mg tablet
43.292.056.003
5,73
5.72
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
polyethylene glycol 3350 17 gram oral powder packet
904.642.286
7,01
7.01
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
fexofenadine 180 mg tablet
904.621.446
5,69
5.69
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
risperiDONE 0.25 mg tablet
68.382.011.214
5,73
5.73
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
risperiDONE 0.25 mg tablet
904.635.761
5,79
5.79
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
risperiDONE 0.5 mg tablet
50.458.059.110
6,54
6.54
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
risperiDONE 0.5 mg tablet
68.382.011.314
5,68
5.68
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
pioglitazone 15 mg tablet
16.729.002.010
5,75
5.75
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
pioglitazone 45 mg tablet
16.729.002.215
5,68
5.66
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
gabapentin 600 mg tablet
68.462.012.601
5,82
5.82
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
doxepin 10 mg capsule
378.104.901
6,09
6.09
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
pantoprazole 40 mg tablet,delayed release
65.862.056.090
5,79
5.79
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
doxycycline hyclate 100 mg capsule
143.314.250
6,22
6.22
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
oseltamivir 75 mg capsule
4.080.085
28,08
28.08
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
oseltamivir 75 mg capsule
70.710.101.002
15,20
15.2
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
levETIRAcetam 500 mg tablet
31.722.053.712
5,78
5.78
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
ciclopirox 8 % topical solution
51.672.530.200
34,00
34
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
theophylline ER 200 mg capsule,extended release 24 hr
52.244.020.010
15,59
15.59
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
nitroglycerin 0.1 mg/hr transdermal 24 hour patch
378.910.216
6,23
6.1
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
nitroglycerin 0.2 mg/hr transdermal 24 hour patch
68.382.030.930
6,33
5.95
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
nitroglycerin 0.4 mg/hr transdermal 24 hour patch
904.549.646
6,13
6.03
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
felodipine ER 5 mg tablet,extended release 24 hr
13.668.013.301
5,81
5.81
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
pseudoephedrine-guaifenesin ER 60 mg-600 mg tablet,extend release 12hr
63.824.005.718
6,25
6.13
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
divalproex 125 mg capsule,delayed release sprinkle
68.382.010.601
6,18
6.18
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
NIFEdipine ER 60 mg tablet,extended release 24 hr
68.682.010.910
6,55
5.71
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
lansoprazole 15 mg capsule,delayed release
781.214.731
7,62
7.62
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
lansoprazole 30 mg capsule,delayed release
378.803.093
7,62
7.62
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
omeprazole 20 mg capsule,delayed release
60.505.006.501
5,79
5.79
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
omeprazole 40 mg capsule,delayed release
781.223.401
5,76
5.64
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
omeprazole 40 mg capsule,delayed release
60.505.014.602
5,76
5.64
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
ondansetron 4 mg disintegrating tablet
68.462.015.740
6,08
6.08
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
venlafaxine ER 37.5 mg capsule,extended release 24 hr
65.862.052.790
6,04
6.04
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
venlafaxine ER 75 mg capsule,extended release 24 hr
65.862.052.890
6,12
6.12
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
fentaNYL 25 mcg/hr transdermal patch
60.505.700.600
19,47
19.1
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
fentaNYL 50 mcg/hr transdermal patch
60.505.700.702
38,20
33.62
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
fentaNYL 50 mcg/hr transdermal patch
47.781.042.647
51,67
8
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
fentaNYL 75 mcg/hr transdermal patch
60.505.700.802
47,97
46.98
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
fentaNYL 100 mcg/hr transdermal patch
60.505.700.902
67,40
65.84
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
carboxymethylcellulose sodium 1 % eye liquid gel drops
23.920.515
34,00
34
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
chlorhexidine gluconate 4 % topical liquid
32.551.093.835
5,65
5.65
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
lidocaine 5 % topical patch
591.352.511
29,49
7.64
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
lidocaine 5 % topical patch
603.188.010
29,49
7.61
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
linezolid 600 mg tablet
59.762.130.701
38,03
38.03
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
salmeteroL 50 mcg/dose blister powder for inhalation
173.052.000
33,92
33.92
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
HYDROcodone 10 mg-acetaminophen 325 mg tablet
43.386.035.801
5,85
5.85
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
HYDROcodone 10 mg-acetaminophen 325 mg tablet
60.687.041.801
6,52
6.52
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
insulin aspart U-100 100 unit/mL subcutaneous solution
169.750.111
689,36
358.79
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
ergocalciferol (vitamin D2) 1,250 mcg (50,000 unit) capsule
64.380.073.706
5,98
5.98
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
NIFEdipine ER 30 mg tablet,extended release 24 hr
68.682.010.810
6,69
6.69
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
atorvastatin 80 mg tablet
93.505.798
5,64
5.64
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
glyBURIDE 5 mg-metformin 500 mg tablet
65.862.008.201
5,71
5.68
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
budesonide 0.5 mg/2 mL suspension for nebulization
93.681.673
37,26
37.26
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
budesonide 0.5 mg/2 mL suspension for nebulization
781.751.614
37,26
37.26
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
budesonide 0.5 mg/2 mL suspension for nebulization
487.970.101
37,70
37.7
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
hydrocortisone 2.5 % topical cream with perineal applicator
64.980.032.430
7,72
6.08
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
erythromycin 5 mg/gram (0.5 %) eye ointment
24.208.091.055
54,20
54.2
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
metFORMIN ER 500 mg tablet,extended release 24 hr
62.756.014.201
5,71
5.71
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
alendronate 70 mg tablet
69.097.022.416
5,68
5.68
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
QUEtiapine 300 mg tablet
47.335.090.688
5,88
5.88
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
dilTIAZem ER 120 mg capsule,24 hr,extended release
68.682.036.790
6,24
5.84
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
clotrimazole-betamethasone 1 %-0.05 % topical cream
168.025.815
6,74
6.02
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
tolterodine ER 2 mg capsule,extended release 24 hr
378.340.293
28,42
24.02
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
tolterodine ER 4 mg capsule,extended release 24 hr
93.716.498
15,21
15.21
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
sodium chloride 0.65 % nasal spray aerosol
904.386.575
5,64
5.64
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
esomeprazole magnesium 20 mg capsule,delayed release
186.502.054
33,86
33.86
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
esomeprazole magnesium 20 mg capsule,delayed release
93.645.098
23,81
23.81
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
esomeprazole magnesium 40 mg capsule,delayed release
186.504.054
19,08
19.08
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
esomeprazole magnesium 40 mg capsule,delayed release
93.645.198
23,72
23.72
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
metoprolol succinate ER 25 mg tablet,extended release 24 hr
62.037.083.001
5,99
5.99
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
metoprolol succinate ER 50 mg tablet,extended release 24 hr
62.037.083.101
5,99
5.99
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
metoprolol succinate ER 100 mg tablet,extended release 24 hr
68.084.067.311
5,97
5.97
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
metoprolol succinate ER 200 mg tablet,extended release 24 hr
49.884.082.801
5,84
5.78
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
citalopram 10 mg tablet
378.623.101
5,69
5.69
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
ferrous gluconate 324 mg (38 mg iron) tablet
574.050.801
5,67
5.66
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
ferrous sulfate 220 mg (44 mg iron)/5 mL oral solution
5.361.015.516
5,67
5.67
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
ferrous sulfate 325 mg (65 mg iron) tablet
904.759.180
5,63
5.63
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
allopurinoL 100 mg tablet
378.013.701
5,90
5.9
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
allopurinoL 300 mg tablet
603.211.621
6,22
6.22
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
allopurinoL 300 mg tablet
70.710.121.001
5,83
5.83
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
valsartan 80 mg tablet
43.547.036.809
5,79
5.79
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
oxyCODONE-acetaminophen 10 mg-325 mg tablet
406.052.301
6,11
6.11
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
fluorometholone 0.1 % eye drops,suspension
60.758.088.005
251,05
245.15
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
folic acid 1 mg tablet
603.316.221
5,65
5.65
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
folic acid 1 mg tablet
11.534.016.501
5,64
5.64
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
ALPRAZolam 0.25 mg tablet
67.253.090.010
5,64
5.64
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
ALPRAZolam 0.25 mg tablet
51.079.078.801
5,66
5.66
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
ALPRAZolam 0.5 mg tablet
67.253.090.110
5,63
5.63
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
risedronate 35 mg tablet
430.047.203
47,78
47.78
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
furosemide 10 mg/mL oral solution
54.329.446
28,72
28.72
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
furosemide 20 mg tablet
54.429.731
5,64
5.64
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
furosemide 40 mg tablet
378.021.610
5,63
5.63
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
furosemide 80 mg tablet
378.023.201
5,63
5.63
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
amoxicillin 500 mg-potassium clavulanate 125 mg tablet
66.685.100.200
7,03
7.03
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
amoxicillin 875 mg-potassium clavulanate 125 mg tablet
66.685.100.100
23,75
23.75
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
amoxicillin 400 mg-potassium clavulanate 57 mg/5 mL oral suspension
65.862.053.401
53,60
53.6
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
escitalopram 10 mg tablet
93.585.101
5,73
5.73
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
escitalopram 20 mg tablet
93.585.201
5,68
5.68
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
valsartan 40 mg tablet
43.547.036.703
5,89
5.89
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
gemfibroziL 600 mg tablet
69.097.082.103
5,71
5.71
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
dutasteride 0.5 mg capsule
173.071.215
28,61
28.61
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
ezetimibe 10 mg tablet
49.884.022.811
7,71
7.71
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
gentian violet 1 % topical solution
395.100.392
5,68
5.67
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
ARIPiprazole 10 mg tablet
60.505.267.403
5,92
5.92
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
HYDROcodone 5 mg-acetaminophen 325 mg tablet
53.746.010.905
5,90
5.9
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
HYDROcodone 5 mg-acetaminophen 325 mg tablet
904.656.761
5,96
5.96
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
HYDROcodone 7.5 mg-acetaminophen 325 mg tablet
603.389.128
6,04
6.04
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
HYDROcodone 7.5 mg-acetaminophen 325 mg tablet
13.107.002.005
6,04
6.04
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
HYDROcodone 7.5 mg-acetaminophen 325 mg tablet
904.642.061
6,00
6
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
HYDROcodone 7.5 mg-acetaminophen 325 mg tablet
50.268.040.015
5,97
5.97
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
HYDROcodone 7.5 mg-acetaminophen 325 mg tablet
65.162.011.550
5,74
5.74
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
guaiFENesin 400 mg tablet
57.896.079.401
5,63
5.63
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
neomycin-polymyxin-hydrocort 3.5 mg/mL-10,000 unit/mL-1 % ear solution
24.208.063.110
315,40
240.8
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
neomycin-polymyxin-hydrocort 3.5 mg/mL-10,000 unit/mL-1 % ear solution
61.314.064.610
315,40
143.78
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
glyBURIDE 5 mg tablet
23.155.005.801
5,70
5.7
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
rosuvastatin 20 mg tablet
310.075.290
7,79
7.79
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
cyclobenzaprine 5 mg tablet
591.325.601
5,79
5.69
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
coenzyme Q10 50 mg capsule
79.854.000.848
5,88
5.88
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
metFORMIN ER 750 mg tablet,extended release 24 hr
70.010.049.201
5,67
5.67
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
metFORMIN ER 750 mg tablet,extended release 24 hr
67.877.041.401
5,67
5.67
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
haloperidoL 1 mg tablet
378.025.701
5,99
5.99
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
haloperidoL 2 mg tablet
781.139.301
5,87
5.78
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
potassium chloride ER 20 mEq tablet,extended release(part/cryst)
781.572.010
5,87
5.87
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
potassium chloride ER 20 mEq tablet,extended release(part/cryst)
66.758.019.006
5,89
5.89
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
menthol 5 % topical patch
41.167.000.843
6,62
6.62
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
amantadine HCL 100 mg capsule
832.201.200
7,24
7.24
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
amantadine HCL 100 mg capsule
42.543.049.301
6,43
6.43
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
ARIPiprazole 5 mg tablet
13.668.021.730
6,21
6.21
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
levETIRAcetam 100 mg/mL oral solution
16.714.035.801
147,77
147.77
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
rosuvastatin 5 mg tablet
781.540.092
5,90
5.9
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
buPROPion HCL XL 150 mg 24 hr tablet, extended release
10.370.010.103
6,45
6.45
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
phenylephrine 0.125 % nasal drops
56.184.012.105
5,63
5.63
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
amiodarone 100 mg tablet
51.862.015.430
14,79
14.79
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
amiodarone 100 mg tablet
51.862.024.030
14,79
14.79
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
memantine 10 mg tablet
29.300.017.216
5,80
5.8
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
alfuzosin ER 10 mg tablet,extended release 24 hr
60.505.285.001
5,97
5.97
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
hydrALAZINE 25 mg tablet
23.155.000.201
5,68
5.68
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
hydroCHLOROthiazide 25 mg tablet
16.729.018.301
5,64
5.64
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
hydrocortisone 1 % topical cream
45.802.043.803
7,72
6.99
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
hydrocortisone 2.5 % topical cream
168.008.031
15,30
7.42
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
hydrocortisone 10 mg tablet
68.084.046.911
6,35
6.35
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
hydrocortisone 20 mg tablet
59.762.007.501
5,75
5.75
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
hydrocortisone acetate 25 mg rectal suppository
713.050.312
27,75
6.88
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
HYDROmorphone 2 mg tablet
42.858.030.101
5,67
5.67
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
escitalopram 5 mg tablet
378.385.577
5,80
5.8
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
metoprolol tartrate 25 mg tablet
378.001.805
5,64
5.64
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
glipiZIDE ER 5 mg tablet, extended release 24 hr
68.084.011.111
5,92
5.92
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
glipiZIDE ER 10 mg tablet, extended release 24 hr
59.762.054.202
5,70
5.68
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
guaiFENesin ER 600 mg tablet, extended release 12 hr
63.824.000.840
6,05
6.05
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
hydroxyzine HCL 25 mg tablet
10.702.001.101
5,66
5.66
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
hydroxyzine HCL 25 mg tablet
23.155.050.101
5,66
5.66
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
HYDROcodone 7.5 mg-acetaminophen 325 mg/15 mL oral solution
66.689.002.316
147,77
147.77
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
propranoloL ER 60 mg capsule,24 hr,extended release
51.991.081.701
6,71
6.71
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
lactulose 10 gram/15 mL oral solution
50.383.077.932
5,98
5.98
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
tiotropium bromide 18 mcg capsule with inhalation device
597.007.575
66,03
66.03
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
ibuprofen 400 mg tablet
67.877.031.901
5,65
5.65
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
ibuprofen 600 mg tablet
55.111.068.301
5,66
5.66
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
ibuprofen 800 mg tablet
53.746.046.601
5,66
5.66
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
indomethacin 25 mg capsule
68.462.040.601
5,82
5.82
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
vitamin B complex and vitamin C no.20-folic acid 1 mg capsule
69.543.026.010
5,98
5.72
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
aMILoride 5 mg tablet
574.029.201
5,84
5.84
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
nystatin 100,000 unit/gram topical powder
832.046.530
6,33
5.85
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
DULoxetine 20 mg capsule,delayed release
57.237.001.760
5,92
5.92
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
DULoxetine 30 mg capsule,delayed release
57.237.001.830
5,84
5.84
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
DULoxetine 60 mg capsule,delayed release
57.237.001.930
5,73
5.73
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
DULoxetine 60 mg capsule,delayed release
57.237.001.999
5,72
5.72
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
solifenacin 5 mg tablet
51.248.015.003
51,85
51.85
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
darifenacin ER 7.5 mg tablet,extended release 24 hr
69.097.043.102
33,69
33.69
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
isosorbide dinitrate 10 mg tablet
143.177.101
5,91
5.91
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
fluticasone propionate 110 mcg/actuation HFA aerosol inhaler
173.071.920
698,11
698.11
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
fluticasone propionate 220 mcg/actuation HFA aerosol inhaler
173.072.020
1.035,91
1
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
cholecalciferol (vitamin D3) 1,000 unit tablet,cholecalciferol (vitamin D3) 1,000 unit capsule
79.854.005.023
5,63
5.63
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
cholecalciferol (vitamin D3) 5,000 unit capsule,cholecalciferol (vitamin D3) 5,000 unit tablet
904.598.660
5,62
5.62
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
cholecalciferol (vitamin D3) 400 unit tablet,cholecalciferol (vitamin D3) 400 unit capsule
904.582.360
5,63
5.63
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
loperamide 2 mg capsule,loperamide 2 mg tablet
378.210.001
5,99
5.99
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
Lactobacillus rhamnosus GG 10 billion cell capsule,Lactobacillus rhamnosus GG 15 billion cell sprinkle capsule,Lactobacillus acidophilus 75 million cell-pectin 100 mg capsule
49.100.038.164
6,13
6.13
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
9.999.307.701
28,90
54.15
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
9.999.307.801
28,35
53.6
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
9.999.307.901
25,87
47.72
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
9.999.308.001
70,79
197.04
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
9.999.312.901
13,93
5.8
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
9.999.313.001
370,98
992.23
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
9.999.313.601
19,39
27.64
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
9.999.313.701
39,91
108.66
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
dextromethorphan-guaifenesin 10 mg-100 mg/5 mL syrup,dextromethorphan-guaifenesin 10 mg-100 mg/5 mL oral liquid
31.873.612
19,38
19.38
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
dextromethorphan-guaifenesin 10 mg-100 mg/5 mL syrup,dextromethorphan-guaifenesin 10 mg-100 mg/5 mL oral liquid
70.000.030.101
24,25
24.25
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
dextromethorphan-guaifenesin 10 mg-100 mg/5 mL syrup,dextromethorphan-guaifenesin 10 mg-100 mg/5 mL oral liquid
96.295.013.210
24,25
24.25
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
morphine concentrate 20 mg/mL oral syringe (FOR ORAL USE ONLY),morphine concentrate 100 mg/5 mL (20 mg/mL) oral solution,morphine concentrate 10 mg/0.5 mL oral syringe (FOR ORAL USE ONLY)
406.800.330
5,90
5.9
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
polyethylene glycol 3350 17 gram oral powder packet,polyethylene glycol 3350 17 gram/dose oral powder
45.802.086.801
18,95
18.95
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
polyethylene glycol 3350 17 gram oral powder packet,polyethylene glycol 3350 17 gram/dose oral powder
45.802.086.802
29,38
29.38
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
polyethylene glycol 3350 17 gram oral powder packet,polyethylene glycol 3350 17 gram/dose oral powder
904.642.286
7,01
7.01
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
dilTIAZem CD 180 mg capsule,extended release 24 hr,dilTIAZem ER (XR/XT) 180 mg capsule, extended release 24 hr, controlled
68.084.005.311
5,88
5.88
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
dilTIAZem CD 240 mg capsule,extended release 24 hr,dilTIAZem ER (XR/XT) 240 mg capsule, extended release 24 hr, controlled
10.370.083.109
6,28
6.28
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
9.999.701.000
14,82
14.82
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
51.552.153.601
325,50
325.5
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
potassium chloride ER 10 mEq tablet,extended release,potassium chloride ER 10 mEq tablet,extended release(part/cryst)
66.758.016.005
6,07
6.07
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
9.999.308.401
20,25
28.5
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
9.999.999.000
21,19
29.44
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
9.999.999.007
43,05
111.8
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
9.999.999.001
15,55
7.42
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
9.999.999.014
17,15
15.4
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
9.999.999.002
35,17
82.92
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
9.999.999.003
15,34
7.21
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
9.999.999.004
14,44
6.31
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
9.999.999.005
14,95
6.82
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
9.999.308.301
17,21
15.46
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
9.999.308.101
14,31
6.18
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
9.999.999.006
20,13
28.38
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
9.999.999.008
36,75
105.5
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
9.999.999.009
14,54
6.41
WESTON COUNTY HEALTH SERVICES SERVICE AREA
6.370.000.100
9.999.999.010
14,59
6.46